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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/staff and providers to understand and capture their experiences, which will inform the ways that we can improve our future models of care.

All of the experiences and feedback captured by this engagement with consumers, family/whaanau/staff and providers have been collated in the Counties Manukau Health Co-design Discovery Phase Report (PDF, 2.6 MB) (click through the link).

The Counties Manukau Health Board has endorsed this report and keen to ensure that this rich information is widely available.

Over the next few months (May – July 2019) the next steps in the co-design process are to develop local models of care/interventions proposals along with an outcomes framework.

For more information regarding the co-design process, please contact Matt Hannant.

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