Feedback on Future Health Service Needs
There was overall positive support given for the NMDHB Health Needs Analysis and Health Service Plan in terms of the
issues and directions for the Nelson Marlborough Health System. However, at the public meeting in Nelson last night
concerns were also raised around unmet surgical needs, fluoridation, health disparities and consumers wanting to be more
involved in health planning.
The public is invited to meetings across Nelson, Tasman and Marlborough to hear directly from the district health board
about the current health of our population (through data compiled in the Health Needs Assessment), and the overall
intended direction of current and future health service provision to the community through the draft Health Services
Plan.
Around 80 people attended the Nelson meeting, which NMDHB Chair Jenny Black says indicates that the public want to be
involved in the future planning of our health services.
“There were passionate and informed people present who want to engage and we are keen to hear what they have to say,”
she said. “This is a once in a generation chance for the public to be proactively involved in the future of their health
service, and influence our future investments in facilities, IT, workforce and service development.”
“It will affect most of the people here today when we are in our old age and heavily reliant on health services. Plus we
are making sure we have the infrastructure for our young people and for our whole population moving forward. So we need
to get it right.”
At yesterday’s meeting Andrew Lesperance, General Manager for Strategy, Planning and Alliance Support began by sharing
the data from the Health Needs Assessment (HNA), developed and written by HealthPartners Consulting Group on behalf of
the Nelson Marlborough DHB. The HNA covers an abundance of information including demographics, life expectancy, risk
factors, causes, access to primary health care and emergency department and comparisons with the national average.
Lesperence spoke about the population statistics and health statistics for Nelson Marlborough community, where the
challenges are and how the Board has interpreted those challenges into strategic priorities.
NMDHB Chief Executive Chris Fleming then presented the draft Nelson Marlborough Health Services Plan based on the
findings of the HNA.
“We are the current custodians of the health service, but it will be future generations who will reap the benefits, or
suffer the consequences of the decisions we make now about how we configure the infrastructure that’s going to serve our
community,” he said. “Leaving services as they are is not an option as we simply cannot afford to grow infrastructure
and services to meet the population demands over the next 20 years. We must invest more in health promotion and
prevention strategies, create new and innovative primary and community services, and target secondary services with
staff working at the top of their scopes of practice”.
“We are currently on a decision making pathway where we need to make some significant investment decisions within the
next 12 months. Both in how much are we going to invest in bricks and mortar, and how much are we going to invest in
Information Technology or IT.
“We also need to identify what the priorities are in our workforce planning and what we’re going to invest discretionary
funds in.”
Fleming stressed to the meeting that this is only part of the plan because while it identifies a need to have a well
developed primary and community strategy, this was still to be developed with our primary and community partners.
Concern was raised by a group of between 15 to 20 people with respect to fluoride. Fleming said that while this is an
identified priority for the NMDHB, it is presently a local authority responsibility, and a specific community
consultation process on this issue would be required to consider this in more depth.
He said the overall feedback from the meeting will be reviewed and will help formulate future directions, and will ‘lead
to more discussion about the services we provide.’
Meetings are being held in Nelson, Blenheim, Murchison, Golden Bay and Motueka. Information on dates and times can be
found at http://www.nmdhb.govt.nz/communityengagement.aspx
Feedback on the meeting can be submitted to comms@nmdhb.govt.nz
ENDS