Better Sooner More Convenient Primary Care - New Zealand Doctor

6 Business model
6.1 Business concept
The business concept involves the development of Integrated Family Health Centres (IFHCs)
based at Westport, Greymouth and Hokitika, with satellite clinics at the surrounding rural
centres. The IFHCs would be run by the West Coast Integrated Family Health Service (IFHS).
The preferred options for the future organisational structure of the IFHS involve a not-forprofit,
non-government organisation, which may or may not be the PHO in a modified form, or a
new entity jointly owned by the existing PHO and DHB. For the sake of brevity, these various
options are shortened to "the IFHS" in this document, and that phrase should be read as
"whatever form of NGO/Trust takes on the provision of community/primary services in the
future". The IFHS would employ many staff and contract with others. The IFHS would also
provide district wide community services that are not based at a particular IFHC. Over time
more services would be devolved to the IFHS, as it builds experience and improves
performance.
The range of services to be provided in and through IFHCs comprises:
the services historically provided by general practices - management of acute and
chronic primary presentations by enrolled patients
the services historically provided by the non-hospital/community based subset of the
DHB provider arm - district/community nursing and allied management of complex
patients, including post discharge.
The building of new facilities is likely to be required in Greymouth and Westport, while
renovations will be required in Reefton. Facilities changes in Hokitika and South Westland are
not planned at this stage.
Services will continue to be delivered in each of the three Territorial Local Authority districts:
Buller (Westport), Grey (Greymouth) and Westland (Hokitika). Current smaller/outlying clinic
locations include:
Karamea
Ngakawau
Reefton
Moana
Whataroa, Hari Hari, Franz Josef, Fox Glacier and Haast.
The approach is described in broad terms in the schematic over page and then reviewed in more
detail below.
Business case EoI V38 AC 25Feb10 Page 44