2016/17 FUNDING ARRANGEMENTS

Transcription

1 MidCentral District Health Board 2016/17 FUNDING ARRANGEMENTS A companion document to the 2016/17 Annual Plan 31 August 2016

2 2016/17 FUNDING ARRANGEMENTS (A companion document to the 2016/17 Annual Plan) Published 31 August 2016 MidCentral District Health Board Board Office, Heretaunga Street PO Box 2056 Central 4440 NEW ZEALAND Final 31/08/ /17 Funding Arrangements Document Page 1

3 CONTENTS DEFINITION OF PORTFOLIOS SUMMARY OF SERVICES BY TYPE AND DISTRICT PRIMARY HEALTH SERVICES COMMUNITY MENTAL HEALTH AND ADDICTIONS SERVICES PERSONAL HEALTH SERVICES DISABILITY SUPPORT SERVICES SCHEDULE OF ALL CONTRACTED PROVIDERS CURRENT CONTRACTORS SERVICES PRIMARY HEALTH SERVICES SECONDARY AND TERTIARY SERVICES DISABILITY SUPPORT SERVICES IWI AND MAORI HEALTH SERVICES MENTAL HEALTH AND ADDICTIONS SERVICES Final 31/08/ /17 Funding Arrangements Document Page 2

4 Definition of Portfolios DEFINITION OF PORTFOLIOS Maori Health Maori Health s are by Maori, for Maori meaning they are specifically targeted to Iwi/Maori, and are delivered by Iwi and Maori providers. The provided are community-based and include primary (particularly family ) and mental. (Note: Iwi Maori providers deliver to the population but in the main their programmes target Maori because of their high morbidity and mortality rates and inequalities. Many of the programmes provided are described as Kaupapa Maori because they incorporate Maori beliefs and understandings, and are delivered by Maori.) Mental Health and Addictions Mental and addiction provide treatment and recovery for individuals experiencing mental illness or addiction issues. Mental and addiction also include support for families and increase society s awareness of the importance of mental and well being. s are delivered across the continuum of, both regionally and locally. While some individuals are able to lead relatively y lives and manage their mental illness, others must rely on full time within specially designed residential programmes that provide 24 hour, seven days a week. Health Care s General practice teams comprising general practitioners and practice based nurses Public nurses and district nurses Iwi and Maori workers Allied therapists, including podiatrists, physiotherapists, dieticians, smoking cessation and physical activity educators Dentists and dental therapists Pharmacists in the community Midwives and lead maternity rs. providers are supported by medicines dispensing, diagnostic imaging and laboratory. These are often free or provided on a highly subsidised basis to the public and make up a major part of the cost of primary within the district. Public Health Public Health is a specialised area of that addresses the and well-being of a population. s are aimed at improving, promoting or protecting, and/or preventing population-wide disease, disability or injury. Public includes promotion, protection and regulatory, plus population-based disease prevention strategies such as the breast screening and cervical screening programmes. Public are commonly clustered around the following activities: Health Care s are typically the first and the most frequent point of contact the public has with the service. These are available in the community and are delivered in a variety of settings including schools, workplaces, community pharmacies, general practice surgeries, on marae and in people s own homes. are usually accessed by self-referral. A range of professionals provide primary, including: Public Health Promotion s Public Health Protection and Regulatory s Prevention and Early Detection s. Final 31/08/ /17 Funding Arrangements Document Page 3

5 Definition of Portfolios Secondary/Tertiary Health Secondary relate to specialist that is provided in a hospital or rural clinic setting or by the hospital s community-based staff. Tertiary relate to highly specialised that is often only provided in a small number of locations. Support may include disability support and/or personal that are targeted at older people. Funding Allocation by Portfolio, 2016/17 Access to secondary is usually by referral from a primary practitioner, for example, general practitioner. Access to tertiary is usually on referral from a secondary specialist. Whereas primary are mostly provided by a wide range of non-government owned organisations, the majority of secondary and tertiary are provided by crownowned public hospital. Support s for Disabled and Older People A range of support are provided for disabled and older people which include: Assessment, treatment and rehabilitation, which is largely hospital-based Community-based support that assist people to retain their independence and live in the community. This includes, for example, the provision of nursing, personal and home management MidCentral DHB has contracts with a range of providers across primary, secondary, disability support, Maori and mental portfolios. These contracts are for a comprehensive range of. Details of all contractual arrangements, by contractor and by portfolio, are set out on the following pages. Residential, which is predominantly based around private providers in the community. Residential is provided to both older and younger people with disabilities. has been defined by the Ministry of Health as: A person who has a physical, psychiatric, intellectual, sensory, or age-related disability (or a combination of these) that is likely to continue for a minimum of six months, and reduces independent functioning to the extent that ongoing support is required. Older people are defined as being age 65 years and over. Final 31/08/ /17 Funding Arrangements Document Page 4

6 Summary of s by Type and District 1.0 SUMMARY OF SERVICES BY TYPE AND DISTRICT 1.1 Health s Type of Horowhenua and Otaki Tararua Manawatu Cost to Consumer Central Health Organisation First contact through General Practice General practitioner Practice nurse Immunisation Cervical screening Sexual and reproductive Enhanced CarePlus After hours first contact primary through General Practice Palliative Care Partnership Options for Acute Care General practitioner Practice nurse Immunisation Cervical screening Sexual and reproductive Sleep apnoea assessment and management Enhanced CarePlus After hours first contact primary through General Practice Palliative Care Partnership Options for Acute Care General practitioner Practice nurse Immunisation Cervical screening Sexual and reproductive Sleep apnoea assessment and management Enhanced CarePlus After hours first contact primary through General Practice Palliative Care Partnership Options for Acute Care General practitioner Practice nurse Immunisation / Cervical screening Sexual and reproductive Sleep apnoea assessment and management Enhanced CarePlus After hours first contact primary through General Practice Palliative Care Partnership Options for Acute Care General Practice Visit Fees for GP visits vary by practice and by age group. Charges for a standard GP consultation for adult enrolled patients within usual business hours vary from $17 - $45. Children under thirteen years of age are free at all practices. Some practices provide very low cost attendance charges. Varying charges may be incurred in a range of circumstances including casual visits, after hours, weekends, longer consultations, and minor surgery. Casual visits to GP involve seeing a GP that the patient is not enrolled with and those not enrolled in a PHO. Children under 13 years: free at all practices. Children over 13 years: DHB subsidy of $20 per visit if parent/giver holds a Community s Card. Consumer pays remainder. Adults (18 years and over): DHB subsidy of $15 per visit if the person holds a Community s card or a High User Health Card. Consumer pays remainder. Practice Nurse s: Variable, depending on the provider. Final 31/08/ /17 Funding Arrangements Document Page 5

7 Summary of s by Type and District Type of Horowhenua and Otaki Tararua Manawatu Cost to Consumer Central Health Organisation (other ) Dental/oral Maori primary Health promotion Sexual and reproductive Healthline Mobile nursing service for high needs patients Lifestyle change programmes - Physical Activity Education, Dietician Retinal screening Chronic Care teams (including diabetes, cardiovascular and respiratory and cancer) Cardiac rehabilitation Community cardiology Child dental Adolescent dental Essential dental - adult (Levin only) Mobile Maori nursing asthma, diabetes, cardiac education and Community Health worker Health promotion Healthline Mobile nursing service for high needs patients Lifestyle change programmes- Physical Activity Education, Dietician Retinal screening Chronic Care teams (including diabetes, cardiovascular and respiratory) Cardiac rehabilitation Community cardiology Child dental Adolescent dental Essential dental - adult Mobile Maori nursing asthma, diabetes, cardiac education and (Woodville / Pahiatua) Health promotion Healthline Mobile nursing service for high needs patients Lifestyle change programmes- Physical Activity Education, Dietician Retinal Screening Chronic Care teams (including diabetes, cardiovascular and respiratory) Cardiac rehabilitation Child dental Adolescent dental Essential dental - adult Mobile Maori nursing asthma, diabetes, cardiac education and Health promotion Sexual and reproductive Immunisation coordination Healthline Lifestyle change programmes- Physical Activity Education, Dietician Retinal screening Chronic Care teams (including diabetes, cardiovascular and respiratory) Cardiac rehabilitation Health for residents of the Lower Island Youth Justice Facility Child dental Adolescent dental Essential dental - adult Mobile Maori nursing asthma, diabetes, cardiac education and Free contraception (<22y) Other than first contact provided by general practice, PHO are free. Adult dental service users requires payment. School and adolescent dental are free for children and adolescents. Essential dental is limited to low income adults and a part charge of $40 applies. There is no cost to the consumer for these. Final 31/08/ /17 Funding Arrangements Document Page 6

