|
|
|
About NMDHB > Strategy & Planning
NMDHB established the Planning and Funding Division to undertake its planning and funding functions. This division is responsible for the allocation and management of health and disability funds, focusing on improving the health status of the district. The division also incorporates:
- Support Works – the agency that provides needs assessment and service co-ordination for people with longer term disabilities on behalf of the Ministry of Health.
Nelson Marlborough District Health Board has responsibility for planning and funding of:
- Personal (primary and secondary) health services
- Maori health services
- Mental health services
- Disability support services for people over 65 years (LINK)
Factors Taken Into Consideration in Planning and Funding Overall
- Like its predecessor organisations, NMDHB has a strong commitment to health promotion and health protection.
- The Government’s increasing emphasis on population health/public health is welcomed and supported by NMDHB
- The Board needs to incorporate government policies and priorities in its planning and funding of services.
- There is also an important contribution from non-governmental agencies, private services and voluntary organisations to health and disability support in the region.
While NMDHB is itself a significant provider of health and disability services in the region (mostly specialist secondary services), NMDHB also holds contracts or service agreements with a large number of other service providers. This means that NMDHB fully or partially funds these individuals and organisations to provide services.
These include:
The Board published "An assessment of health needs in the Nelson Marlborough Region: Te tirohanga hauora o Te Tau Ihi o Te Waka A Maui" in October 2001 which now provides the basis for our forward planning and we will continue to build on this with updated and additional information.
The Board seeks advice from and endeavours to involve the community in its activities as much as possible. The Board has a series of Community Involvement Policies and examples of ongoing community involvement in practice include:
- community members on the statutory advisory committees
- presentations to Advisory Committees by groups and individuals
- the consultation on the draft strategic plan
- consultations with rural communities about the range and level of services in their areas
- advisory groups with a mandate from the Board, i.e. the Child and Youth Advocacy and Expert Reference Group; Te Roopu Tupu Tahi; Integrated Continuum of Care project groups
The Planning & Funding Division has signed agreements with the providers of all services outlining the terms and conditions under which these services are provided. The agreements cover issues like the level of service, location of service, quality specifications, reporting requirements, payment provisions, the term of the agreement, how the agreement will be managed, etc.
When a new service is to be established or an agreement expires and a new provider is sought, then there is open and transparent processes for selecting new providers.
There are processes in place to ensure that the delivery and performance of services is in accordance with the service agreements, including appropriate quality standards. The Board is supported by the South Island Shared Services Agency in this and other functions as well as by the Ministry of Health agency HealthPAC.
The Planning & Funding Division establishes and maintains positive working relationships with all service providers (including local, regional and national providers); with local authorities and government agencies; and also with other DHBs.
Increasingly we need to move to evaluating the outcomes of health and disability services to ensure that we are being effective in improving the health and wellbeing of the people of the region. This work is in its infancy and much will have to be led nationally, with NMDHB as an active participant.
Email: Planning & Funding Team
|
NMDHB funds the following Primary Care Services
NMDHB firmly believes that, when at all possible, people should receive their health service within the primary sector. To achieve the Board’s strategic goals in its Strategic Plan, much of the activity required will be within the primary sector.
NMDHB has service agreements with a range of primary providers (see below) through which additional services such as palliative care, health education, clinical medical education, etc. are funded.
Nearly all the GPs in Nelson Marlborough belong to the South Link Health PCO. GPs are involved in child immunisation, diabetes annual plan checks, and have a specific well child schedule in their generic contract. In addition South Link Health members can access additional funding and services in a range of areas, including: 'Health Activities', 'Palliative Care', 'Rural Allowance' and 'Green Prescriptions'.
General Practices are partially funded by NMDHB and most patients will also pay to attend these services, with the amount charged dependent on type of service, holding a Community Services Card, and the time of day.
|
Twenty-five pharmacies throughout the region are contracted to dispense pharmaceuticals and provide information and advice on items prescribed.
|
Most adult dental services are provided by dentists and patients pay directly for these. However, there is some public funding for emergency dental services for low income adults.
