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National Services Service Specifications and Service Improvement Programmes

Current service specifications, service improvement programmes and service models

Service Models

Service models have been developed in the following areas to support improved national or regional access, quality and outcomes.

Perinatal Pathology Services

The Ministry has undertaken a review of the service delivery model for Perinatal Pathology Services, with a view to implementation of a sustainable national service. The attached Service Model outlines the current state, and the proposed model for a National Perinatal Pathology Service.

Service Model for National Perinatal Pathology Services (docx, 1.3MB)

The Ministry of Health will be working with providers to implement recommended changes through an agreed Implementation Action Plan.

Vascular Services

In 2015 a Project Advisory Group was convened by the Ministry of Health, with the support of DHB General Managers Planning & Funding and Chief Operating Officers.  The Advisory Group has developed a nationwide tier two Vascular Services Service Specification, and a Model of Care for Vascular Services that describes minimum requirements for a DHB intending to deliver vascular services, to ensure an integrated and safe service for patients. 

Model of Care for Vascular Services

new Tier Two Service Specification for Vascular Services

The Ministry of Health will be working with providers to implement recommended changes through an agreed Implementation Action Plan.

Service Specifications

National Services are services that it is determined should be nationally planned and/or funding centrally by the Ministry of Health.  National Services have been designated as such in three tranches. 

A historical tranche of services were established and funded centrally prior to the endorsement of the National Services programme in 2010. These include the following services, links to the service specifications are also below where available.

Services endorsed in 2011 and implemented in 2012 include the following.

Services endorsed in 2012 and implemented in 2014 include the following.

National Service Improvement Programmes

National Service Improvement Programmes are for services that require action from the centre to lift DHB performance, but where the additional step of Ministry purchasing is not required. The focus is on centrally co-ordinated performance improvement activities.  The following National Service Improvement Programmes are in place.

Spinal Cord Impairment 

ACC is the lead agency for implementation of the Spinal Cord Action Plan, supported by the Ministry of Health.

Spinal Cord Impairment Action Plan 2014-2019 - Ministry of Health website

Major Trauma  

ACC is the lead agency for the Major Trauma National Clinical Network, supported by the Ministry of Health.

Further information about the Major Trauma work programme -  Major Trauma Clinical Network website

Complex Epilepsy

Technical Advisory Group Complex Epilepsy National Service Improvement Project - Terms of Reference (docx, 428.87)