8 Summary of s by Type and District Type of Horowhenua and Otaki Tararua Manawatu Cost to Consumer Child Well child Whanau ora Facilitation Before School Checks Psychological support for children with chronic disease & life limiting conditions Universal Newborn Hearing Screening Programme Children in Care Clinics Paediatric enuresis service Paediatric Continence Newborn enrolment programme Children s Team Laboratory Community laboratory / bleeding service (Horowhenua) Radiology Community referred plain film and ultrasound (Horowhenua) Well child Whanau ora Facilitation Before School Checks Paediatric enuresis service Psychological support for children with chronic disease & life limiting conditions Universal Newborn Hearing Screening Programme Children in Care Clinics Paediatric Enuresis Paediatric Continence service Newborn Enrolment Programme Community laboratory / bleeding service (Dannevirke) Community referred plain film and ultrasound (Dannevirke) Well child Whanau ora Facilitation Before School Checks Vision/Hearing Testing Paediatric enuresis service Psychological support for children with chronic disease & life limiting conditions Universal Newborn Hearing Screening Programme Children in Care Clinics Paediatric Enuresis Paediatric Continence Newborn Enrolment Programme Community laboratory / bleeding service (Feilding) Community referred plain film and ultrasound Well child Whanau ora Facilitation Before School Checks Vision/Hearing Testing Psychological support for children with chronic disease & life limiting conditions Universal Newborn Hearing Screening Programme Children in Care Clinics Paediatric Enuresis Paediatric Continence Child Health Clinic Te Aroha Noa Newborn Enrolment Programme Full laboratory available Full community referred radiology including plain film, ultrasound and some CT There is no cost to the consumer for these. There is no cost to the consumer for approved tests. The DHB contracts for provision of a range of radiology. Community referrals for radiology to MidCentral Health are free. s provided by other providers may involve a part charge. Private referrals may involve a charge to the consumer. Final 31/08/ /17 Funding Arrangements Document Page 7

9 Summary of s by Type and District Type of Horowhenua and Otaki Tararua Manawatu Cost to Consumer Pharmacy Maternity Community pharmacy SEDUM Safe and Efficient Disposal of Unused Medicines Sharps disposal service for people with diabetes Emergency Contraception Paediatric Gastroenteritis service Anti coagulation management service maternity facility: Horowhenua Hospital, 4 beds Pregnancy and Parenting Information and Education s Lead Maternity Carer s: Otaki and Levin Antenatal HIV Screening Breastfeeding Information and Support Paruru Mowai MDT service for women and babies Community pharmacy SEDUM Safe and Efficient Disposal of Unused Medicines Sharps disposal service for people with diabetes Emergency Contraception Paediatric Gastroenteritis service Anti coagulation management service birthing facility: Dannevirke Hospital 4 beds Employed LMC midwifery Pregnancy and Parenting Information and Education s Lead Maternity Carer s: Pahiatua and Dannevirke Antenatal HIV Screening Breastfeeding Information and Support Family Support Worker Paruru Mowai MDT service for women and babies Community pharmacy SEDUM Safe and Efficient Disposal of Unused Medicines Sharps disposal service for people with diabetes Emergency Contraception Paediatric Gastroenteritis service Anti coagulation management service Pregnancy and Parenting Information and Education Lead Maternity Carer s: Feilding and surrounding area. Antenatal HIV Screening Community Midwifery (home visiting) Breastfeeding Paruru Mowai MDT service for women and babies Community pharmacy SEDUM Safe and Efficient Disposal of Unused Medicines Sharps disposal service for people with diabetes Emergency Contraception Paediatric Gastroenteritis service Facility for births: Hospital, Secondary Maternity and neonatal referral : Hospital Pregnancy and Parenting Information and Education Lead Maternity Carer s: and surrounding localities Antenatal HIV Screening Community Midwifery (home visiting) Breastfeeding Information and Support Paruru Mowai MDT service for women and babies Pharmaceuticals (on approved list that are subsidised) Not all pharmaceuticals are fully subsidised, and where this is the case, there is an additional cost to the consumer. Maximum prescription charges for pharmaceuticals on the Pharmaceutical Schedule are $5 for the first 20 items prescribed per family per year for PHO enrolees and $15 for non-enrolees. Note: additional charges may be levied by the pharmacist for special packaging, provision after hours, delivery, etc) There is no cost to the consumer for these. Type of Horowhenua and Otaki Tararua Manawatu Cost to Consumer Final 31/08/ /17 Funding Arrangements Document Page 8

10 Summary of s by Type and District Other community Community palliative Regional diabetes coordination Women s Health Centre Maori disability support service liaison Cancer coordination for Maori and the general population Psych-oncology service Diabetes youth (eg, camps) Rural nursing Himatangi, Foxton, Shannon BreastScreening mobile service and promotion Smoking Cessation Youth One Stop Shop adolescent School Based Health Otaki College Community palliative Regional diabetes coordination Cancer coordination for Maori and the general population Psych-oncology service Diabetes youth (eg, camps) Rural nursing service Eketahuna Breast Screening mobile service and promotion Smoking Cessation Outreach Youth Health Community palliative Regional diabetes coordination Cancer coordination for Maori and the general population Psych-oncology service Diabetes youth (eg, camps) Breast Screening mobile service and promotion Smoking Cessation Community palliative Regional hospice service Regional diabetes coordination Women s Health Centre Maori support Liaison Youth One Stop Shop adolescent Cancer coordination for Maori and the general population Psych-oncology service Diabetes youth (eg, camps) Breast Screening mobile service and promotion Smoking Cessation All listed are at no cost to the consumer. Final 31/08/ /17 Funding Arrangements Document Page 9

11 Summary of s by Type and District 1.2 Community Mental Health and Addictions s Type of Horowhenua and Otaki Tararua Manawatu Cost to Consumer Residential rehabilitation Adult respite Youth crisis respite Inpatient Parenting Programmes Consumer including Family Advisory support Youth crisis respite : 6 beds Inpatient beds 27 at MidCentral Health Care Triple P Parenting Activity based service day programmes Therapeutic recreation and education programme Youth crisis respite : 6 beds 24 hour for consumers with acute mental Care Triple P Parenting Activity based service day programmes Therapeutic recreation and education programme Housing and Recovery beds Responsive staff: 2 beds (7,665 bed days) Awake staff: 6 beds (2,190 bed days) Level 4: 8 beds (2,800 bed days) supported accommodation for the elderly Youth crisis respite : 6 beds (2190 bed days) 24 hour for consumers with acute mental Care Triple P Parenting Therapeutic recreation and education programme Housing and Recovery Responsive staff : 22 beds (8,030 bed days) Level 3 : 16 beds (5,840 bed days) Level 4 : 18 beds (6,570 bed days) Alcohol & Drug Dual Diagnosis service : 6 beds Alcohol & Other Drugs: 6 beds Adult respite : 2.3 beds (840 bed days) Youth crisis respite : 6 beds Full range of inpatient secondary from Hospital Parenting programme for children with behavioural problems Activity based service day programmes Therapeutic recreation and education programme There are no costs to the consumer for these. There are no costs to the consumer for these. There are no costs to the consumer for these. There are no costs to the consumer for these. There are no costs to the consumer for these. All are free to mental and addiction consumers. Some community mental providers may require a small donation for supply of refreshments and/or meals. Final 31/08/ /17 Funding Arrangements Document Page 10

12 Summary of s by Type and District Type of Horowhenua and Otaki Tararua Manawatu Cost to Consumer Kaupapa Maori mental Adult A&D Kaupapa Maori Counselling Community Support Worker Child Adolescent mental support service mental coordinator Packages of Care Shared Care Programme Brief Interventions Group programs for young people Alcohol Brief Interventions Adult A&D Kaupapa Maori Counselling Community Support Worker Activity based rehabilitation mental coordinator Packages of Care Mental shared project mental Innovations Initiative Group programs for young people Alcohol Brief Interventions Suicide Prevention Support mental coordinator Packages of Care Mental shared project mental Innovations Initiative Group programs for young people Alcohol Brief Interventions Whanau and Peer Support / Advocacy Addictions Programme Adult A&D Kaupapa Maori Counselling Community Support Worker Packages of Care Mental shared programme mental Innovations Initiative Group programs for young people Alcohol Brief Interventions There are no costs to the consumer for these. There are no costs to the consumer for these. Work rehabilitation Evidence Based Supported Employment Youth alcohol and drug Community support worker Big Brothers Big Sisters Mentoring Program School Based Program Lets get real NGO Workforce Coordination Rehabilitation / education programme Early intervention youth alcohol and drug service group programs Early intervention youth alcohol and drug service group programs Rehabilitation Pre - Employment and Education Support s Early intervention youth alcohol and drug service group programs Rehabilitation Employment and Education Support s Early intervention youth alcohol and drug service group programs There are no costs to the consumer for these. There are no costs to the consumer for these. Packages of Packages of There are no costs to the consumer for these. Workforce training initiatives Workforce training initiatives Mentoring to children in schools Workforce training initiatives Mentoring to children in schools Workforce training initiatives There are no costs to the consumer for these. There are no costs to the consumer for these. Final 31/08/ /17 Funding Arrangements Document Page 11

13 Summary of s by Type and District 1.3 Personal Health s Type of Horowhenua and Otaki Tararua Manawatu Cost to Consumer Emergency Inpatient 24-hour primary level accident and medical through General Practitioners 24-hour emergency response through Ambulance (road and air) 24-hour full level 5 emergency department at Hospital 12-hour advanced paramedic service Rural inpatient beds at Horowhenua Health Centre Rural AT&R beds at Horowhenua Health Centre 24 beds 24-hour primary level accident and medical through General Practitioners 24-hour emergency response through Ambulance (road and air) 24-hour full level 5 emergency department at Hospital 6 rural inpatient beds at DHSL in Dannevirke and 2 rural inpatient beds at Waireka Home in Pahiatua (funded by MoH) 24-hour primary level accident and medical through General Practitioners 24-hour emergency response through Ambulance (road and air) 24-hour full level 5 emergency department at Hospital Inpatient from Hospital 24-hour primary level accident and medical through General Practitioners 24-hour emergency response through Ambulance (road and air) 24-hour full level 5 emergency department at Hospital Full range of inpatient secondary from Hospital. This includes medical, surgical, paediatric and cancer treatment Paediatric available including Child Assessment Unit Inpatient palliative are provided by Arohanui Hospice If emergency transport is related to an accident then ACC pays. Otherwise a charge may be made by the provider of emergency transport. There are part charges for the advanced paramedic service in Horowhenua and Otaki. There are no costs to the consumer for these. Final 31/08/ /17 Funding Arrangements Document Page 12

