Kapiti Community Health ForumJuly 2012

Discussion Agenda

Kapiti Demographics

Health services that are currently delivered for Kapiti residents by Capital & Coast District Health Board (CCDHB) at Kapiti Health Centre & Kenepuru Hospital Jen Boryer (Operations Manager, KHC & Kenepuru Hospital)

Kapiti Health Centre (KHC) site – Decision process for any potential development of available land

CCDHB Complaints Process

Accounting for the demographics

In 2012/13 CCDHB is projected to have a population of approximately 299,000 with 14% (41,860) living within the Kapiti Coast District boundary

Predicted population growth for the Kapiti Coast District TLA over the next 20 years is conservatively estimated at 7%

Accounting for the demographics

On average, CCDHB has an affluent population with the Kapiti population concentrated around the middle deciles

Kapiti NZDep2006

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

1 2 3 4 5 6 7 8 9 10

Decile

Accounting for the demographics

2006 Census showed that the median age was 44.3 years for people in Kapiti Coast District.

19.4 percent of people were aged under 15 years.

23.3 percent of people were aged 65 years and over (12.3% = total NZ popn)

More recently 65+ popn predicted to eclipse 1m in late 2020s

Health Services for Kapiti Residents

Health Services - Kapiti

KAPITI - VISITS BY RESOURCE TYPE (FINANCIAL YEARS)

2,4622,967

3,366

2,751

103

6,2476,809

6,357

1,093 1,134

2,597

3,180

55 77 145 192

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

2008/09 2009/10 2010/11 2011/12

Consultant/Reg Allied Health Nursing Technican

Health Services - Kapiti

Haematology Physio Dietetics Older Adult Gynaecology Obstetrics Cardiology Paediatrics Renal

District Nursing Diabetes Endocrinology Gastroenterology General Medicine Neurology Newborn Hearing Orthopaedics Pain Team Maternity

Health Services - Kenepuru

23,331

3,186

6,338

2,790

27,680

15,025

6,089

2,794

27,666

18,174

9,825

2,538

27,730

15,973

10,623

2,675

0

5,000

10,000

15,000

20,000

25,000

30,000

2008/09 2009/10 2010/11 2011/12

KENEPURU - VISITS BY RESOURCE TYPE (FINANCIAL YEARS)

Consultant/Reg Allied Health Nursing Technican

Health services - Kenepuru

Anaesthesia Haematology Physio Dietetics Older Adult Gynaecology Obstetrics Cardiology Paediatrics Renal Audiology Eye General Surgery Infectious Diseases Respiratory Vascular

District Nursing Diabetes Endocrinology Gastroenterology General Medicine Neurology Newborn Hearing Orthopaedics Pain Team Child Development Dermatology Ear, Nose and Throat Occupational Therapy Oncology Speech-Language Therapy Maternity

Mental Health services

Users of DHB Clinical MH Services

Total = 1235

Users of NGO Community Services

Total = 394

Accessed NGO Services Only

185

Accessed DHB Services Only

1026

Accessed both DHB & NGO Services

209

From: PRIMHD Data for Jan 2011 to Dec 2012Run: 24/07/2012

People Residing in the Kapiti District who were users of CCDHB Mental Health Services during 2011

Mental Health services

New Clients Total Clients Seen

Total contacts or bed nights

Child & Adolescent Team

116 223 2473

Adult Community Team 170 366 5706Te Haika 755 760 3829CATT 188 195 1003Matairangi Acute Inpatient

53 55 1016

Alcohol & Drug Service 55 65 515Opioid Treatment Service

1 44 644

MH DHB provided services

New Clients Total Clients Seen

Total contacts or bed nights

Psychogeriatric Inpatient 18 23 1306Psychogeriatric Outpatient 180 253 1799Consultation Liaison 77 85 303Maternal Mental Health 21 28 156Matairangi Acute Inpatient 53 55 1016Forensic Community Team 44 52 307Kaupapa Maori Team 42 76 1067

Mental Health NGO provided services

New Clients Total Clients Seen

Total contacts or bed nights

Community Support Teams

27 54 4235

Peer Support/Drop In Centre

46 116 6371

Alcohol & Drug Teams 155 171 707

Kaupapa Maori Teams 41 59 1341

Residential 82 111 10374

Kapiti Health Centre Site: Land Available for Development

Future development potential

CCDHB Board recently considered (June meeting) a management paper: Decision Criteria for use of Kapiti Health Centre Land

A Management Decision Framework was presented, which provides guidance in deciding future use of land available

Detailed criteria to be further developed to help determine decision to proceed or not with any development opportunity/proposal put forward to CCDHB

Land available for development

Land at KHC site is overall 3.2675 hectares, divided into three Lots– Lot 1: 4572M2 (excludes WFA & Hospice)– Lot 2: 1.529Ha (Current Facility & Parking)– Lot 3: 1.277Ha

Site is residentially zoned, so alterations and/or additions will be subject to a Land Use Consent Application

KHC site map

The three Lots are depicted as shown

1

2

3

Prior development consideration

2010 Business Case prepared on Land and potential for development

Focus was on Government’s Integrated Family Health Centre policy concept

High development cost and a lack of specific provider investment interest at the time meant that no further work was done

Increasing interest more recently, hence development of decision-making framework

Proposed framework & criteria:

Go back to Board

Proposed framework & criteria:Key considerations

Strategic– How will the proposed use/development help

CCDHB achieve its following strategic objectives: Reduction of health disparities Integrated delivery of services Financial and clinical sustainability of services A culture that embraces collaboration with

CCDHB’s local and regional partners A focus on the quality of patient experience and

safety of our services

Proposed framework & criteria:Key considerations

Management/Organisation Link/relationship to current site facilities and/or

services Impact of development on current (or future) site

facilities (Campus Plan) and staff Physical location and size of proposed

development Management of site arrangements Legislative requirements are met

Proposed framework & criteria:Key considerations

Financial– Cost Neutral to CCDHB– Potential gain/loss of development for DHB– Financial viability of proposed development and provider– Ownership – requirement for 30% public funding

Mitigates risk of DHB’s responsibility for spending public health money and private (for profit) organisations using land for own benefit

Government Policy– Aligned with broader Government policy for public

services delivery

Questions/Feedback?

What are your thoughts on the overall decision-making framework/criteria approach to decide whether or not a KHC site development proposal goes ahead?

Is there any other area that the Board should include, in addition to the four key areas for consideration (Strategic; Management/Organisation; Financial; Government Policy), in making its decision?

Are the high-level decision criteria okay? What other factors/criteria should the Board consider as part of the decision-making process

CCDHB Feedback Process

CCDHB Feedback Process

CCDHB welcomes compliments, suggestions and complaints from our service users or from someone on their behalf

More detailed information can be found on CCDHB’s website: www.ccdhb.org.nz

Feedback can be made:– on the website, using form provided – by talking to a staff member– speaking/writing to the Consumer Experience Facilitator

Formal complaints process is followed and a response is usually provided within 30 days.