Rural Health Workstream

About

The Rural Health Workstream is working towards improving health outcomes for the rural Canterbury population by enabling appropriate access to health care services in rural areas.

The Workstream is currently working to achieve equity of outcome across Canterbury by reviewing and planning the organisation and structure of rural health care services in context of the wider Canterbury health system.  This includes defining rural in the Canterbury context, promoting clinically and fiscally sustainable health services in rural areas, encouraging and recommending innovative solutions that support rural health services, and providing recommendations with a rural focus to other CCN Workstreams and Service Level Alliances.

Since its establishment in January 2012 the Rural Health Workstream has progressed a range of initiatives designed to support the objectives of a work programme with seven key areas, being workforce, IT coordination, IFHC and rural Hospitals, older persons health, nursing in the community, mental health and allied health.

Currently the Rural Health Workstream is focused on supporting the Rural Sustainability Project in developing fit for purpose visions of sustainable health services for rural areas. The Workstream is also supporting the Rural Funding Service Level Alliance to establish a local model for the allocation of rural subsidies funding across Canterbury.

Latest News

Tim Malloy to head National PRIME Committee

Rural GP and Royal New Zealand College of GPs president Dr Tim Malloy has been appointed chairperson of the newly created PRIME National Committee.  
Following a year-long review of the Primary Response in Medical Emergency (PRIME) service, one of the key recommendations was to establish a national committee to oversee the service. The New Zealand Rural General Practice Network was tasked with finding an experienced PRIME clinician to chair that committee, said Chief Executive Dalton Kelly. 

“I cannot think of a more capable and experienced person than Tim Malloy to be the National PRIME Committee chair. I acknowledge that he is a very, very busy person however his knowledge, experience and clinical expertise makes him perfect for the role. It’s a very, very important piece of work and one of the first tasks will be to review the service’s funding. 

“While the issue of funding was not part of the initial review, it has been accepted by the Ministry of Health and ACC that there will be a formal PRIME funding review. This was proposed by the review steering group to address sector concerns that funding is not sustainable.  

“Driving the funding review will be one of the national committee’s key work plan priorities,” said Mr Kelly. 

Dr Malloy says he applauds the PRIME review process and the establishment of the national committee because it has provided the opportunity to reflect on why PRIME was established, where it’s going, and what has and has not been achieved. 

“I was there when we first negotiated the PRIME contract. We knew we were being short-changed and that there were a number of short-comings. We hoped that eventually we would overcome that and we hoped the funding envelope would grow over time as would training and equipment. 

“So this is an opportunity to bring my knowledge to this and make some progress. PRIME is work that meets and suits our geography and demographic. There is never going to be a paramedic on every street corner. Rural practitioners need to be equipped to do this.  

“This opportunity to chair a committee and to make improvements to PRIME is a unique opportunity. We are the PRIME providers and we have to govern it. I am looking forward to the challenge and the opportunity to do so,” said Dr Malloy. 

The chair’s term is two years, and may be reappointed if approved by the NZRGPN and National Ambulance Service Office (NASO). The chair is responsible for engagement with key external stakeholders about developments of the PRIME service. In particular, and subject to being invited to do so, the chair will provide regular updates to the National Rural Health Advisory Group (NRHAG). 

Other key PRIME review outcomes include providing a safe, effective and sustainable service that allows a balance of local autonomy and central control and is aligned to the themes in the New Zealand Health Strategy 2016: people-powered, closer to home, value and high performance, one team and smart system. 

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Facilitator

Koral Fitzgerald

koral.fitzgerald@ccn.health.nz