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Te Tumu Waiora


Easy Access to Local Wellbeing Support - for you and your whanau

communications@procare.co.nz

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Te Tumu Waiora


Easy Access to Local Wellbeing Support - for you and your whanau

communications@procare.co.nz

 

Te Tumu Waiora has been driven by a clear need within Aotearoa’s health system: a primary mental health system that is more accessible, engaging, connected, delivered by people who are personally and professionally motivated, and gives every New Zealander their right to live well.

Read the Te Tumu Waiora overview document here

 
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About


About


Over the past number of years there has been a concerted effort across Primary Healthcare Organisations, District Health Boards and Non-Government Organisations to re-imagine how people’s mental health and wellbeing can be supported in primary care. This work resulted in the publication of a number of key documents such as Closing the Loop (2016) and the Fit For The Future co-design report (2017) which provided guidance on what support was possible for a transformed primary care holistic model, supporting and addressing the physical, emotional, and social needs of a person and their family.

To test these possibilities, ProCare Health Ltd., in collaboration with the three Auckland DHBs, NGOs, other PHOs, and with support from the Ministry of Health, has been testing a new model of care approach for mental health and wellbeing that has the potential to be implemented nationwide in Aotearoa.

Te Tumu Waiora was launched in July 2017 with services initiating in December 2017. This programme brought together a range of promising approaches such as Awhi Ora (NGO support workers available in primary care to walk alongside people in addressing their wellbeing in the community), general practice based Behavioural Health Consultancy and Health Coaching, Psychiatry Liaison and referral based talking therapies.

The programme has been running in five ProCare general practices across the three DHBs of greater Auckland; at Mangere Health Centre, Peninsula Medical Centre, Health New Lynn, University of Auckland Student Health Services and Turuki Healthcare Panmure. The programme is also running in practices supported by Auckland PHO and East Tamaki Healthcare. It is due to run until June 2019.

The aim of the programme is to deliver a small amount of targeted, brief intervention to a large number of people, as opposed to a large amount of therapy, to a small group of people, as well as to connect social and specialist support across one continuum of care.

The pilot has been producing successful results so far with:

  • 57 – 70% of patients are seen for therapy on the same day as disclosing distress to their GP (compared to 3 – 5% for conventional service)

  • 75% seen for talking therapy within five days (less than 17% in conventional services)

  • Significantly improved equity of access across Māori, Pacific, Asian and European populations with no significant difference between rates of conversion of referral to appointments across ethnicities

  • 74% of Māori clients report improved wellbeing (compared to 72% European, 74% Asian, 71% overall

  • 95% satisfaction rating from over 3,000 client surveys

  • Reduction in prescribing of medication in favour of a ‘skills before pills’ approach

Collaboration has been key in the success of the programme to date. The pilot stems from a strong collaborative base across local DHBs, other PHOs and NGOs, as well as nationally through Network 4 (ProCare, Pegsus, Tū Ora Compass Health, Pinnacle Midlands Health), and Northland DHB.

Funding for the pilot has come from a range of sources: ProCare Health, Waitemata DHB’s ‘Our Health in Mind’ primary care programme; Counties Manukau Health’s Primary Mental Health Initiative programme; and Auckland DHB’s Ministry of Health ‘Fit for the Future’ programme.

You can read the full Te Tumu Waiora overview document here.

Related content

Impact


Impact


As part of the Ministry of Health funded Fit For the Future programme an independent evaluation was conducted of the programme by Synergia. This evaluation showed the programme was demonstrating excellent results and high satisfaction from service users across the work that the Health Improvement Practitioners, Health Coaches and Awhi Ora workers are providing.

Read the Synergia evaluation following the first six months of the pilot here.

Fit for the Future ADHB WDHB Evaluation A3 summary FINAL 1 Oct 2018-page-001.jpg
I think I’d gone to see my doctor, and he’d said about this (anxiety), we’ve got like this service now at this clinic, where you can see this lady, (name). And then, I said, oh that sounds great, and so he said I think she actually has a place like now, like in half an hour or something. So I actually went to see her, the day I went there to get some help, or get some advice or something. That was really good, I just went straight in there and had my first session.
— HIP client

The new model in practice


Different elements of the model, such as Awhi Ora, started at different times but the whole model has been in operation across eight general practices in Auckland since December 2017. Below are some first hand accounts of the difference this approach is already making in the lives of people, practitioners and practices.

The new model in practice


Different elements of the model, such as Awhi Ora, started at different times but the whole model has been in operation across eight general practices in Auckland since December 2017. Below are some first hand accounts of the difference this approach is already making in the lives of people, practitioners and practices.

In April 2018 a workshop was held to share early learning’s from front line practitioners experiences from the pilot programme. The below clip provides a quick overview of the day.

Awhi Ora – Supporting Wellbeing, is a key part of the model where NGO support workers and peers walk alongside people in distress supporting them in increase their wellbeing in their local community. A clip explaining this approach is below

I was nervous, she put me at ease. It was easy to talk about everything. Life, family, money; I put it all on the table.
— Patient

Sharing Knowledge


To learn more about Te Tumu Waiora and the work that has been done to implement the new model of care in pilot practices please view the below presentations from a sector workshop held in April 2018.

Sharing Knowledge


To learn more about Te Tumu Waiora and the work that has been done to implement the new model of care in pilot practices please view the below presentations from a sector workshop held in April 2018.

Latest Press Releases

5 Dec 2018 - NZ’s largest PHO welcomes mental health inquiry findings

Oct 2018 - Health Ministers visit General Practice to see innovative mental health support programme

April 2018 - ProCare showcases new mental health pilot

For media enquiries please contact communications@procare.co.nz

Workshop Presentations

For more information please contact Johnny O'Connell, General Manager Patient Services, ProCare JohnnyC@procare.co.nz

Please find below the presentations from each presenter: