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Gaihn Admin Proving Costly

Fuseworks Media
Fuseworks Media

Representatives of a major Auckland primary care consortia yesterday asked Waitemata DHB's Community and Public Health Advisory Committee for more money.

The Greater Auckland Integrated Health Network (GAIHN) implementation plan is being taken around the three Auckland DHB boards for endorsement before it is sent to the Ministry of Health for approval.

CPHAC discussed the plan at length and recommended the Waitemata DHB board approve it.

The implementation plan has three parts:

plans for establishing infrastructure to manage GAIHN projects;

projects already agreed in the primary care District Annual Plan (DAP);

an acknowledgement more detailed and systematic planning is needed for the following year's DAP in areas such as, long-term conditions, managing acute care, reducing inequalities, and integrating community nursing.

Waitemata DHB asked for more funding for GAIHN

Waitemata DHB public health physician Tom Robinson said the project team was asking Auckland regional DHBs to contribute more funding to cover infrastructure establishment to the end of the financial year.

Waitemata has made a commitment of 25 cents per enrolled resident up to the end of 2010 (around $96,000) to establish the infrastructure.

Now GAIHN is requesting a further 23 cents per enrolled resident to the end of the financial year (30 June 2011), which will be more than $88,000. The PHOs are matching these contributions.

Then there's an estimate for the 2011/12 year based on the population covered by GAIHN that will come to around $230,000.

Dr Robinson commented it is a substantial investment but the GAIHN project is, to a large degree, the way forward for planning for primary care in Auckland and it needs a substantial infrastructure to achieve that.

Dr Levy responded he was pleased with where the implementation plan had come to, since, realistically, it is hard to establish something new without going through all sorts of difficulties.

"As a DHB we have to get comfortable with this de-centralised situation. There is risk in doing it this, but there is more risk in not doing it. As a DHB and as a board, we have to get used to giving away control," he said.

Waitemata DHB had also previously committed to paying a share of the costs of the DAP projects, with DHBs together contributing $117,400 to the total cost of $895,233 for the current financial year.

Unusual governance

It has taken so long for the plan to get to this point as it has taken a while to get the large primary care project's governance sorted out, Dr Robinson said. Interviews for a chief executive will take place tomorrow.

GAIHN now wants to urgently forward the implementation plan to the Ministry of Health to get the advantages of sign-off.

Booth voices concerns

CPHAC and board member Pat Booth voiced concerns about the project, pointing out how many projects Waitemata DHB is running concurrently.

Dr Levy responded the board would need to deal with complexity as that was needed given difficulties with its health services.

Further Waitemata DHB is a member of the GAIHN consortium, so has already been involved in forming the plan.

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