Most Nelson/Tasman dentists and two Marlborough dentists are funded to provide Adolescent Dental Services – an annual check and treatment for adolescents less than 18 years old and are not eligible for school dental services (finishing end of form 2). Both School and non-school adolescents are eligible.
In Marlborough, NMDHB provides this service out of its Wairau hospital site for most of Marlborough. For emergency treatment prior to this point adolescents can see NMDHB, the Picton Dental Surgery or 2 other Blenheim private dentists.
|
Medlab South is funded by NMDHB
|
- Pregnancy and Parentship Educational Services targeting Maori and young people (Ruth Brodbeck - Nelson, and Pamela Harndenin - Marlborough).
- Motueka Family Service Centre (Family Planning and Sexual Health) - Weekly services are provided at the centre and at Motueka High School
- Motueka District Parents' Centre Inc. (Pregnancy and Parenting Education Services) - Courses and support for expectant parents. (This service is provided in the rest of Nelson Marlborough by NMDHB)
- Nelson Independent Nursing Practice Limited (Sexual Health and Family Planning)
- Family Support, Contraceptive, Pregnancy Testing. (This service is provided by the Family Planning Association in Marlborough)
- Counselling/Contraceptive assessment and consultation/ sexual health services and advice to adolescents. (This service is provided by the Family Planning Association in Marlborough)
- NMDHB Public Health Service - Pre-School (i.e. Plunket type services in Rural areas, funded by MOH) and School Health Services (5-18)
- NMDHB Specialist hospital services
|
- South Link Health Ltd (Annual Diabetic Review)
- Regional Diabetes Team (diabetes related services) - Advise on co-ordination of diabetes services across Nelson and Marlborough, including the provision of annual report outlining service gaps and strategies for addressing these
- Nelson Asthma Society Inc. - Community Based Asthma Services, focus on working with people with Asthma to develop Asthma plans
- NMDHB Public Health Services – asthma co-ordination (i.e. co-ordination services, IT development, improvement of data collection, development of shared documentation)
- NMDHB Provider Division Medical Services
- Community Diabetes Services focussed on providing education and advice to people with diabetes in the community and linking them into appropriate services. Marlborough Health Educators focused on asthma, diabetes, physical activity and nutrition
- Specialist Diabetes Services
- Tasman Regional Sports Trust - Green Prescription Training and Development, i.e. training in and education about Green Prescription for staff of NMDHB and NGO providers, and health promotion activities
- NMDHB Public Health Services – sexually transmitted infections clinics
|
Nelson Marlborough District Health Board is the predominant provider of publicly funded health services in Nelson and Marlborough. It does this through the provider division, which has a service agreement with the planning and funding division in the same way as other providers in the region.
The division provides an extensive range of services and manages patient facilities that extend across the top of the South Island:
- Nelson Hospital, including the Acute Mental Health Unit, in Nelson City
- Wairau Hospital in Blenheim
- Braemar, the location for the CAMHS services, IDSS administration
- Community homes for people who have intellectual disability throughout the Nelson City/Richmond area
- Alexandra Hospital in Richmond operates as a psychogeriatric facility and has 37 beds
- In Murchison, the Murchison Hospital and Health Centre has 6 aged care beds, 2 primary care beds, a resuscitation area and is a base for community services
- Motueka Community Hospital provides 12 continuing care beds, 3 primary care beds, an independently provided maternity service provided by Motueka Maternity Services, and encompasses a community service base
- Golden Bay Community Hospital, in Takaka, provides 7 continuing care beds, 5 primary care beds and 3 maternity care beds as well as providing a base for community services
- Services are also provided from a number of Community Health bases, at Picton, Wakefield, Havelock and Mapua, and School Dental Clinics. Regional Public Health services are based in Nelson and Blenheim
Services provided are:
Chief Operating Officer's Office
Nelson Hospital
Private Bag 18
Nelson
Phone: 03 546 1987
Fax: 03 546 1811
Email: planning.funding@nmdhb.govt.nz |
|
|
|
|