Primary and Community Care that empowers people to live well, stay well, get well and die well, through integrated ways of working and effective use of technology.
Goal 1:
Consumers, whānau and communities are empowered to drive and own their care
Consumers, whānau and communities are empowered to drive and own their care
- A health care system that enables a more personalised overall experience.
- A shared care plan – which you and your family contribute to.
- Access to information to help you stay well.
- Increased choice – with you in the driving seat.
- Access to more culturally-appropriate services to help you manage long-term and ongoing conditions.
- A key contact in your healthcare team who can be contacted via phone or computer.
- There will be more opportunities to connect with others in your local area who may have the same, or similar conditions.
Goal 2:
Primary and community care works in partnership to provide holistic, team-based care
Structures are established to provide proactive and comprehensive care for patients, based on:
- Health Care Homes
- Community Hubs
- Locality networks (see next page).
These will enable primary and community care to:
- Include new ways of working (e.g. extended consultations; extended hours; team-based care; virtual health), and new team roles
- Use more diagnostic and virtual health technologies
- Be able to effectively respond to acute crises
- Provide an increased scope of clinical interventions, with access to clinical advice from secondary and tertiary care.
Goal 3:
Secondary and tertiary care integrated with primary and community care models
- Specialists provide support to primary care team members enabling primary care to deliver a higher level of care and treatment in the community.
- Team members, who are traditionally hospital-based form a key part of the extended primary care team and work from community hubs. Long term condition nurses, needs assessment services for the elderly.
- There will be a single, clear point of access for primary and community care providers seeking rapid advice from specialist services.
- In the event that a person does need admitting to hospital, this will be organised between the primary care team and the relevant specialty, to streamline the process.
- Where possible, clinics will be tailored to the meet the needs of Māori.
- Locality networks will influence future secondary services.
Goal 4:
Technology-based health care system
- An electronic, shared health record accessible to you and members of your care team, accessible from any device.
- More options for virtual consultations.
- Care supported by new technologies e.g. in-home sensors for people with conditions such as heart disease or dementia. Real-time data is collected and acted on by care professionals.
- Better behind-the-scenes technology systems to support shared planning, administration, health system intelligence, and professional development.
