REFORM SHORTS: Te Whatu Ora extends locality deadline, sticks with primary care contracts

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REFORM SHORTS: Te Whatu Ora extends locality deadline, sticks with primary care contracts

Martin
Johnston
2 minutes to Read
Shorts on clothes line

A short fix of health reform news

“You don’t need to be a member of a locality partnership group to receive health funding in the new system”

The input of locality partnership groups into locality plans is now due by 30 April – an extension of about nine weeks.

The new date was stated yesterday by Te Whatu Ora national commissioning director Abbe Anderson during an online stakeholder hui run by her agency and Te Aka Whai Ora.

Te Whatu Ora had previously indicated it wanted to receive draft plans by the end of February.

Contract reassurance
Te Whatu Ora national commissioning director Abbe Anderson [Image: Supplied]

Ms Anderson also gave an assurance about continuation of national funding contracts.

“[I] want to reassure providers we will continue to fund national contracts for residential aged care, for home and community support, for general practice, pharmacy and so on,” she said. “Those national contractual processes are remaining in place.”

Providers don’t need to be a member of a locality partnership group to receive health funding in the new system, says Ms Anderson.

“Localities are about amplifying the voice and needs of local communities and whānau and the timelines for the implementation of localities and getting to the point of locality planning, they are through to 2025. So there’s no need to be nervous that anyone is missing out.”

Ms Anderson describes all 12 localities created so far as prototypes. It is expected there will be about 70 localities when the system is in full operation.

Te Whatu Ora is required to develop a locality plan, following wide consultation, for each locality. Each plan is “made” when it is agreed to by Te Whatu Ora, Te Aka Whai Ora and the relevant iwi-Māori partnership board or boards.

Plans to be published 

Ms Anderson was asked at the hui whether locality plans will be made public.

She said Te Whatu Ora, after receiving the input of locality partners, needed to add to each plan the broad range of health services available in the locality. The agency’s intention is the plans will be public documents “down the track”, but the agency first needs to talk to locality partners about what they are happy to have published.

Locality formation guidance 

Ms Anderson also briefly touched on the process for establishing more localities. She has tasked her team with, by month’s end, giving clear guidance on how to establish a locality.

This will be “an agreed path to the formation and support that we will make available for emerging locality partnership groups”.

Locality terminology spelled out 

Meanwhile, Hauraki PHO has published on its website a handy guide to localities and the terminology used by the central health agencies.

The guide says one characteristic of a locality is that it is a partnership with mana whenua, recognising their tino rangatiratanga.

“Provider networks will work together to deliver on the locality plan. The mechanisms bringing together providers across health and social care will include contractual arrangements, shared financial incentives and data-sharing arrangements. Provider networks will work with a wider group of community organisations to support comprehensive primary care teams – making more care available closer to home.

“Localities are not intended to commission services directly. However, the partners within a locality will work with [Te Whatu Ora] Health New Zealand and [Te Aka Whai Ora] Māori Health Authority to provide local insights about the needs of communities. Iwi-Māori Partnership Boards are strategic commissioning partners with Health New Zealand and the Māori Health Authority and will help determine Māori needs, aspirations and priorities and monitoring of locality plans. Health New Zealand and the Māori Health Authority will carry out the formal procurement and contracting role.”

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