Kapiti Community Health Forum
July 2012
Discussion Agenda

Kapiti Demographics

Health services that are currently delivered for Kapiti
residents by Capital & Coast District Health Board
(CCDHB) at Kapiti Health Centre & Kenepuru
Hospital
Jen Boryer (Operations Manager, KHC & Kenepuru Hospital)

Kapiti Health Centre (KHC) site – Decision process
for any potential development of available land

CCDHB Complaints Process
Accounting for the demographics

In 2012/13 CCDHB is projected to have a
population of approximately 299,000 with
14% (41,860) living within the Kapiti Coast
District boundary

Predicted population growth for the Kapiti
Coast District TLA over the next 20 years is
conservatively estimated at 7%
Accounting for the demographics

On average, CCDHB
has an affluent
population with the
Kapiti population
concentrated around
the middle deciles
Kapiti NZDep2006
18%
16%
14%
12%
10%
8%
6%
4%
2%
0%
1
2
3
4
5
6
Decile
7
8
9
10
Accounting for the demographics

2006 Census showed that the
median age was 44.3 years for
people in Kapiti Coast District.

19.4 percent of people were aged
under 15 years.

23.3 percent of people were aged
65 years and over (12.3% = total
NZ popn)

More recently 65+ popn predicted
to eclipse 1m in late 2020s
Health Services for Kapiti Residents
Health Services - Kapiti
KAPITI - VISITS BY RESOURCE TYPE (FINANCIAL YEARS)
8,000
6,809
7,000
6,357
6,247
6,000
5,000
4,000
3,366
3,180
2,967
3,000
2,462
2,000
1,134
1,093
1,000
2,751
2,597
103
55
192
145
77
0
2008/09
2009/10
Consultant/Reg
2010/11
Allied Health
Nursing
2011/12
Technican
Health Services - Kapiti









Haematology
Physio
Dietetics
Older Adult
Gynaecology
Obstetrics
Cardiology
Paediatrics
Renal










District Nursing
Diabetes
Endocrinology
Gastroenterology
General Medicine
Neurology
Newborn Hearing
Orthopaedics
Pain Team
Maternity
Health Services - Kenepuru
KENEPURU - VISITS BY RESOURCE TYPE (FINANCIAL YEARS)
30,000
25,000
27,680
27,666
27,730
23,331
20,000
18,174
15,973
15,025
15,000
6,338
5,000
10,623
9,825
10,000
3,186
6,089
2,790
2,794
2,675
2,538
0
2008/09
2009/10
Consultant/Reg
2010/11
Allied Health
Nursing
2011/12
Technican
Health services - Kenepuru
















Anaesthesia
Haematology
Physio
Dietetics
Older Adult
Gynaecology
Obstetrics
Cardiology
Paediatrics
Renal
Audiology
Eye
General Surgery
Infectious Diseases
Respiratory
Vascular
















District Nursing
Diabetes
Endocrinology
Gastroenterology
General Medicine
Neurology
Newborn Hearing
Orthopaedics
Pain Team
Child Development
Dermatology
Ear, Nose and Throat
Occupational Therapy
Oncology
Speech-Language Therapy
Maternity
Mental Health services
People Residing in the Kapiti District who were users of
CCDHB Mental Health Services during 2011
Users of DHB Clinical MH Services
Total =
Users of NGO Community Services
1235
Total =
394
Accessed DHB Services
Only
Accessed both DHB &
NGO Services
Accessed NGO
Services Only
1026
209
185
From: PRIMHD Data for Jan 2011 to Dec 2012
Run: 24/07/2012
Mental Health services
New Clients
Child & Adolescent
Team
Adult Community Team
Te Haika
CATT
Matairangi Acute
Inpatient
Alcohol & Drug Service
Opioid Treatment
Service
Total Clients Total contacts or
Seen
bed nights
116
223
2473
170
755
188
53
366
760
195
55
5706
3829
1003
1016
55
1
65
44
515
644
MH DHB provided services
New Clients Total Clients Total contacts
Seen
or bed nights
Psychogeriatric Inpatient
Psychogeriatric Outpatient
Consultation Liaison
Maternal Mental Health
Matairangi Acute Inpatient
Forensic Community Team
Kaupapa Maori Team
18
180
77
21
53
44
42
23
253
85
28
55
52
76
1306
1799
303
156
1016
307
1067
Mental Health NGO provided services
New Clients
Community Support
Teams
Peer Support/Drop In
Centre
Alcohol & Drug Teams
Total Clients Total contacts
Seen
or bed nights
27
54
4235
46
116
6371
155
171
707
Kaupapa Maori Teams
41
59
1341
Residential
82
111
10374
Kapiti Health Centre Site:
Land Available for Development
Future development potential



CCDHB Board recently considered (June meeting) a
management paper: Decision Criteria for use of
Kapiti Health Centre Land
A Management Decision Framework was presented,
which provides guidance in deciding future use of
land available
Detailed criteria to be further developed to help
determine decision to proceed or not with any
development opportunity/proposal put forward to
CCDHB
Land available for development


Land at KHC site is overall 3.2675 hectares,
divided into three Lots
– Lot 1: 4572M2 (excludes WFA & Hospice)
– Lot 2: 1.529Ha (Current Facility & Parking)
– Lot 3: 1.277Ha
Site is residentially zoned, so alterations and/or
additions will be subject to a Land Use Consent
Application
KHC site map

The three Lots are depicted as shown
3
2
1
Prior development consideration




2010 Business Case prepared on Land and
potential for development
Focus was on Government’s Integrated Family
Health Centre policy concept
High development cost and a lack of specific
provider investment interest at the time meant that
no further work was done
Increasing interest more recently, hence
development of decision-making framework
Proposed framework & criteria:
Go back to Board
Proposed framework & criteria:
Key considerations

Strategic
–
How will the proposed use/development help
CCDHB achieve its following strategic objectives:
 Reduction of health disparities
 Integrated delivery of services
 Financial and clinical sustainability of services
 A culture that embraces collaboration with
CCDHB’s local and regional partners
 A focus on the quality of patient experience and
safety of our services
Proposed framework & criteria:
Key considerations

Management/Organisation





Link/relationship to current site facilities and/or
services
Impact of development on current (or future) site
facilities (Campus Plan) and staff
Physical location and size of proposed
development
Management of site arrangements
Legislative requirements are met
Proposed framework & criteria:
Key considerations

Financial
–
–
–
–
Cost Neutral to CCDHB
Potential gain/loss of development for DHB
Financial viability of proposed development and provider
Ownership – requirement for 30% public funding


Mitigates risk of DHB’s responsibility for spending public
health money and private (for profit) organisations using
land for own benefit
Government Policy
–
Aligned with broader Government policy for public
services delivery
Questions/Feedback?

What are your thoughts on the overall decision-making
framework/criteria approach to decide whether or not a
KHC site development proposal goes ahead?

Is there any other area that the Board should include, in
addition to the four key areas for consideration (Strategic;
Management/Organisation; Financial; Government
Policy), in making its decision?

Are the high-level decision criteria okay? What other
factors/criteria should the Board consider as part of the
decision-making process
CCDHB Feedback Process
CCDHB Feedback Process

CCDHB welcomes compliments, suggestions and
complaints from our service users or from someone on
their behalf

More detailed information can be found on CCDHB’s
website: www.ccdhb.org.nz

Feedback can be made:
–
–
–

on the website, using form provided
by talking to a staff member
speaking/writing to the Consumer Experience Facilitator
Formal complaints process is followed and a response is
usually provided within 30 days.