Auckland District Health Board, with its primary care partners, has been moving towards a more community centred approach to healthcare delivery over the past few years.
This locality approach provides an opportunity to partner more closely with patients, families, communities and providers across the system to improve health and the quality of healthcare through delivering supports that meet the specific needs of the communities in which they are delivered.
“Working together we will create the conditions in which individuals, families/whānau and communities can take greater control over their lives to maximise their health & wellbeing.”
This locality approach maintains a sharp focus on putting individuals, their families/whānau and communities’ front and centre in the development of support and services. Using this approach we opened conversations with the Tamaki community in late 2013 about what area of health to focus on. Mental health was identified as the initial focus.
Through many interviews, meetings, workshops and surveys, a whole lot of listening and quite a few laughs along the way we have developed an understanding of what is needed to support positive mental health and wellbeing in this community.
We are now developing and providing new types of support through five key, interconnected streams of activity – Local Wellbeing – Linkages – Support Hours – Whole person/Whole of life care – Primary & Secondary integration.
Committing to partner with local residents, community members have joined us at all levels in this programme: leadership, development and participation in the design team.
The timeline of the journey so far is below and for more information on what we are doing and how we are doing it click here.
"….an experience of mental health and wellbeing focused on the whole person in their family, whanau and community, over the whole of their life supported by integrated services that are relevant to Tamaki"
the co-designed vision...
We asked the community what they want, and they told us:
Analysis of health needs
Nov 2013 - Apr 2014
we held a second round of community co-design workshops
over 700 ideas; and
32 high level project prososals
enabling General Practice to do more for mental health
enabling the community to care for itself
enabling linkages to health & social care in the community
and three streams of focus
Jan to Nov 2013
through over 100 engagements, we asked:
What's not so good?
What ideas to improve?
What ourcomes do you want to see?
Who can support me?
Can GPs be enabled to do more?
How can I support myself?
Where can I get support?
we identified 5 core themes
and three streams of focus...
we created a working group
with over 30 participants working in co-production
translated data in to formal proposals
Primary & secondary care integration
primary support hours
Jul - Dec 2014
and decided on five core initiatives
We established a Social Lab
scaling up and rolling out
Since Apr 2015
whole person care
We developed design thinking skills
small scale testing
diverge and converge
built programme infrastructure
we developed systems thinking skills
systems as cause
the outcomes to achieve the vision are to be co-designed in each work-stream. The outcomes the programme is seeking to achieve are:
learned new service change model and approach
developed services for use in other areas
Continuing work programmes and developing new skills