Better, sooner, more convenient health care in Midlands

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7 Delivering on health targetsDiabetesHealth targetPercentage of people withDiabetes getting their freeannual checks targetsNational WDHB TDHB TDH LDHBTotal 56% 52% 69% 59% N/AMaori 53% 42% 59% N/A N/APacific Island 46% 52% 28% N/A N/ACurrent performanceFor most providers diabetes management is an integral part of general practice service delivery.The ongoing increase in the number of people diagnosed with diabetes is alarming and hasbeen described as the health challenge of the century. Most service delivery concentrates on themanagement of people diagnosed with Type I Diabetes with a free annual review undertaken. Thereis variability in uptake of this service across the region.It is expected that a retinal screening check is undertaken every two years and this is traditionallydelivered in a hospital. Again, there is variability in uptake of this service across the region. Somepeople with diabetes require podiatry treatment and this is also available for free, although accessto service is dependant on locale. There is no settled agreement on whether screening should beintroduced to manage people identified with symptoms that are precursors to diabetes.There has been an increase in the number of people with diabetes who require specialist servicesand there has been a movement to utilisation of dialysis with the percentage of patients selfmanagingat home haemodialysis increasing. The support services for managing the haemodialysisare delivered from Waikato Hospital which is difficult for people who live in provincial areas. Thereis concern that populations who are poor, or have limited education require more support locally tohelp with management; yet there are no current processes for this.Percentage of people withDiabetes getting theirfree annual checks targets(Performance @ Q3 2008/09)National WDHB TDHB TDH LDHBTotal 58% 53% 74% 59% 49%Maori 53% 43% 55% 60% 43%Pacific Island 54% 42% N/A N/A N/A97
Delivering on health targets7Needs projectionsTotal WDHB TDHB TDH LDHBDiabetes Estimated Population(Prevalence incl early symptoms)*31241 22326 3737 2481 2697Coded Diabetic Patients(PHO Reporting)*20230 14563 2685 1421 1557* Pinnacle Network enrolled population onlyRegional PromisesTo those people in Midlands at risk of or living with DiabetesPromise 6:Promise 7:If you live with Diabetes you will have a Chronic DiseaseSelf-Management Plan.The Midlands region will rebuild Diabetes, Renal Care and Annual Reviews forbetter outcomes.Current situation Midlands Network population living with Diabetes10+ Population per mesh block1-10 Population per mesh blockWhat needs to changeMaintaining wellness in populationsAll people will be offered cardiovascular risk assessments which will also capture informationabout diabetes.98
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MihimihiKo te amorangi ki muaKo te
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Index cont.DiabetesHealth targetCur
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Devolution becomes aby-product of w
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22. IntroductionA model for better,
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IntroductionA model for better, soo
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The Integrated Family Health Networ
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44. The Integrated Family Health Ce
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The Integrated Family Health Centre
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The Integrated Family Health Centre
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Page 127 and 128: Letters of Support10126
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Better, sooner, more convenient health care in Midlands

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