Hon David Clark
Minister of Health
Hon Julie Anne Genter
Associate Minister of Health
Release date: 11 Februray 2019
Health Minister Dr David Clark and Associate Health Minster Julie Anne Genter have announced that Porirua will be the first community to benefit from a trial of free mental health support.
Piki (previously referred to as the Integrated Therapies Pilot) will support 18 to 25 year olds with mild to moderate mental health needs.
“It’s not always easy for younger people to navigate the challenges they face, or to know where to turn to for help when they need it. Free access to counselling services and other mental health support for 18 to 25 year olds will make a real difference,” David Clark said.
“Three quarters of all lifetime cases of mental illness are developed by 24 years of age. By intervening early to support good mental health and wellbeing we can help prevent small problems becoming major issues.
“The Piki pilot is designed to do just that. It will cater to people that might otherwise struggle to get help because they can’t afford it, the services aren’t appropriate, or because their needs aren’t recognised. The initiative aims to strengthen existing services, expand access options and the range of therapies available for this group of young people.
“This is exactly the sort of people-centred approach recommended by the Mental Health and Addiction Inquiry. It reflects the Confidence and Supply Agreement between Labour and the Green Party, and I want to thank the Greens for their commitment and staunch advocacy on this issue,” David Clark said.
The pilot will be rolled out in Wellington, the Hutt Valley and Wairarapa regions and is expected to be in full operation across the three DHB regions by the end of the year.
“Mental health was one of the key issues of the election, and we know that this government has to deliver,” Julie Anne Genter said.
“Piki will be able to help an estimated 10,000 young people with mild to moderate mental health symptoms across the three DHBs, with the ability to scale up if the demand is higher.
“We know early intervention initiatives like this have helped in places like the United Kingdom. However, New Zealand’s population needs tailored solutions that fit our Maori and Pasifika communities.
“Porirua will be a great place for this much needed pilot to go ahead.
“Trained young people will be able to help other young people through a unique peer support programme.
“People will be able to access the pilot through many methods – self-referral, contact through the Government-funded mental health support line 1737, seeking help from DHBs or their GP, school referrals and many others,” Julie Anne Genter said.
Julian Robins 021 867 534 (for David Clark)
Tara Forde 021 145 9412 (for Julie Anne Genter)
A mild mental health problem is when a person has a small number of symptoms that have a limited effect on their daily life. A moderate mental health problem is when a person has more symptoms that can make their daily life much more difficult than usual.
Budget 18 set aside $10.49 million over three years for the integrated therapies pilot, now known as Piki (in English Piki means to support another, or to ascend). Tū Ora Compass Health (Tū Ora) will carry out the pilot.
Tū Ora is a Primary Health Organisation (PHO) which provides a wide range of primary care services through 61 General Practice Teams in the 3DHB region. Tū Ora currently provides some mental health programmes in the Wellington Region.
Tū Ora will work with a number of other health care providers throughout the Wellington, Porirua, Kapiti, Hutt Valley and Wairarapa regions to deliver Piki services to youth, including PHO’s, Non-Government Organisation (NGO’s), Vibe and Student Health Centres.
The Ministry of Health received 16 proposals to conduct the pilot before selecting Tū Ora.
Piki will utilise a 90 day improvement and development cycle, commonly referred to as a PDSA cycle. This will allow the pilot to consistently review opportunities for improvement, as well as ensuring it is able to tailor the workforce capacity to demand.
The pilot will be evaluated by the University of Otago.
BeeFoundNZ - Online Locum recruitment service
Tū Ora Compass Health and Te Awakairangi Health Network are pleased to introduce BeeFound to their practice networks as a new online Locum recruitment service across the greater Wellington, Hutt Valley and Wairarapa region.
“We know that finding GP and nurse locums can be difficult and often ends up being a costly recruitment process for General Practices,” says Justine Thorpe GM Practice Services at Tū Ora Compass Health PHO. “BeeFound provides a user-friendly solution which enables General Practice teams to search for and book GP and Nurse locums without the hassle of finder’s fees and expensive recruitment costs,” she says.
BeeFound has been working successfully in Canterbury since June 2017, where it was first established in New Zealand. BeeFound is delivered and managed by Pegasus Health PHO.
This regional approach aims to open up the Locum pool and make the Wellington, Hutt Valley and Wairarapa regions a more attractive option for locum relocation, while increasing access options for practices.
“The more Practices and locums that utilise the service, the wider the pool of available resources, making the BeeFound service a useful tool for ensuring ongoing patient care is maintained in Practices,” says Bridget Allan, Chief Executive for Te Awakairangi Health Network.
The programme’s simple search function and absence of agency fees led to Christchurch based Registered Nurse Alison Cane, becoming a regular user.
“I’ve used BeeFound multiple times since April this year and had almost full time work in practices from Lyttelton to Casebrook. I found the calendar and text service especially useful. This keeps all my bookings and info in the same place and reminds me of bookings,” she says.
