On this page you'll find information outlining the system achievements for infrastructure as part of the health system reform implementation roadmap.
Horizon 1 – Financial year 2022-2024
- Infrastructure operating model implemented
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Responsible Agency: Health New Zealand
Context
The right health infrastructure needs to be in place in order for the clinical workforce to deliver care safely and effectively, and for people to receive high-quality care. The health reforms provides the opportunity to develop a unified model for health infrastructure management with clarity on the roles and functions at the national, regional, and local level. Enhanced management of health infrastructure is also one of enablers for the delivery of the five system shifts set out by Te Pae Tata.
The Infrastructure Operating Model was approved by the Te Whatu Ora board and published in October 2022 as the teamwork towards National responsibility for the delivery of all capital projects and capability for management and oversight of all programmes.
What has been achieved
Implementation is underway on the Infrastructure Operating Model as the information and investment group progress the organisation’s structure change process. Projects funded through the Health Capital Envelope are all actively monitored and reported to the Board and Ministers on a monthly basis.
For major projects and programmes, project Governance arrangements are in place and individual projects resourced.
More information
- Infrastructure Operating Model – 21st October 2023 - Te Whatu Ora
- Te Pae Tata – Interim New Zealand Health Plan 2022 - Te Whatu Ora
- New Governance Arrangements for Health Infrastructure - Te Whatu Ora
- Approved Projects - beehive.govt.nz
- The Regional Hospital Redevelopment Programme (RHRP) - Te Whatu Ora
- Mental Health Infrastructure Programme (MHIP) - Te Whatu Ora
- Mental Health Infrastructure Programme Review - Te Whatu Ora
- Project Whakatuputupu – New Dunedin Hospital - Te Whatu Ora
- Enhanced capital settings and delegations in place
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Responsible Agency: Health New Zealand
Context
Efficient decision making for capital settings is required. Health New Zealand will make the investment decisions required to deliver the required work programme for the health reform. This will give Health NZ the autonomy to make investment decisions and enhance our ability to deliver our work programmes in order to enable the health reforms to be achieved.
What has been achieved
Enhanced asset management and investment planning enabled, with:
- Asset management policy and strategy reflected in corporate expectations
- Governance structures in place
- Optimised decision making applied to capital asset programmes including basic asset management plans and systems are in place
- Regular reporting against the Investment Monitoring Framework
- Delegations in place reflecting national model and asset management approach
More information
- Enhanced management of infrastructure delivery (operating model)
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Responsible Agency: Health New Zealand
Context
To enhance the management of infrastructure delivery in order to enable clinical services and our workforce to provide equitable, accessible and high-quality care to ensure the health reforms are achieved. Without the ability to enhance our delivery, the health reforms will be compromised or not achieved.
What has been achieved
The structure and enhanced investment and asset management is implemented. Including:
- The governance framework fully implemented and aligned to Te Waihanga guidance
- SROs assigned to major projects
- Collaborative delivery framework and tool
- Delivery strategy
More information
Achieved
- Infrastructure investment plan for 2023-2024 completed
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Responsible agency: Health New Zealand
Context
The infrastructure investment plan establishes a national position on the capital investments required to support the goals of the health system. It enables the development of a long-term perspective on the relative priorities and sequencing of investment in facilities to support future service delivery.
What has been achieved
The Infrastructure investment plan for 2023-2024 has been completed
- National infrastructure operating model agreed
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Responsible Agency: Health New Zealand
Context
To develop an integrated operating model across the infrastructure function that establishes the structure, systems and processes to improve efficiency and lift performance. This will also require investment in upskilling the IIG workforce in order to shift previously outsourced work programmes in house (for example the Better Business Case process) in addition to other work programmes.
In 2022 new capital settings were agreed in SWC-22-MIN-0063 to provide progressive autonomy to manage the scale and complexity of the health investment and asset portfolio.
What has been achieved
Health NZ now has an agreed national infrastructure operating model that empowers them to take a nationally led view of investment and asset management across infrastructure. A national view will make health infrastructure delivery faster and more efficient by standardising Health NZ infrastructure planning, design, decision making and delivery processes. Health NZ’s national infrastructure model is bringing together knowledge from across the country, people that understand health facilities and patient needs, creating a centre of expertise that provides leadership and guidance to the system. Health NZs Infrastructure and Investment Group now has its senior leadership team in place, and further implementation of the structure is underway.
More information
- National asset management plan and infrastructure investment plan in place
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Responsible Agency: Health New Zealand
Context
Getting health infrastructure right is crucial to enabling our clinical workforce to deliver care safely and effectively, and for people to receive high-quality care.
The health reforms and the bringing together of health infrastructure management by establishing Health New Zealand which provides the opportunity to develop a unified model for health infrastructure management with clarity on the roles and functions at the national, regional, and local level. Enhanced management of health infrastructure will be one of enablers for the delivery of the five system shifts set out by Te Pae Tata.
What has been achieved
The creation of Health New Zealand has enabled a picture of the country’s entire public health estate to be developed and has provided the opportunity to take a national perspective when prioritising infrastructure investment. Health New Zealand has undertaken maintenance and investment planning for the public health estate in order to best support the delivery of health services across the country.
The draft Infrastructure Investment Plan sets out a national approach to investment in health infrastructure and the timeline for their planning and delivery. The draft National Asset Management Strategy – Infrastructure proposes how public health infrastructure is managed and maintained to ensure clinical service delivery is maximised.
Both the National Asset Management Strategy and the Infrastructure Investment Plan are expected to be considered by Cabinet in Quarter 1 FY 2024/25, and their public release will be subject to Cabinet approval.
Work continues on how these plans will be implemented, focusing on priority investments required to address any facilities with critical risks to ensure these are addressed.More information