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National Health Board: Priorities and Directions
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National Health Board: Priorities and Directions



Chai Chuah, National Director, National Health Board

Chai Chuah, National Director, National Health Board



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National Health Board: Priorities and Directions National Health Board: Priorities and Directions Presentation Transcript

    • A more unified Health and Disability System
      • To improve the quality, safety and sustainability of health care
      • A fresh focus, approach and culture
      • Engaging clinicians and the wider health workforce
  • National Health Board SSEB NHC H&SC NHB HWNZ NHIT
  • Reporting Structure Minister of Health National Health Board Director-General National Health Board Business Unit
  • Eight priorities for 2010/11
      • 1 A unified system for service planning, funding
      • and provision (LTHSP, planning, funding and
      • accountability)
    2 National Services 3 Regional Service Plans 4 DHB planning, funding and monitoring 5 Allocation of Ministry funding activity to national, regional or local level (NDE) 6 Capacity planning and funding (IT, Workforce and Facilities) 7 Reducing bureaucracy to invest in front-line service 8 Encouraging clinical leadership and engagement
    • Priority 1
      • Unified System
        • Long Term Health Service Plan
          • High Level, Directional and Coarse
          • Options and Scenarios
          • National, Regional and District Level
        • New framework for planning, funding and accountability
          • Being discussed with DHB chairs, CEs and Executives
            • Note – also covers Priority 4 – DHB Planning, funding and monitoring
    • Priority 2
      • National Services
        • Three elements
          • Service Improvement
          • Planning
          • Planning and Funding
    • Identify national services for service improvement programmes:
          • Cardiac surgery
          • Pediatric oncology
          • Major trauma
        • Identify national services for planning and/or funding:
          • Pediatric sub specialties
          • Clinical genetics
          • Pre-implantation genetic diagnosis
          • Neurosurgery
    • Priority 3
      • Regional Service Planning
        • Work with lower North Island DHBs on a counter factional costing methodology
        • Strategic and implementation section
        • Vulnerable services
    • Priority 5
      • Allocation of Ministry NDE
        • $2.7b
        • Cabinet Report Back in October 2010 on
          • Appropriate services
          • Timeframe
          • Process
          • Criteria
    • Priority 6
      • National Health IT Board
        • Established national leadership for health IT agenda
        • Initiated a discussion with vendors around a partnership vs a proprietary approach
        • Aggressively restructuring the Ministry’s Information Directorate into a much leaner and more focused unit
      • Workforce
        • Better control over the process of tracking CTA funding and decision making processes
      • Capital Investment Committee
        • Transitional approvals process for urgent projects
        • Stock take for DHBs of all capital projects approved as well as pending
        • New CIC Board will meet in June
      • DHB Planning, Funding and Monitoring
        • Have introduced tighter financial monitoring regime
        • Improved the 10/11 DAP process
        • Providing more expert assistance – drawn from the sector - for DHBs which are under intense monitoring
        • Savings schedule linkages
    • Priority 8
      • Clinical Leadership and Engagement
        • HWNZ clinical leadership workshop in June 2010
        • Framework for clinical leadership and engagement
          • In good hands surveys
          • Linking various clinical leadership initiatives
          • (Quality, IT, Workforce, MOH restructuring)