Whangaroa Health Services Review Preferred Model of Care

Table 3 - Option 2 - Maintain the current service configuration while continuing to trim costsStrengths:Continuity of current service model in the shorttermWeaknesses:Expenditure has been increasing faster than revenue due tocurrent service configuration, meaning need for cost reductionwill be ongoingPatients can wait significant time for access to primary levelcarePoor coordination of services across multiple providers,meaning duplication of service overhead costs and inefficientdeliveryAccess and health outcomes maintained at their current level,with no opportunity for improvementOpportunities:Threats:DHB funding may be constrained further resulting in significant,abrupt, and unplanned change to WHST funding and henceservicesCost savings are not sufficient to manage within availablefunding while meeting performance expectations, resulting inthe need for significant, abrupt and unplanned service changePatient safety and quality of care is compromised significantlyresulting in reputational effectsClinical professionals lose confidence in organisation withimpacts on workforce continuity and sustainabilityDeteriorating performance against measures such as PHOPerformance ProgrammeCommunity loses confidence in being able to access timelycare resulting in patients going elsewhere for services resultingin reduction of revenue for WHSTSocial and economic impacts on the Whangaroa community11