Planning process

Planning follows a cycle of quality improvement . We apply what we and other health providers have learned from previous work to our plans for the future.

How do we decide what health services are needed?
- National plans, District Plans, Programmes of Care, Health Needs Assessment.

How does the community have its say?
- Boards and Committees, Maori Health Runanga, Technical Advisory Groups, Iwi Health Plans, Consultation.

What priorities have been agreed?
- Minister's priorities, Statement of Intent.

How are the plans put into action?
- Te Teo Herenga Waka, Requests for Proposals

How do we ensure we are doing a good job?
- Reports, Health Targets, Audits, He Ritenga, Quality management.

How do we decide what health services are needed?

A range of national plans set the context for what we do.  Read about these on pages 37-38 of our District Annual Plan. The Minister also sets targets for the District Health Boards.

You can find the background to all the major planning decisions in a series of documents that are released regularly.

Click on the image below to see a diagram linking to key plans.

The District Strategic Plan (2MB pdf) has a five to ten year focus and relies on data from the Health Needs Assessment, the New Zealand Health and Disability Strategies, Iwi Health Plans and formal consultation with the community. It is reviewed every three years. The next review is scheduled for mid 2008.

It covers the challenges we face and strategies to deal with them. This includes:

  • Environment - our area, our people
  • Objectives, planning and strategies
  • Ownership and capability
  • Monitoring and reporting
  • Risk management
  • Financial Information

A range of appendices provide detail about:

  • Socio economic deprivation;
  • Health needs assessment;
  • Government strategies.

The District Annual Plan (1MB pdf)
This plan explains how the Strategic Plan will be put into action in the coming year.

Programmes of Care

A Programme of Care brings together evidence of what combination of services will achieve the best outcome for a given section of the community. It takes into consideration local research data, information from health providers and community groups together with national and international models of best practice. Read more about Programmes of Care .

Health Needs Assessment

High quality decisions come from high quality information. That means gathering views and experience from a wide variety of sources. Decision makers consider research, reports and submissions from every sector and specialty. In addition statistical analyses are drawn up specific to our district.

Every year the Health Needs Assessment presents evidence from a range of sources, some collected by the hospitals, some from census data and some collected by the Ministry of Health. You can read more in Appendix 5 on page 38 of the District Strategic Plan. See some of the latest data

How does the community have its say?

One avenue for the community to have input is through participating in Board elections. Seven of the eleven Board members are elected.

The Runanga members represent their iwi. The Runanga advises the Board on Maori health issues, reviews planning documents and delivery of services to ensure that they reflect an approach that is culturally acceptable to Maori, and advise on other issues affecting Maori.

The Annual Report lists the members and describes the activities of the Board and the top level Advisory Committees. You can view the agendas and meeting outcomes in the Boards and Committees pages of this website.

Statutory advisory committees

The Disability Services Advisory Committee liaises with community groups in relation to the provision of disability support services for the over 65 age group and acts as an advocate for the disabled population within the BOPDHB district.

The Community and Public Health Advisory Committee members liaise with their communities in relation to health care needs, any factors that may adversely affect health, how to prioritise allocation of funding, implications of any national health strategies, reducing disparities and assessing performance of service providers.

See also Technical Advisory Groups.

In addition to representation through committees the community can also speak directly through various public consultations. Read about the recent consultation for development of the Whakatane hospital (pdf).

Iwi Health Plans are being developed for the first time this year. Local iwi are being encouraged to create their own health plans for incorporation into the District Annual Plan. The plans are designed to improve primary health care for maori.

What priorities have been agreed?

The Minister has established some priority action areas:

  • Getting ahead of Chronic Disease Burden
  • Primary Health
  • Child Health
  • Older People
  • Infrastructure
  • Cost effectiveness/value for money

You will find more detail about the specific initiatives on page 28 of the District Annual Plan or visit the Ministry of Health website.

Decisions about spending for the coming year are described in the Statement of Intent (pdf). It takes into account plans and priorities that have been agreed at a national and regional level.

How are the plans put into action?

Te Teo Herenga Waka is the arm of the District Health Board that shapes the requirements for contracted services and ensures that the level and mix of services we buy supports the strategies and plans.

Some services are delivered through facilities such as Tauranga and Whakatane hospitals and district nursing, others through Non Government Organisations (NGOs).

Te Teo Herenga Waka Portfolio Managers issue formal requests for proposals to ensure a wide field has the opportunity to tender their services to cater for changing needs across the community.

Read more about the prioritisation process

Collaborating to achieve more

Community Outcomes Bay of Plenty

Healthy Eating Healthy Action

How do we ensure we are doing a good job?

There are a lot of aspects to doing a job well and so there are many ways we measure achievement. Some reports are available on this website:

Managing Quality

We follow a business excellence approach and measure performance against an internationally recognised and respected framework for organisational assessment and improvement. See the National Institute of Standards and Technology web site to read the Health Care Criteria that are used.

Clinical quality

Formal quality plans exist for Cardiovascular Disease and Diabetes. Public health providers must comply with the Nationwide Service Framework and all legislative requirements.

Non-Government Organisations

Service contracts include the requirement for service providers to have a quality plan to ensure they actively pursue continuous quality improvement.

Audit reports

In addition to routine internal audits the DHB periodically undertakes a detailed audit to examine progress against national and regional Maori health plans and compliance with the Treaty using the He Ritenga – Treaty of Waitangi Principles: Health Audit Framework.



Cycle of quality improvement - click for enlargement