14 Summary of s by Type and District Type of Horowhenua and Otaki Tararua Manawatu Cost to Consumer Secondary The following outpatient clinics are held at Horowhenua Health Centre in Levin: Allied Health Diabetes Nurse Educator Colorectal Dietician Geriatric Medicine Gynaecology Lymphoedema Medical (for elderly) Orthoptic-Paediatric Ostomy Palliative Care Psychogeriatric Rheumatology Speech Therapy Ante natal/post natal Colposcopy Diabetes Clinic Ear, Nose and Throat Hearing (for children) Orthopaedic Orthotic Paediatric Podiatry Rehabilitation Sexual Health Surgical Wound Clinic Speech and Language Therapy Radiation Oncology Sexual Health Maternity The following outpatient clinics are held at Dannevirke: Audiology Diabetes Nurse Ear, Nose and Throat Geriatric Medicine Gynaecology Ophthalmology Orthotic Paediatric Rheumatology Diabetes Elderly Oncology Orthopaedic Ostomy Podiatry Surgical Wound Clinic Ultrasound Obstetric In addition, the following outpatient clinics are held at Pahiatua: Dietetics Ear, Nose and Throat Geriatric Medicine Paediatric Podiatry The following outpatient clinics are held at Clevely Centre in Feilding: Alcohol & Drug Podiatry A full range of secondary outpatient clinics are provided from Hospital, including medical, surgical and cancer treatment specialities. Visiting tertiary paediatric specialists are available when required Gynaecology medically indicated terminations Within secondary, consumers are liable for part-charges as follows: Outpatient dental provided to adult patients Contact lenses are subsidised, but fitting costs etc, are to be paid for by the patient Continence, ostomy and various other medical supplies used in the community are provided free of charge within certain limits. Beyond these limits the consumer pays. There are charges associated with the use of loan equipment Hearing Aids No cost to consumer for visiting tertiary paediatric specialists No cost for medically indicated terminations. Final 31/08/ /17 Funding Arrangements Document Page 13

15 Summary of s by Type and District Type of Horowhenua and Otaki Tararua Manawatu Cost to Consumer Community-based District Nursing Public Health Social Work SupportLinks NASC Mental Health Oranga Hinengaro (Specialist Maori Mental Health) Alcohol & Drug Child, Adolescent & Family Mental Health Elder Mental Health Occupational Therapy Paediatric home Physiotherapy Supportlinks NASC The following outpatient clinics are held at Dannevirke: District Nursing Public Health Mental Health Oranga Hinengaro (Specialist Maori Mental Health) Occupational therapy Physiotherapy Social Work In addition, the following are provided from Pahiatua: District Nursing Public Health Mental Health Occupational Therapy Physiotherapy Social Work Alcohol & Drug s Paediatric home District Nursing Mental Health Public Health Paediatric home SupportLinks NASC District Nursing Public Health Mental Health Oranga Hinengaro (Specialist Maori Mental Health) Occupational Therapy Physiotherapy Social Work SupportLinks NASC Paediatric home Within secondary, consumers are liable for part-charges as follows: Outpatient dental provided to adult patients Contact lenses are subsidised, but fitting costs etc, are to be paid for by the patient Continence, ostomy and various other medical supplies used in the community are provided free of charge within certain limits. Beyond these limits the consumer pays Hearing Aids No cost to the consumer of paediatric home. Final 31/08/ /17 Funding Arrangements Document Page 14

16 Summary of s by Type and District 1.4 Support s Type of Horowhenua and Otaki Tararua Manawatu Cost to Consumer Supportlinks NASC s Aged Residential Care (ARC) Respite s ARC Dedicated Respite Beds Aged Residential Care Home based Support s All geographical areas covered ARC respite all levels of Dementia level Bed (1 bed) Rest Home Continuing Care (Hospital level ) Dementia-Psychogeriatric Household Management Personal Care Carer Relief ARC respite for Rest home, Dementia and Hospital level Rest home and Hospital Level mixed (1 bed) Rest Home Continuing Care (Hospital level ) Dementia Household Management Personal Care Carer Relief ARC respite for Rest home, Dementia and Hospital Level ARC respite for Rest home, Dementia and Hospital level - Dementia Level Bed (1 bed) Rest home and Hospital level mixed bed (1 bed) Rest Home Continuing Care (Hospital level ) Dementia Household Management Personal Care Carer Relief Rest Home Continuing Care (Hospital level ) Dementia Household Management Personal Care Carer Relief No cost to consumer if allocated by Supportlinks NASC. No cost to the consumer if allocated by the Supportlinks NASC. No cost to the consumer if allocated by the Supportlinks NASC. There is a maximum cost of between $ $ per week for nonsubsidised residents. For subsidised and non subsidised residents there is no additional cost for higher levels of which include: continuing (hospital level ) dementia psychogeriatric. There is no cost to consumers for home based support. Maori Support s Information, liaison and whanau support Information, liaison and whanau support Information, liaison and whanau support Information, liaison and whanau support There is no cost to consumers for Maori Support s. Information s Alzheimers Society (Manawatu) information and support Alzheimers Society (Manawatu) information and support Alzheimers Society (Manawatu) information and support Alzheimers Society (Manawatu) information and support There is no cost to consumers for disability information. Child Health Home based for children with disability ie physio/ot/visiting neurodevelopmental Therapy (NVT) Home based for children with disability ie physio/ot/visiting neurodevelopmental Therapy (NVT) Home based for children with disability ie physio/ot/visiting neurodevelopmental Therapy (NVT) Home based for children with disability ie physio/ot/visiting neurodevelopmental Therapy (NVT) There is no cost to consumers for home based for children with disability. Final 31/08/ /17 Funding Arrangements Document Page 15

17 Schedule of All Contracted Providers 2.0 SCHEDULE OF ALL CONTRACTED PROVIDERS Provider Name Access Home Ltd ACROSS Te Kotahitanga o Te Wairua Adams Pharmacy Area Mental Description Household management Day and night r relief Personal s In between Travel Arrangements (IBT) Improvement to r workforce triple P Positive Parenting Programme Family & whanau support education, information and advocacy service (post suicide support group) Woodville depot Location and Contract Type Tararua Adult Day Care Day Levin Alexander House Aged residential - rest home Respite and day Feilding Price ($) per annum GST excl 159,249 11,700 Alzheimers Society (Manawatu) Incorporated Information & advisory Day support 20,207 Amplifon Ltd Field officer audiology 43,034 Aroha Home and Hospital Aged residential - continuing, dementia & rest home Respite and day Arohanui Hospice Trust Palliative clinical pharmacist Palliative liaison Clinical nurse specialist Community palliative coordinator Educator Palliative clinical Hospice initiative Hospice community palliative initiative Palliative registrar 3,141,405 Barnardos Pregnancy and Parenting Information and Education s 318,100 Final 31/08/ /17 Funding Arrangements Document Page 16

18 Schedule of All Contracted Providers Provider Name Area Description Location and Contract Type Price ($) per annum GST excl Best Care (Whakapai Hauora) Charitable Trust Maori Mental Personal Sexual & reproductive Whanau ora Maori disability support Reducing inequalities Outreach nursing service Tamariki ora well child Iwi cancer control co-ordinator Koroua and kuia support Kaupapa Maori community clinical support (non clinical) Community child, adolescent & youth for co-existing problems (non clinical) Kaupapa Maori Community Clinical Support Kia Piki te Kaha Suicide Prevention Practitioners Kai Taipoto coordinator Chair & deputy chair funding (Manawhenua Hauora) Lower Youth Justice Facility, Manawatu, Horowhenua 1,757,279 Best Practice Advocacy Centre Ltd Best practice decision support software modules Fixed Price 96,000 Big Brothers Big Sisters Mental Mentoring programme Fixed Price 20,122 Bollards Pharmacy Monitored therapy medicines (Clozapine) Tararua Brightwater Elderly Care Broadway Dental (Allan Young) Broadway Radiology BUPA Rehab Callum Dunsmore Central Drive-In Pharmacy Aged residential continuing, dementia & rest home Respite and day, including a dedicated respite bed (dementia) Essential dental treatment Adolescent oral Dental for children Community referred radiology TIA diagnostic tests Carotid USS & CT Head Price/volume capped Price/volume capped LTS-CHC level 3 Rehabilitation s Price/volume capped Adolescent oral Dental for children Disposal of unused medicines/sharps Horowhenua 85,796 90,155 76,295 Final 31/08/ /17 Funding Arrangements Document Page 17

