Northland Integration

Northland IntegrationDr Nick ChamberlainJuly 2014Ko te pae tata, whakamaua, kia tina Ko te pae tawhiti, whaia, kia tata

This whakatauki, provided by Professor Sir Mason Durie, might be interpreted as secure the horizons that are close to hand and pursue the more distant horizons so that they may become close, or he suggests it can be put even more simply as manage today and shape tomorrow.New Zealanders enjoy good health outcomes ...Acute care quality. Hospital fatality rates for heart attacks are among the best in the OECDAmenable mortality (PPYL) rates are around the OECD average

So, Everything is going well!

Ageing populationLong term conditions (esp diabetes)Growth in acute services, EDGrowth in GP servicesNo extra fundingIf we carry on as before, in 15 years:

170 extra beds$70m in the red annually

Northland Health Services Plan (NHSP) DriversAll decisions should be made by balancing three factors...PopulationhealthImproving health status overall and reducing inequitiesPatient experienceHow the system deals with people; quality and safetyValue &sustainabilityHow wisely we use our resources; value for moneySimultaneously

Getting the balance right = The Triple Aim... there are some areas for concern.Primary care performance appears mixed e.g. Admission rates for asthma and COPD are relatively highMarked income and ethnic disparities, suggesting barriers to access for some

We have high quality General Practice but still: Inequities - funding (Our VLCA issue), Access, and health OutcomesFragmentation and Multiplication - feedbackUnco-ordinated, Unconnected CareNo clear focus on high risk populationAcute demand.

Population ChangesKey Points:

3% increase overall in Northland population since 2006 - but de-population especially in economically deprived areas

29.6% of Northlanders identify as Mori

Mori represent 48.3% of the