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West Coast Improving Services For Elderly (WISE) Project

Introducing This Page

In December 2006 the West Coast DHB released a plan for older people's services - the West Coast Improving Services for the Elderly Plan 2006-2016, known as the "WISE plan".
This page describes the WISE plan, its history and our progress in implementing it. It contains the main policy and background papers related to West Coast DHB's Health of Older People's Services.

We hope that the WISE website will become a useful resource for all West Coasters involved in older people's health and support.

This website will have regular updates on the various projects underway to put the WISE plan into action, as well as background documents.

 

Background to the WISE plan

  • Devolution of long-term support funding in 2003 - in October 2003 the Ministry of Health passed over to the West Coast DHB the funding and contractual responsibility for long-term support services for people aged 65 or more years.  This included home-based support services and residential care.
  •  
  • Finding out the needs of older people - during 2003 West Coast DHB conducted a comprehensive needs assessment of the health and disability support needs of older West Coasters.  This included:
    1. A series of public meetings from Karamea to Haast, including 4 hui
    2. Interviews with key service providers, and a survey of other providers
    3. An in-depth interview with 400 randomly selected people aged 65+ years, as part of the New Zealand Health Survey
      A comprehensive review of data on the health and service usage of older West Coasters - The Health of Older West Coasters - a Health Needs Analysis
      (PDF document - size: 570 KB)
  • The WISE groups - during 2003 a planning advisory group (the 'WISE group') made up of a wide range of people involved in the sector started meeting to assist the DHB in putting together a plan for services for older people.
    1. A first draft plan was prepared in 2004, together with a detailed proposal for the setting up of a Community Coordinating Service.  Progress on finalising the plan and the proposal slowed during 2005 due to staff vacancies in the Planning and Funding team, but resumed in mid 2006, when the WISE group also resumed meeting.
    2. WISE Buller subgroup - in mid 2006 a subgroup of the WISE group began meeting in Westport to add issues and solutions specific to the Buller district into the plan.
    3. The two WISE groups meet quarterly to monitor progress on the implementation of the WISE plan.
 

The WISE plan 2006-2016

Kevin Hague and WISE group members working on the initial report

The West Coast DHB's 10-year plan for older persons services is an innovative and exciting change in focus for older persons' services that we hope will make it easier for older people to stay fit and healthy and to get the health and support services they need.
To download and view this plan click here

The goals of the WISE plan are:

  • To protect older people's health, independence and interdependence
  • To deal with illness and disability before they worsen
  • To ensure a smooth path into and out of specialist health services
  • To have a stronger profile for older peoples health and support services

What we are planning to do to meet these goals:

  • More health promotion services designed for older people - including falls prevention programmes and physical activity opportunities.
  • Supportive/sheltered housing options - work with councils, Abbeyfields groups and other agencies to encourage the development of a range of supportive housing options.
  • Home support services funded and delivered differently, so that people can receive homecare services that are more tailored to their specific needs, more effective in helping people retain and regain their health and abilities, and with carers who are skilled and valued as part of a wider health and rehabilitation team.
  • Specialist Health of Older People's Service (AT&R) having stronger links with the community, in terms of support for other providers etc
  • Improved stroke services
  • Long-stay residential care - a gradual increase in the number of long-term hospital and specialist dementia beds to match the rise in the older population.  A gradual shift towards a higher proportion of longstay beds being hospital-level, with some people who might have had to enter rest homes being able to live at home or in supportive/sheltered housing, supported by homecare services.
  • Greater collaboration between health services and residential providers.
  • Short-stay 'non-acute' beds - people more able to have short stays in residential facilities or the smaller hospitals for respite care and carer support, as well as for longer-term rehabilitation after treatment in the main hospitals, and also for palliative and terminal cares
  • A Community Coordinating Service - to make it easier for older people to get the community services they need, to ensure that best use is made of the total long-term support budget and to improve the planning for health and support services for older people. 
Members of the original WISE group 2004
 

Putting the plan into action

  1. Carelink - single point of entry to community services

    Robyn McLachlan was appointed in August 2007 as a one-year project manager responsible for setting up Carelink, the single point of entry and needs assessment and service coordination services for older people. Carelink will be based in the Brick Building in close proximity to the West Coast Primary Health Organisation, making it easier to build up good relationships with primary health services.

