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Porirua Social
Sector Trial
Tumai Hauora ki Porirua
July 2013 – June 2015
Governance/Management
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.
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The Model
 Six initial locations selected from across New Zealand
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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 government
Funding is from the 5 government agencies.
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Intended Educational Outcomes
improve
participation
in education,
training,
employment
reduce
truancy
12 – 18
year
olds
reduce
alcohol and
other drug
abuse
reduce
offending
Targets are
in place
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Examples of new activity
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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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Evaluation
 Cross 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 date
 stocktake of youth activities, a forum for discussion on
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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 services
evidence 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 date
 2010 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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Delivery
Clinical Group
(Porirua Kids Group)
Management
Management
Lead Agency
Governance
Director
Compass Health
CEO
SST Manager
Delivery
Porirua Community
(Ngati Toa, Pacific,
NGOs, Public)
NZ Government
Compass Health
Management
Joint Venture
Project Steering
Group
Board - CEOs
Porirua Social
Sector Trial
Tumai Hauora ki Porirua
Delivery
Management
Health, MSD, MoJ,
NZ Police, MoE,
PCC, Ngati Toa,
TPK, Pacific
Reference Group
Delivery
Project Team
Intended Porirua Health Outcomes
0 – 74
year olds
who live
in Porirua
Understand ASH
and ED attendance
data / Porirua
health needs
Increase in healthy
lifestyles, self
management skills and
interagency
coordination
Target projects
to reduce
attendance at
ED
Target
projects to
reduce
ASH
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Process
 Establishment 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 Porirua
 If all of primary and
 Link to current work eg
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
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 Porirua
 Local 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
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Advisory group
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 streams
 Improved self management and resilience
 A well start to life
 Improved access to primary care in Porirua East
 An aligned interagency response
 Supportive environments
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Insert key priorities here
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More information
 http://www.msd.govt.nz/about-msd-and-ourwork/work-programmes/initiatives/socialsector-trials/index.html
 Ranei Wineera-Parai, Porirua Lead
[email protected]
 Compass Health web site (UD)
Insert key priorities here
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