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
  • 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.