After Hours care across Auckland has been challenge for decades. Auckland was seeing growing inequities in access both geographically and financially. In some areas adults were being charged over $100 on a public holiday to access after hours care and in others there was little care available.
In addition, some hospital emergency departments were seeing significant increases in presentations including those who could have been equally or better managed in primary care. What's more care was poorly co-ordinated with variable management and communications across clinics and general practice.
Read more: Auckland After Hours
Bay of Plenty Regional Council were keen to explore the potential social and economic impacts of key directions in its draft Regional Policy statement. Decision-makers in particular wanted to hear the voices that are often not under-represented in policy debates, particularly Maori and high deprivation communities.
For the last decade the New Zealand Ministry of Health has been committed to increasing the productivity and reducing waiting times for elective surgery. The rationing of limited resources and the prioritisation of access to people most in need has been central to achieving these goals. A key component off the solution which has driving huge advances over the 10 years has been the development of a range of assessment tools to increase the consistency of prioritisation for access based on need. Cardiac surgery was one of the initial elective services included in the programme.Read more: Cardiac Surgery Prioritisation
A review of the Child, Youth and Family Services revealed a gap in the leadership and co-ordination of services that support families. Government agreed that a new family services function would be set up within the Ministry of Social Development.