Primary Options Acute Demand Management Service

The Primary Option Acute Demand Management Service (POADMS) is delivered by Manaia PHO across Northland to 34 General practice teams. 

Significant limitations of the previous POPNs service included: restriction to fixed pathways for specific acute conditions; not being data or system led in determining the allocation of resourcing; access being limited to the Service from secondary care services; ineffective funding levels to make an impact at a system level; narrow focus on primary care. 

Over the last year the program has undergone a full evaluation and stakeholder engagement across the health system.  As well as opportunities seen in an ED setting, there is also significant demand and unmet need within a primary and community setting.  Coupled with our increasing aging population, significant health inequities and demand fuelled growth it becomes imperative for a new model moving forward. 

In November 2018 a new enhanced model was implemented in a soft launch which has extended the program through collaborative funding from both Te Tai Tokerau PHO, Manaia Health PHO and Northland DHB.   The service principles are to focus on reduction of health inequities across the Northland population; and understand the burden of disease experienced by vulnerable population groups such as Maori, older people, those living in low decile areas and children. 

The service is a high trust, low bureaucracy approach to accessing funds from primary and community care through the fair funding policy.  Packages of care are flexible and draw across the health and social care spectrum to ensure that the patient’s acute needs are met.