Porirua Social Sector Trial

Tumai Hauora ki Porirua

July 2013 – June 2015

Governance/Management

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Cabinet: Lead Minister – Minister Ryall

Joint Venture Board: Chief Executives of MSD, MoE, MoJ, MoH and NZP

Director: Social Sector Trials

Programme Lead, Compass Health (mandated NGO)

Mandated individual or NGO has full accountability, and a direct line to Cabinet Ministers to get Crown entity compliance if required.

The ModelSix initial locations selected from across New Zealand

with an additional ten locations started on 1 July 2013 – Porirua is an additional location for two years

Individuals and Non-Governmental Organisations have been contracted to lead the trials

15 Trials are about improving educational attendance. Porirua is about reducing ASH and ED attendance for

people who live in Porirua. The first health focus trial, first done by a PHO, with the biggest geographical area.

Mandate is from governmentFunding is from the 5 government agencies.

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Intended Educational Outcomes

reduce truancy

reduce offending

reduce alcohol and other drug

abuse

improve participation in education,

training, employment

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12 – 18 year olds

Targets are in place

Examples of new activity Kawerau:

Wellness Centre based at Tarawera High School Full time truancy officer

Te Kuiti: Interagency approach to intensively work with young people in Alternative

Education Using community service to enable young people to work off Police fines

Taumarunui: KickStart breakfast clubs (with support from Fonterra and Sanitarium) Training and employment workshops for teen parents

Tokoroa: “It’s not OK to miss a day” (parent/whanau pledges, CBD truancy

free zone, Cook Island/Maori wardens) Multiple youth hubs with a shared MOU and tailored programmes

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EvaluationCross agency evaluation steering group

Regular contact with locations (leads and stakeholders)

Statistical analysis (high level indicators), field work in locations, document reviews, collaboration survey (pre and during Trials)

Two phases now complete for first 6 trials (establishment and implementation).

Model is working to build inter agency collaboration and joint work programmes.

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Soft outcomes to datestocktake of youth activities, a forum for discussion on

youth issues, Action Plan developed (all for the first time)communities feeling more connected young people feeling more connected to each other

(through events, programmes in schools/communities)agencies (government and non-government) working

collaboratively to deliver programmes and servicesevidence of Trials leads influencing practice (eg one Trial

lead has provided advice to local Police regarding their approach to youth violence)

agencies in Wellington applying learning from the Trials in policy decisions/direction

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Hard outcomes to date2010 data showed 18% of NETS students had reenrolled in

education. Data provided in March 2012 showed the 2011 reenrolment rate at 93% (Te Kuiti)

the identification of 65 young people under 16 and not accessing education or positive activity and the subsequent engagement of all 65 in positive activity (Kawerau)

around 60 young people attending a Breakfast Club twice per week (anecdotal evidence suggests many of those children do not receive breakfast otherwise) and a group of students within the school now working on a project to provide lunch to those attending the breakfast clubs (Taumarunui)

more programmes and services for young people (especially those at-risk) (every location)

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Barriers

CEs have advised Ministers of identified barriers to (i) cross-agency delivery and (ii) achievement of youth outcomes

28 high-level barriers were noted in the first trials Barriers noted include:

truancy recording variations government agencies having different boundaries government agencies having different priorities “visiting culture” – regionally based services do not appear to

have a vision or strategy for specific communities with the region.

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Porirua Social Sector TrialTumai Hauora ki Porirua

Governance

Management

Management

Delivery

Delivery

Delivery

Delivery

Management

Project Steering Group

Health, MSD, MoJ, NZ Police, MoE, PCC, Ngati Toa,

TPK, Pacific

Management

Compass Health CEO

SST Manager

Lead Agency

Director

Joint Venture

Board - CEOs

NZ Government

Compass Health

Clinical Group

(Porirua Kids Group)

Porirua Community (Ngati Toa, Pacific,

NGOs, Public)

Reference Group

Project Team

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Intended Porirua Health Outcomes

Understand ASH and ED

attendance data / Porirua health

needs

Target projects to reduce

attendance at ED

Target projects to

reduce ASH

Increase in healthy lifestyles, self

management skills and interagency coordination

0 – 74 year olds who live

in Porirua

ProcessEstablishment of Porirua steering, clinical and reference groups

Feedback from the Porirua community and health providers on why ED is used so much and understanding ASH

Statistical analysis

Draft a Porirua Action Plan with strong emphasis on the co-ordination of existing activity and the implementation of new initiatives

Implementation of the Action Plan - Delivery of initiatives

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What will make this work for PoriruaIf all of primary and

secondary care support the aims to reduce ED attendance and ASH

Shared agency data to targeted interventions to right conditions, right families, neighbourhoods

All agencies taking leadership roles to implement the Action Plan

Link to current work eg CCDHB Integrated Care

Work together to support the Porirua communities to understand self management and wellbeing

Communities owning their health

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Progress in PoriruaLocal interagency

steering group in place

Action plan widely consulted on with Iwi community, and providers Data supports the community voice key focus areas

All agencies are engaged and have agreed to provide leadership for sub projects

Have the ASH and ED attendance data available on the provider information portal

All agencies are taking a broader view of what makes communities work - acknowledge that they have created competitive behavior

Service decisions are moving towards outcomes 14

Advisory group

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Also clinical oversight group – Porirua Kids Porject

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Work and income

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Housing

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ED attendances

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Work streamsImproved self management and resilienceA well start to lifeImproved access to primary care in Porirua

EastAn aligned interagency responseSupportive environments

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More information

http://www.msd.govt.nz/about-msd-and-our-work/work-programmes/initiatives/social-sector-trials/index.html

Ranei Wineera-Parai, Porirua LeadRanei.wineera@compasshealth.org.nz Compass Health web site (UD)

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