The north Ruapehu district includes Taumarunui town (where Taumarunui Hospital is located) and the wider rural communities, south as far as Mt Ruapehu.
The purpose of the model is to:
The episodes of care of particular interest are:
Factors influencing the vulnerability of heath service delivery in the Taumarunui district are:
Taumarunui is geographically isolated, has an ageing population, a high proportion of Maori and a high proportion of people living in low socio-economic areas. In the past there has been a lack of general practitioners within the area, forcing a reliance on the hospital as the provider of primary and low level secondary care.
A report commissioned in 2011 indicated that an appropriate vision for Taumarunui was that of integrated and co-located workforces.
A three-day workshop held in Taumarunui in June 2012 involved a number of interested parties who agreed to develop a comprehensive local health plan to ensure local services were aware of what each was doing in the community and how they could work together in a more sustainable way.
The workshop agreed on the following key points:
Strong feedback was received that there was a need to work differently, however the option of a single employer and / or a combined workforce and the option to locate services physically together were not supported.
Building trust within the community and goodwill to work together is our key requirement; therefore the option of a single workforce and co-locating services has been set aside in favour of a fully integrated model.
Following the 2012 workshop a governance group was established to oversee the work and the journey towards integration.
The governance group comprises representatives of local providers, the mayor and local councillors, and Waikato DHB, and other co-opted members as appropriate.
The work streams established are:
|1 Year Ago||By (mid 2013)||Current & Beyond|