patient to HVDHB to carry out Need repeat visits to Hutt Hospital Avoids unnecessary travels for the time. mastectomy and therefore cancelled if problems occur. patient, family and surgeon. - Specialists can better build the outpatients clinic at HBDHB. Costs of travel/accommodation. Local travel only. relationships with patients and Support person travelled with the families. Possibility of two opinions from Reduced in-patient time. patient and stayed in Wellington different specialists. during the inpatient care. No holistic overview of patient Provides an integrated, long term 3. A patient with motor neuron Treatment provided locally closer disease developed a pressure sore. care. to the local support system including care with prevention being key. Surgical treatment of the pressure Involves local multidisciplinary The patient was well known to local the prevention strategies and plan. primary care services and did not sore is only a small part of the Allows for maintenance of existing approach. wish to be away from local area. overall care of pressure sore. social and support networks Provides continuity of care through Long delay on waiting list at HVDHB. Processes to deal with other wider including nursing, allied health and a collaborative team. causes and issues that lead to primary health. pressure sore were disconnected. Builds confidence in the whole Lack of confidence in the system health system. and changes in relationships with Shorter hospital stay. health professionals. 4. A patient with a malignant Private treatment not available to Able to access publicly funded Capacity for treatment provided melanoma required 5 surgical all patients. treatment locally. locally. interventions. Able to afford private Treatment could be provided at any Timely access through clear Plastic Surgeon can lead the treatment and therefore could be hospital with the right staff and pathway. development of processes from skin treated locally. infrastructure. No travel or accommodation costs. cancer treatment. No clear pathways for melanoma Continuity of care and close to Triage process would improve from treatment in HBDHB currently. family. GPs to secondary services. Decisions based on speed rather than on location. 5. A frail elderly patient with limited - Long waiting times between - Regular screening leads to earlier - Reduced costs for travel and
patient to HVDHB to carry out mastectomy and therefore cancelled the outpatients clinic at HBDHB. Support person travelled with the patient and stayed in Wellington during the inpatient care. Need repeat visits to Hutt Hospital if problems occur. Costs of travel/accommodation. Possibility of two opinions from different specialists. Avoids unnecessary travels for the patient, family and surgeon. Local travel only. Reduced in-patient time. time. - Specialists can better build relationships with patients and families. 3. A patient with motor neuron disease developed a pressure sore. The patient was well known to local primary care services and did not wish to be away from local area. Long delay on waiting list at HVDHB. No holistic overview of patient care. Surgical treatment of the pressure sore is only a small part of the overall care of pressure sore. Processes to deal with other wider causes and issues that lead to pressure sore were disconnected. Lack of confidence in the system and changes in relationships with health professionals. Treatment provided locally closer to the local support system including the prevention strategies and plan. Allows for maintenance of existing social and support networks including nursing, allied health and primary health. Builds confidence in the whole health system. Shorter hospital stay. Provides an integrated, long term care with prevention being key. Involves local multidisciplinary approach. Provides continuity of care through a collaborative team. 4. A patient with a malignant melanoma required 5 surgical interventions. Able to afford private treatment and therefore could be treated locally. Private treatment not available to all patients. Treatment could be provided at any hospital with the right staff and infrastructure. No clear pathways for melanoma treatment in HBDHB currently. Decisions based on speed rather than on location. Able to access publicly funded treatment locally. Timely access through clear pathway. No travel or accommodation costs. Continuity of care and close to family. Capacity for treatment provided locally. Plastic Surgeon can lead the development of processes from skin cancer treatment. Triage process would improve from GPs to secondary services. 5. A frail elderly patient with limited - Long waiting times between - Regular screening leads to earlier - Reduced costs for travel and