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

9. Health Services - Kenepuru

10. Health services - Kenepuru 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

11. Mental Health services

12. New ClientsTotal Clients Seen Total contacts or bed nights Child & Adolescent Team 1162232473 Adult Community Team 1703665706 Te Haika 7557603829 CATT 1881951003 Matairangi Acute Inpatient 53551016 Alcohol & Drug Service 5565515 Opioid Treatment Service 144644

13. MH DHB provided services New ClientsTotal Clients Seen Total contacts or bed nights Psychogeriatric Inpatient 18231306 Psychogeriatric Outpatient 1802531799 Consultation Liaison 7785303 Maternal Mental Health 2128156 Matairangi Acute Inpatient 53551016 Forensic Community Team 4452307 Kaupapa Maori Team 42761067

14. Mental Health NGO provided services New ClientsTotal Clients Seen Total contacts or bed nights Community Support Teams 27544235 Peer Support/Drop In Centre 461166371 Alcohol & Drug Teams 155171707 Kaupapa Maori Teams 41591341 Residential 8211110374

15. Kapiti Health Centre Site: Land Available for Development

16. Future development potential CCDHB Board recently considered (June meeting) a management paper: Decision Criteria for 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. KHC site map The three Lots are depicted as shown 1 2 3

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 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.nzwww.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.