Page 80 - Regional Services Plan 2016/19

ongoing support and monitoring of progress for agreed work programmes. The group manages any associated issues and risks for the Midland region and/or its DHBs.
 The Midland Strategic Forum (MSF) is a new regional group that enables a broader collaboration with clinicians from across the health sector, including public health, primary care representatives, consumers, and in-sector and out-of-sector experts.
HealthShare Ltd (HSL) is the Midland region’s shared services agency and is a limited liability company with the five Midland DHBs holding equal shares. An outline of HSL’s services can be found on p.20.
The Regional Capital Committee comprises the five Midland DHB CEs and is responsible for the operational review and associated process approvals for regional capital investment, as documented in the Midland Region Capital Plan, that has previously been agreed through the approved Regional Service and DHB Annual Plans. Strategic discussions on possible new regional capital investment are held at the Midland Region Governance Group and subject to individual DHB Board approval through the normal Regional Services Plan drafting and approval processes.
Decision Making Principles (for MRGG, MCEG, MSF)
The purpose of these principles is to facilitate greater levels of regional co-operation and regionalisation within Midland. The principles apply to any significant and substantive decision of a Midland DHB that impacts another Midland DHB. The principles apply to the MRGG, MCEG, and the MSF.
Any significant decision taken by the Midland collaboration groups shall:
 Require the agreement of all Midland DHBs, but it is not necessary that all Midland DHBs will be involved in the implementation of the decision
 Be approved through appropriate approval processes in each DHB
 Provide that no DHB shall opt out of their commitments around decisions that they have
agreed to
Definition:
Regionalisation does not necessarily mean centralisation. Regionalisation can mean a number of DHBs working together virtually across Midland on a particular function, service or programme of work. Regionalisation may also mean either clinical or non-clinical service provision between two or more DHBs.
Decision making criteria for regionalisation
The following criteria shall be applied to any decision involving regionalisation:
 It makes the service more sustainable by improving any or all of - o Effectiveness (providing the right services)
o Efficiency (providing services the right way)
o Economy (input costs lower now or in the future)
 It reduces service risk
 It improves health outcomes, including equity of access and equity of outcomes across
the region, particularly around vulnerable services
 It is aligned to national expectations
 There is an opportunity for local say on clinical services
 It builds clinical capability
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APPENDIX 2: REGIONAL GOVERNANCE