6. Building sector capability….. e.g. Primary Health Work Programme, Maternity Strategy 1 2 3 4 5 Service Direction Workforce Direction ? Sustainable Action Workforce Action Plan 2003 NZIER Context & Strategic Direction for DHBs 2002 2005 District Strategic Plans District Annual Plans Regional Clinical Service Plans Joint Sector work plans Health Workforce Information Project Key workforce Strategies Priority Workforce Actions Careers Framework Health Careers Brand Recruitment Strategic Plan Refresh 2008 We are here Goal ? ? ? ? Long Term System Framework activity Tauawhitia te Wero 2006-2009 Raranga Tupuake Te Uru Kahikatea; The Public Health Workforce Pacific Health and Disability Workforce Development Plan
7. DEMAND SUPPLY –KEY WORKFORCES Sustainable services Policy & planning Sourcing & Recruitment Employment & retention Training & development Service priorities Models of Care Innovation System network -education / funding etc Policy/ Legislation & regulation - HPCAA Planning Monitoring Education & immigration supply Market presence /brand Career framework Recruitment/ retention profile Leading /Participating Staff Welfare/ Healthy Workplaces Employment agreements Career pathways Rewards/ Recognition Continuing education Competency Maintenance & Development Performance management Building a knowledge and learning environment NZ Future Workforce Strategy 2008 - 2018 HWIP
8. Services in 2018 - what networks are saying.. Primary services co-located in larger health centers Increased range of diagnostic and treatment in primary health Primary health centers will be bases for services that reach out into local communities. Outpatient services available closer to where people live Emergence of regional services in the bigger cities where specialised equipment is needed, or demand at the local level is low Addressing the social determinants of health through increasing collaboration and sector working with whole of government Joined up ‘continuums of care’ where planning and service delivery is emphasizing better co-ordinated care (with and across sectors) Increased family/whanau and community participation in the planning of services More people taking responsibility for their own wellbeing More attention on addressing inequalities in health Advanced technology and pharmaceuticals More private/public partnerships
12. What is an FTE? Operational Policy Framework 2002 Nurse: Contracted for 40 hours, works 8 hours overtime: 1.2 FTE RMO: Contracted for 50 hours, works 50 hours: 1.0 FTE Contracted for 50 hours, works 5 hours paid overtime: 1.1 FTE SMO: Contracted for 0.8 FTE, works 32 hours: 0.8 FTE Contracted for 0.8 FTE, works 8 hours paid overtime: 1.0 FTE Management & administration: Contracted for 40 hours, with no overtime allowance, works 45 hours: 1.0 FTE Contracted for 20 hours, works 20 hours: 0.5 FTE. HWIP uses the MOH definition of 2086 hours per year
I say to you today, my friends, that in spite of the difficulties and frustrations of the moment, I still have a dream. It is a dream deeply rooted in the Health Sector dream. I have a dream that one day this country will rise up and live out the true meaning of its creed: "We hold these truths to be self-evident: that all people are created with problems and ailments and deserve a Health Sector that rivals no other. A health sector to make them a healthier and happier people." I have a dream that one day when I travel over the Bombay Hills to Auckland and need health care we will be able to sit down together at a table of brotherhood with a common health record with my health details accessible but secure. I have a dream that one day even the outlying practices, out there in the country, sweltering with the heat and distance that is rural medicine, will be transformed into an oasis of freedom and available resource to provide the level of service we all deserve. I have a dream that my stunningly wonderful, talented and gorgeous daughter will one day live in a nation where she will be cared for by a skilled and competent practitioner without wait and with full knowledge of related health matters to provide the best of care. I have a dream today. I have a dream that one day the Health Sector, whose governance lip's are presently dripping with the words of collaboration, will be transformed into a situation of reality, where little provider boys and girls will be able to join hands with little funder and policy boys and girls and walk together as sisters and brothers to make a stronger Health Sector. I have a dream today. I have a dream that one day every valley shall have the right amount of practitioners, every hill and mountain shall have the right service offerings, data and information can be shared and accessed securely and correctly, health workforces are appropriately designed. Health and vitality shall be revealed, and all New Zealanders shall see it together. Is this a dream we share?