Page 20 - Regional Services Plan 2016/19

Objective 6: Efficiently allocate public health system resources
The role of Midland DHBs is to fund the provision of the majority of the public health and disability services in the region through the contracts the five DHBs have with providers. Midland DHBs are working together to deliver a health system that is clinically and financially sustainable, where safe and effective services are provided as close to people’s homes as possible.
Efficiently allocating public health system resources can occur in a variety of ways. Measuring efficiency savings may be difficult and can take time. The role of Midland DHBs is to fund the provision of the majority of the public health and disability services in the region through the contracts that the five DHBs have with providers. Midland DHBs are working together to deliver a health system that is clinically and financially sustainable, where safe and effective services are provided as close to people’s homes as possible.
For highly specialised clinical services, Midland DHBs work together to ensure that patients are transported in a timely manner to the hospital that performs complex services sufficiently frequently to provide safe and effective services.
The Midland region is acutely aware of the fiscal constraints impacting health services and the need to focus on innovation, service integration, improved efficiency and reduced waste to support provision of high quality care. Proposals for regional activity must clearly identify the value proposition for patients and/or the system.
As the workplans are developed and endorsed, any resource requirements are identified through a business case process with the Midland GMs Planning and Funding (Gms-P+F) and COOs. Any regional resourcing requests will be prioritised against national, regional and local priorities. Regional activity that needs project or capital funding for Information Service and other capital investments involves discussions with Midland Chief Executives (CEs) and Chief Financial Officers (CFOs).
Health Partnership Limited
Midland DHBs are working with Health Partnership Ltd (HPL), a national agency that is standardising non-clinical services. HPL’s initiatives include a national Oracle Solution (formerly Finance, Procurement and Supply Chain), Food Services, Linen and Laundry Services, and a National Infrastructure Platform.
HealthShare Limited
HealthShare Limited (HSL), established in 2001, is a regional Shared Services Agency jointly owned by Waikato, Bay of Plenty, Lakes and Taranaki DHBs and Hauora Tairāwhiti. HSL employs staff to perform tasks on behalf of the Midland DHBs that would otherwise require each DHB to employ their own staff and develop this expertise. From August 2011 HSL has taken on an expanded role as a regional provider of non-clinical services and now provides operational support in a number of areas identified as benefiting from a regional solution.
The Midland DHBs determine the services that HSL provide and the level of these services on an annual basis. These determinations are made through the RSP and regional business case processes. Categories of possible regional service delivery include:
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REGIONAL INITIATIVES AND ACTIVITIES TO ACHIEVE OUR REGIONAL OBJECTIVES