Better, sooner, more convenient health care in Midlands
Better, sooner, more convenient health care in Midlands Better, sooner, more convenient health care in Midlands
4 The Integrated Family Health CentreA local focus on taking control of the dayGisborne (Gisborne City)Turanganui PHO enrolled patients currently receive services from six General Practices spreadacross Gisborne City. There is one large General Practice based in Kaiti, the eastern largest andmost deprived suburb in Gisborne. It has been clear for some time to the owners of that progressivepractice that the way services are delivered needs to change but the current physical environment isproviding barriers to that change. They have been planning for two years to move to a purpose builtfacility and have worked with Turanganui iwi to achieve that aspiration.With the introduction of the IHFC and IHFN concepts, Turanganui PHO are able to support thatpractice, their 12,000 patients and that suburb to reach their goal. The remainder of the practicesare collectively in the centre and western suburbs and represent smaller group practices and sologeneral practitioners. They have been approached to also consider a western amalgamation thatwould see two Integrated Family Health Centre service the whole TPHO enrolled population withsatellite and mobile services available to those patients unable to access new facilities. The changein physical environments, plus the amalgamation of all general practices, allows Turanganui PHO toexplore different ownership and IT models that will better suit the concept of better, sooner, moreconvenient primary care.Gisborne Health Burden nowHigh Health BurdenMedium Health BurdenLow Health BurdenGisborne Health Burden 20 years53
The Integrated Family Health CentreA local focus on taking control of the day4Mercury Bay Medical Centre (Whitianga: Public Private Partnership)Mercury Bay Medical Centre provides services to the community of Whitianga and surroundingareas on the Coromandel Peninsula. The town is rurally isolated with a 90 minute drive to the nearestA&E and has a population of 3,500 within the town and a similar number in surrounding areas. Thepopulation includes a higher than average elderly population. In addition, the population swells toaround 30,000 during the summer season.The acute care and 24/7 after hours services that the medical centre provides are crucial for such anisolated community. The medical centre has sought to encapsulate an ethos in line with the conceptof an Integrated Family Health Centre. In addition to traditional GP services the medical centre isproviding a range of services including phlebotomy, physiotherapy, radiology and podiatry plus arange of nurse clinics. In addition a range of specialists visit the town on a regular basis includingOrthopedic, Ophthalmology, Podiatry and diabetes services.Community discussions have started around the opportunity to develop a new purpose builtcommunity primary care structure. Local developers have contributed plans and ideas to the localproviders and community to allow them to develop the concept and range of services required.Part of this planning includes how to develop further the provision of training facilities for medicalstudents within the Whitianga area.Whitianga Health Burden nowHigh Health BurdenMedium Health BurdenLow Health BurdenWhitianga Health Burden 20 years54
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4 The Integrated Family Health CentreA local focus on tak<strong>in</strong>g control of the dayGisborne (Gisborne City)Turanganui PHO enrolled patients currently receive services from six General Practices spreadacross Gisborne City. There is one large General Practice based <strong>in</strong> Kaiti, the eastern largest andmost deprived suburb <strong>in</strong> Gisborne. It has been clear for some time to the owners of that progressivepractice that the way services are delivered needs to change but the current physical environment isprovid<strong>in</strong>g barriers to that change. They have been plann<strong>in</strong>g for two years to move to a purpose builtfacility and have worked with Turanganui iwi to achieve that aspiration.With the <strong>in</strong>troduction of the IHFC and IHFN concepts, Turanganui PHO are able to support thatpractice, their 12,000 patients and that suburb to reach their goal. The rema<strong>in</strong>der of the practicesare collectively <strong>in</strong> the centre and western suburbs and represent smaller group practices and sologeneral practitioners. They have been approached to also consider a western amalgamation thatwould see two Integrated Family Health Centre service the whole TPHO enrolled population withsatellite and mobile services available to those patients unable to access new facilities. The change<strong>in</strong> physical environments, plus the amalgamation of all general practices, allows Turanganui PHO toexplore different ownership and IT models that will better suit the concept of better, <strong>sooner</strong>, <strong>more</strong><strong>convenient</strong> primary <strong>care</strong>.Gisborne Health Burden nowHigh Health BurdenMedium Health BurdenLow Health BurdenGisborne Health Burden 20 years53