Practice Manager Johanna Geertsema of Harewood Medical Centre, has been using BeeFound since January 2018 and says it is a great way to see who is available when looking for a locum. “It’s very easy to load information into the system. We use BeeFound quite regularly . . . it’s a great tool,” she says.
How BeeFound works:
- Practice teams can make unlimited Locum bookings.
- GP and Nurse Locums can update their availability in the BeeFound online database. Practices can search the database based on specific need – from just one session on a particular day or multiple sessions across days, weeks or even months.
- Once requirements are submitted, BeeFound searches the database to find locums who best-match the request
- You book the locum online, there and then.
BeeFound was a finalist in this year’s NZHIT Innovation Awards in the NZ Health IT Solution category.
More about BeeFound visit www.beefound.co.nz
Tū Ora Compass Health Communications Advisor
022 638 0578
Health Care Home - second year reflections
In just two years, the Health Care Home (HCH) model of primary healthcare has spread across Greater Wellington to benefit tens of thousands of people.
Released today, the second annual HCH ‘achievements & reflections’ report provides a broad overview of the HCH’s second year in the Wellington region.
“HCH puts patients and families’ needs at the heart of local healthcare delivery. It’s an investment in helping to ensure people can access services closer to home and stay well in the community,” said Capital & Coast DHB interim chief executive Julie Patterson
“It has represented a significant change in the delivery of primary care, and was achieved through successful collaboration between the DHB and local PHOs – Ora Toa, Cosine and Tū Ora Compass Health.
“This initiative has been, and remains, a priority investment and we are excited that it will reach 80 percent of the DHB population this year.”
An independent tracking of 42,000 patients over two years shows HCH patients are less likely to need Emergency Department or hospital-level care. They also use technology more than non-HCH patients to manage their primary health care needs – with some practices reporting more than half their patients using patient portals for appointments, repeat prescriptions and test results.
HCH practices are also seeing benefits from GP triage or telephone assessment and treatment. In some practices, 35 percent of patients are being successfully managed over the phone, freeing up time to see people with more urgent needs.
“I'm pleased that more and more practices are joining the Health Care Home quality improvement programme,” said Tū Ora Compass Health chief executive Martin Hefford.
“Their early achievements in providing more patient-centred care are encouraging, and we are delighted to be rolling out the HCH model into the Wairarapa, based on the success of our practices in CCDHB.”
Image: Raumati Road Surgery team members receive their Health Care Home certification with Martin Hefford CE, Melissa Simpson HCH Programme Lead and Lynne Alo Practice Relationship Manager - Tū Ora Compass Health.
For more information read the Health Care Home Second Year: Achievements and Reflections.
For latest news visit www.compasshealth.org.nz. Or www.ccdhb.org.nz,
CCDHB: Chas Te Runa – 027 230 9571
Tū Ora Compass Health: Susan Fullerton-Smith – Susan.email@example.com
Health Care Homes early evidence in Wellington
Early evidence suggests that a team-based primary health care practice model can reduce emergency department admissions to hospitals.
New research conducted by Auckland University of Technology (AUT), for the Productivity Commission, looks at the implementation in Wellington of a multi-disciplinary team-based model known as “Health Care Homes”. That research, entitled Health Care Homes: Early Evidence in Wellington was published today by the Productivity Commission.
Described as a “whole of practice transformation”, the Health Care Home model involves health professionals working together in new ways and using tools such as an online patient portal and GP telephone triage to tailor services to patients’ needs.
“The main finding of the research is a statistically significant drop in Emergency Department (ED) admissions for patients at practices that implemented the Health Care Homes model” says Dr Gail Pacheco, Professor of Economics at AUT and Director of the New Zealand Work Research Institute at AUT.
“A drop in ED admissions is a positive signal for health outcomes of the affected population, as well as beneficial for managing public healthcare costs.”
Professor Pacheco says “future research would need to focus on the longer-term impacts of the Health Care Homes model, and also include a wider range of practice level data, such as waiting times, staff to patient ratios, use of online services, staff turnover and patient experience data.”
The research was undertaken as part of the Productivity Commission’s inquiry into Measuring and Improving State Sector Productivity, which was completed in August this year.
It uses administrative data on 235,485 enrolled patients from 55 Compass Health Primary Health Organisation general practices, linked with National Minimum Data Set records from Capital and Coast District Health Board. Of the 55 general practices, 11 implemented the Health Care Homes change process between July 2016 and October 2017. This means they operated the new model for three to 15 months during the period of the study (which used data from 2014 – 2017).
Productivity Commission Inquiry Director, Judy Kavanagh, says “the health sector is facing unprecedented cost and demand pressures – including from new health treatments and an ageing population. Primary health care is an important lever to address these pressures, because of its role in prevention and early intervention and in better coordination of other health services.”
She added that “it has always been thought of as too difficult to measure the impact and productivity of primary health care services. This research shows that innovation in general practice services can reduce patients’ use of hospital services, and that it is possible to measure these impacts using linked data”.
Report: Health Care Homes: Early Evidence in Wellington
 The National Minimum Data Set – This is the Ministry of Health’s national collection of public and private hospital discharge information, including coded clinical data for inpatients and day patients.