Primary healthcare news, information & resources


Health Care Home


In our daily work, we increasingly encounter challenges due to the limited supply of resources available to the health sector and the increasing demands. At all levels, New Zealand health professionals - clinicians and managers - recognise that we need to work differently if we are going to deliver responsive, efficient and effective health services to our communities.

In the Midland region, general practice is already working at capacity to meet patient demand and the increasing complexity of their health needs. Forecasts show that this demand will increase at the same time our general practice workforce capacity will decline. We must address how primary health care systems, processes and structures work in order to lift our productivity. We need to care for more patients and deliver better outcomes within the resources that are available to us. We need to do this in a way that also cares for the well being and job satisfaction of the people delivering primary health care services.


What is Health Care Home?

Midlands Health Network's model of care has been designed to address many of the issues and pressures facing New Zealand's health care system today. It sets out five key strategies:

  1. Expanding the current general practice team
  2. Improving access to services through a Patient Access Centre
  3. Developing system-initiated contacts to provide proactive health care
  4. Increasing the number and nature of virtual consultations
  5. Implementing strategies to streamline the patient experience

These strategies improve the patient's experience of the health system and shift primary health care onto a more sustainable footing. The model of care puts the patient and their needs are at the centre of the care, and the general practice team maintains a common focus on simplifying and enhancing the patient's journey through the health system.

The result is a more comprehensive and cohesive system of health care that makes best use of available resources, funding and time. Health care will be more proactive, responsive and effective, with members of the general practice team having the time and information they need to provide the best possible care. Patient compliance, engagement and trust in their health care team will increase, and it is expected so will clinical outcomes for the population as a whole. Acute demand for secondary care services is also expected to reduce, as people's health needs are dealt with more effectively at the primary care level.

You can read more about the model of care in the following publications:

Model of Care Report

Integrated Family Health Centres


Watch our model of care video



Roll out of the model of care across the network

Implementation of phase one of Midlands Health Network's model of care began in 2011 at three selected proof of concept sites in Hamilton - NorthCare Grandview Road, NorthCare Pukete Road and NorthCare Thomas Road.  In total, six proof of concept sites are now in various stages of implementation with more to follow.

You can find out more about Midlands Health Network's model of care in the reports listed above.  We also have a snapshot of the model of care to date.


Contact us for more information

For more information, please contact Helen Parker, Integrated Family Health Services general manager by emailing helen.parker@midlandshn.health.nz

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