Home / National Services / Service Models for Consultation

Service Models for Consultation

National Services, as part of the Integrated Service Design Group, is tasked with leading and delivering the design and implementation of integrated health and disability support services that are focused on the Ministry’s core clients’ needs and outcomes, and designing and commissioning services based on client needs.

There are currently no service models being consulted on.

Closed Consultation

Consultation on the following service models has closed. These are now being finalised and will be released shortly.

  1. Perinatal Pathology Services.
  2. Vascular Services.
  3. Extra Corporeal Membrane Oxygenation (ECMO).

Service Model for National 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 below consultation document outlines the main recommendations of the Perinatal Pathology Working Group for establishment of a Service Model for National Perinatal Pathology Services.  The Ministry sought feedback on the recommendations and the proposed Service Model from a range of stakeholders. Feedback from stakeholders is important because it helps shape the final service model, ensuring it is appropriate and achievable.

Model of Care for 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 intent was to develop a nationwide tier two Vascular Services Service Specification that describes minimum requirements for a DHB intending to deliver vascular services, to ensure an integrated and safe service for patients.  As part of the development of the specification, it was necessary to describe a model of care for vascular services.  The model of care will guide the types and locations of services, ensuring patients access the right level of care in a seamless and timely manner. 

Service Model for Extra Corporeal Membrane Oxygenation

ECMO refers to the use of a portable modified heart-lung bypass machine to support patients whose hearts and/or lungs are failing. ECMO is a highly specialised and resource intensive input into the care of patients with complex medical conditions.

The Ministry of Health and a sector based Technical Advisory Group have developed service model for ECMO  to improve the quality of patient care and outcomes, as well as ensuring resources are used wisely. There are six key objectives for the service model.

1. To have a clearly defined patient pathway to ensure patients who are clinically eligible for venovenous ECMO have, as far as clinically possible, equity of access to the service.
2. To provide referrers and patients requiring ECMO within the cardiovascular intensive care unit at Auckland DHB with:

a. expert advice on the diagnosis and management of potentially reversible severe respiratory and/or cardiac failure, including collaboration with other tertiary providers where appropriate
b. a retrieval service for those patients that meet the criteria and are accepted for ECMO, including safe mobile ECMO.

3. To support safe repatriation of patients to an appropriate hospital close to their home following ECMO.
4. To improve patient outcomes through timely and appropriate referral to the ECMO service, as reported within the local clinical outcomes database and through submission of data to Extracorporeal Life Support Organisation (ELSO) and communicated nationally.
5. Safe and high quality clinical care for all patients referred for ECMO.
6. To provide cultural, as well as family and whānau support.

Stakeholders were asked to provide feedback on the consultation draft service model, available below.