Better Sooner More Convenient Primary Care - New Zealand Doctor

The table shows that general, undifferentiated primary care consults are the biggest single
component of service in the IFHCs.
Based on the model of care described earlier in this paper, estimates of average required
minutes per visit, and the % of visits requiring intervention by the various types of health
professional have been developed for each service line (adjusted for age). This then generates
FTE requirements in total and for each IFHC, based on the district population.
Total required FTEs for the West Coast region are shown below
Summary
DHB total FTEs
Service Admin DN / CN PN GP (brief) GP (full) PharmacistPMH therapist Physio
ACC 1.4 - 3.6 0.5 0.8 - - 0.3
Immunisation 0.9 - 2.8 - - - - -
Scripts 1.5 - 0.4 0.5 - 0.7 - -
General 11.2 - 26.1 3.7 8.7 0.0 - 1.4
Diabetes 0.2 - 0.8 0.1 0.2 0.0 - -
CVD 0.2 - 0.9 0.1 0.2 0.0 - -
COPD 0.1 - 0.4 0.1 0.1 0.0 - -
B4 school chks 0.0 0.3 - - - - - -
Sexual health 0.4 - 1.0 0.1 0.3 - - 0.1
Pharms reviews 0.2 - - 0.2 - 0.7 - -
cvd risk asst 0.1 - 0.5 0.0 - - - -
District nursing 2.0 17.6 - - - - - -
Primary MH 0.3 - - - - - 2.3 -
Physio 0.8 - - - - - - 3.1
Other - - - - - - - -
Total 19.4 17.9 36.4 5.3 10.3 1.5 2.3 4.9
GP total 15.6
Total required FTEs for the Buller IFHC are shown below
Summary
Buller FTEs
Service Admin DN / CN PN GP (brief) GP (full) PharmacistPMH therapist PHYsio
ACC 0.4 - 1.1 0.2 0.2 - - 0.1
Immunisation 0.3 - 0.9 - - - - -
Scripts 0.5 - 0.1 0.2 - 0.2 - -
General 3.5 - 8.1 1.2 2.8 0.0 - 0.4
Diabetes 0.1 - 0.3 0.0 0.1 0.0 - -
CVD 0.1 - 0.3 0.0 0.1 0.0 - -
COPD 0.0 - 0.1 0.0 0.0 0.0 - -
B4 school chks 0.0 0.1 - - - - - -
Sexual health 0.1 - 0.3 0.0 0.1 - - 0.0
Pharms reviews 0.1 - - 0.1 - 0.2 - -
cvd risk asst 0.0 - 0.2 0.0 - - - -
District nursing 0.7 5.8 - - - - - -
Primary MH 0.1 - - - - - 0.7 -
Physio 0.3 - - - - - - 1.0
Other - - - - - - - -
Total 6.1 5.9 11.3 1.7 3.2 0.5 0.7 1.5
GP total 4.9
Business case EoI V38 AC 25Feb10 Page 50