    Detailed planning for Carelink has been progressing, involving many staff. Carelink is designed to streamline older people's access to community, home-based and residential care services. Other aims of the service are to manage the long-term care budgets more equitably and effectively, improve the assessment and service coordination process, and raise the profile of older persons' services.

    See The original report of the WISE subgroup on Carelink
    (PDF format - Document size: 102 KB)

  2. Health promotion for older people

    Rosie McGrath and Marie Mahuika-Forsythe were appointed to a joint 1 FTE position in August 2007 to work on health promotion for older people and specifically on improving opportunities for physical exercise and extending falls prevention programmes. Marie's role is specifically to work with the Maori community on this. This was specifically funded by the Ministry of Health as part of the Healthy Action Healthy Eating programme. Rosie and Marie are also based at the Brick House, near the West Coast PHO staff.

  3. Caring for Older West Coasters - Changing the Focus

    In February 2008 West Coast DHB put out a Request for Expressions of Interest from service providers, called "Caring for Older West Coasters - Changing the Focus." This describes in detail the changes needed, (such as a new way of funding homecare) and also has an appendix with baseline information on the expected growth of the West Coast older population, current and benchmark residential bed usage, and expenditure on home-based and residential support services.

    This is still a useful background document for finding out why the changes are being made and the size of the problem.

    • pdf documentCaring for Older West Coasters - a Change in Focus
      (Feb 2007)

      (PDF format - Size: 267 KB)

      This document includes Appendix (Feb 2007) which displays tables with current and projected population data, comparative bed numbers and guidelines, and data on expenditure and usage of long-term support services.

    • XLS document Appendix only of Caring for Older West Coasters - a Change in Focus
      (Feb 2007)

      (XLS format - Size: 125 KB)

      This is the APPENDIX ONLY (Excel Spreadsheet) of the document listed above - For those who want to look at the data only. This data sheet displays tables with current and projected population data, comparative bed numbers and guidelines, and data on expenditure and usage of long-term support services.

      About fifteen organisations sent in responses to this Request for Expressions of Interest, including several from outside the West Coast, outlining their interest in providing a range of services, including some new ones, such as dementia daycare. In November 2007 West Coast DHB executive management team discussed a detailed funding plan for the changes. This is still being finalised, which has led to some delay in the implementation timetable.

  4. Quarterly updates

    The WISE groups in Greymouth and Buller meet each quarter to discuss a progress report on the implementation of the WISE plan.

    Here are the quarterly progress reports:

      2008

    • March (PDF format - Size: 30 KB)

      2007

    • November (PDF format - Size: 28 KB)
    • September (PDF format - Size: 28 KB)
    • May (PDF format - Size: 25 KB)
 

Contact Us

If you would like to have more information or make a comment about the WISE plan or the website, please contact:

Torfrida Wainwright
Planning & Funding
Phone: (03) 3769-7400, Extn. 2855 or 021-107-3937
Email: This is not a link as we want to prevent spam.  Please transfer the email address on the image carefully into your email client before sending the email.  You might find, with some older email addresses on this site that they are no longer current, for staff-change reasons.  If your email bounces back please contact the WCDHB Communications Team - see Contacts section of this site.

Robyn McLachlan
Project Manager, Carelink
Phone: (03) 768-1308 Extn. 802
Email: This is not a link as we want to prevent spam.  Please transfer the email address on the image carefully into your email client before sending the email.  You might find, with some older email addresses on this site that they are no longer current, for staff-change reasons.  If your email bounces back please contact the WCDHB Communications Team - see Contacts section of this site.

 

Glossary

Consultation
Involves the statement of a proposal not yet finally decided upon, listening to what others have to say, considering their responses and then deciding what will be done.
Collaborative
Working alongside other interested parties (stakeholders).
Devolution
The process by which the 21 District Health Boards of New Zealand take over the funding and contractual management of services from the Ministry of Health.
DSS
Disability Support Services constitute a complex and individualised range of services, ranging from home-based support to residential support services.
Infrastructure
System of telecommunications, transport, facilities and other public services.
Integrated Continuum of Care
Means that an older person is able to easily and effectively access needed services at the right time in the right place and from the right provider.
Needs Assessment
A process by which data is collected on the demand and need for health services, analyses that data to assess future needs and capacity of services to meet the needs, an evaluation of options for future delivery of services to best meet needs. Health Needs Assessments provide much of the evidence that DHBs require to make decisions.
 

Additional Useful Background Documents

This Website

Other Websites