Better, sooner, more convenient health care in Midlands

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3 The Integrated Family Health NetworkA regional focus on improving patient journeysCapacity to provide improved workforce development opportunities,such as training facilities to support primary health care placements fora variety of disciplines (e.g. General Practice, Nursing, Allied Health)The Midlands Network has a range of workforce development opportunities working in pocketsacross the region. This currently includes:• Scholarships for undergraduate and post graduate study such as medicine, nursing, midwifery,podiatry, physiotherapy, occupational therapy, mental health, para-medicine, pharmacy,oral health etc.• Post graduate nursing scholarships for those already working in primary health care.• New graduate nurse pathway targeted to attract newly registered nurses to general practice. Itis structured as a one year internship programme where new graduate nurses work in urban andrural locations. The new graduates are supernumerary so are able to focus on learning.• Adding to this will be the additional capacity to ensure training programmes and placementopportunities are better supported across the Midlands Network and within Integrated FamilyHealth Centres.Two key enablers will be focused on, creating physical space set aside for teaching and learning andthe space within busy professionals days to support and provide the teaching role.Additional partnerships will be developed with education facilities to bring industry training into theprimary care health sector context to ensure all Integrated Family Health Centre protect and nurturetraining capacity.Processes to meaningfully engage consumers and the communityCommunity participation is a key component of the New Zealand Primary Health Care Strategy.The minimum requirements for Primary Health Organisations did not specify how the communityvoice should be heard at the governance level but did specify that PHOs must be responsive totheir communities and have genuine processes for including community, iwi and consumers in theirgoverning processes. Community participation in decision making happens at different levels indifferent ways.The Midlands Network will rely on the strong local connections with communities and other keystakeholders that have been developed and nurtured by the PHOs. Each has within their owncommunities developed a range of responses to local needs.In most cases PHOs are currently operating within the midrange of the ladder of participation. Acontinued commitment to developing higher degrees of participation is a fundamental given withinthe Midlands Network.District Health Board involvement and supportSupport and ongoing dialogue has been sought from the CEOs and GMs of Funding and Planningin each of the Midlands District Health Board areas covered within this EOI. Each District HealthBoard has indicated support for the Midlands Network proposal and for the enhanced anddeveloped role that primary care will play within the new environment. Some of the proposals withinthe EOI challenge the existing accountabilities for District Health Boards and the crown fundingagreements however there has been a range of discussions supporting the exploration of new waysof doing things collectively.Each District Health Board has also been asked to contribute a list of priorities and ideas for theEOI to address both local and regional needs from their perspective. This has contributed to theidentification of a range of ideas some which will be further developed via the business development31
The Integrated Family Health NetworkA regional focus on improving patient journeys3stage. Some tensions have arisen around some individual District Health Boards view that fundingshould be ring fenced around District Health Board boundaries. It is the one plan, “think regional-actlocal” discussion however that has contributed to the ongoing development of ideas.See Letters of Support from the CEOs of the four District Health Boards Lakes, Taranaki, TDH and WaikatoThe strength of our relationships with key stakeholders, clinicians,practitioners and the communityThe Midlands Network partners pride themselves on their local and regional relationships. Spreadthroughout the Network are multiple mechanisms for ensuring that dialogue and engagement is aliving process.Supporting the initial Expression of Interest are attached letters of support from key stakeholdersincluding:• Pinnacle Incorporated Board - representing 100 General Practice Teams.• Board of each partner PHO - representing the enrolled population.• Waikato Pharmacy Group - on behalf of pharmacy within the Midlands Network.We have also received enquiries from and started a range of discussions with a large number ofother parties that we would like to explore working with in regards to specific elements of businesscase development.Improving patient journeysThe Integrated Family Health Network utilises scale where itimproves outcomesThe network focuses on putting the primacy back into primary care. It focuses on the role of primarycare as being truly critical and belonging at the forefront of a patient’s healthcare.As part of this submission we are making 12 regional promises to the population we serve.12 Regional Promises to the Midlands PopulationTo Midlands children, young people and their familiesPromise 1:Promise 2:No Midlands child will be left behind.Midlands will have a well child focus (as opposed to a sick child one).To the Midlands populationPromise 3:If you are enrolled with a Midlands GP then you will be invited to complete a healthscreen once a year. Any issues flagged from that screen will be followed up with you(includes the option to decline the screen).To those people in Midlands living at risk of a cardiovascular eventPromise 4:Promise 5:Free Cardiovascular Risk Assessments for the eligible population(determines Diabetes).If you live at risk of a cardiovascular event you will have a Chronic DiseaseSelf-Management Plan.32
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Better, sooner, more convenient health care in Midlands

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