| 1. INTRODUCTION |
|
| 1.1 |
The Wairarapa DHB and its Priorities |
1 |
| 1.2 |
The DHBs
Key Objectives for
2005/06 |
3 |
| 1.3 |
The DHB
Key Achievements in
2004/05 |
3 |
| 1.4 |
The
Organisation that Achieves
Them |
4 |
| 1.5 |
The DHBs
Prioritisation and Decision Making
Principles |
10 |
| 1.6 |
Demographic Factors |
10 |
| 1.7 |
The
Wairarapa's Health
Needs |
12 |
| 1.8 |
Key
Issues Impacting on the DHBs Plan for
2005/06 |
14 |
| 1.9 |
Monitoring the DHBs
Performance |
16 |
| 1.10 |
Consulting with the Wairarapa
Community |
17 |
| 1.11 |
Collaborative
Arrangements |
19 |
| 1.12 |
The
DHB's Key Risks and
Mitigation |
21 |
| |
|
|
|
2.
SPECIFIC ISSUES IN 2005/06 |
|
| 2.1 |
The Key
Issues Impacting on
2005/06 |
27 |
| 2.1.1 |
Financial
Parameters |
27 |
| 2.2 |
Planning
Assumptions in
2005/06 |
27 |
| 2.3 |
Management of pressures on
Expenditure |
29 |
| 2.4 |
Partnership Model, Change Management and Integration |
29 |
| 2.5 |
Service
Changes Expected in
2005/06 |
30 |
| 2.6 |
Addressing the NZ Health Strategy Priorities in
2005/06 |
33 |
| |
|
|
|
3.
DHB OBJECTIVES AND HOW WE WILL ACHIEVE THEM IN 2005/06 |
|
| 3.1 |
Improving health and disability status and access to services |
|
| 3.1.1 |
Child
and Family Health - MVS and NIR |
34 |
| 3.1.2 |
Youth
health |
39 |
| 3.1.3 |
Mental
Health |
41 |
| 3.1.4 |
Elective
services |
50 |
| 3.1.5 |
Chronic
disease
management |
55 |
| 3.1.6 |
Radiotherapy waiting
times |
62 |
| 3.1.7 |
Implementing our disability action
plan |
63 |
| 3.1.8 |
Health
Of Older
People |
67 |
| 3.1.9 |
Healthy
Eating Healthy
Action |
70 |
| 3.2 |
Strengthen partnerships |
|
| 3.2.1 |
Primary
health
care |
71 |
| 3.2.2 |
Referred
Services
Management |
75 |
| 3.2.3 |
National
and Regional
Collaboration |
78 |
| 3.2.4 |
Intersectoral working regarding - tobacco, alcohol, violence, child
abuse and
neglect |
80 |
| 3.3 |
Reduce
Disparities |
|
| 3.3.1 |
He
Korowai Oranga |
81 |
| 3.3.2 |
Pacific
Action
Plan |
86 |
| 3.3.3 |
Reducing
Inequalities |
87 |
| 3.4 |
Continue
to improve Quality and Safety |
|
| 3.4.1 |
Strategic Quality
Plan |
91 |
| 3.4.2 |
National
health emergency
planning |
94 |
| 3.5 |
Completing the transition to new hospital services - infrastructure changes |
95 |
| 3.5.1 |
Facility
development |
95 |
| 3.5.2 |
Workforce development, and employee relations |
97 |
| 3.5.3 |
Information and Communications
Technology |
102 |
| 3.5.4 |
Service
redesign, clinical board and nursing practice development |
105 |
| 3.5.5 |
Support
and service
initiatives |
107 |
| |
|
|
| 4.
DEVELOPING OUR PLANNING AND FUNDING RESOURCES |
|
| 4.1 |
Update
Health Needs Assessment
Report |
108 |
| 4.2 |
Review
of District Strategic
Plan |
108 |
| 4.3 |
Population Based
Funding |
108 |
| 4.4 |
Planning
and Funding Capability and
Capacity |
108 |
| 4.5 |
Ensuring
Equitable Treatment between NGOs and the DHB Provider |
108 |
| 4.6 |
Achieving Service Coverage and National
Consistency |
108 |
| 4.7 |
Regional
Developments |
109 |
| 4.8 |
Service
Monitoring and Evaluation |
109 |
| 4.9 |
Management of Inter District
Flows |
110 |
| |
|
|
| 5. MEASURING PROGRESS |
|
| 5.1 |
DHB
measures and targets against objectives |
114 |
| |
|
|
| 6. MANAGING FINANCIAL RESOURCES |
|
| 6.1 |
Managing
within
Budget |
123 |
| 6.2 |
Planning
and Budgeting
Process |
124 |
| 6.3 |
Efficiency
Gains |
124 |
| 6.4 |
Assumptions |
125 |
| 6.5 |
Sensitivity
Analysis |
125 |
| 6.6 |
Asset
valuation |
125 |
| 6.7 |
Business
Cases |
126 |
| 6.8 |
Capital
Expenditure |
126 |
| 6.9 |
Debt and
Equity |
127 |
| 6.10 |
Financial
Statements |
127 |
| |
|
|
| 7. APPENDICES |
|
| 7.1 |
Appendix 1: Ministry of Health Indicators of DHB
Performance and targets |
128 |
| 7.2 |
Appendix 2: DSS Residential Services for Older People
- Estimate of impact of IAT changes |
141 |
| 7.3 |
Appendix 3 Wairarapa DHB Alliances with neighbouring
DHBs and others |
143 |
| 7.4 |
Appendix 4 Mana Whenua, Maori Health Committee, DHB
Schedules of
meetings |
147 |
| 7.5 |
Appendix 5 DSAC Schedule of
Meetings |
148 |
| 7.6 |
Appendix 6 Configuration of Mental Health
Services |
151 |
| 7.7 |
Appendix 7 ESPI Recovery
Plan |
152 |
| |
|
|
| 8. REFERENCES AND ATTACHMENTS |
|
| 8.1 |
References |
154 |
| 8.2 |
Attachments |
154 |
| 8.3 |
Glossary |
154 |