Better Sooner More Convenient Primary Care - New Zealand Doctor

7 Governance, Ownership & Management
This business case assumes that a West Coast based entity, (probably not-for-profit,
non-government, e.g., a community trust) assumes responsibility for the operation of the
community based, non hospital services, currently operated by the DHB, including primary care
services. Such an Integrated Family Health Services (IFHS) entity will be able to implement
the degree of integration required to achieve the proposed model of care and realise the
required financial savings.
7.1 Options
Four governance, ownership and management options have been considered:
Option A – status quo
Option B - DHB cancels PHO contract, and absorbs PHO role into its own structures.
Option C - PHO assumes responsibility for current DHB primary and community services
and runs IFHCs and (former) DHB wide community services; PHO trust deed
and the make-up of its governance board changes to reflect its different role;
DHB retains planning & funding, and secondary (hospital) services delivery
roles.
Option D - DHB/PHO „joint venture‟ or (in the interim) alliance contract for delivery of
primary & community services; DHB retains planning & funding, and secondary
(hospital) services delivery roles.
The status quo option is not further described, as the prima facie case is that two entities
running parallel structures is not cost effective.
These options B, C and D are depicted in schematics below.
Business case EoI V38 AC 25Feb10 Page 53