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Long Term Conditions Outcomes Framework

A new approach for contracting for service development and commissioning for long term conditions has been developed in co-design with the health sector. The work has pulled together common themes reflected in DHBs' annual plans, Maori health plans, the New Zealand Health Strategy and other existing Ministry work. The suite of documents includes a population outcomes framework with outcomes measures and a guide for service design. These documents will assist DHBs to move away from prescriptive transactional approaches to contracting.

Purpose

Reducing the impact of long term conditions is a priority for the New Zealand health system. Service funders and providers need to be more flexible, innovative and be able to measure the difference they are making for their populations. This high level approach is people/whanau focused, not disease specific.

The developed documents provide guidance for planning and commissioning LTC services and show the collective contribution from the whole of the health system towards achieving population outcomes:

  • The National expectations for prevention and management of long term conditions services
  • LTC Population Outcomes Framework - Line of Sight (Part A)’ and ‘Measures (Part B)

The Ministry will align these documents with DHB planning guidance and policy priorities though the annual planning process.

Implementation

We recommend the health sector moves towards using this population outcomes framework and selects appropriate measures from Part B that contribute to the desired service outcomes. There are no new reporting requirements. We have included measures and indicators that already exist in a number of plans or frameworks, such as health targets and system level measures as well as some aspirational measures.

These documents are published as a work in progress with invitation for cross sector input for ongoing improvement and development, and will be updated frequently as the work continues.

The sponsor for this work is Karen Evison, Ministry of Health. Karen and her team will be updating and maintaining these documents, and can be contacted at cvddiabetes@moh.govt.nz. We look forward to working with you for your advice and feedback.