Long Term Conditions

women walking

As you are aware the arrangements for PPC and diabetes allied health funded services are changing from 1 April 2019.

We are very mindful that our healthcare services must meet the needs of our target population and want to implement models of care that support people and their whaanau living with long term conditions.  We are taking this opportunity to better understand key perspectives from our community and sector partners regarding their current experience of care, and want to work with you on this.

A new model of care programme and funding will not be available until after this work is completed, possibly later in 2019.

Counties Manukau Health remains committed to working with you and our PHO partners and will put in place interim funding arrangements until the end of June 2019. We are still waiting for confirmation from the Board as to what funding will be available from 1 July 2019, and will keep you advised of any updates.

With regards to our new models of care, the Board of Counties Manukau Health has asked that our new healthcare services particularly meet the needs of Maaori, Pacific and Quintile 5 and Community Service Card holders with two or more long term conditions. This aligns with the Ministry of Health priority to ensure health equity is achieved for all members of our community.

From 1 April to 30 June 2019, DHB funding will only be available for certain PPC interventions for these groups of patients, including podiatry, dietetics and home visits. Further details on the funded services during this period will be available shortly.  All other patients will either need to self-fund their care or you may choose to use your flexible funding (Care Plus and SIA) to cover some or all of the cost.

Please note that other long term condition services such as retinal screening and primary mental care are not impacted by these changes.  Wellness Support is the primary mental health model of care that can support enrolled at your practice with primary mental health need, such as anxiety, stress or depression.  This model is being externally evaluated and it is important it continues to be used for mental health needs in order for the evaluation to demonstrate the value of this model.

Over the last 6 months, we have been engaging with consumers, family/whaanau and staff to capture their experiences, which is, in turn, informing the ways that we can improve our future model of care.

Through this co-design process – see Figure 1 we have engaged with Pacific people through a Pacific People’s Health Advisory Group, and are collaborating with Mana Whenua o Tamaki Makaurau to explore Maaori whaanau experiences through a series of marae based hui. We have also had focus group sessions with Asian people and their family networks, held discussions/workshops with Primary care clinicians (see Appendix 1 for further details on key components of effective models of care), GP clusters, secondary care speciality teams, Complex Case Manager Network and Clinical Nurse Specialists.

The CM Health Consumer Council have also been contributing to the co-design process through workshops as well as supporting engagement within their representative community contacts