Ray Anton CEO Karl Metzler CEO CLUTHA DISTRICT

Ray Anton CEO Karl Metzler CEO

CLUTHA DISTRICT Population 16, 890 2013 Census

Balclutha

Our Population Ethnic Group (percentages) Clutha Dunedin New District Zealand European 91. 1 88. 3 74 Maori 10. 0 7. 7 14. 9 Pacific Peoples 1. 2 2. 5 7. 4 Asian 2. 0 6. 2 11. 8 Middle Eastern, Latin American, African 0. 4 1. 2 Other ethnicity 2. 1 1. 7 Note: Some people report more than one ethnic group so percentage over 100%

We Marched in Dunedin 4, 000 population 15 Feb 1992

December 1997 Clutha Health Incorporated - set up to own facility Clutha Community Health Company Limited - set up to operate services June 1998 - Construction of facility commences. 1 December 1998 - Services leave old hospital and open in the new facility

Clutha Health First and Holmdene

Governance and Structure

INCOME Revenue Received District Health Board Rental Contract Services Other Income General Practice Total Revenue Full Year Percent $6, 070, 800 58% $140, 000 1% $912, 000 9% $25, 000 <1% $3, 306, 000 32% $10, 453, 800 100%

Financial Health Over Time Note: 2011 Purchased BGPL Gross Income

Challenges • Who is responsible for acutes after hours? • • • GP MO NP • Why are Outpatient Consultants split from GPs? • Where are we managing acute patients and drop ins? • Do we have enough space for primary care? • • Registrar (s) Immersion Students

Investments • • • Staffing and roles – NP, GP and MO Space and configuration Top of scope challenge

Function and Form

Services that keep patients locally Service Name Annual Volume Breast Care Clinic 45 E-Medical Fracture Clinic 26 252 Women’s Health /GYN Skin lesion Joint Injection Clinic Travel Vaccine Spirometry Diabetes Insulin Initiation 144 84 60 24 84 84 Zolendronate 36 TOTAL 839

Extended GP roles Abraham Visagie: Remote clinic Tokanui David Mason: Coordinates students Fracture Clinic Nico van Egmond: Ultrasound and breast Occupational Health Clinic Andrea Sim: Woman’s Health