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Q&As - Management

⌂	22. Why does the Interim Management Group refer to "community representatives" on the integrated health project? None of them was elected or chosen by the community with the exception of the Community Board member and the Manawhenua representative. Some local people represent the rest home and the medical centre trust, but not the community at large, and all the others are out-of-area representing the District Health Board, Nelson Bays Primary Health and the Tasman District Council. How does this make them "community representatives?"
	The integration project has a mix of local and regional people. All of them have as their primary focus providing the best possible future health services for the people of Golden Bay. Two thirds of the group are Golden Bay residents. The members and their affiliation are as follows (asterisk determines GB located): Carolyn McLellan* - Golden Bay Community Board; Dr Struan Clark- Golden Bay Medical Centre staff; John Crocker - Golden Bay Medical Centre Trust; Pete Watkins* and Chris Mitson* - Joan Whiting Memorial Trust; John Peters, Peter Burton - Nelson Marlborough District Health Board; Chris Hill* - Manawhenua ki Mohua; Jan Morgan* and Andrew Dobbs - Nelson Bays Primary Health; Stuart Borlase* and Jack Inglis -Tasman District Council. Support: Bruce Moorhead - Nelson Marlborough District Health Board; Andy Clark* - architectural designer; Linda Sanders* - fund raising and communications.

⌂	23. Why was the self-appointed Integrated Management Group formed before a consensus of the people agreed that integration of all the medical services to one facility is the best way to maintain and add to health services in Golden Bay?
	The current integration group emerged from the Golden Bay Community Health Group representatives who had responsibility for regional and local health services. In 2005 they agreed it was timely to consider how best to develop an integrated set of service arrangements for the future provision of health services in Golden Bay. Its starting point was a community response to concerns over the ongoing viability and future sustainability of primary health services in Golden Bay. The decision to go for an integration model came from the work done by the health group which initiated a review of how local health services could be better coordinated. It was prompted by concerns about: Fragmentation of existing services where lack of coordination created gaps in service coverage, physical facilities and governance responsibility Ability to recruit and retain health professionals The need to upgrade the medical centre to accommodate the greater range of services now available and The viability of the Joan Whiting Memorial Trust that manages the only rest home facilities in Golden Bay.

⌂	24. Will the PHO in its management role be required to endeavour to contract with locals for services such as handyman, landscaping, cleaning, laundry, electrical and plumbing repairs, general building maintenance, accountancy and tax services, information technology, etc., or will these opportunities disappear to Nelson-based providers
	The integration group has a strong commitment to supporting local suppliers wherever it makes practical and financial sense. It will be up to the trustees of the trust to work with the PHO in determining contracting and employment but we would expect a similar approach taken to that currently demonstrated.

⌂	25. Are you sure that the proposals are taking into account the true future healthcare needs of the Bay including an increasingly aged population demographic which currently is proportionally higher than country wide statistics.
	That has certainly been our primary focus. We are only too conscious of the aging nature of both the general population and the professionals who supply it. The current plans aim to have sufficient flexibility to expand relevant services as the need arises.

⌂	26. Why is Nelson Bays Primary Health Organisation, the only management option being considered for this large enterprise?
	The Primary Health Organisation was chosen as the employer for the integrated services because it has expertise in health service management and already employs staff in a number of roles in the community.

⌂	27. Does NBPHO have experience successfully running a combined health care centre anywhere else or are we the guinea pigs?
	This will be the first for Nelson Bays Primary Health

⌂	28. Does the NBPHO have management personnel with the skills to oversee the operation or will new personnel be hired?
	Nelson Bays Primary Health has the expertise in health service management and a proven track record of successfully managing primary care contracts.

⌂	29. If the PHO is the manager of the integrated health services will it be sensitive to the needs of the people of Golden Bay, or will it be like TDC, taking away the right of locals to make decisions on their priorities?
	The PHO will be answerable to the Trust, whose trust deed proposes that trustees have strong local representation. The proposed principal charitable objective is "To improve and maintain the health of the Golden Bay population by providing a range of primary health services". The specific services identified are primary health, after hours and acute services, residential care for older people and maternity services.

⌂	30. How often will the contracts be re-tendered or renegotiated?
	That will be determined by the trust, once it is formed.

⌂	31. A year ago the PHO hired Kingsley Fletcher as Integration Establishment Manager. He produced the Models of Care report. Have any further reports been produced? Is Mr Fletcher still working on the integration project?
	Kingsley Fletcher was employed for a specific period to undertake identified projects. He no longer works for the integration project but other people are being employed to develop other facets of the project.

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