19 Schedule of All Contracted Providers Provider Name Area Description Location and Contract Type Price ($) per annum GST excl Central PHO Mental Care plus First contact GMS casual Health promotion interim Immunisation Management fee Performance management programme Rural bonus Rural workforce retention subsidy to improve access interim Very low cost access individual Zero fees for under thirteens After hours primary After hours under 13 s Very low cost access sustainability Alcohol brief intervention Cervical screening coordination Cervical smear priority clinics & community Chronic model Clinical dietician programme Community based immunisation coordinator Community Based Clinical Pharmacist Community cardiologist, nurse & technician Community chronic team Community referred radiology Diabetes improvement packages Diabetes foot Diabetes Diabetes nurse programme Diabetes retinal screening ECG machine subsidy and support GP enrolment & transition (Kimberley Centre) Horowhenua IFHC facility manager Immunisation coordination Integrated cancer Integrated respiratory Lifestyle change programme Locum general practitioners Long term conditions clinical analyst and coordinator Mental share programme Pacifika maternal & child Palliative community liaison nurse mental nursing initiative mental innovation & initiatives Priority primary (Kere Kere) Mental project worker Sexual reproductive Social work / service coordinator (MH) GP consultation (fee for service MH) Youth medical Zoledronic acid administration POAC Co-design project Te Waiora Establishment support Price/volume capped 11,549,639 Final 31/08/ /17 Funding Arrangements Document Page 18

20 Schedule of All Contracted Providers Provider Name Charles Jones Chiswick Park Rest Home & Hospital City Health Pharmacy Community Birth s Charitable Trust Compass Health Cook Street Nursing Care Centre Cook Street Pharmacy Area Description Adolescent oral Dental for children Aged residential continuing & rest home Respite and day Breastfeed information and support Community referred radiology Aged residential continuing & rest home Respite Coombrae Home Aged residential rest home and dementia Respite and day Countdown Pharmacy Crest Hospital Ltd Dalcam Health Manawatu Ltd Daniel Sanraj David Symes Dental Care NZ Ltd (Graham Swanepoel) Eileen Mary Rest Home Complex Care Mental Under 13s afterhours dispensing Sexual abuse assessment and treatment service Mental of older people acute Housing & recovery Adult Crisis Respite Adolescent oral Dental for children Essential dental treatment Adolescent oral Dental for children Adolescent oral Special dental for children Aged residential continuing and rest home Respite and day, including a dedicated respite bed (dementia level) Location and Contract Type Horowhenua Price/volume capped Otaki & Horowhenua residents enrolled with Kapiti PHO Feilding Fixed Price MDHB District Price/volume capped Manawatu Price/volume capped, Tararua Horowhenua Dannevirke Price ($) per annum GST excl 134,419 32, ,136 note 3 Final 31/08/ /17 Funding Arrangements Document Page 19

21 Schedule of All Contracted Providers Provider Name Eketahuna Health Centre Trust Incorporated Area Description Rural Influenza Immunisation Location and Contract Type FFS Tararua Eldernet Web based vacancy tracking system MHDB district Energysmart Eyes On Broadway Feilding Health Pharmacy Francis de Schweitzer Gardenview Elderly Care Gimbletts Pharmacy Grant Irvine Pharmacy Hamish Barham Pharmacy He Puna Hauora Inc Health of New Zealand Ltd Personal Healthy Homes Project Contact lens benefit Monitored therapy medicines (Clozapine) Community pharmacy anticoagulation management (INR) Adolescent oral Dental for children Aged residential dementia Respite and day, including a dedicated respite bed (dementia) Community pharmacy anticoagulation management (INR) Respiratory Medicines Self-Management Support Monitored therapy medicines (Clozapine) Under 13s afterhours dispensing Hearing & vision School based clinical Household management Day and night r relief Personal In between Travel Arrangements Improvement to r workforce Healthvision NZ Ltd Household management Day and night r relief Personal s In between Travel Arrangements Improvement to r workforce Hokowhitu Pharmacy Horowhenua District Health Transport Trust Care Shuttle service from Horowhenua to Hospital Tararua Levin Foxton Otaki Horowhenua Price ($) per annum GST excl 100,384 5, , ,438 31,000 Final 31/08/ /17 Funding Arrangements Document Page 20

22 Schedule of All Contracted Providers Provider Name Area Description Location and Contract Type Price ($) per annum GST excl Horowhenua Health Centre Pharmacy Monitored therapy medicines (Clozapine) Respiratory Medicines Self-Management Support Horowhenua Horowhenua Masonic Village Therapeutic day activity programs Dedicated Respite Beds Aged residential continuing & rest home Respite and day Price/Volume Capped Levin 203,630 Horowhenua Vision Centre Contact lens benefit Fee for Horowhenua Hospital Health Pharmacy Ian Carpenter Adolescent oral Dental for children Essential dental treatment Price volume capped Julia Wallace Retirement Village Aged residential continuing, rest home and dementia Respite and day Karina Nursing Home Aged residential rest home Respite and day Karo Data Management IT support for Well Child 6,303 Kere Meha Care HPV immunisation Fee for Kevin Wong Adolescent oral Dental for children Essential dental Price volume capped Tararua Kwok Joe Dental Adolescent oral Dental for children Price volume capped KYS One Stop Shop Outreach youth service, Otaki Otaki College School Clinic Otaki 154,174 Lavender Blue Nursing and Home Care Agency Household management Day and night r relief Personal s Child home In between Travel Arrangements Improvement to r workforce Levin Home of War Veterans Aged residential continuing, dementia & rest home Respite and day Levin Final 31/08/ /17 Funding Arrangements Document Page 21

23 Schedule of All Contracted Providers Provider Name Levin Mall Pharmacy Life Pharmacy The Plaza Area Description Under 13s afterhours dispensing Lonsdale Rest Home Aged residential continuing, rest home & dementia Respite and day Lumino the Dentist Dannevirke Main Street Dental Centre (Ian Wishart & William O Conner) Mana O te Tangata Trust Manawatu Breath Easy Manawatu Dental Group Manawatu Rugby Football Union Manawatu/ Horowhenua/ Tararua Diabetes Trust Mental Adolescent oral Dental for children Essential dental treatment Adolescent oral Dental for children Activity Based Recovery Support - Cultural Peer support Activity Based Recovery Support (Non Clinical) AoD s for Community Based Offenders Day Activity & Living Skills - Peer Support Day Activity & Living Skills & Vocational Rehabilitation Programme Day Activity Living Skills & Vocational Peer Support Coordinator Lets Get Real Workforce Coordinator Lets Get Real Workforce Programme Peer Support Child and Youth Peer Support for Adults Peer Support for Adults (Kaupapa Maori) Support group for respiratory disease Adolescent oral Dental for children Essential dental treatment Sponsorship for MDHB Smokefree logo youth Diabetes education & management, courses and information packs Location and Contract Type Horowhenua Foxton/Foxton Beach Tararua Price/volume capped Price volume capped Fielding Price volume capped Price ($) per annum GST excl 2, ,496 6,000 30, ,143 Final 31/08/ /17 Funding Arrangements Document Page 22

24 Schedule of All Contracted Providers Provider Name Area Description Location and Contract Type Price ($) per annum GST excl Martin Badenhorst Essential dental treatment Adolescent oral Price volume capped MASH Trust Board Mental Activity based recovery support service (non clinical) Mental flexi fund- luck venue drop-in centre Adult community support (non clinical) Planned adult respite Housing & recovery day time/ responsive night support Supportive landlord service Alcohol & other drug day treatment Programme - nursing & allied staff Co-existing disorders with accommodation Housing & recovery day time/ awake night support Infant, child, adolescent & youth crisis respite Alcohol & other drug community support service (non clinical/nursing/allied) Alcohol and Other Drug for Community Offenders Price volume capped Horowhenua, Manawatu and 2,204,564 note 3 Masonic Court Home for the Elderly Aged residential continuing & rest home Respite and day Massey University Psych-oncology Psychological support in chronic disease Psychological support for children & Youth with chronic disease Renal donor psychological Assessments Pre-diabetes Project Support Group Coordinator Lead Regional Cancer Clinical Psychologist 1,119,997 Medlab Central Ltd Community Laboratory s Community Referral Laboratory Hospital Laboratory s Hospital Referral Laboratory s 11,168,893 Metlife Rest Home Aged residential continuing & rest home Respite and day MidCentral Community Pharmacy Group Sharps disposal promotion Emergency contraception management Paediatric gastroenteritis management Infrastructure Support for community pharmacies Price volume capped Fixed Price 195,698 Final 31/08/ /17 Funding Arrangements Document Page 23

25 Schedule of All Contracted Providers Provider Name MidCentral Health Area Secondary Mental Description Hospital & Acute, intensive inpatient mental bed Oral for adolescents Dental for children Assessment, treatment & rehabilitation service Specialist elder assessment for older people Millvale House Aged residential continuing Respite Regional specialist hospital service (pyschogeriatric) Milson Pharmacy NZ Endometriosis Foundation Charitable Trust NZ Institute of Learning Oceanview Residential Care Olive Tree Rest Home Otaki Women s Health Group Inc Manor Rest Home Women's Health Collective Inc Paul Morris Peppertree Home & Hospital Presbyterian Support Central Patient partnering programme Provision of diploma in front line management course Aged residential aged - rest home Respite and day Aged residential aged - rest home & dementia Respite and day Cervical smear priority clinics Aged residential continuing & rest home Respite and day Women s service Cervical smear priority clinics Adolescent oral Dental for children Aged residential continuing & rest home Respite and day Household management Day and night r relief Personal s In between Travel Arrangements Improvement to r workforce Location and Contract Type Levin Fixed Price Otaki Otaki Price ($) per annum GST excl 280,218,257 7,997 44,700 93,751 Final 31/08/ /17 Funding Arrangements Document Page 24

