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Review of East Coast Health Services Community Consultation. Our shared vision. “ Nati ” Healthy, Wealthy, Wise Te whakapumau i te Mana motuhake o Ngati Porou mo nga uri whakatipu Mahia nga mahi i roto i te kotahitanga kia
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Review of East Coast Health Services Community Consultation
Our shared vision “Nati” Healthy, Wealthy, Wise Te whakapumauiteManamotuhake o Ngati Porou mongauriwhakatipu Mahiangamahiirotoitekotahitangakia aketeoranga o teTairawhiti(Working together to elevate the well being of Tairawhiti)
Why the three organisations? • Belief in a shared vision of quality and sustainable health services for the East Coast • Belief in a shared responsibility for working towards and beyond this vision • Belief in a long term relationship between all three
Vision for East Coast Health Services As defined by the project sponsors: • Transformation of clinical practice • Clinically and financially sustainable service • Focus on maintaining and improving health outcomes • Acknowledgmentof the social, environmental, cultural, economic and political influences on health
What does the report say? • Celebrates NPH’s strengths - general feeling that NPH provides a good service to its population • Front line staff: • Are productive • Work really well as a team • Are dedicated and passionate • Know their patients and their needs • Go above and beyond their role to deliver • Are flexible and creative
What does the report say? • Organisational management multi layered and distant from clinical services • On going recruitment difficulties • Limited clinical leadership • Compared to the rest of the country the East Coast population is more rurally isolated, more deprived socio-economic picture, poorest health outcomes nationally • Continuation of current service model without change is financially unsustainable: funding levels similar to other like rural services however costs, operating facilities and management higher
What were the areas all agreed on in the Report? • The picture of health needs on the Coast, the recognition of the impact of rurality, of employment, income and housing • The importance of community ownership in future health services • Looking and planning for the future, for long term solutions • Effective clinical leadership • Effective relationships with the TDH Board, leadership and clinical teams • Building primary care expertise, including IT and telecommunications expertise
Areas of challenge in the report • Type of facility in the future- number of beds, service hours (24/7 or less), location? • Should some services be exited in the future - maternity, aged care, inpatient beds (replaced with observation beds)? • Future service mobility e.g. mobile clinics?
What matters to you? We need to hear from you • Do you agree with things the three Boards agreed with? • What do you think about the three challenging areas? • What are ways we can improve how you get health services? • Is there anything else in the report we should be mindful of?
Our next steps • Completion of the community hui • Collecting all the feedback to be reported back to the three Boards • Further three Board workshop in November to plan “where to from here, when and how? • Advise you of this