NMDHB’s Health Framework aka Jumbo

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planning, funding and population health services

Nelson Marlborough District Health Board has responsibility for planning and funding of:

• personal (primary and secondary) health services
• Māori health services
• mental health services
• disability support services for people over 65 years

Over time, responsibility for planning and funding of public health services, maternity services and other disability support services may also be devolved to Nelson Marlborough District Health Board from the Ministry of Health, enabling the Board to take a comprehensive approach to the health and disability needs of the Nelson Marlborough communities.

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 and the board believes that in this new environment all service planning needs to take account of the approaches outlined in the Ottawa Charter - these will be incorporated in all planning and funding as much as possible.

The Board also needs to incorporate government policies and priorities in its planning and funding of services.

There is 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:

• General practitioners
• Dentists (services for adolescents)
• Pharmacists
• Māori health providers
• Mental health providers

Planning and funding
of services

Assessment of community needs
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.

Community involvement
The Board will seek advice from and endeavour 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.

Provider selection and service agreements
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.

Provider monitoring, audit and evaluation
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.

Relationships
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.

Evaluation of health and disability outcomes
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.

Contact Us

Contact the Planning & Funding Team