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.