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Better Sooner More Convenient Primary Care - New Zealand Doctor

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5.4.3 Future well child service model<br />

Currently well child service provision is fragmented between Plunket, primary care, Māori health<br />

NGO providers, LMCs and Community nursing services. The advent of IFHCS creates the<br />

opportunity to bring these carers together, so that care is streamlined, information is shared<br />

and families get the right level of follow up.<br />

Initial discussions with NGO service providers indicate a willingness to collaborate in order to<br />

achieve better health outcomes and better use of resources. <strong>More</strong> detailed discussions and<br />

project planning will occur in year one of the implementation phase.<br />

5.4.4 Future mental health service model<br />

[NB. The Mental Health component of this plan was written on the basis of funding being<br />

available to employ Mental Health Co-ordinators in each IFHC. It became apparent on 23 rd<br />

February that this funding was not going to be available. While aspects of this plan may still be<br />

able to be implemented within existing resources and funding, this will require discussion with,<br />

and support from, clinicians from community mental health services, primary mental health<br />

services and primary care. Given the time now available a revision to this plan was therefore not<br />

attempted; this review will done by June 30, 2010.]<br />

Significant changes are proposed for mental health services. Most secondary mental health<br />

services provided by the West Coast DHB are, in fact, community based. Over time it is<br />

proposed that these will increasingly be based in IFHCs to enhance the connection with core<br />

primary care. This process will commence in 1 July 2010 with the devolution of funds for three<br />

primary care based primary mental health co-ordinators who, over time, will conduct almost all<br />

Business case EoI V38 AC 25Feb10 Page 30

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