Document for PDF - Ministry of Health

Major achievements for personal health in Wellington locality
Models of care pilot with Wellington
IPA and Capital Coast Health
Dental health
Primary Maori Health
Te Puia Springs
Child health
HHS financial solvency
Medical/surgical initiatives
An integrated sexual health service
in the Wellington region
Focus on chronic obstructive pulmonary disease and congestive heart failure - two major
causes of acute medical admissions.
The new mobile children’s dental service for the Wellington region is to start soon.
Dental health promotion service in Wanganui, Wellington, Hawkes Bay, Tairawhiti
and the Manawatu. Contracts with a range of providers including four Iwi contracts.
An Oranga Niho contract for Maori teenagers and low income adults in the Hawkes
Bay region.
A primary medical service in the Wairarapa by a Maori provider
Transfer of health services at Te Puia Springs to the local iwi based health provider,
Ngati Porou Hauora.
Provision of paediatric surgery outreach clinics.
Development of child health facilitation and support services in Wanganui.
Capital Coast Health, Good Health Wanganui and MidCentral Health are now on the
road to solvency.
Contract incentives for Capital Coast Health to work more closely with primary care
organisations on the management of people with chronic diseases.
Utilisation of Wairarapa Health’s spare capacity to provide general surgery operations.
Significant reduction in waiting times for elective surgery at Hutt Valley Health and
Wairarapa Health.
Free access to young people between the ages of 19-25 with a community services card.
South Island Locality Offices
Area served: Nelson/Marlborough, Canterbury/
Westland, Otago/Southland
Total population: 899,472
Population Characteristics
• Most rural areas are slowly losing population
• Dunedin, Christchurch (and its commuter belt),
Nelson/Marlborough and the Wakatipu basin
are growing. The West Coast is neither
increasing nor decreasing.
• Small rural population is scattered over vast
territory meaning access problems.
• Low Maori and Pacific Islands population.
• Lower health status in inner cities and poor
suburbs, the West Coast (especially Buller),
and in some small rural towns.
• There are more elderly in the South Island than
other localities.
Specific Locality Issues
The South Island locality is characterised by
declining population, other than Christchurch, but
it covers a large regional area. This means the
southern region faces different management
problems. The region operates through two offices,
and manages a service budget that isn’t growing as
fast as that of other offices.
There are substantial viability issues around rural
hospitals. HHSs have signalled their wish to exit
from at least two, possibly six, rural hospitals.
The long-term viability of the newly established
Central Otago Community Trust is an issue, as is
the availability of some GP services in rural areas.
West Coast, Nelson /Marlborough, Queenstown
Lakes and Invercargill areas have economic scale
problems because of their rural nature and small
populations.
An ageing population also poses challenges.
There is increasing pressure to fund palliative care
services more fully, reflecting a nation-wide trend.
Further, there is growing pressure on the cost and
HFA Improving Our Health 15