The Chairperson, Grant Lane has conveyed to Northland DHB a strong sense of rejection from the 100 or so attendees over Northland DHB’s decision. We are appreciative of the Board of Trustees discharging their duty to challenge Northland DHB and represent the views of their local community.
This statement is released for the interim period whilst Northland DHB continues to work with the Trust via the Interim Action Committee.
Northland DHB decided a model that took into consideration the wide and varying community feedback. It represents compromises to all parties; DHB, community and the Trust.
Northland DHB is accountable to the health outcomes of all Whangaroa residents, including ensuring that the organisations in which it funds have proper governance and financial stop checks in place.
Whangaroa community has not had the levels of service that the community nor Northland DHB would expect to be delivered. The poor financial management processes and impending financial collapse of the Trust compelled Northland DHB to directly intervene. It did not take this decision lightly, and continues to work collaboratively with the Trust to implement a solution that the local community deserves.
The decision made:
No one wants to see the current situation repeat itself in the future. The residents, tangata whenua, and whānau of Whangaroa deserve the very best primary care (doctors, nurses & allied health) services. The decision made by Northland DHB provides the community with the highest chance of success by installing a reputable primary care service that is professional, approachable and community focussed.
Northland DHB believes that despite the best efforts and intentions of Whangaroa Health Services Trust, it does not have the experience, resources or capabilities to oversee delivery of primary care services in a sustainable and safe manner. This has been demonstrated on several occasions in the past few years, with the culmination of all the doctors resigning. Therefore, the DHB cannot implement a model with the Trust directly or indirectly for the provision of primary care services.
Northland DHB will work with the Trust and the new provider to ensure through contractual obligations that there are processes implemented that requires the new provider to work collaboratively with the Trust.
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Northland District Health Board commissioned an independent review into Whangaroa Health Services Trust with Ernst & Young, which provided two recommendations on a way forward. The two options were:
Option A: A Strengthened Status Quo provided by Whangaroa Health Services Trust Option B: Whangaroa Health Services Trust remains property owner and Aged Residential Care operator with a new provider of primary health care and rural health services
Northland District Health Board, Whangaroa Health Services Trust and Te Tai Tokerau Primary Health Organisation undertook seven hui across the Whangaroa Rohe, and invited feedback on the options provided.
Approximately 300 responses were received, with 66 percent in favour of retaining Whangaroa Health Services Trust as provider of services under option A.
The Board of Northland DHB reviewed the two Ernst & Young options. Feedback from the community resulted in a decision to adopt a combination of the two options that were presented.
It was clear to Northland DHB that the community wished to retain ownership over the way that their healthcare is delivered, however, the community also wanted timely and accessible GP services with greater accountability and transparent governance.
Northland DHBs priority of ensuring that the Whangaroa community have accessible, high quality doctors and nurses services has led to a decision to implement a model that is a mix of different elements to best serve the people of Whangaroa.
The elements are:
Whangaroa Health Services Trust retain Aged Residential Care facility – Kauri Lodge and the rural health services
Funding from Northland DHB is being increased slightly
The parties are working together to identify an alternative provider of GP services to be delivered from the Kaeo rural health centre
There will be a new integrated health and social care contract delivered by Whangaroa Health Services Trust to the community – designed in consultation with the community
All services (excluding aged residential care) purchased by Northland DHB via Te Tai Tokerau PHO, will ensure a single point of oversight for the delivery of all primary health services in Whangaroa
The governance and management structure for Whangaroa Health Services Trust will be enhanced – our aim is to design a governance structure in consultation with the community that better meets their needs.
The Whangaroa Health Services Trust Board of Trustees invites you to engage with them in further consultation on the implications of the DHB decision. A first meeting is scheduled for:
All three organisations continue to work together collaboratively to ensure that the whānau of Whangaroa have access to high quality services. It is envisaged that the new services will commence in 2019. A detailed timeline will be developed in the coming few weeks and will be made available on this website page.
Northland DHB has also committed to a small increase in funding for Whangaroa Health Services Trust over the next six months. The Interim Action Committee will evolve to oversee the project implementation.
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