any variation or exemption must be recorded in the appropriate DHB accountability documentation with a time-bound resolution or improvement path. In the case of special circumstances relating to a geographical area, a review date must be included. Service change Purpose of the chapter This chapter describes how DHB service change and public consultation is managed within the DHB planning framework and the requirements resulting from the NZPHD Amendment Act 2010. It outlines the service change protocols and process for DHBs when planning and implementing local, regional or national service change and service reconfiguration. It also provides: some tools and resources for DHBs to support sound, clinically appropriate decision-making and determine the need for public consultation an explanation of significant service change and related terms specific to this chapter (Section 4.6 and Section 4.11 respectively) (See Planning Regulations ( of the NZPHD Act and SOC Min (10) 15/2, (Ministry of Health 2011), (Ministry of Health 2002). This chapter is also to be read in conjunction with the following other chapters and sections of the OPF where relevant: 3.18 Selection of service providers (service change) 7 Inter-district flows (service change) 12.23 Cooperative agreements and arrangements (service change) 12.24 Acquisition of securities, shares and interests (consultation) 12.30 Business (service change) 12.31 Dealings with land (consultation). Summary of mandatory requirements DHBs must: engage at an early stage with their Regional Relationship Manager to discuss a proposed service change or when the proposed change triggers the service change protocols (Section 4.4) adhere to the Planning Regulations. Where the Minister directs DHBs to make significant changes, the Minister may also require DHBs to consult on how those changes should be made (Section 4.6). DHBs as providers of last resort DHBs shall be deemed the provider of last resort in all circumstances, for example, when a third party contractor fails to provide or deliver care (Section 4.9).
any variation or exemption must be recorded in the appropriate DHB accountability documentation with a time-bound resolution or improvement path. In the case of special circumstances relating to a geographical area, a review date must be included. Service change Purpose of the chapter This chapter describes how DHB service change and public consultation is managed within the DHB planning framework and the requirements resulting from the NZPHD Amendment Act 2010. It outlines the service change protocols and process for DHBs when planning and implementing local, regional or national service change and service reconfiguration. It also provides: some tools and resources for DHBs to support sound, clinically appropriate decision-making and determine the need for public consultation an explanation of significant service change and related terms specific to this chapter (Section 4.6 and Section 4.11 respectively) (See Planning Regulations ( of the NZPHD Act and SOC Min (10) 15/2, (Ministry of Health 2011), (Ministry of Health 2002). This chapter is also to be read in conjunction with the following other chapters and sections of the OPF where relevant: 3.18 Selection of service providers (service change) 7 Inter-district flows (service change) 12.23 Cooperative agreements and arrangements (service change) 12.24 Acquisition of securities, shares and interests (consultation) 12.30 Business (service change) 12.31 Dealings with land (consultation). Summary of mandatory requirements DHBs must: engage at an early stage with their Regional Relationship Manager to discuss a proposed service change or when the proposed change triggers the service change protocols (Section 4.4) adhere to the Planning Regulations. Where the Minister directs DHBs to make significant changes, the Minister may also require DHBs to consult on how those changes should be made (Section 4.6). DHBs as providers of last resort DHBs shall be deemed the provider of last resort in all circumstances, for example, when a third party contractor fails to provide or deliver care (Section 4.9).
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