Project SPLICE - Taranaki District Health Board

Project SPLICE FINAL - February 2010
4.2.6 Development of DSD functionality
Development of the DSD functionality would essentially involve the extension of current
activity / development with the following points of emphasis
• Clear definition of professional discipline and nursing leadership roles;
• Establishment of a district wide development plan for cluster based teams (building on
development plans for these staff which will already be in place); and
• Development of quality and oversight functionality utilising existing staffing and
benchmarking / quality improvement programmes linked with other DHBs.
4.2.7 Implementation of restorative home support
The following key steps are recommended for the establishment of restorative home based
support
• Development of service specifications and funding model (based on experience and
work completed elsewhere in NZ);
• Request for proposal process for home based support provision to the service
specification and funding model;
• Training for coordinators undertaken in parallel to care managers as part of
enhancement of care management activity; and
• Progressive development of experience with new clients and review of existing clients
matched to provider based rollout of systems, enhanced coordination and support
worker training.
4.3 Financial Implications
Financial implications will be worked through in detail following consultation regarding
implementation approach. Initial costings are outlined in Appendix IV and assumptions are
outlined in the table below. The net impact of the proposed approach will provide a
significant improvement in service delivery within current available funding. An investment
in Care management activity is proposed, in part as a development of NASC and can be
further offset by management of the mix of home based support and residential care service
delivery.
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