Assessment of Whangaroa Health Services Trust: Summary Report

How can I provide feedback?
  • Click here to email your feedback
  • You are also invited to attend one of the community huis and meetings being held across Whangaroa. You do not need to confirm attendance or inform us that you wish to attend.

 

What is the timeline and process?

Northland DHB is leading the feedback huis across the Whangaroa area and two community meetings in Kaeo. The schedule can be found here. The closing date for feedback will be 24 September 2018 at 8am.

 

About Whangaroa Health Services Trust 

Whangaroa Health Services Trust (WHST) is a community owned and governed organisation based in Kaeo in the Far North district of Northland.

WHST provides primary health care services (including health promotion) and aged residential care services. It receives a large proportion of its revenue from Northland DHB, either directly or through Te Tai Tokerau Primary Health Organisation (TTTPHO).

Since 2010, WHST’s expenses have consistently been greater than the revenue it receives. Consequently, the Trust has had an operating deficit each year and has used its cash reserves to remain solvent.

These reserves are expected to be exhausted in late 2018. This situation was brought to Northland DHB’s attention in early 2018 and was recognised as an immediate threat to WHST’s financial sustainability.

In addition, Northland DHB has had concerns about the quality and safety of WHST’s clinical services on a number of occasions over the past 8 years.

These concerns are related to primary medical (GP) healthcare workforce shortages and high staff turnover, with consequent reliance on locums.  

More recently, the DHB has received a number of emails from WHST staff and community members raising concerns about the internal operations of WHST, and the quality of care it provides.

In light of this, EY was commissioned by Northland DHB, in partnership with WHST and TTTPHO, to undertake an assessment of WHST with the specific objectives to: 

► Assess the past, present and expected future performance of WHST to determine its clinical and financial viability

► Identify factors inhibiting its performance and viability, and opportunities for improvement

► Assess the validity of recent complaints and allegations by WHST staff and community members

► Recommend actions to be taken by the Northland DHB, TTTPHO and WHST.

 

Whangaroa Health Services Trust Engagement Hui

Feel free to attend any of the following hui to have your say.

Date Venue Time Slot
03/09/18 Totara North Hall 6:30pm-8:30pm
04/09/18 Te Patunga Marae, Pupuke

6:30pm-8:30pm
(6pm Powhiri to NDHB)

 05/09/18 Otangaroa Marae  6:30pm-8:30pm
(6pm Powhiri to NDHB)
10/09/18  Karangahape Marae 6:30pm-8:30pm
(6pm Powhiri to NDHB) 
11/09/18  Tapuhi Marae 6:30pm-8:30pm
(6pm Powhiri to NDHB) 
13/09/18  Kaeo Memorial Hall, Kaeo 1.00pm-3.00pm &
6:30pm-8:30pm 

 

The short-listed options are described below:

Option A: Strengthened Status Quo
  1. WHST remains as the property owner and operator of ARC and Health Centre services
  2. An Interim and then a new CE is appointed
  3. Short-term transitional funding support for WHST is provided by Northland DHB, pending development of an agreed Recovery Plan in line with the preferred option
  4. The election is postponed so that the Trust Deed can be reviewed by WHST and Northland DHB to ensure that high-skill trustees can be co-opted with confidence
  5. A revised primary care MOC and an implementation plan are agreed with and funded by TTTPHO and Northland DHB
  6. A feasibility study for expansion of Kauri Lodge and relocation of the Health Centre is carried out, including identification of funding options
  7. Northland DHB funding of WHST’s Kauri Lodge continues at an agreed level of supplement above the national contract to ensure viability
  8. WHST to review all its buildings and land holdings to determine options for maximising utilisation and revenue for WHST.
Option B: Split function – New Health Centre Operator
  1. WHST remains as property owner and ARC the operator
  2. Short-term transitional funding support for WHST is provided by NDHB, pending development of an agreed Recovery Plan in line with the preferred option
  3. Northland DHB and TTTPHO determine their primary health care service requirements, and go to market for a new Health Centre operator
  4. Northland DHB agrees the RHC services and funding with the new operator
  5. A feasibility study for expansion of Kauri Lodge and relocation of the Health Centre is carried out, including identification of funding options
  6. WHST enters into a lease with the new Health Centre operator
  7. WHST to revise its management structure to reduce overhead costs and align with its changed role
  8. Northland DHB funding of WHST’s Kauri Lodge continues at an agreed level of supplement above the national contract to ensure viability
  9. WHST to review all its buildings and land holdings to determine options for maximising utilisation and revenue for WHST.

 

If you would like to provide feedback on the report please email: communications@northlanddhb.org.nz 

There are also a few frequently asked questions available here.

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