History
This comprehensive secondary hospital was opened in 1985 and is modern and well equipped. Health and disability services provided include: acute medicine, general surgery, orthopaedics, mental health & addiction services, gynaecology, obstetrics, child health, intensive and coronary care, assessment and rehabilitation, emergency department, laboratory, radiology, physiotherapy, dietetics, Orthotics, occupational therapy, audiology, social work, domiciliary care and palliative care.
Tairawhiti District Health is committed to the needs of Maori who make up 65 percent of admissions to Gisborne Hospital. The application of a cultural audit tool across the hospital enables staff to develop a Maori health focus and respect the tikanga of Maori patients. This is supported by the organisational Bi cultural and Treaty of Waitangi policies endorsed by the Board.
Gisborne Hospital has medical staff on site at all times. The medical officer is supported by an after-hours and weekend call roster of senior medical officers. Tairawhiti District Health has established systems for tertiary support and clinical backup with Waikato Hospital, Auckland Hospital and Starship Hospital. This includes clinical advice and urgent transfer if required.
Twenty-one District Health Boards were established in New Zealand in 2001 of which Tairawhiti District Health is one. The District Health Board funds, and ensures the provision of services for those in need of personal health and disability services across all service areas, except Public Health and Disability Support Services for people under 65 years of age. The role of the Board is to work to improve the health outcomes and enhance the health status of the population it serves.
Primary health care services and community-based care are delivered through providers such as Primary Health Organisations, GP's, Maori health providers and disability support providers that are funded by Tairawhiti District Health.
District Health Boards receive their funding using a weighted population based funding formula.
Located in Gisborne, New Zealand, Tairawhiti District Health (TDH) is a crown entity, established on 1 January 2001.
TDH is responsible for funding and ensuring the provision of health services for those in need of personal health and disability services. This work is done in the community and from Gisborne Hospital, Ormond Rd, Gisborne.
“Working together, to elevate the wellbeing of Tairawhiti.
Mahia nga mahi i roto i te kotahitanga kia piki ake te oranga o te Tairawhiti."
TDH's role is threefold, namely Owner/Governance, Funder, and Provider of public health and disability services.
The Health District (Tairawhiti) is coincident with the Gisborne Regional District. It has a population of approximately 44,000 and is sparsely settled, with the majority of the population living in Gisborne City. A major demographic feature of the area is the high proportion of Maori who make up 44 percent of the total population.
The area is geographically remote and enjoys high sunshine hours. Many fine beaches allow a relaxed outdoors lifestyle. Major industries are centred on horticulture, wine production, farming, forestry, fishing and their related services.
TDH has identified the following values that will be maintained in its role of owner, funder and provider, operating as part of the state sector:
Wellbeing extends beyond health care. The concept of wellbeing is a central value statement and the goal of all activities should be to promote and improve the wellbeing of the community. Wellbeing includes the concept of increasing participation of disabled people within society.
Between Tairawhiti Maori and the Board of TDH.
To ensure that health and disability services in Tairawhiti are well co-ordinated and interact effectively together and across sectoral boundaries ensuring that gaps are eliminated and resources are well utilised.
Personal: To empower and enable people of Tairawhiti to determine their overall wellbeing.
Collective: To encourage active community participation in determining the range of health and disability services available.
Using the New Zealand Health, Disability, Maori and Primary Care Strategies and other living documents, TDH will endeavour through active community participation to be responsive to identified local needs and for there to be meaningful community consultation that is participative, open and honest. There should be a common process of involving and informing people.
To meet and exceed projected outputs within available financial resources.
This model puts the people of Tairawhiti at the centre of care. This can represent:
Patients
- as individuals
- as groups
- the community collectively
Staff
- as individuals
- as professional groups
- as services and departments
Key Stakeholders
- other providers
- central governing agencies.
This model formally adopts the concepts of Te Whare Tapa Wha described by Mason Durie (1994) to ensure that physical, emotional, spiritual, and family needs are considered when providing care.
The dimensions of quality that are the core standards for health care both in New Zealand and internationally have been incorporated to demonstrate the integration of these standards in what we do every day. The directional arrows demonstrate that this is a continuum and supports continuous quality improvement.
The Treaty of Waitangi principles of protection, partnership and participation form the base of the model.
- Protection of wellbeing can be assured through providing appropriate, accessible and safe health care
- Effective and efficient care is best achieved when all involved seek to reduce waste and duplication by working in partnership with each other
- Care that is responsive and continuous occurs when there is active participation by all involved.
Guiding Principles
Work to contribute to whanau ora for Maori and all people in Tairawhiti
- Improve quality, safety and accessibility of health and disability care
- Care for patients, staff and providers to the best of our ability
- Enhance wellbeing by reducing health and disability inequalities.
TDH has a Board and three statutory advisory committees, which are responsible for the overall governance and direction of the District Health Board. The Board must govern within national frameworks that have been set by the Government.
The funding arm of TDH is called Te Puna Waiora. This team is responsible for assessing the health needs of the people of this district, undertaking appropriate service planning, and then funding health services in the area according to the level of need.
Gisborne Hospital provides health and disability services for a large area of the East Coast of the North Island of New Zealand, stretching from beyond Hicks Bay in the north to the Wharerata Ranges in the south. Services are provided from Gisborne Hospital, the Healthy Environments/Healthy Population team, community mental health facilities and rural health facilities, as well as directly to people in their homes.
Key Health and Disability Issues
- Whanauora
- Child and Youth Health
- Lifestyle
- Mental Health and Addiction Services
- Older Peoples Care
- Efficiency
- Collaboration
- Quality and Risk
- Workforce
- Disability Awareness
1. Provide an emergency response capability for level 4 health services that require acute intervention.
2. Provide disability support services where there is a potential for significant health status change through rehabilitation or co-ordination of services to meet specialised need.
3. Provide services that promote well being and reduce the burden of ill health.
4. Provide other health services where this is consistent with the TDH vision.
We provide:
- Dental services for paediatric cases and people with disabilities.
- Anaesthetics including acute and chronic pain management, comprehensive pre-admission assessment, intensive care and ventilation management, and Palliative Care services.
- Medical sub-specialties including dermatology, oncology, cardiology, neurology, renal, are delivered by visiting specialists. A local chemotherapy service is also available.
- General Surgery including vascular surgery, urology and lithotrypsy.
- Obstetrics & Gynaecology
- Ophthalmology
- Orthopaedics
- Otolaryngology
- Paediatric Medicine and Surgery (in all specialities above)
To support the above speciality services Gisborne Hospital has comprehensive support services including:
1. A comprehensive range of diagnostic services
2. Intensive care and coronary care services
3. Visiting tertiary services including plastic surgery, maxillo-facial acute injury diagnosis, neurology, nephrology, oncology, dermatology, lithotripsy and rheumatology.
These specialists are supported by a team of experienced theatre, ward and intensive care nurses of 180 full time equivalents (FTE).
Gisborne Hospital also provides a full range of allied health professional services, including physiotherapy, occupational therapy, social work, speech language therapy, neuro developmental therapy for children, orthotics and medical psychology.
Within the hospital environment a team of clerical and administrative support staff provide the range of data management and patient support required to support the experience of patients. The holistic needs of the patients are further supported by a hospital chaplaincy service, Maori health liaison and language interpreter services.
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