Minister of Health Tony RyallWednesday 04 November 2009, 12:05PM
Media release from Minister of Health Tony Ryall
Nine primary health care provider groups have been chosen to move
through to the next stage of development in implementing the
Government's better, sooner, more convenient primary health care
says Health Minister Tony Ryall.
The Ministry of Health recently called for expressions of interest
(EOI) from primary health care providers ready and able to deliver
large scale changes to the way they deliver health care. More
than 70 EOIs were received and nine have been selected to develop
more detailed plans outlining their proposed changes.
"We need to keep New Zealanders well and out of hospital" says Mr
Ryall "and we need to make the system work better so that Kiwis can
get faster, more convenient health care that is closer to
The Health Minister says the nine proposals moving to the next
stage include the development of Integrated Family Health Centres
(IFHCs), more nurse-led services including a greater role for nurse
practitioners, the development of more multi-disciplinary teams and
greater cooperation with hospitals.
"Integrated Family Health Centres enable people to go to one
location and, for example, maybe see a GP or nurse without an
appointment, have a blood test or an X-ray, see a physiotherapist,
have a first specialist assessment, or visit a pharmacy for their
prescription, even have minor surgery - all in the same building."
The Health Minister says the proposals also include fewer primary
health organisations (PHOs), meaning more resources moving to the
"There were many good EOIs and I encourage all who are not on the
short list to discuss their plans with their local DHBs to see
whether they can be developed locally."
Mr Ryall says the Government also plans to provide a $500,000 fund
as dollar for dollar seeding money for feasibility studies to
support small general practices to consolidate into Integrated
Family Health Centres (IFHCs) if they want to. More details will be
The nine successful EOI proposals now going to business case
- Canterbury Clinical Network - a consortium of PHC providers
covering half a million people. The proposal focuses on
evolving general practice into IFHCs, developing the wider team of
primary health care professionals and improving cooperation between
primary and secondary care.
- Greater Auckland Integrated Health Network - a consortium
of 274 general practice teams, 11 PHOs and 3 DHBs delivering
primary health care to a million Aucklanders. The consortium is
committed to working together to achieve better health outcomes,
better patient experience and better use of money, establishing up
to 12 IFHCs over the next three years..
- Health+ Alliance PHO - three Pacific PHOs providing primary care
services at 17 clinics. The proposal highlights new opportunities
for Pacific primary care to better coordinate its services and
workforce regionally and to build critical mass for the Pacific
sector, including three IFHCs.
- Kawerau PHO - All 3 PHOs in the Eastern Bay of Plenty, merging
into one PHO. They propose one Integrated Family Health Centre in
Whakatane within the next three years and two smaller Whanau Ora
Centres in Opotiki and Kawerau.
- MidCentral PHOs - all four MidCentral PHOs (Otaki, Horowhenua,
Manawatu and Tararua). They propose five Integrated Family Health
Centres (IFHCs), collaboration across health and social
organisations, mainstream and Iwi providers, more clinical
leadership, management of long term conditions, focus on care of
the elderly, care of the young and care of those with mental health
- Midland Network - 11 providers from Taranaki, Waikato, Tairawhiti
and Lakes districts which cover an enrolled regional population of
around half a million people. The proposal identifies consolidating
$66 million worth of services that are currently purchased and
managed by four of the Midland region's DHBs and their provider
arms that could be devolved into the community. Also developing 9
- National Maori PHO Coalition - 11 PHOs from around the North
Island. The proposal aims to devolve services and government-held
resources to Maori communities. The Coalition aims to develop
a national network of Whanau Ora models of care including IFHCs,
new care pathways, health and social service integration.
- Wairarapa Community PHO - A partnership of Wairarapa
organisations, including the seven GP practices, the primary health
care nurses group, Wairarapa Hospital clinicians and iwi providers.
It is clinically led, and aims to establish the Wairarapa
Integrated Family Health Model of care as an integrated health
system for Wairarapa people.
- West Coast PHO - The proposal is centred around Integrated Family
Health Centres, workforce retention and devolution of suitable
hospital based/DHB owned services. The proposal aims to build on
existing initiatives including: nurse-led clinics; the PHO Long
Term Conditions programme; rural/generalist and rural immersion
programmes for Doctors; Clinical and Rural Nurse Specialists.
Successful proposers have until February 2010 to develop Business
Cases. Approved business cases will then progress to