The first action into the review of demand and access to overnight care in our Eastern Locality has been completed.
Counties Manukau Health CEO, Fepulea’i Margie Apa met with the newly established Eastern Locality Community Health Review Steering Group to present an independent report on ‘overnight and extended hours primary care options’ for their consideration.
The Steering Group, made up of community and consumer members and chaired by Loretta Hansen CEO East Health Trust Primary Health Organisation, is tasked with delivering a report to the CM Health Board which provides recommendations on options that would meet the access needs for their community.
This includes recommendations on the health and social care service requirements of the Eastern Suburbs community including overnight care.
Margie Apa invited the Steering Group to request more information if there were gaps given the short turnaround time for the report.
“Every locality in the District is facing changes, some of which are unique to that area. Reviewing needs at a local level is aligned to the Government’s direction in health reforms to support locality based networks of care,” she said.
“CM Health welcomes the input of the community and acknowledges the growth and change in population demography for the Eastern Suburbs which include the well-established areas Pakuranga, Howick, Botany as well the newer suburbs of Ormiston, Flat Bush and the rural suburbs of Beachlands, Maraetai, Clevedon, and Kawakawa Bay.
“CM Health values the work of East Health Trust Primary Health Organisation (PHO) supporting the Eastern Locality Community Health Review Steering Group and we look forward to receiving their report and recommendations”
In 2018, CM Health increased investment in after hours clinics, doubling the number available to our community to eight in total – this includes East Care which continues to be funded by CM Health to provide subsidised care until 11pm seven days a week.
The DHB also increased funding to provide over 120,000 subsidised or free visits per annum to after hours care for children under 14, people over 65, community services card holders, high user health card holders and those living in quintile five areas.
CM Health does not fund overnight care between 11pm and 7am in the Counties Manukau District. Services that are provided in the District during those hours are St Johns, Healthline, and the Emergency Department at Middlemore which is open 24 hours a day, seven days a week.
CM Health is committed to working with East Health Trust PHO on the development of services for the local community, which includes plans to continue to grow community hubs - as we are doing in all our localities in line with one of our key policies.
In addition, in the past 12 months we have increased our nursing provision to the eastern locality as well as continued to fund services via East Health trust:
- 2.5FTE District Nurses to enable the community health service to respond to the need to provide increased acute community based nursing in the locality.
- 1.0FTE Complex Case Nurse working with the two dedicated Integrated Care Nurses that the service contracts with East Health Trust Primary Health Organisation to support Primary Care to manage patients within the community outside of hospital or to enable patients to transition home when hospital care is no longer required.
- 0.5FTE Nurse Practitioner who works with the Community Health service Nursing & Allied Health team as well as Locality General Practitioners to support increased acute care in the community.
As well as integrated care nurses, CM Health continues to contract East Health Trust PHO to provide:
- 1 FTE Clinical Pharmacist who supports primary and community care practitioners with the review of patients medication management, supporting patients to remain living within their own home and communities.
- 1 FTE physiotherapist providing group and in home strength and balance programmes as as part of an integrated service with the locality Community Health Service
- 1 FTE Mental Health Coordinator who oversees and coordinates the funded wellness support programme within the locality. This coordinator also oversees the up-skilling and training of primary and community staff to enable them to recognise mental health needs in our community.