Better Sooner More Convenient Primary Care - New Zealand Doctor

dispensing nurse generated, unsigned scripts with a formal agreement that a GP will take
full responsibility and sign within one week.
Māori access
Māori access to care, as shown by the percentage of the census population enrolled in a health
centre, has also been an issue, previously in the Buller region and now in Greymouth. For two
years a kaiawhina was employed by the PHO in the Buller region to enhance relationships
between the health centres and the Māori community.
4 Objectives:
The objectives of this plan are:
to improve access to first contact core general practice team care (access to long term
condition management is addressed in the Long Term Conditions project)
to reduce waiting times for general practice appointments
to improve continuity of care
to improve co-ordination of care
to develop a team approach with patients seen by GP or nurse according to health need
to implement the above through providing a facilitated learning environment for health
centres in each region to redesign their delivery systems to improve access and
continuity of care
to improve access to care through expansion of the role of community pharmacist
to improve access for Māori through health centres working closely with local kaiawhina.
5 Benefits and gains
Output measures
Indicator Baseline Target – Year 2 Year 3
Yr 1
Facilitated regional planning sessions 0 6 4 2
% of health centres with extended
0% 25% 50% 60%
hours clinics
% of health centres with drop in nurse 37% 50% 50% 50%
clinics for acute problems
% of health centres with weekly clinical 88% 100% 100% 100%
review meetings between GPs and
nurses
Number pharmacists dispensing using 0 0 4 6
„standing orders‟
Number of Māori nurses employed 4 5 6 7
Number of Kaiawhina employed 1 1 2 2
Business case appendices V12 AC 25Feb2010 Page 8