1. Lower North Island Palliative Care Clinical Network

2. Managed Clinical Network
Linked groups of health professionals and organisations from primary, secondary and tertiary care, working in a coordinated manner, unconstrained by existing professional and Health Board boundaries to ensure equitable provision of high quality clinically effective services to meet the needs of patients and their families/whanau.

3. Our Vision
Palliative care services working in a seamless integrated cost effective way across all levels of primary, secondary and tertiary care to improve equitable access and care for patients and their family / whanau
LNIPCCN will guide the coordination, development and access to palliative care across the 3 DHB regions.
Palliative care from patient and family/whanau perspective will appear seamless and integrated with the minimum of repetition and duplication
Inclusive collaboration of palliative care providers;
primary care
ARC,
secondary & tertiary care providers (public hospitals),
specialist palliative care providers (hospice/community & hospital palliative care)

4. Principles Clinically driven across all professional disciplines
Decisions based on identified need
Responsive to and engaged with community
Strong professional linkages developed to reduce fragmentation and improve integration
Fiscally aware and cost efficient
Sustainable

5. Our Strengths Representative of NZ demographics
Geographically contained
Urban & rural mix
Established relationships with key stakeholders
Longevity – 30 years
Diversity of models
Existing platform – 3Ds projects
3 DHBs providing Primary, secondary and tertiary services. 2 Hospices and community palliative care services. Primary care and community nursing services are an integral and leading part of the provision of PC services in our region
3Ds project DHB Health Service Development Programme. Collaborative programme between HV, Wairarapa, C&C. Endorsed by the Chair, CEs and CMOs. MoU signed in Feb 2010 that recognises potentially significant benefits to each of their respective communities through more collaborative clinical and corporate arrangements.

6. Our Region Population of 440,000 (2006 Census)
Mix of city, urban, rural & remote populations
Palliative care need
people
% increase
Growing & aging population
High proportion of Maori, Pacific & Asian people
Recognising that we need wider involvement and buy-in
Staged approach

7. Key Elements of EOI Effective Clinical Leadership & Governance
Innovative and Sustainable Workforce
Efficient and effective model of care

8. Effective Clinical Leadership & Governance
Develop strong clinical governance structure
Representing primary, community, hospice & DHB
Triumvirate model – reflecting multidisciplinary team; medical, nursing & allied health
Identify regional priorities for shared strategy
Support for work streams and projects
First 6 months

9. Innovative & Sustainable Workforce
Workforce Strategy – sustainable, strategic and adaptable approach to workforce
Match need to workforce
Enhance and integrate education and training opportunities
Shared approach to sustainable workforce development, training and education planning

10. Develop and Implement an Efficient and Effective Model of Care
Agreed clinical guidelines & protocols
Agreed clinical pathways targeting specific populations with unmet need
Agreed approach to after-hours support and care
Agreed access to services criteria
Looking at low-hanging fruit – what are some areas we can pick-off immediately
Developing standardised Tools and Pathways – access and referral criteria

11. Challenges Multi-organisational approach
Commitment to work together - silos
Time - relationship – building trust
Stakeholder consultation & engagement
Evaluation – cost
Ambitious project
Agreement on Proposal
Large number of Independent organisations coming together on this project
Need time to build trust and agree directions
At the time of submitting the EOI wide consultation was difficult. Since then members of the working group have actively engaged with their networks
Evaluation is a major part of the HWNZ requirement – extremely expensive
Working with HWNZ to ensure the project is successful – all recognise it as ambitious