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Streamlining Significant Service Change Decisions in Healthcare

Understand the process and regulations behind significant service changes in healthcare, including consultation requirements and Minister’s role. Benefits include minimizing delays and impacts. Resources such as guidelines and policy framework are available.

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Streamlining Significant Service Change Decisions in Healthcare

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  1. 2010/11 DHB Planning Package-Service Change Jane Craven Accountability

  2. What is ‘Significant’ Service Change? having or likely to have: • a measurable change to a new or current service • associated risks to manage • financial impacts or consequences for service users, their caregivers or service providers.

  3. Key changes • Only approved in principle / approved significant service changes to be in DHB Annual Plan / Regional Services Plan • New Planning Regulations (section 92(1) of the NZPHD Act • No significant service change will be implemented until appropriate consultation has been undertaken

  4. Minister’s role • Approval in principle / approval • Minister’s decision re ‘significance' triggering consultation: ‘where the Minister considers that DHBs are proposing changes to service eligibility, access, or the way services are provided that will have a significant impact on recipients of services, their caregivers or providers’.

  5. NHB’s role DHB Relationship Manager : • triages proposals for Minister’s approval in principle / approval • facilitates the consideration of proposals for: • significant service change to reduce risks of underestimating the significance of a proposed DHB service change • clarify when consultation is required • notifies DHB of Minister’s decision

  6. Benefits • streamline significant service change decisions to reduce bureaucracy and avoid surprises • minimise decision delays, adverse public reaction, financial, resource and clinical impacts on the affected people • ensure service change processes reflect the requirements of the New Zealand Public Health and Disability Amendment Bill and Planning Regulations • provide confidence that there are sufficient controls to manage potential service change risks and public confidence throughout the service change process

  7. Resources • DHB Consultation Guidelines (2010) • Service Change: Rules, Principles and Protocols • Operational Policy Framework • DHB Relationship Manager, NHB

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