26 Schedule of All Contracted Providers Provider Name Propharma Queen Elizabeth Hospital Ltd Queen Street Dental Area Secondary Description Sharps disposal containers Rheumatology service (regional contract for all central district DHBs) Adolescent oral Dental for children Essential dental treatment Rahiri Rest Home Aged residential continuing, dementia & rest home Respite and day Ranfurly Residential Care Centre Rangitane O Tamaki Nui-a-Rua Incorporated Rapid Response Dental Maori Mental Personal Care Aged residential continuing, dementia & rest home Respite and day Asthma education and management Whanau Ora Tamariki Ora well child Cancer control coordinator Activity based recovery support service (non clinical) Alcohol & other drug community support service (non clinical) Kaupapa Maori community clinical support (non clinical) Alcohol and Other Drug s for Community Offenders Location and Contract Type Horowhenua, Manawatu,, Otaki Provided in Rotorua for all Price volume capped Dannevirke Feilding Tararua Price ($) per annum GST excl Final 31/08/ /17 Funding Arrangements Document Page 25 33, , ,227 Adolescent oral Reevedon Home Aged residential rest home Respite and day Riverside Lodge Rest Home Roses Pharmacy Royal NZ Plunket Society Aged residential - rest home Respite and day B4 school check programme Ruawai Rest Home Aged residential - rest home Respite and day See Hear Ltd Smile Creations Otaki & Levin (Robin Young) Contact lens benefit Adolescent oral Dental for children Levin Foxton Feilding Horowhenua Otaki 400,769

27 Schedule of All Contracted Providers Provider Name Smiths Pharmacy Solara Ltd Sport Manawatu St Johns Ambulance Steeds Pharmacy Summerset Centre Levin Summerset Centre Supasmiles Dental Trust (Frederick Dean) Supporting Families in Mental Illness Manawatu Supportlinks, MidCentral DHB Tararua Early Years Tararua Hauora s Charitable Trust Tararua Pharmacy Tararua Health Group Area Mental Mental Care Description Location and Contract Type Manawatu 0800 Mental Health Line Green prescription Family green prescription, & Horowhenua MidCentral fit - whanau triathlon GRx Active Families GRx Adult s Price ($) per annum GST excl 284, ,932 Urgent Community Care 325,000 Community pharmacy anticoagulation management (INR) Aged residential - rest home Respite and day Aged residential continuing & rest home Dedicated respite Respite and day Adolescent oral Peer support service for adults Depression support & treatment groups Workforce development Family and whanau support education, information & advocacy service Chronically medically ill service Needs assessment co-ordination Respite Case Manager Family support worker Youth Health Clinics Maternity Rural inpatients Support of mobile bus service Cervical smear priority clinics Norsewood clinic Horowhenua Levin Feilding MidCentral district Fixed Price Tararua Tararua Horowhenua Tararua 305,936 1,319,272 56,872 65,000 2,133,298 Final 31/08/ /17 Funding Arrangements Document Page 26

28 Schedule of All Contracted Providers Provider Name Raukawa Whanau Ora Ltd (previously Te Runanga o Raukawa Inc) Te Wakahuia Manawatu Trust Te Whanau Elderly Care Centre The Bio Commerce Area Maori Mental Personal Maori Personal Description Maori primary Tamariki Ora well child Mobile Maori nursing disease Support for mothers & Pepi Maori liaison Iwi cancer control coordinator Cervical smear priority clinics information, liaison and whanau support Community child, adolescent & youth for co-existing problems (nonclinical) Alcohol & other drug community support service (non-clinical) Kaupapa Maori community clinical support (non clinical) Activity based recovery support service (non clinical) Alcohol and Other Drug s for Community Offenders Whanau support service Mobile Maori nursing disease (also covering Manawatu and Woodville) Whanau Ora Maori Community Health Tamariki Ora - well child Outreach immunisation Cancer control coordinator Te Oha Arahi Mitanga smoking cessation Cervical smear priority groups Clinical leadership Client whanua Counselling Aged residential continuing & rest home Respite and day Health Innovation Programme The Madison Aged residential continuing & rest home Respite and day The Youth One Stop Shop UCOL Unichem Awapuni Pharmacy Unichem Chemist Shop Mental Health Counselling & social work for youth Early intervention alcohol & drug service Child & youth community Youth GP service, Horowhenua Youth Health Application Exercise Programme for chronic disease patients Monitored therapy medicines (Clozapine) Monitored therapy medicines (Clozapine) Under 13s afterhours dispensing Mental high frequency dispensing Location and Contract Type Price volume capped Otaki, Horowhenua,, Manawatu Levin Price/volume capped Levin Horowhenua Price ($) per annum GST excl 1,523,719 1,885, , , ,000 38,000 Final 31/08/ /17 Funding Arrangements Document Page 27

29 Schedule of All Contracted Providers Provider Name Area Description Location and Contract Type Price ($) per annum GST excl Unichem Levin Pharmacy Under 13s afterhours dispensing Horowhenua 1,350 Unichem Tattons Pharmacy Community pharmacy anticoagulation management (INR) Manawatu Unichem Terrace End Pharmacy Unichem The Palms Pharmacy Under 13s afterhours dispensing 20,000 University of Otago Annual epidemiology report 29,500 Vautier Pharmacy Downtown Vautier Pharmacy Summerhill Village Vautier Pharmacy Pioneer Village Visique Dannevirke Contact lens benefit Visique Eye Spy Optometrist Contact lens benefit Visique Feilding Contact lens benefit Visique Naylor Palmer Ltd Contact lens benefit Vogel Street Pharmacy Waiapu Anglican Social s Trust Board Household management Day and night r relief Personal In between Travel Arrangements (IBT) Improvement to r workforce Wards Pharmacy Community pharmacy anticoagulation management (INR) Tararua Final 31/08/ /17 Funding Arrangements Document Page 28

30 Schedule of All Contracted Providers Provider Name Waireka Home Westella Homestead Rest Home Whaioro Trust Board Whanganui DHB Area Mental Description Aged residential Care continuing & rest home 2 GP beds Respite and day Aged residential rest home & dementia Respite and day Early intervention & other drug child adolescent youth (non clinical) Vocational support (non clinical) Child Adolescent and Youth AoD community Autism spectrum disorder (ASD) Local child mortality review coordinator Willard Rest Home Aged residential aged rest home Respite and day Wimbledon Rest Home Aged residential - rest home & dementia Respite and day Woodfall Lodge Aged residential - rest home & continuing Respite and day Woodlands of Feilding Woodlands of Worldwise Travellers Health Vaccination Centre Aged residential continuing and rest home Respite Aged residential - dementia and rest home Respite and day Location and Contract Type Price volume capped Pahiatua/ Eketahuna Feilding Horowhenua, Manawatu, Feilding Feilding Feilding Price ($) per annum GST excl 458,187 68,252 Cervical smear priority clinics Total 325,928,386 Note 1:, including rest homes and home help, are demand driven, and the cost is variable based on utilisation of rest home beds, etc. Note 2: Personal primary fee for service (includes GPs, community referred laboratory and pharmaceutical ) are also demand driven: Note 3. Mental residential are demand driven and the cost is variable based on utilisation of mental beds 67,427,195 87,339,068 3,055,603 Governance 5,802,180 Inter district flow outflow 53,959,284 Committed funds 3,403,728 Total budgeted expenditure 546,915,445 Final 31/08/ /17 Funding Arrangements Document Page 29

31 3. CURRENT CONTRACTORS OF SERVICES Procurement of Health and s Pursuant to clause 25 of the New Zealand Public Health and Act 2000, MidCentral DHB may enter into, negotiate, amend and terminate service agreements/contracts for the provision of outlined in the Annual Plan, or on terms needed in order to deliver the required by statute or contract with the Crown. MidCentral DHB periodically re-tenders and disability service contracts. Re-tendering may be undertaken for several reasons, including but not limited to improving patient access and/or quality of, ensuring cost effective and efficient service provision, or aligning to new or reconfigured service requirements. Such procurement processes are undertaken in line with the Office of the Auditor General s guidelines and best practice, and may result in a change in provider arrangements. In 2016/17 MidCentral DHB intends to review the way it contracts for with a view to improving their efficiency and effectiveness. This includes reviewing low value contracts and considering opportunities for high trust contracts where the emphasis is on achieving defined outcomes rather than performing prescribed activities. As a result of these processes, there may be changes to contracts that impact on providers and 3.1 PRIMARY HEALTH SERVICES Current Contractors of Personal Health s: Secondary & Tertiary s Central Drive-In Pharmacy (SEDUM) City Health Pharmacy Cook Street Pharmacy Countdown Pharmacy (Under 13s) Feilding Health Pharmacy (Clozapine, INR) Grant Irvine Pharmacy (Clozapine) Hamish Barham Pharmacy (Under 13s) Hokowhitu Pharmacy Horowhenua Health Centre Pharmacy (Clozapine & Respiratory Self-Management) Hospital Health Pharmacy Levin Mall Pharmacy Life Pharmacy The Plaza (Under 13s) Milson Pharmacy Roses Pharmacy Smiths Pharmacy Steeds Pharmacy (INR) Tararua Pharmacy Unichem Awapuni Pharmacy (Clozapine) Unichem Chemist Shop (Clozapine, Under 13s & Mental Health high frequency dispensing) Unichem Levin Pharmacy (Under 13s) The following section identifies contracts currently in place with providers. Pharmacies There are 31 contracted pharmacies in the district processing approximately 2.1 million prescriptions annually. Some pharmacies are also contracted to provide community pharmacy anticoagulation management (INR) and monitored therapy medicines (Clozapine). Adams Pharmacy Gimbletts Pharmacy (INR& Respiratory Self- Management) Unichem Tattons Pharmacy (INR) Unichem Terrace End Pharmacy Unichem The Palms Pharmacy (Under 13s) Vautier Pharmacy Downtown Vautier Pharmacy Summerhill Village Vautier Pharmacy Pioneer Village Vogel Street Pharmacy Wards Pharmacy (INR & Under13s) Bollards Pharmacy (Clozapine) Final 31/08/ /17 Funding Arrangements Document Page 30

