Project SPLICE - Taranaki District Health Board

Project SPLICE FINAL - February 2010
looking at consolidating activity around Integrated Family Health Centres, and there are
already examples of specialist services that are significantly community based. Innovative
examples already exist where District Nursing is better integrated with General Practice and
these are well regarded provided the isolation issues are be addressed. Key
recommendations arising from the approach are outlined in the next section.
6.0 Recommendations
1. The development of six care clusters across the district including;
a. Hawera and surrounding areas;
b. Stratford and surrounding areas;
c. Three New Plymouth clusters, one also covering western coastal areas, and one
supporting Inglewood; and
d. Waitara and surrounding areas.
2. Alignment of District Nursing, Community Allied Health, NGO and Pharmacy provision to
these clusters;
3. The establishment of a District Support and development unit including professional
leadership, specialist nursing and medical input, alignment of limited FTE disciplines and
establish a quality oversight function;
4. Development of primary and community nursing into practice/clinic based nursing and
mobile nursing functions and extension to navigation activity for people under 75 with
long term conditions;
5. Development of the Needs Assessment Service Coordination function into Care
Management delivered in the clusters for people aged over 75 with complex needs and
in the District support and development unit for people with non complex needs;
6. Introduction of InterRAI to support comprehensive assessment for older people;
7. Consolidation of triage and coordination for District Nursing, Short Term Home Based
Support and non complex long term home based support 15 ; and
15
Requirement for this function will be particularly dependant on the Midlands BSMC Business Case
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