2IntroductionA model for better, <strong>sooner</strong>, <strong>more</strong> <strong>convenient</strong> primary <strong>health</strong> <strong>care</strong> <strong>in</strong> <strong>Midlands</strong>Network GP Consultations2006 2016 2026AnnualNumber ofGP Consults<strong>in</strong> theNetworkProportionAnnualNumber ofGP Consults<strong>in</strong> theNetworkProportionAnnualNumber ofGP Consults<strong>in</strong> theNetworkProportion0-4 yrs 142,175 13.0% 127,183 10.7% 126,087 9.8%5-14 yrs 99,749 9.1% 88,137 7.4% 82,086 6.4%15-24 yrs 88,427 8.1% 84,174 7.1% 73,827 5.7%25-44 yrs 186,651 17.1% 178,392 15.0% 185,063 14.4%45-64 yrs 268,837 24.7% 303,225 25.6% 281,869 21.9%65-84 yrs 262,029 24.0% 338,670 28.6% 447,240 34.7%85+ yrs 42,524 3.9% 66,441 5.6% 92,595 7.2%1,090,393 1,186,222 1,288,766Network FTEs: 2006 - 2016CurrentWorkforce(2006)Estimated %Change <strong>in</strong>Annual GPConsultationsby 2016Number ofNew RecruitsRequired toCompensateEstimatedIncrease <strong>in</strong>ConsultationWorkloadTotalWorkforceNeeded toMa<strong>in</strong>ta<strong>in</strong>CurrentLevels ofServiceNo. that willpotentiallyretire at age65 yearsPotentialNumber tobe recruitedby 2016GPs 28425 309 57 82+ 8.8%PNs 349 31 380 64 95Network FTEs: 2006 - 2026CurrentWorkforce(2006)Estimated %Change <strong>in</strong>Annual GPConsultationsby 2026Number ofNew RecruitsRequired toCompensateEstimatedIncrease <strong>in</strong>ConsultationWorkloadTotalWorkforceNeeded toMa<strong>in</strong>ta<strong>in</strong>CurrentLevels ofServiceNo. that willpotentiallyretire at age65 yearsPotentialNumber tobe recruitedby 2026GPs 28452 336 181 23318.2%PNs 349 63 412 206 26915
IntroductionA model for better, <strong>sooner</strong>, <strong>more</strong> <strong>convenient</strong> primary <strong>health</strong> <strong>care</strong> <strong>in</strong> <strong>Midlands</strong>2These complex shifts <strong>in</strong> the age and ethnic composition of our population make the provisionof better, <strong>sooner</strong>, <strong>more</strong> <strong>convenient</strong> primary <strong>health</strong> essential for the <strong>Midlands</strong> region. Both toensure access to primary <strong>health</strong> and to help a shift to a <strong>health</strong>ier population through improvedpreventative <strong>health</strong><strong>care</strong>, without which our secondary services will be overwhelmed withpreventable chronic disease.Social Report Indicators National <strong>Midlands</strong>Life expectancy (years, 2000-2002, male) 76.5 75.6Life expectancy (years, 2000-2002, female) 81.4 80.7Cigarette smok<strong>in</strong>g (%, 2005) 22.5 24.5Suicide (rate per 100,000, 2001-2005) 13.7 14.0Participation <strong>in</strong> early childhood education (%, 2007) 99.3 97.6School leavers with higher qualifications (% NCEA Level 2 or higher, 2007) 66.2 59.1Educational atta<strong>in</strong>ment of the adult population (%, 25-64 years, 2007) 76.0 73.8Unemployment (%, 2007) 3.6 3.5Employment (%, 2007) 75.4 77.7Median hourly earn<strong>in</strong>gs ($, 2007) 18.0 17.0Workplace <strong>in</strong>jury claims (rate per 1,000 FTEs, 2006) 126.6 153.6Population with low <strong>in</strong>comes (%, 2006) 18.0 19.4Household crowd<strong>in</strong>g (%, 2006) 10.5 9.4Voter turnout – Local authority elections (%, 2007) 43.0 41.2Representation of women <strong>in</strong> local government (%, 2007) 35.8 34.5Maori language speakers (%, 2006) 21.3 24.9Language retention (%, 2006) 55.6 49.4Participation <strong>in</strong> physical activity (% 5-17 years, 2001) 68.4 71.8Participation <strong>in</strong> physical activity (%, 18+ years, 2001) 67.7 66.9Dr<strong>in</strong>k<strong>in</strong>g water quality E. coli compliance (% of population, 2006/2007) 78.7 67.2Dr<strong>in</strong>k<strong>in</strong>g water quality Cryptosporidium compliance (% of population, 2006/2007) 66.9 34.8Recorded crim<strong>in</strong>al offences (rate per 10,000 population, 2007) 1008.5 1030.6Road casualties (Injuries per 100,000 population, 2007) 375.0 432.3Road casualties (Deaths per 100,000 population, 2007) 10.0 20.5Telephone access <strong>in</strong> the home (%, 2006) 94.2 93.5Internet access <strong>in</strong> the home (%, 2006) 63.8 59.416