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Kapiti Community Health Group Forum

Kapiti Community Health Group Forum. Cathy O’Malley John Watkeys Ranei Wineera 31 August2010. National Primary Care Direction. More proactive care of Long Term Conditions Need to manage acute demand differently Aging population being felt everywhere Aged residential care models evolving

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Kapiti Community Health Group Forum

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  1. Kapiti Community Health Group Forum Cathy O’Malley John Watkeys Ranei Wineera 31 August2010

  2. National Primary Care Direction • More proactive care of Long Term Conditions • Need to manage acute demand differently • Aging population being felt everywhere • Aged residential care models evolving • International workforce shortages • More diversification of roles, new roles eg: Nurse Practitioner, Healthcare Assistant, Physician Assistant • More primary care services closer to home • Better, Sooner, More Convenient • Fewer complex, high tech services in as many sites across NZ

  3. What’s happening with PHOs? • Government direction has been to merge PHOs • MRG Report suggested optimal size around 500,000 patients? • Merger of Kapiti, Tumai and Capital PHOs to form Compass Primary Health Care Network • New PHO is a Charitable Trust • Gordon Strachan is Deputy Chair of new Board • Local Primary Care Groups will be established to maintain local participation • All Kapiti local staff and the local office remain

  4. Key Contact People • John Watkeys: Kapiti Locality Manager • Kapiti Office 04 297 2009 • 027 296 5257 • Ranei Wineera: GM: Primary Care Services • 027 436 1108 • Cathy O’Malley: CEO • 0274 660 204 • Gordon Strachan: PHO Board Member • 021 269 0370

  5. Kapiti Primary Care services • General Practice Teams • Primary Solutions Mental Health &  Mental Health Community Co-ordination Services • Immunisation Co-ordination Service • Health Promotion Team • Diabetes Nurse Education Service • Outreach/Access Nurse Service • Podiatry Service • Medication Management Service

  6. What’s up with Kapiti General Practices? • Two new GPs in Raumati • Dr Kevin Baker from UK at Natural Healing • Dr Kirsty Lennon from Scotland at Raumati Rd Surgery • Paraparamu Medical: Dr Scott Walker replaces Dr Chris Fawcett • Waikanae Health Centre: BAU

  7. What’s up with Kapiti General Practices? • Coastal Medical Rooms: BAU, No new enrolment currently • Team Medical: Dr Roland Lotsu from the UK locuming for 9 months from October. Not enrolling • Dr Chris Lane: not taking new enrolments except where urgent • Dr Paul Norton: BAU • Dr Bernard Cammack and Dr Ann Evans: BAU

  8. GP Waiting List • Phone 0800 555 657 • Prioritised placement • Elderly, children and those who need regular care first • 226 people are currently on Waiting List: • All of the people currently on the list are waiting to be enrolled at their preferred practice. • For some of these people Hora Te Pai is their preferred practice. Hora Te Pai is a doctor short and will not be taking any new enrolments until this position is filled.  • The Waiting List Co-ordinator is able to place anyone urgently requiring a GP immediately.

  9. What’s happening at Hora te Pai? • Business as usual from service delivery perspective • Iwi, DHB and PHO unanimously committed to supporting the service • PHO Management support • New Service Manager Jeannine Stairmand and Clinical Leader Catherine Skelsey) • A new Charitable Trust to create some business separation from other activity • A Call for people interested in being appointed to Board, out very soon

  10. Sharing Health Information • The most important ingredient in good decisions is having good information • Health Information across providers not accessible currently and needs to be …will save patients having to repeat it all over and over again • Manage my Health being trialled soon in the Wairarapa and in this area in the New Year • Will enable greater patient and provider access to information • Audit trail transparent to the patient

  11. What is Urgent Community Care (UCC)? • UCC = Urgent Community Care • Very successful Pilot • Paramedics working differently • Reduced transport to hospital as support at home and liaise with other local providers

  12. What about After Hours? • Team Medical • GP Roster • Waikanae • UCC: 24/7 • National and international trend to centralise after 10.00 pm • Few patients seen after that time who are not quite ill …transport to best care • We need to invest workforce resources wisely

  13. Questions??

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