Kapiti Community Health Forum July 2012

1. Kapiti Community Health Forum July 2012

2. 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

3. 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%

4. Accounting for the demographics • On average, CCDHB has an affluent population with the Kapiti population concentrated around the middle deciles

5. 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

6. Health Services for Kapiti Residents

7. Health Services - Kapiti

8. 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 - Kapiti

9. Health Services - Kenepuru

10. 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 Health services - Kenepuru

11. Mental Health services

12. Mental Health services

13. MH DHB provided services

14. Mental Health NGO provided services

15. Kapiti Health Centre Site: Land Available for Development

16. Future development potential • CCDHB Board recently considered (June meeting) a management paper: Decision Criteriafor 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

17. 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

18. 1 KHC site map • The three Lots are depicted as shown 3 2

19. 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

20. Proposed framework & criteria: Go back to Board

21. 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

22. 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

23. 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

24. 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

25. CCDHB Feedback Process

26. 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.