DAP 2009/10 Final 1 - Taranaki District Health Board

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DAP 2009/10 Final1.0 INTRODUCTION FROM THE CHAIRMAN AND CHIEF EXECUTIVEThe 2009/10 financial year marks a crossroads for Taranaki District Health Board.The environment around us is changing rapidly. The global economic downturn notonly affects the cost of delivering care to patients, but has also markedly reducedTreasury estimates of future Vote Health funding. Changes to the population basedfunding formula and Taranaki’s slower than national average population growth haslead to a sharp reduction in our share of national funding for the year ahead.Forecast local demographic changes will likely result in a continued reduction infunding share in the future. These economic factors mean that the District HealthBoard can no longer provide high levels of sustainability funding to our hospitalprovider and has to reshape services to meet the needs of the population. Thisincludes adjusting funding to the hospital provider while developing new, efficientmodels of care associated with “Project Maunga” Base Hospital redevelopment. Thenew Government has indicated that all District Health Board’s should focus onhospital services with five area’s for particular attention; elective surgery; emergencydepartments; cancer treatment; clinical staff retention; and clinical leadership. Activityin these areas is reflected in the intervention logic diagrams in this plan.At the same time there is an expectation that we maintain a strong focus onimproving productivity and value for money, with all the priorities signalled being metwithin existing resources.Changes in both the hospital and community settings will therefore be necessary ifwe are to meet all the financial expectations and breakeven.Of course as far as possible we will also still need to have a view to the longer termfuture and our overall strategic goals. This will however mean a change in the paceat which we can move towards these goals. When it comes to reviewing the DistrictStrategic Plan, in line with the regional’s clinical services planning activity andMinistry of Health’s Long Term Sector Framework the goals themselves andassociated priority areas may well also need change.These changes to the environment in which we operate bring with them greatopportunities for Taranaki District Health Board. The opportunity to position theDistrict Health Board, its services and the community we serve for the future. Theopportunity to ensure that the new hospital that we are planning to be built is basedon innovative and affordable models of service delivery. Also the opportunity to playa major role in the planning and delivery of health services across a wider group ofDistrict Health Board’s, to ensure ongoing and more convenient delivery of servicesto our community.Any opportunity brings with it an element of risk and we acknowledge that there arerisks inherent in our plans. Change can be uncomfortable, as accepted ways ofdoing things will be challenged. There is a risk that our clinical staff and ourcommunity may not support or understand the need for change. We will mitigate thisrisk by ensuring that clinical leadership is embedded in planning for the future, byensuring that our leaders are skilled in leading and facilitating change; and byensuring that all stakeholders are kept well informed about our plans. There is also arisk that we might lose momentum on progress towards the aims of our DistrictStrategic Plan. However we are confident that the planned hospital focus for2009/10 will allow progress to be made in key areas of the District Strategic Plan;1
DAP 2009/10 Finaland will prepare us for the next phase of service development in primary care thefollowing year.The Board believes that the potential rewards which should result from our approachjustify our ambitious plans for 2009/10. This Annual Plan will deliver better, soonerand more convenient care for Taranaki patients. Our community and our staff willhave a much better understanding of the District Health Board, the challenges weface and the need to prepare for the future. The District Health Board will be readyfor the future, able to live within our means and prepared to respond to the futurehealth demands of our population.Fundamentally health care is all about people caring for people and helping peopleout. In Taranaki we are fortunate in having lots of very skilled and experiencedpeople; not only our District Health Board clinical staff, but our management team,support staff, other health providers and partner organisations both in Taranaki andoutside the Province. It is these people that will enable the District Health Board’sAnnual Plan to become a reality. We encourage everyone to participate in ourambitious plans for 2009/10 as we strive for Taranaki Together, a Health Community,Taranaki Whanui He Rohe Oranga.SIGNATORIESJohn Young Hon. Tony Ryall Tony FoulkesChairman Minister of Health Chief Executive2
Page 4 and 5: DAP 2009/10 FinalMINISTERIAL LETTER
Page 8 and 9: DAP 2009/10 Final2.0 OBJECTIVESThis
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Page 12 and 13: DAP 2009/10 Final3.1 Older People7
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DAP 2009/10 Finale. Primary sector
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DAP 2009/10 FinalOverdraftCHFA loan
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DAP 2009/10 FinalTARANAKI DISTRICT
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DAP 2009/10 Final8.0 Elective Servi
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DAP 2009/10 FinalOutcomeCapacity In
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DAP 2009/10 Final8.1 APPENDIX 1 - T
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DAP 2009/10 Final2007/08 Raw and St
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LakesDAP 2009/10 Final1210864202007
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DAP 2009/10 Final2009/10 TargetAll
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DAP 2009/10 FinalMental Health & Ad
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