dhb shared services

Background to the Role

The DHB Shared Services (DHBSS) delivers services at a national level and where appropriate, produces work for all District Health Boards. The overall purpose of DHBSS is to help the Distric Health Boards (DHBs) meet their objectives and accountabilities to the Crown.

DHBSS provides a sector group through which DHBs can coordinate their activities at a national level on selected issues. DHBSS facilitates and coordinates strategic activity across DHBs and links with other sector agencies as appropriate.

DHBSS and groups acting with DHBSS play an important role in coordinating responses to many of the isues faced be all District Health Boards and providing necessary links with other government agencies. DHBSS works with DHBs, sector groups, the Ministry of Health and other Government agencies as appropriate and as required in order to deliver value to DHBs.

The Business Need

The PHO Performance Programme (the Programme) started in July 2005 and was designed by primary care representatives, DHBs and the Ministry of Health to improve the health of enrolled populations and reduce inequalities in health outcomes through supporting clinical governance and rewarding quality improvement within Primary Health Organisations (PHOs). The Programme ultimately seeks to support best practice care delivery by the primary care clinical team (GP and practice nurse) to the population of New Zealand with an emphasis on our high need population.

The original intention of the Programme had been for the consistent review of PHO performance across the country, but the Programme had not evolved since its inception and was no longer flexible enough to adequately measure performance across different DHBs. Cranleigh was engaged by DHBSS to assess the impact and efficacy of the Programme in the health sector.

The Cranleigh Solution

The Cranleigh approach was two-staged. Firstly, analysis through a combination of primary sector surveys and in depth interviews were used to gather qualitative data. Interviews were conducted with selected Ministry of Health advisers, clinical experts, Programme leaders, DHBs, PHOs, practices and other stakeholders.

Secondly, quantitative analysis was undertaken where the ten key funded indicators were examined and discussed with the relevant clinical advisors and experts as part of the in depth interview process.

As a result of this research and consultation, Cranleigh outlined a series of recommendations on how the Programme could better meet the needs of the health sector. Cranleigh established the overall Programme objectives, conducted in-depth research and analysis, and then through its recommendations assisted the Programme in providing more flexibility and greater data integrity to the health sector to consistently measure PHO performance across the country.