32 Current Contractors of Personal Health s: Health s Regional dispensing are provided to some rest homes. The current annual cost of pharmacy/pharmaceutical is in excess of $47 million. Approximately one third of this relates to the dispensing and distribution fee, the balance being the cost of pharmaceuticals. Certain high costs pharmaceutical treatments are purchased through Pharmacy Retailing Ltd. The value of these is approximately $1 million and this is included in the total pharmaceutical provision of $47 million. Eye s There are seven optometrists who are contracted to provide a contact lens benefit service on a fee for service basis. MidCentral DHB anticipates spending approximately $80,000 on this service. Eyes on Broadway Horowhenua Vision Centre See Hear Ltd Visique Dannevirke Visique Eye Spy Optometrist Visique Feilding Visique Naylor Palmer Ltd Community Laboratory s Medlab Central holds the laboratory contract for diagnostic laboratory required by both hospital and primary practitioners in MidCentral. Some of the more complex and low volume specialist testing is done out of the district, via subcontract at either Canterbury Health Laboratories or Labplus. MidCentral DHB anticipates spending approximately $11,168,893 on laboratory for 2016/17. Oral/Dental Health s Publicly-funded oral/dental include for adolescents and children, and emergency dental for low income adults. While there are a large number of dentists practising in the district, publicly-funded are only available through 21 dental contracts including MidCentral Health s dental. Dental contracts held with providers are outlined as follows: Oral Health s to Adolescents Broadway Dental (Allan Young) Callum Dunsmore Charles Jones Daniel Sanraj David Symes Dental Care NZ Ltd (Graham Swanepoel) Francis de Schweitzer Ian Carpenter Kevin Wong Kwok Joe Dental Lumino the Dentist Dannevirke Main Street Dental Centre (Ian Wishart) Manawatu Dental Group (PN & Feilding) Martin Badenhorst MidCentral Health Paul Morris Queen Street Dental Rapid Response Dental Smile Creations Otaki & Levin (Robin Young) Supasmiles Dental Trust (Frederick Dean) Dental s for Children Broadway Dental (Allan Young) Callum Dunsmore Charles Jones Daniel Sanraj David Symes Dental Care NZ Ltd (Graham Swanepoel) Francis de Schweitzer Ian Carpenter Kevin Wong Kwok Joe Dental Lumino the Dentist Dannevirke Main Street Dental Centre (Ian Wishart) Manawatu Dental Group (PN & Feilding) MidCentral Health Paul Morris Queen Street Dental Smile Creations Otaki & Levin (Robin Young) Final 31/08/ /17 Funding Arrangements Document Page 31

33 Current Contractors of Personal Health s: Health s Essential Dental for Low Income Adults Broadway Dental (Allan Young) David Symes Ian Carpenter Kevin Wong Main Street Dental Centre (Ian Wishart) Manawatu Dental Group Martin Badenhorst Queen Street Dental Centre Current expenditure on oral is estimated at $1,600,000. Essential dental for low income adults are contracted on a capped fee for service basis with contracting dentists being required to manage demand within the funding available. The funding level for this service is $240,739 and this forms part of the total $1,700,000 oral provision. Local Providers Fixed Price/Volume Contracts: Adams Pharmacy Provides community pharmacy and pharmacy depot service in Woodville with a fixed value of $11,700. Amplifon Field Officer Audiology s. The fixed value of the contract is $43,034. Arohanui Hospice Provides palliative and hospice to the district. This includes inpatient, outpatient and community-based. As well as providing directly, Arohanui also has assessment and service coordination functions and provides advisory/support to other primary and secondary providers. The value of this contract is $3,141,405 Barnardos Provides Pregnancy and Parenting information and Education s. The fixed price of the contract is $318,100. Best Practice Advocacy Centre Ltd Provides the best practice decision support software module to practices. The value of this contract is $96, Broadway Radiology Provides community referred radiology. Contract value $85,796. Central Drive-In Pharmacy Provides community pharmacy and provides a district-wide collection and disposal of unused medicines service with a contract value of $76,295. Central Health Organisation There is one Health Organisation which covers the geographical area of MidCentral s district. This organisation is responsible for coordination and delivery of general practice, promotion, and specialised designed to improve access to primary for their enrolled populations, including: Provision of first contact primary from general practice settings; including 24 hour a day, 7 day a week cover. Health promotion and to improve access projects designed to enhance the of local communities. Management including governance arrangements, register management, etc MidCentral anticipates spending approximately $28.6 million on PHO during 2016/17. Central PHO provides a wide range of primary including the following: chronic (including lifestyle change, allied, specialist nursing (diabetes, respiratory and cardiovascular), community cardiologist & technician, diabetes including retinal screening, primary mental (shared and primary mental initiatives), palliative community, mobile nursing service, priority primary programme (Kere Kere), sexual & reproductive, youth justice facility, youth medical, community referred radiology, Pasifika maternal and child, Zoledronic acid administration, Horowhenua IFHC, and after hours service as well as free for under 13s. The fixed value of this contract is $8,092,444. Final 31/08/ /17 Funding Arrangements Document Page 32

34 Radiology, diabetes get checked, cervical smear clinics, sexual and reproductive, palliative and after hours for under 13s are paid on an utilisation basis with a total capped funding amount of $2,095,059. Community Birth s Charitable Trust Provides a Breastfeeding information and support with a fixed annual contract value of $134,419. Compass Health Provides community referred radiology for Otaki residents enrolled with Kapiti GPs. This capped value contract is $32,430. Crest Hospital Delivers a Sexual Abuse Assessment and Treatment across both MidCentral DHB and Whanganui DHB. The value of this contract is $153,136. Eketahuna Health Centre This is a primary nursing centre operating in Eketahuna. It provides nurse-based primary and Influenza immunisations. The value of the contract is $100,384. Energysmart Provides a y homes project in the MidCentral District. The value of the contract is $100,000. Horowhenua District Health Transport Trust Provides a shuttle service from Horowhenua to Hospital. The value of this contract is $31,000. Karo Data Management Provide IT Support for Well Child. The value of this contract is $6,303. Kere Meha HPV immunisation uncapped fee for service contract. KYS One Stop Shop Provides a youth outreach service in Otaki and a school clinic at Otaki College. The value of this contract is $154,174. Manawatu Breathe Easy Current Contractors of Personal Health s: Health s Manawatu, Horowhenua & Tararua Diabetes Trust Provides diabetes education and management and youth support across the district. The value of the contract is $290,143. Massey University Psychological support for oncology patients, people with long term conditions and children with long term and life limiting conditions. Provide a support Group Coordinator and a Lead Regional Cancer Clinical Psychologist. They also provide a renal psychological assessment and a prediabetes project. The value of this contract is $1,119,997. MidCentral Community Pharmacy Group Trust Coordination of sharps disposal and management of emergency contraceptive pill and paediatric gastroenteritis through participating community pharmacies across the district. They also provide infrastructure support for community pharmacies. The value of the contract is $195,698. NZ Endometriosis Foundation Charitable Trust Provides the endometriosis patient partnering programme. The fixed value of the contract is $7,997. NZ Institute of Learning Provides the Diploma in Front Line Management Course. The fixed value of the contract is $44,700. Otaki Women s Health Group Inc Cervical Smear priority clinic. An uncapped fee for service contract for priority women. Women s Health Collective Provides information and education, as well as sexual and reproductive in. The value of the contract is $93,751. Also provides a cervical smear priority clinic, an uncapped fee for service contract for priority women. Propharma Provision of sharps disposal containers. Contract value $33,095. A support group for people with respiratory Royal New Zealand Plunket Society disease. The value of the contract is $6,000. Provides B4 school checks across the district for Manawatu Rugby Football Union four year olds, designed to identify and, where possible address any or developmental Sponsorship for the MDHB smokefree logo. The issues before the child starts school. The value of value of the contract is $30,000. the contract is $400,769. Final 31/08/ /17 Funding Arrangements Document Page 33

