Te Tumu Waiora To head towards wellness - Werry Workforce

Te Tumu Waiora
 To head towards wellness

What is Te Tumu Waiora?
o Response to recommendations from He Ora Oranga report
o National model – basis of budget funding $455m 2019
o New way of delivering mental health, addictions and
  wellbeing care through general practice
o Health professionals with specialist training (psychological
  and wellbeing interventions) work as part of the general
  practice team
o Holistic model which supports and addresses the physical,
  emotional and social needs of the person rather than
  focusing on traditional mental health or addiction needs
o Focus on equity and access

Roles - Health Improvement Practitioners (HIPs)
• Mental Health Clinicians

• HIP’s may be psychologists, nurses, GPs,
  social workers, psycho-therapists or other
  health professionals with a mental health
  qualification.

• Deliver focussed evidence informed
  talking-therapies for all age groups.

• Provide advice, training and support for the
  general practice team.

Health Improvement Practitioners (HIPs)
• Low wait times (warm handover)
• Services delivered within the practice
• Interventions 15 – 30 minutes, and only as
  many as are needed to get a result
• Individual, family/whānau and group based
  interventions
• Write in the shared general practice medical
  record.

Health Coaches
• A non-registered role working as part of the
  integrated team.

• Assists patients to gain knowledge,
  skills and confidence to become informed
  active participants in their healthcare.

• Goal setting and self management is a
  core focus.

• May be peer/cultural health coaches.

HIPs, Health Coaches
and NGO support
• No eligibilty criteria –
  any enrolled patient can
  be seen.
• NGO support workers
  for social support
  (housing, economic
  issues, pre-vocational
  support etc.)

Cultural          • Service for whānau or individuals.

adaptability...
                  • Holistic model - support for any issues
                    whether physical, social, emotional or
                    spiritual.

                  • Integration, health coaches and HIPs link
                    with the local community resources
                    including churches, marae and whānau
                    ora services (where these exist).

• Better access – 55% of people are
Evaluation     seen on the same day for therapy and
               67% same day for Health Coach.
             • Equal access across Maori and NZ
               European – a big win for ensuring
               equal access to mental health support
             • Client satisfaction – 95% of people
               found session helpful
             • 71% had a positive change in their
               wellbeing
             • Emerging evidence of reductions in
               prescribing of antidepressants

The model of care

Te Tumu Waiora Canterbury partners

Implementation of Te Tumu Waiora
                                               Health Improvement       Health coach / Community
                                                Practitioner (FTE)        Support Worker (FTE)
                       Milestone dates         Target      Actual        Target         Actual
                       1 January 2020            2.6         2.6           2.6            2.6
                       24 Febuary 2020           5.6         2.6           8.1            2.6
                       1 April 2020             11.6         5.4          16.8            4.6
                       1 September 2020         17.0        14.4          24.6           19.9
                       Remaining FTE            HIP         2.6         HC / CSW         4.7

          Pilot                Tranche 1                                           Tranche 2

       Piki Te Ora      Linwood Medical Centre            Methven Medical Centre                  Good Street Medical

   Doctors on Riccarton University of Canterbury                    Eastfield                    Kaiapoi Medical Centre

       Three Rivers          Halswell Health              Tinwald Medical Centre                Rangiora Family Doctors

                                                           Rakaia Medical Centre                    Promed Doctors

                                                           Travis Medical Centre                Rolleston Central Health

                                                              Eastcare Health                  Moohouse Medical Centre

                                                              Durham Health                      Moore Street Medical

                                                    Barrington Community Health Centre

Next steps for Te Tumu Waiora

o Continue to implement at pace

o Strengthen relationships with all organisations involved

o Explore existing roles and how these fit into the Te Tumu Waiora model

o Working with smaller practices to develop and implement cluster model

o Continue to focus on our priority populations, particularly Māori, Pasifika
  and Culturally and Linguistically Diverse people, to provide greater choice
  and access to the service

The challenge   • Roll out phased over 4 years so will occur in
                  stages

                • Available workforce capacity is a significant
                  consideration

                • It is really important fidelity to the model is
                  maintained for consistency/success of service