Better Sooner More Convenient Primary Care - New Zealand Doctor

Year three
Community education campaign
repeat in April.
Nurse education
providing funding for more nurses to do PG Cert papers and PRIME.
Standing orders
provide 4 more day long training sessions in each of Greymouth and Westport
review and update content of standing orders - May
review use in each practice and adapt standard processes as required – October.
7 Capability and capacity
This project is about increasing capacity by using HML to triage all after hours phone calls, with
an expected drop in GP/nurse call outs of 50%.
It also builds on the models of care developments in that it promotes an increased role for
nurses, and so provides extra postgraduate training and training in standing orders to increase
nurse capability.
The plan also provides extra capability through use of new technology, ie. Cisco in Buller.
8 Effect on inequalities
It is well documented that the inequalities in health exist between Māori and non Māori on the
West Coast.
The after hours primary health care services proposed in this plan will ensure that all West
Coast residents, and particularly those with the greatest need, will have access to free and
consistent telephone triage services, through the diversion of phone calls from general practice
to HML triage. For those who have no phone and go directly to an emergency department there
will be vouchers available if they are referred to afterhours services and cannot pay the fee.
Business case appendices V12 AC 25Feb2010 Page 23