Synopsis

Te Wero - the challenge

If we want to realise the Tier 1 vision of the Health and Disability Review, then we’ll need to accept and embrace some significant challenges.  

Andrew thinks we’ve been handed a once in a lifetime opportunity to co-create a model of care, with our communities, that could empower self-determined equitable well- being. However, a model of care which truly centres on the aspirations of “what matters to whanau” is likely to challenge us to admit that our current model of care, our workforce and our support structures are not “fit for purpose”. To illustrate these challenges, Andrew is going to discuss a well-being tool that could help inform our future model of care, the workforce needed to enable this model and then challenges us to consider how best to structurally support this vision. Andrew will then draw on some of the challenges and lessons learnt in Northland, three years ago, during the establishment of Mahitahi Hauora, which we are all now facing with the current health reforms. Andrew will present an opinion that providers should unashamedly advocate for their communities and help co-create localities, but commissioning and funding decisions are best made by agnostic backbone organisations using clinical and business intelligence with a collective impact approach which is nationally consistent. 

Our current support structures were never created to support collaborative community care, nor have the “levers” to influence the social determinants of care that need to be addressed for true well-being. However, our collective passion for primary care and the scarcity of primary workforce will see us all gainfully and gratifyingly employed which will improve our own well-being, as well as those we serve. We should challenge ourselves and each other to champion a paradigm shift in what health care looks like. Let’s be good ancestors.

Biography

Andrew Miller Clinical Lead NZ Health Care Home Collaborative Bush Road Medical Centre
Andrew has been a GP in Kamo, Whangarei for the last 25 years and is the Northland District Health Board Clinical Lead for Neighbourhood Healthcare Homes and Clinical Director of Information Services. He has been involved in the Collaborative, as one of the Clinical Leads since the HCH Collaborative first started. Andrew brings a consumer voice to his work, having been through two cancer journeys, and is a strong advocate for consumer “ownership” of their care using patient portals, personalised care plans and advance care plans.  Andrew was a consumer representative on the recent National Head and Neck Cancer Service Review and helped place a “patient voice” into the national care planning process.  At the Chair of Manaia PHO, he was involved in the wind up of his PHO to help establish Mahitahi Hauora. The lessons and challenges in this establishment process are about to be replicated across all of NZ in the creation of localities and service structures to support localities.   Go back to workshop speakers summary page		Andrew Miller