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Porirua Social Sector Trial Tumai Hauora ki Porirua

Porirua Social Sector Trial Tumai Hauora ki Porirua. July 2013 – June 2015. Governance/Management. Cabinet: Lead Minister – Minister Ryall. Mandated individual or NGO has full accountability, and a direct line to Cabinet Ministers to get Crown entity compliance if required.

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Porirua Social Sector Trial Tumai Hauora ki Porirua

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  1. Porirua Social Sector TrialTumai Hauora ki Porirua July 2013 – June 2015

  2. Governance/Management Cabinet: Lead Minister – Minister Ryall Mandated individual or NGO has full accountability, and a direct line to Cabinet Ministers to get Crown entity compliance if required. Joint Venture Board: Chief Executives of MSD, MoE, MoJ, MoH and NZP Director: Social Sector Trials Programme Lead, Compass Health (mandated NGO)

  3. The Model • Six initial locations selected from across New Zealand with an additional ten locations started on 1 July 2013 – Porirua is an additional location for two years • Individuals and Non-Governmental Organisations have been contracted to lead the trials • 15 Trials are about improving educational attendance. • Porirua is about reducing ASH and ED attendance for people who live in Porirua. The first health focus trial, first done by a PHO, with the biggest geographical area. • Mandate is from government • Funding is from the 5 government agencies.

  4. Intended Educational Outcomes 12 – 18 year olds Targets are in place

  5. Examples of new activity • Kawerau: • Wellness Centre based at Tarawera High School • Full time truancy officer • TeKuiti: • Interagency approach to intensively work with young people in Alternative Education • Using community service to enable young people to work off Police fines • Taumarunui: • KickStart breakfast clubs (with support from Fonterra and Sanitarium) • Training and employment workshops for teen parents • Tokoroa: • “It’s not OK to miss a day” (parent/whanau pledges, CBD truancy free zone, Cook Island/Maori wardens) • Multiple youth hubs with a shared MOU and tailored programmes

  6. Evaluation • Cross agency evaluation steering group • Regular contact with locations (leads and stakeholders) • Statistical analysis (high level indicators), field work in locations, document reviews, collaboration survey (pre and during Trials) • Two phases now complete for first 6 trials (establishment and implementation). • Model is working to build inter agency collaboration and joint work programmes.

  7. Soft outcomes to date • stocktake of youth activities, a forum for discussion on youth issues, Action Plan developed (all for the first time) • communities feeling more connected • young people feeling more connected to each other (through events, programmes in schools/communities) • agencies (government and non-government) working collaboratively to deliver programmes and services • evidence of Trials leads influencing practice (eg one Trial lead has provided advice to local Police regarding their approach to youth violence) • agencies in Wellington applying learning from the Trials in policy decisions/direction

  8. Hard outcomes to date • 2010 data showed 18% of NETS students had reenrolled in education. Data provided in March 2012 showed the 2011 reenrolment rate at 93% (TeKuiti) • the identification of 65 young people under 16 and not accessing education or positive activity and the subsequent engagement of all 65 in positive activity (Kawerau) • around 60 young people attending a Breakfast Club twice per week (anecdotal evidence suggests many of those children do not receive breakfast otherwise) and a group of students within the school now working on a project to provide lunch to those attending the breakfast clubs (Taumarunui) • more programmes and services for young people (especially those at-risk) (every location)

  9. Barriers • CEs have advised Ministers of identified barriers to (i) cross-agency delivery and (ii) achievement of youth outcomes • 28 high-level barriers were noted in the first trials • Barriers noted include: • truancy recording variations • government agencies having different boundaries • government agencies having different priorities • “visiting culture” – regionally based services do not appear to have a vision or strategy for specific communities with the region.

  10. Delivery Clinical Group (Porirua Kids Group) Management Management Delivery Compass Health CEO SST Manager Governance Lead Agency Director Porirua Community (Ngati Toa, Pacific, NGOs, Public) NZ Government Compass Health Management Management Delivery Project Steering Group Health, MSD, MoJ, NZ Police, MoE, PCC, Ngati Toa, TPK, Pacific Reference Group Joint Venture Board - CEOs Delivery Porirua Social Sector Trial Tumai Hauora ki Porirua Project Team

  11. Intended Porirua Health Outcomes

  12. Process • Establishment of Porirua steering, clinical and reference groups • Feedback from the Porirua community and health providers on why ED is used so much and understanding ASH • Statistical analysis • Draft a Porirua Action Plan with strong emphasis on the co-ordination of existing activity and the implementation of new initiatives • Implementation of the Action Plan - Delivery of initiatives

  13. What will make this work for Porirua • If all of primary and secondary care support the aims to reduce ED attendance and ASH • Shared agency data to targeted interventions to right conditions, right families, neighbourhoods • All agencies taking leadership roles to implement the Action Plan • Link to current work eg CCDHB Integrated Care • Work together to support the Porirua communities to understand self management and wellbeing • Communities owning their health

  14. Progress in Porirua • Local interagency steering group in place • Action plan widely consulted on with Iwi community, and providers Data supports the community voice key focus areas • All agencies are engaged and have agreed to provide leadership for sub projects • Have the ASH and ED attendance data available on the provider information portal • All agencies are taking a broader view of what makes communities work - acknowledge that they have created competitive behavior • Service decisions are moving towards outcomes

  15. Advisory group Also clinical oversight group – Porirua Kids Porject

  16. Work and income

  17. Housing

  18. ED attendances

  19. Work streams • Improved self management and resilience • A well start to life • Improved access to primary care in Porirua East • An aligned interagency response • Supportive environments

  20. Insert key priorities here

  21. More information • http://www.msd.govt.nz/about-msd-and-our-work/work-programmes/initiatives/social-sector-trials/index.html • Ranei Wineera-Parai, Porirua Lead Ranei.wineera@compasshealth.org.nz • Compass Health web site (UD) Insert key priorities here

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