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Primary health nursing innovation fund shortlist

Primary health care nursing innovation funding shortlist announced

FIFTEEN innovative nursing concepts have made the shortlist for the Ministry of Health's $7 million Primary Health Care Nursing Innovations Funding.

The shortlisted nursing proposals - selected from 139 entries from a variety of health organisations and providers - cover a broad geographical range of New Zealand and represent nurses in many primary care settings.

"We're very excited about the proposals. The focus for participants was to be innovative, to make a difference and think of new ways that nurses in their communities can work collaboratively to address specific health needs," said Frances Hughes, Ministry of Health Chief Advisor, Nursing.

Those shortlisted came from throughout the country including the West Coast, Reporoa, Otago and Northland, and innovations were varied. "We saw excellent examples of collaboration across all entries so narrowing down the applications was a difficult task," said Ms Hughes.

Teamwork was an essential part of the proposals. "There's fragmented nursing care in the Primary Health Care sector and we wanted the proposals to address that by encouraging, for example, a Plunket nurse, a public health nurse and a Maori nurse to work together on a community's child health scheme."

The $7 million available for the development of innovative nursing models is part of the Government's $400 million allocation to implement the Primary Health Care Strategy, and improve and extend primary health care.

"The funding should also encourage nurses who work outside of hospitals to align themselves to the Primary Health Care Strategy and Primary Health Organisations," said Ms Hughes.

They must now submit a more detailed proposal. Each successful proposal will be funded over a three-year period, and must be sustainable by DHBs after the funding ends. Successful models are likely to be announced by the end of December.

The shortlist is:

Provider DHB Collective of Health Providers in Northland Northland DHB Combined Primary Health Care Nurses Group MidCentral DHB First Taranaki & Royal NZ Plunket Society Taranaki DHB Hutt Valley Youth Health Service Hutt Valley DHB Kaupapa Maori Primary Health Nursing Service Auckland DHB Otago Primary Nursing Leadership Team Otago DHB Primary Nursing Model Nurse-Led Service Southland DHB Reporoa Community Health Community Lakes DHB Tairawhiti District Health Process Tairawhiti DHB Tuwharetoa Health Services Ltd Lakes DHB Wellington Youth Service Project Capital and Coast DHB Neighbourhood Nurses in Reefton West Coast DHB Kaipara Care Inc Northland DHB Wairarapa Primary Health Nurses Group Wairarapa DHB Counties-Manukau DHB Counties-Manukau DHB

Primary Health Care Innovation Funding

Questions and Answers

What is a primary health care nurse? Registered nurses with expertise in primary health care practice. Primary health care nurses work autonomously and collaboratively to promote, improve, maintain and restore health. Primary health care nursing encompasses population health, health promotion, disease prevention, first point of contact care and disease management across the lifespan. Partnership with people ? individuals, whanau, communities and populations, to achieve the shared goal of health for all ? is central to primary health care nursing.

How many primary health care nurses work in New Zealand? In 2001, 7617 registered nurses said in their response to the Nursing Council's workforce survey that their type of work or employment setting could include primary health care.

How much money is available in the nursing innovation funding? The total is $8.1 million (GST inclusive). Funding of up to $7 million is available for the development of innovative nursing models. The Ministry of Health will retain up to $1.1 m. This will be spent on evaluating the new models and to support nurses practising in primary health care settings to undertake postgraduate nursing programmes in primary health care. This support will also help the development of Primary Health Care nurse practitioners.

What will the funding be used for? Support the development of innovative models of primary health nursing practice to deliver on the objectives of the Primary Health Care Strategy Allow for new models of nursing practice to develop and reduce current fragmentation and duplication of services Assist in the transition of primary health care delivery to Primary Health Organisations.

Who applied for the funding? Registrations of interest were invited from a variety of organisations and providers. This involved joint arrangements across providers, including Primary Health Organisations, non-government organisations (NGOs), academic institutions, DHB provider arms, Independent Practice Associations (IPAs) and others.

What information did organisations have to include when registering their interest? The name of the organisation(s) seeking funding; Evidence that the organisation(s) meets the stated general criteria (see below); The geographical boundaries (as well as the population groups) of the proposed service delivery; A description of the proposed new primary health care nursing model and how it expects to change practice and promote collaboration and integration with nursing groups, and other health professionals. Anticipated changes or benefits that will result from implementation of the proposal. The three-year time period for which funding is required, ie, 2002/03 - 2004/05 or 2003/04-2005/06.

What general criteria had to be demonstrated by organisations seeking funding? They must have shown how they would: Help in the delivery of the Primary Health Care Strategy; Work within a Primary Health Organisation environment Deliver on the primary health care nursing framework and its vision and goals for primary health care nursing Develop a model that reflects the service priority areas of the DHB or provider with regard to primary health care Support and consult with key stakeholders from different service groups affected by the model Support and utilise effectively nursing leadership Enhance collaboration between nurses and other health professionals; Enable the more effective use of existing primary health care nurses by reducing fragmentation and duplication Involve nurses with knowledge and experience in primary health care nursing Enable nurses to be seconded or released from current work settings if necessary to form teams or work on projects, and provide the necessary organisational support.

What did DHBs do in this process? DHBs needed to support registrations of interest from providers as the providers were likely to require reconfiguration or development of services which the DHB may be directly providing or funding via contractual arrangement. Providers should approach the DHB during the developmental phase to clarify DHB expectations. DHBs should inform all relevant providers and their provider arm services of this opportunity and also provide support and advice to groups who are developing proposals.

What will the successful nursing models do? They will help to implement the Primary Health Care Strategy and could focus on any of the population strategies that fall under the New Zealand Health Strategy. This includes: the Child Health Strategy, Maori Health Strategy, Pacific Health and Disability Action Plan or Health of Older People Strategy.

What are the key Primary Health Strategy aims? The strategy places a high priority on addressing high health needs, reducing inequalities in health status and supporting the development of Maori and Pacific providers.

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