35 Current Contractors of Personal Health s: Health s Sport Manawatu Provides green prescription activity programmes and family green prescription, and Horowhenua as well as the MidCentral fitwhanua triathlon project. The value of the contract is $499,932. St Johns Ambulance Provides an urgent community service with paramedics responded to one on one calls. The value of the contract is $325,000. Tararua Early Years Provide a family support worker service. The fixed value of this contract is of $56,872. Tararua Hauora s Charitable Trust Youth clinics. The value of this contract is $65,000. Tararua Health Group Provides six publicly funded rural inpatient beds and three primary maternity beds which service the population of the Tararua region. They also provide the service of a mobile bus in the rural areas, a clinic in Norsewood and a pilot chronic respiratory service. They support the development of primary in Tararua. They also provide a cervical smear priority clinic which is an uncapped fee for service contract and a Youth Outreach Personal service. The value of the contract is $2,133,298. University of Otago Provides the annual epidemiology report for child and youth. The value of the contract is $29,500. Waireka Rest Home Waireka Home in Pahiatua provides up to two inpatient beds for GP admissions. The maximum capped value of this contract is $107,055. Whanganui District Health Board Provide an autism spectrum disorder (ASD) developmental coordination function, a national cervical screening service and a child and youth mortality review coordinator. The value of the contract is $68,252. Worldwise Travellers Health Vaccination Centre Cervical smear priority clinic. An uncapped fee for service contract for priority women. The Bio Commerce Centre Ltd Health Innovation Programme. The value of this contract is $130,000. The Youth One Stop Shop Provides a one stop shop for young people including social work and counselling in and Levin. The value of the contract is $347,717. Additional are contracted through Manawatu PHO including a comprehensive adolescent service. UCOL Provides an exercise programme for chronic disease patients. The value of the contract is $150,000. Final 31/08/ /17 Funding Arrangements Document Page 34

36 3.2 SECONDARY AND TERTIARY SERVICES Current Contractors of Personal Health s: Secondary & Tertiary s MidCentral Health MidCentral Health is a division of MidCentral District Health Board. It provides a wide range of secondary personal including inpatient, outpatient and community-based : A full range of specialist medical and surgical, including the Regional Cancer Treatment. This grouping includes both hospital-based and community-based the latter includes general nursing and specialist nursing, as well as a variety of allied Diagnostic and therapeutic, including community-referred Maternity including a primary maternity facility at Horowhenua Health Centre, and secondary maternity at Hospital Transport and accommodation support. Dental including the Child and Adolescent Oral Health and the Hospital Dental Unit Provision of short-term loan equipment and ostomy and continence supplies Rural inpatient at Dannevirke Hospital and Horowhenua Health Centre in Levin Queen Elizabeth Hospital, Rotorua Provides secondary/tertiary rheumatology to central region District Health Boards. MidCentral District Health Board manages this contract on behalf of central region District Health Boards. s include inpatient and outpatient. The value of this contract is $240,428. The value of this contract is $240,690,880. Final 31/08/ /17 Funding Arrangements Document Page 35

37 Current Contractors of Support s 3.3 DISABILITY SUPPORT SERVICES MidCentral Health MidCentral Health provides inpatient assessment, treatment and rehabilitation ; needs assessment ; and equipment for older people. The value of this contract in 2016/17 is $7,270,792. Dannevirke Eileen Mary Rest Home Complex Rahiri Rest Home Pahiatua/Eketahuna Waireka Home Foxton/Foxton Beach Aged Residential Care Rest Home Care Lonsdale Rest Home Riverside Lodge Rest Home Currently there are 33 contracted rest home facilities throughout the district that provide aged residential rest home level. In addition to this, facilities also provide the service for persons under 65 who have long term support chronic conditions (LTS-CHC). These facilities are located: Feilding Aroha Home & Hospital Brightwater Elderly Care Chiswick Park Rest Home and Hospital Cook Street Nursing Care Centre Julia Wallace Retirement Village Karina Nursing Home Masonic Court Home for the Elderly Metlife Rest Home Olive Tree Rest Home Manor Rest Home Peppertree Home and Hospital Summerset Centre Willard Home Woodlands of Alexander House Coombrae Home Ranfurly Residential Care Centre Ruawai Rest Home Westella Homestead Rest Home Woodfall Lodge Woodlands of Feilding Levin Final 31/08/ /17 Funding Arrangements Document Page 36 Otaki Horowhenua Masonic Village Levin Home of War Veterans Reevedon Home Summerset Centre Levin Te Whanau Elderly Care Centre The Madison Oceanview Residential Care s are purchased on an as required basis in a price/volume uncapped contractual manner. It is anticipated that $15.5 million will be spent on rest home in 2016/17. Aged Residential Care Continuing Care (Hospital Level Care) Currently there are 23 contracted continuing (hospital level ) facilities throughout the district that provide aged residential continuing (Hospital Level Care). In addition to this, facilities also provide the service for persons under 65 who have long term support chronic conditions (LTS-CHC). These facilities are located: Aroha Home & Hospital Brightwater Elderly Care Chiswick Park Rest Home and Hospital Cook Street Nursing Care Centre Julia Wallace Retirement Village Masonic Court Home for the Elderly

38 Current Contractors of Support s Feilding Metlife Rest Home Manor Rest Home Peppertree Home & Hospital Summerset Centre Ranfurly Residential Care Centre Woodfall Lodge Woodlands of Feilding Dannevirke Eileen Mary Rest Home Complex Rahiri Rest Home Pahiatua/Eketahuna Waireka Home Foxton/Foxton Beach Levin Lonsdale Rest Home Horowhenua Masonic Village Levin Home of War Veterans Millvale House Te Whanau Elderly Care Centre The Madison Summerset Levin Hospital s are purchased on an as required basis in a price/volume uncapped contractual manner. It is anticipated that $26.5 million will be spent on continuing (hospital level ) in 2016/17. Aged residential specialist hospital (psychogeriatric), as a regional service, are provided by Millvale House Levin at an estimated total expenditure of $1 million. Aged Residential Care Dementia s Currently there are 13 contracted dementia facilities throughout the district who provide Aged Residential Care Dementia. In addition to this, facilities also provide the service for persons under 65 who have long term support chronic conditions (LTS-CHC). These facilities are located: Feilding Aroha Home & Hospital Brightwater Elderly Care Julia Wallace Retirement Village Olive Tree Rest Home Woodlands of Coombrae Home Ranfurly Residential Care Centre Westella Homestead Rest Home Wimbledon Rest Home Foxton/Foxton Beach Lonsdale Rest Home Dannevirke Levin Rahiri Rest Home Gardenview Elderly Care Centre Levin Home of War Veterans s are purchased on an as required basis in a price/volume uncapped contractual manner. It is anticipated that $7.2 million will be spent on dementia in 2016/17. Home Based Support s Currently there are six providers of home based support. These include: household management; personal s; and day and night r relief. In addition to this, they also provide the service for persons under 65 who have long term support chronic conditions (LTS-CHC). s are available throughout the district, though not all providers provide in all areas. Access Home Ltd Health of New Zealand Ltd Healthvision NZ Ltd Lavender Blue Nursing and Home Care Agency Ltd Presbyterian Support Central Waiapu Anglican Social s Trust Board Final 31/08/ /17 Funding Arrangements Document Page 37

39 Current Contractors of Support s Home and Community Support (HCSS) are purchased in a price/volume uncapped contractual manner. It is anticipated that $13 million will be spent purchasing home based support in 2016/17. In previous years the fair travel policy has been the basis of funding travel for support workers who undertake the home and community for users. It has targeted funding towards a travel component, separating out from the hourly fee for service component. In March 2016 a national standardised methodology was introduced called In-Between-Travel (IBT). IBT covers travel time and cost and addresses inconsistencies with exceptional travel which occurs in rural communities. Improvements for Carer Workforce: this was targeted funding provided to Home and Community Support providers to aid improvement in the retention of support workers, promote er development and increased skills levels, provide fairer wages and provide a better quality of serviced to consumers. From 2016, this funding has transitioned to Home and Community Support within the fee for service funding and will not be reported as a separate funding line or service. All training is now standardised and reported through various auditing regimes. Respite and Day Care s Manor Rest Home Peppertree Home and Hospital Summerset Centre. (Incl dedicated respite bed) Feilding Willard Home Woodlands of Alexander House Coombrae Home Ranfurly Residential Care Centre Ruawai Rest Home Westella Homestead Rest Home Wimbledon Rest Home Woodfall Lodge Woodlands of Feilding (Respite only) Dannevirke Eileen Mary Rest Home Complex. (Incl dedicated respite bed) Rahiri Rest Home Pahiatua/Eketahuna Currently there are 37 facilities providing Respite and Day Care. In addition to this,facilities also provide the service for persons under 65 who have long term support chronic conditions (LTS-CHC). These facilities listed are located throughout the district. In addition, there are four r relief respite dedicated beds available across the district. Families can book respite days throughout the year to have a break. Aroha Home & Hospital Brightwater Elderly Care. Chiswick Park Rest Home and Hospital Cook Street Nursing Care Centre Julia Wallace Retirement Village Karina Nursing Home Masonic Court Home for the Elderly Metlife Rest Home Olive Tree Rest Home Final 31/08/ /17 Funding Arrangements Document Page 38 Waireka Home Foxton/Foxton Beach Levin Lonsdale Rest Home Riverside Lodge Rest Home Adult Day Care (Day Care Only) Gardenview Elderly Care. (Incl dedicated respite bed) Horowhenua Masonic Village (Incl dedicated respite bed & Therapeutic day ) Levin Home of War Veterans Millvale House (Respite Only) Reevedon Home Summerset Centre Levin Te Whanau Rest Home The Madison

