Better Sooner More Convenient Primary Care - New Zealand Doctor

Two rounds of meetings with front line general practice teams, particularly focusing on
models of care.
Wide dissemination of draft documents for input.
Input over three meetings of the PHO Clinical Governance Committee which includes
clinicians, lay and iwi representatives.
Input from the Primary Secondary Care Liaison (GP Liaison) committee at two meetings
that focused on the EoI.
One-on-one meetings with private practice owners.
Meetings with community pharmacists.
Two open meetings with Senior Medical Officers.
Open meeting with all hospital based clinical leaders.
Of note in this process was the acceptance by the majority of clinicians of the need to change,
the willingness to embrace new models of care that provide better care (continuity, consistency,
co-ordination), sooner care (improved access with decreased waiting times) and more convenient
care (one stop shop approach). While there were some understandable concerns about what this
might mean for future roles and working conditions, there was very little patch protection, a
willingness to look outside the square, and a commitment to work together to develop new
systems and processes of care.
Change management strategies are described further in Section 10.2. Project advisory and
reference group membership is detailed in Appendix Fifteen.
5.7 Community engagement
Given the time frames of this EoI direct community engagement has been less than ideal.
However the following consultation activities were able to take place:
Presentation and discussion of the EoI with the DHB Board at two board meetings.
Detailed discussion of the EoI papers at three PHO board meetings (on the board are
representatives from the three Coast TLAs, representatives from both runanga and the
Māori provider).
Input over three meetings of the PHO Clinical Governance Committee which includes
community, and iwi and Mori provider representatives.
Representation on the EoI Advisory group from NGOs, Māori providers, DHB General
Manager Māori.
Open meeting with NGOs to explain the process and receive their feedback.
Meeting with Greymouth mayor.
If and when the business case is approved, wider community consultation will need to be
undertaken regarding a number of the aspects that this business case envisages and/or
proposes should change (in line with the DHB's statutory requirements). Given the West Coast
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