Rural Unplanned Urgent Care re-design

Kia ora my name is Dan and I’m one of the System Design Managers for Health New Zealand | Te Whatu Ora.  I’m part of a fantastic group leading the re-design of the Rural Unplanned Urgent Care piece of work. These monthly videos here will provide you with three key updates as the work progresses.

So let’s go!

First key update – September has been a busy month with two design group workshops taking place. We had members from our Rural Unplanned Urgent Care Advisory Group as well as other members, both internally and externally, ranging from pharmacy to point of care testing to Hauora Māori Services. Good conversations took place and these conversations were anchored with our 8 guiding principles that Chris mentioned in the previous video. This ensures that our re-re-design conversations and planning are patient and whānau centred as well as ensuring we are improving the working environment for clinicians and Kaimahi to be able to deliver the care they do in rural communities.  It was also great to be able to explore the different service components that will be featured in the future service. Thank you to all of those who participated.

Second key update - We've been working closely with our colleagues within our Primary Care Development Programme, to ensure we align thinking and re-design work with other projects and workstreams such as the urgent care urban focus, telehealth, ambulance and rural hospital sustainability. It was identified from the onset of the Rural Unplanned Urgent Care project, the importance of breaking down silos to ensure a better, integrated system for rural communities. We will continue to do this as we progress forward.

This leads me to my third key update which is an acknowledgment of the recent PRIME increase in funding to continue to support PRIME to do the work it does and to continue deliver its services, alongside ambulance as we continue to re-design and re-imagine the future state service for urgent care in rural communities.

That’s all for now, take care, stay safe. 

Kia ora. My name is Chris Palmer, I’m a System Design Manager at Health New Zealand – Te Whatu Ora, and I’m part of the wonderful team leading the redesign of the Rural Unplanned Urgent Care work.

This video is the second in a monthly series to give you some updates as we go, to let you know what we’re doing, and how it’s going.

We’ll have three key updates each time, so let’s jump in.

The first key update is a little around what’s keeping us true and how do we know that what we’re designing is going to be the right thing. We’ve got 8 guiding principles.  

Some of those are patient centered. They get us to think about things like how we keep patients in the community, with their whānau more often, and avoid taking people to hospital where it’s safe, where we can do that.

We’ve got some that are provider centered.  They get us to think about things like how we are making sure that providers have the right equipment, and the best equipment to be able to provide that level of care for their communities.

And we’ve got a commissioning centered principle that gets us to think about is what we’re designing safe and sustainable for the long term?

The second key update is all around who we’re working with and in the first video you would have heard from Dan who told us a bit about the Rural Unplanned Urgent Care Advisory Group. A great mix, a lot of experience, and they’ve been fantastic. As we get more into the detail of the design, we’re bringing together a few design groups that are going to focus on targeted areas of what we’re designing. We’ll keep you up to date with those as we go.

The third update for today is also around who we’re working with, and I was lucky enough in the last week to spent some time in Marton with Hato Hone St John, and also the GP practice and the PRIME team there. It’s so important for us to get out of the office, into these communities, to hear what’s really happening, what’s working, what isn’t, and to know what we need to do to redesign something better. So, thank you for everyone that I’ve spoken with, thank you for your time.

That’s all from me today, stay safe and take care. Kia ora.

Kia ora my names Dan and I’m one of the System Design Managers for Health New Zealand Te Whatu Ora and I’m part of a fantastic group leading the re-design of the Rural Unplanned Urgent Care piece of work. These monthly videos here will provide you with 3 key updates on the work as we progress. So let’s go!

First key update

Understanding what we need this project to achieve – we have been reflecting on previous reviews and also speaking with a range of people to better understand the experiences and perspectives of patients, whānau, clinicians, providers within rural communities. These conversations have helped inform what we need to achieve with this piece of work.

Second key update

Project establishment – over the past few months we have been working to better understand urgent care services within rural communities and we have been working to set up our Rural Unplanned Urgent Care (RUUC) Advisory Group. We have a range of experience on this advisory group from Māori health providers, lived experienced, Primary Health Organisations, Rural general practices, PRIME providers, ambulance and much more. This advisory group will continue to meet on a monthly basis.

This leads me to my third key update which is the first meeting for this advisory group – the point of discussion or the main topic if you like was predominantly around whakawhanaungatanga, so the process of getting to know one another but just as importantly, understanding our environment, what we need to achieve and what this project is all about. As this advisory group continues to meet, we will provide you with the key updates through this channel.

That’s all for now, take care, stay safe.