40 Current Contractors of Support s Otaki Oceanview Residential Care Respite and day are purchased on a price/volume uncapped contractual manner. It is anticipated that $1 million will be spent on these in 2016/17. The value of four r relief respite dedicated beds contract is $200,852. Information Providers Alzheimer s Society (Manawatu) Incorporated Provides information and advisory and day support within the district. The value of this contract is $20,701. BUPA Rehab Provides LTS-CHC Level 3 Rehabilitaton s. The value of this contract is $90,155. Eldernet Provides a website for families to gain information on available rest homes and their vacancies. The value of this contract is $5, Manawatu and districts. The value of this contract is $97,797. Needs Assessment & Coordination Supportlinks Provides needs assessment and coordination service for people over 65 with longer term disability as well as CMI s, LTS-CHC Needs Assessment and Coordination. The value of this service is $1,319,272. Other s Lavender Blue Nursing and Home Care Agency Ltd Individual based support for young children at home requiring specialised nursing oversight, utilising home based support service providers who have registered nurse support. s are purchased on an as required basis in a price/volume capped contractual manner. The capped value of this contract is $50,860. Maori and Iwi Support Providers Best Care (Whakapai Hauora) Charitable Trust Provides disability information, liaison and whanau support Horowhenua and districts. The value of this contract is $72,541. Raukawa Whanau Ora Ltd (previously Te Runanga O Raukawa Incorporated) Provides disability information, liaison and whanau support in Horowhenua, Final 31/08/ /17 Funding Arrangements Document Page 39

41 Current Contractors of Iwi & Maori Health s 3.4 IWI AND MAORI HEALTH SERVICES In past years, all included in the following contracts were classified as Kaupapa Maori. Under the Ministry of Health s revised classification list some are now considered personal, for example, Tamariki Ora. For consistency, they remain shown in this Maori Health section, with the separation of funding between Kaupapa Maori and personal noted in brackets. Best Care (Whakapai Hauora) Charitable Trust Delivers Tamariki Ora, Whanau Ora, sexual and reproductive, Iwi cancer coordinator, reducing inequalities - mobile outreach immunisation nurse and lower north youth justice facility. They operate in the city area, and in the area between Waikanae and Rangitikei rivers. The value of this contract is $1,051,365 (Maori Health $383,007 and Personal Health $668,358). Te Wakahuia Manawatu Trust Delivers Whanau Ora, Tamariki Ora and Reducing Inequalities Whanau Support Social s in plus Maori mobile nursing disease state management in Manawatu, Woodville and surrounding rural areas. Also provides an outreach immunisation service, clinical leadership and client whanau counselling, and Iwi cancer coordinator within the district as well as run a cervical smear priority clinic on a fee for service basis. Head provider of the Te Oha Auahi Muituanga smoking cessation across the district. The value of this contract is $1,885,921 (Maori Health $308,620 and Personal Health $1,577,301). He Puna Hauora Delivers hearing and vision and school based clinical. The value of this contract is $152,438 (Personal Health). Rangitane o Tamaki Nui a Rua Delivers asthma education, Tamariki focused, and Iwi cancer coordinator. All are delivered in the Tararua and Dannevirke district. The value of this contract is $429,751 (Maori Health $263,342 and Personal Health $166,409). Raukawa Whanau Ora Ltd (previously Te Runanga o Raukawa Incorporated) Delivers several Tamariki and mother focused as well as mobile nursing disease state management, and children and family support. Also now provides Iwi cancer coordinator, pregnancy and parenting education and cervical smear priority clinics. Delivers the Raukawa Iwi Medical s located in Shannon. Their extend from Kapiti to the Rangitikei River and include Horowhenua and Manawatu districts. The value of this contract is $774,837 (Maori Health $194,098 and Personal Health $580,740). Final 31/08/ /17 Funding Arrangements Document Page 40

42 Current Contractors of Mental Health s 3.5 MENTAL HEALTH AND ADDICTIONS SERVICES MidCentral Health MidCentral Health is the largest mental service provider in the district. s provided include: Acute beds 21 Intensive inpatients beds - 6 Total inpatient beds 27 These are complemented by the following: Community Alcohol and Drug s, Child, Adolescent and Family Community s, Community Mental Health Teams, Kaupapa Maori Mental Health s, Maternal Mental Health, Forensic Liaison and Prison s, Specialist Eating Disorders s, and Methadone Treatment. Home-based support service coordination and residential coordination are also incorporated into the MidCentral Health. MidCentral Health provides co existing problems and maternal mental across the district. The value of this contract is $29,143,966. Iwi and Maori Providers There are six Iwi and Maori providers that provide Mental Health and Kaupapa Maori Alcohol and Drug in the district. They are located in Dannevirke, Horowhenua, Manawatu and city. Best Care (Whakapai Hauora) Charitable Trust Provides Kaupapa Maori s, community clinical support, community child, adolescent and youth for co-existing problems, a Matauranga Maori Programme and a Suicide Intervention Coordination. The value of this contract is $633,373. Big Brothers Big Sisters Provides a mentoring programme for children in schools. The value of this contract is $20,122. Mana o te Tangata Trust Provides several kaupapa Maori s, Maori Peer Support, Youth Peer Support, Day Activity s, Alcohol and Drug for community offenders, parenting programs, Lets get real Workforce Development Coordination. The value of this contract is $759,496. Rangitane O Tamaki Nui A Rua Provides kaupapa Maori in the community including non clinical such as, activity based recovery support service, alcohol & other drug community support service, community clinical support (non clinical), alcohol and other drug for community offenders. The value of the contract is $456,476. Raukawa Whanau Ora Ltd (previously Te Runanga o Raukawa Incorporated) Provides kaupapa Maori, Activity based recovery support service (non clinical), Community child, adolescent & youth for co-existing problems (non clinical), Alcohol & other drug community support service (non clinical), Kaupapa Maori community clinical support (non clinical), Alcohol and other drug for community offenders. The value of this contract is $651,085. Whaioro Trust Board Provides Rangatahi/young people work and rehabilitation/employment and educational support. Early intervention alcohol and drug service in partnership with the Horowhenua project Life to the Max a Levin based interagency initiative targeting at risk youth. The value of this contract is $458,187. Residential Providers There are a total of 110 housing and recovery residential beds (awake staff and responsive staff) in the district. Dalcam Health Manawatu Provides a Mental Health for Older People residential service as well as a Housing and Recovery service with day and night support and adult crisis respite. Residential are paid on utilisation therefore the maximum capped value of this contract is $1,992,709. MASH Trust MASH Trust provides a number of, and some contracts also cover other District Health Boards. The six bed dual diagnosis alcohol and drug residential service covers Hawke s Bay, Whanganui, and MidCentral District Health Boards. Final 31/08/ /17 Funding Arrangements Document Page 41

43 Current Contractors of Mental Health s MASH administers the Luck Venue (a drop-in centre that offers day activities for mental consumers); provides a community support workers service for the Manawatu and Horowhenua; an Adult Planned Respite; a therapeutic recreation and education programme, and alcohol and other drug addiction programmes as well as for community offenders. It also holds the following residential contracts: Planned adult respite Adult community support (non clinical) Activity based recovery support service (non clinical) Housing & recovery day time/ awake night support Housing & recovery day time / responsive night support Supportive landlord service Co-existing disorders with accommodation Alcohol & other drug community support service (nursing, non-clinical and allied ) Alcohol & other drug day treatment programme - nursing & allied staff Mental flexi fund (Luck Venue Drop in Centre) Infant, child, adolescent & youth crisis respite The fixed value of this contract is $2,204,564. Please note: residential are paid on utilisation therefore the maximum capped value of this contract is $1,808,203. Other Providers ACROSS Te Kotahitanga o Te Wairua A district wide bereaved by suicide support service, offering one to one counselling and facilitated group support sessions. Also provides the Care Triple P Positive Parenting Programme. The value of this contract is $159,249. Central PHO Provides Mental Health Innovations, packages of, brief intervention and the shared programme in Horowhenua/Otaki, Manawatu and Tararua. A Shared Care programme supports secondary clients through participating general practices. The service is provided in conjunction with MidCentral Health and is district wide. mental funding has been allocated to support the continuation of mental responses and workforce development in PHO localities for clients who have mild to moderate mental and/or addiction issues in primary settings. There is considerable evidence of inequalities amongst the diverse communities. The Health Care Strategy with the establishment of PHOs and a focus on population has enabled greater commitment to the needs of all. Particularly those with the greatest needs will be among the first to have those needs addressed by PHO reducing financial barriers and improving access. The value of these contracts is $1,362,136. Solar Ltd Provide a call centre based mental single point of entry program, providing mental information, triage and referral to residents of MDHB. The service will be accessed through the existing emergency mental team phone number service. Mental Health Line is staffed by skilled mental professionals. The program will triage all callers to the mental directing or connecting consumers to the appropriate service based on need and urgency. The value of this contract is $284,760. Supporting Families in Mental Illness Manawatu Provides information, education and support to families and individuals who have dependents with mental issues. Also provides therapeutic programmes for those with depression. The value of this contract is $305,936. Youth One Stop Shop (YOSS) Early intervention alcohol & drug service for youth. Also clinical psychologist based at YOSS providing a comprehensive psychological service for young people. The value of this contract is $140,487. Final 31/08/ /17 Funding Arrangements Document Page 42

44 Current Contractors of Mental Health s. Community s There are a number of community providers that do not receive mental funding directly from MidCentral DHB but receive funding through sub-contracting arrangements with mental providers. Such include: talking therapies, counselling, advocacy and peer support, education and information, respite, family and community support to individuals, their families, friends and the community at large. Other providers excluding community service groups may access funding from: the Ministry of Justice, Ministry of Social Development, Local Government, and Department of Internal Affairs, Lotteries Grants Board, the Hillary Commission, Philanthropic Trusts or private sponsors/donations. In addition to the locally contracted providers listed above, there are also a number of other regionally and nationally based providers also delivering to our community. These are contracted by other District Health Boards. Final 31/08/ /17 Funding Arrangements Document Page 43

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