Sustainability Project
Introducing This Page
This innovative project aims to develop models of care that are clinically and financially sustainable, and it will also ensure that all West Coasters have access to the range of services they are entitled to.
>>Latest Project Updates:
Overview
Grey Base 2020 is now the
Sustainability Project
The project has had its scope broadened to encompass the provision of health care services across the whole of the West Coast.
What we have done so far
- appointed external specialists who will manage the project to ensure that significant goals are met
- agreed the structure of the project, held our first meetings and sourced key documents
- spoken to main stakeholders
- started to examine the services we currently offer
What we will do next
- hold the first Reference Group meeting
- WCDHB staff members
- the Ministry of Health
- key local stakeholders
- project managers
- look more closely at future models of care and start to develop our plan which will show how we will work and what services will need to be located where and what buildings, IT facilities, transport, etc. are needed.
(This is due for completion in August 2008) - begin work on all project workstreams
As a result of the project we expect to make funding applications for building projects in Reefton, Westport and Greymouth.
Sustainability Project Updates
Update Report
7 July 2008
The Sustainability Project is now well into the strategic Models of Care design and concept facility planning phase.
The following tasks are currently being carried out:
- Six workstream groups of healthcare stakeholders, WCDHB staff and other sector experts are discussing, debating and testing various ways in which services could be carried out in the future and looking at some of the proposed options. The groups are
- Primary Care
- Secondary Care
- Mental Health
- Workforce
- Facilities and Infrastructure
- Transport & Accommodation
- In addition meetings with staff and other sector experts are looking at some of the proposed options
- One of the options being explored is how best several DHBs could work together to ensure sustainable servies on the Coast and at their DHBs
- Architects and health facility planners are developing concept options for WCDHB facilities but these will not progress until there is a decision on the future model of care (e.g. we need to know how big the facilities need to be, what services will be in them etc)
- There is a lot more work to do now and once the business case has been submitted. This will continue to involve a wide range of staff and other stakeholders and will include more detailed levels of planning on the recommended model of care options.
All this work needs to be completed to be incorporated into the business case that is to be presented to the National Capital Committee (NCC - for potential funding of rebuilds or refurbishments) at the end of August 2008. Any decision by NCC will not be taken until December 2008.
As yet no decisions have been made regarding the final Models of Care that are to be recommended to the West Coast DHB Board and the Minister of Health.
Update Report
6 March 2008
PROJECT GOAL
The goal of the sustainability project is to design a model of care and link with the related facilities business case project to ensure clinically and financially sustainable services for the West Coast, and ensure access to the range of services the population on the West Cost is entitled to.
In summary the model of care work will be considering what services will be provided where and by whom. Workforce, finance, transport and facilities are the four critical components for consideration.
PROJECT PROGRESS
The sustainability project started in earnest in January this year. Acqumen, independent contractors, have been engaged to project manage the project through till August 2008, which is the time the business case for facilities changes goes into the National Capital Committee process.
The establishment phase is complete and the high level model of care design phase has begun. Project scoping is complete and the Steering Group has signed off the Project Plan.
A Reference group of stakeholders has been established. The group includes DHB staff, a SISSAL representative for consideration of regional models, community public health, and the PHO. This is facilitated by Acqumen. Wider stakeholder engagement will occur as the project progresses.
A joint DHB and Ministry of Health communications plan has been agreed and was enacted at the time of the release of the LECG report.
A service stocktake (an integral part of the model of care work) is underway and should be completed within the month.
Acqumen has facilitated a day Executive Management Team workshop looking at developing a workforce strategy for the future. This feeds into the model of care work.
PROJECT STRUCTURE
The project structure is depicted in the model below.
The reference group makes recommendations to the Steering Group, who are a guidance and decision making group. In turn the steering group makes recommendations to the sponsors, Antony Hill of the MoH and myself, for final decisions.
Membership of the steering group include three members of the DHB and three from the MoH. Acqumen sit in attendance at the steering group meetings.
Work Streams
There have been 7 working groups agreed to do the detailed analysis and design of related components of the model of care. The streams are:
- Primary Care (include community and hospital based)
- Secondary Care (include hospital and community based)
- Primary and Secondary Integration
- Mental Health
- Asset management and Facility Development
- Transport and Accommodation
- Workforce
The work programmes and scope of the work streams include topics such as:
- Current service situation
- Service trends - local, national and international
- Future population needs for the range of services and supports
- Workforce
- Identification and analysis of options
- Identification of a preferred model(s) of care for the range of services in that project stream
- Impact and sensitivity analysis
- Benchmarking against other DHBs re service type and access levels
- Implications for other populations, DHBs and other organisations
- Risk identification and mitigation strategies
- Conclusions and recommendations
The Acqumen team will participate in and guide all 8 workstreams together to coordinate the design of the overall West Coast model of care. The reference group will recommend the overall model of care to the steering group. The sponsors will sign this off.
MILESTONES TO REPORT TO BOARD AGAINST
Stage and Milestone |
Date |
1: Project start |
Dec / Jan |
2: Begin Strategic MoC design |
February |
3: Develop up Strategic MoC |
March / April |
4: Further develop and complete MOC |
April / August |
PUBLIC CONSULTATION
There will only be a need for public consultation if the model of care that emerges requires significant change from the service plans previously consulted on and agreed by the Board. The key plans for consideration are:
- District Strategic Plan: 2005 - 2015
- Primary Health Care on the West Coast: 2006 - 2009
- Secondary Services Plan. Dated 2007
- Grey Base 2020 Project. Dated 2006
- WISE Plan: 2006 - 2016
- LECG Discovery Report. Dated 2008
- Chronic Conditions Strategy: 2006 - 2009
- Maori Health Plan (under development)
- Overview of the Health Information Strategy for the WCDHB.
- Sustainability Project: Project Plan. Dated 2008
PLANNED ACTIVITY MARCH 2008
- Service stocktake to be completed
- Work with Canterbury and Nelson / Marlborough DHBs to further explore opportunities for West Coast and them to work together
- MoC Report template agreed and finalised
- Evaluation criteria, principles and assumptions and overall model of care framework agreed and finalised by the steering group
- All work streams underway with terms of reference agreed
- Next Reference Group meeting completed
- Strategic level of model of care design completed
Update Report:
12 February 2008
One of the first pieces of work that will contribute towards the Sustainability Project has just been received.
The LECG Report Models of Care Discovery is part of a bigger piece of work looking at the future of health services on the West Coast. The report reviews the ways other rural health services are configured and serves to confirm that the concepts developed by the West Coast DHB and the Ministry of Health are in keeping with modern models of care both in NZ and internationally.
The views expressed in the report are those of the consultants and not those of the Ministry of Health or the West Coast DHB.
The independent report highlights the issues facing the provision of healthcare on the West Coast currently and into the future.
The report sees three options for the West Coast DHB, enhance the status quo, contract out secondary medical/surgical services to other DHBs or develop relationships with other DHBs to provide secondary services on site.
The report concludes that there is no clear answer for the West Coast DHB. It also points out a number of elements that a successful model of care should include.
The options from the report, along with DHB planning documents and government strategies, will all contribute to the development of a model of care that is most appropriate for the West Coast.
Documents
The following links will take you to our sustainability project documents (PDF format):