Embed Size (px)
Kapiti Community Health ForumJuly 2012
Discussion Agenda
Kapiti Demographics
Health services that are currently delivered for Kapiti residents by Capital & Coast District Health Board (CCDHB) at Kapiti Health Centre & Kenepuru Hospital Jen Boryer (Operations Manager, KHC & Kenepuru Hospital)
Kapiti Health Centre (KHC) site – Decision process for any potential development of available land
CCDHB Complaints Process
Accounting for the demographics
In 2012/13 CCDHB is projected to have a population of approximately 299,000 with 14% (41,860) living within the Kapiti Coast District boundary
Predicted population growth for the Kapiti Coast District TLA over the next 20 years is conservatively estimated at 7%
Accounting for the demographics
On average, CCDHB has an affluent population with the Kapiti population concentrated around the middle deciles
Kapiti NZDep2006
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
1 2 3 4 5 6 7 8 9 10
Decile
Accounting for the demographics
2006 Census showed that the median age was 44.3 years for people in Kapiti Coast District.
19.4 percent of people were aged under 15 years.
23.3 percent of people were aged 65 years and over (12.3% = total NZ popn)
More recently 65+ popn predicted to eclipse 1m in late 2020s
Health Services for Kapiti Residents
Health Services - Kapiti
KAPITI - VISITS BY RESOURCE TYPE (FINANCIAL YEARS)
2,4622,967
3,366
2,751
103
6,2476,809
6,357
1,093 1,134
2,597
3,180
55 77 145 192
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
2008/09 2009/10 2010/11 2011/12
Consultant/Reg Allied Health Nursing Technican
Health Services - Kapiti
Haematology Physio Dietetics Older Adult Gynaecology Obstetrics Cardiology Paediatrics Renal
District Nursing Diabetes Endocrinology Gastroenterology General Medicine Neurology Newborn Hearing Orthopaedics Pain Team Maternity
Health Services - Kenepuru
23,331
3,186
6,338
2,790
27,680
15,025
6,089
2,794
27,666
18,174
9,825
2,538
27,730
15,973
10,623
2,675
0
5,000
10,000
15,000
20,000
25,000
30,000
2008/09 2009/10 2010/11 2011/12
KENEPURU - VISITS BY RESOURCE TYPE (FINANCIAL YEARS)
Consultant/Reg Allied Health Nursing Technican
Health services - Kenepuru
Anaesthesia Haematology Physio Dietetics Older Adult Gynaecology Obstetrics Cardiology Paediatrics Renal Audiology Eye General Surgery Infectious Diseases Respiratory Vascular
District Nursing Diabetes Endocrinology Gastroenterology General Medicine Neurology Newborn Hearing Orthopaedics Pain Team Child Development Dermatology Ear, Nose and Throat Occupational Therapy Oncology Speech-Language Therapy Maternity
Mental Health services
Users of DHB Clinical MH Services
Total = 1235
Users of NGO Community Services
Total = 394
Accessed NGO Services Only
185
Accessed DHB Services Only
1026
Accessed both DHB & NGO Services
209
From: PRIMHD Data for Jan 2011 to Dec 2012Run: 24/07/2012
People Residing in the Kapiti District who were users of CCDHB Mental Health Services during 2011
Mental Health services
New Clients Total Clients Seen
Total contacts or bed nights
Child & Adolescent Team
116 223 2473
Adult Community Team 170 366 5706Te Haika 755 760 3829CATT 188 195 1003Matairangi Acute Inpatient
53 55 1016
Alcohol & Drug Service 55 65 515Opioid Treatment Service
1 44 644
MH DHB provided services
New Clients Total Clients Seen
Total contacts or bed nights
Psychogeriatric Inpatient 18 23 1306Psychogeriatric Outpatient 180 253 1799Consultation Liaison 77 85 303Maternal Mental Health 21 28 156Matairangi Acute Inpatient 53 55 1016Forensic Community Team 44 52 307Kaupapa Maori Team 42 76 1067
Mental Health NGO provided services
New Clients Total Clients Seen
Total contacts or bed nights
Community Support Teams
27 54 4235
Peer Support/Drop In Centre
46 116 6371
Alcohol & Drug Teams 155 171 707
Kaupapa Maori Teams 41 59 1341
Residential 82 111 10374
Kapiti Health Centre Site: Land Available for Development
Future development potential
CCDHB Board recently considered (June meeting) a management paper: Decision Criteria for use of Kapiti Health Centre Land
A Management Decision Framework was presented, which provides guidance in deciding future use of land available
Detailed criteria to be further developed to help determine decision to proceed or not with any development opportunity/proposal put forward to CCDHB
Land available for development
Land at KHC site is overall 3.2675 hectares, divided into three Lots– Lot 1: 4572M2 (excludes WFA & Hospice)– Lot 2: 1.529Ha (Current Facility & Parking)– Lot 3: 1.277Ha
Site is residentially zoned, so alterations and/or additions will be subject to a Land Use Consent Application
KHC site map
The three Lots are depicted as shown
1
2
3
Prior development consideration
2010 Business Case prepared on Land and potential for development
Focus was on Government’s Integrated Family Health Centre policy concept
High development cost and a lack of specific provider investment interest at the time meant that no further work was done
Increasing interest more recently, hence development of decision-making framework
Proposed framework & criteria:
Go back to Board
Proposed framework & criteria:Key considerations
Strategic– How will the proposed use/development help
CCDHB achieve its following strategic objectives: Reduction of health disparities Integrated delivery of services Financial and clinical sustainability of services A culture that embraces collaboration with
CCDHB’s local and regional partners A focus on the quality of patient experience and
safety of our services
Proposed framework & criteria:Key considerations
Management/Organisation Link/relationship to current site facilities and/or
services Impact of development on current (or future) site
facilities (Campus Plan) and staff Physical location and size of proposed
development Management of site arrangements Legislative requirements are met
Proposed framework & criteria:Key considerations
Financial– Cost Neutral to CCDHB– Potential gain/loss of development for DHB– Financial viability of proposed development and provider– Ownership – requirement for 30% public funding
Mitigates risk of DHB’s responsibility for spending public health money and private (for profit) organisations using land for own benefit
Government Policy– Aligned with broader Government policy for public
services delivery
Questions/Feedback?
What are your thoughts on the overall decision-making framework/criteria approach to decide whether or not a KHC site development proposal goes ahead?
Is there any other area that the Board should include, in addition to the four key areas for consideration (Strategic; Management/Organisation; Financial; Government Policy), in making its decision?
Are the high-level decision criteria okay? What other factors/criteria should the Board consider as part of the decision-making process
CCDHB Feedback Process
CCDHB Feedback Process
CCDHB welcomes compliments, suggestions and complaints from our service users or from someone on their behalf
More detailed information can be found on CCDHB’s website: www.ccdhb.org.nz
Feedback can be made:– on the website, using form provided – by talking to a staff member– speaking/writing to the Consumer Experience Facilitator
Formal complaints process is followed and a response is usually provided within 30 days.
