Project SPLICE - Taranaki District Health Board

Project SPLICE FINAL - February 2010
Table 6 (continued): Risks and mitigation
that an enhanced supported discharge function is available.
Risk
Loss of base
stable General
Practice
Lack of clarity
and overlap
between nursing
roles
Overlap between
mainstream and
Kaupapa Mäori
service provision
Mitigation
The approach proposed is reliant on continuity at a general practice level. The
risks around short to medium term sustainability of rural as aspects of urban
general practice have been highlighted. Evolution of the general practice model
into one that is sustainable and attractive to replacement workforce is vital.
IFHC development and the associated development of the model of care is
critical to this.
Clear definition required of practice/clinic based versus mobile primary care
nursing roles. Clear distinction required between primary care nursing and
specialist nursing roles. The care process for specialist nursing roles must not be
parallel or disconnected from primary care delivery.
Clear identification of responsible key worker required. Whether this key worker
is mainstream or Kaupapa Mäori based the role must include a focus on
coordinating care across all areas. Determination of key worker should reflect
client choice.
Population health responsibility is to sit with the organisation of enrolment.
Case finding / working with non enrolled population will be undertaken by a
range of organisations and as part of this work the organisations involved need
to reconnect people with enrolled care provision wherever possible.
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