Overview

Overview

This guidance document provides an overview of the primary care led clinical model for patients with COVID-19 in the Bay of Plenty. This is a compilation of both national and regional guidance that has been localised for the Bay of Plenty. It will be continuously updated as more information comes to light. This guide, and it’s updated versions, will be available for download on the PHO Covid Portal Page http://portal.wboppho.org.nz/covid-19/ Content for this guidance document has largely been drawn from the COVID-19 Case Management in Adults pathway provided on the Midland Health Pathways portal. This pathway can be accessed here: https://midland.communityhealthpathways.org/728651.htm Username: midlanduser Password: midlandpassword

The community care, welfare, home and community, mental health and disability support needs of the household/whānau are organised alongside the COVID-19 Primary Care Clinical Model. This organising function is in the form of a community ‘hub’ for health and social supports managed through the DHB. This COVID-19 Case Management in Adults pathway is the current version that general practice teams in the Auckland region are using to manage COVID-19 patients in the community. Clinical expertise and capacity in the primary care sector is utilised to keep people well in their homes (where appropriate to do so) and reduce demand on secondary care resources (eg. hospitals). The model focuses on reserving specialist resources in primary and secondary care to manage complex conditions and cases.

The Ministry of Health is leading the ongoing development of this pathway. Work to date has been informed by overseas models such as the RPA Virtual Hospital in NSW Australia and Ontario Canada, and local models (NRHCC, CDHB, SDHB) across New Zealand. The BOP DHB continues to work with the Ministry of Health on the supporting resources, timing, and processes required to adapt this pathway for our region’s local needs. Consequently, it is expected this guidance document will either be shortly replaced by a national Ministry of Health guide, or continuously updated as more information comes to light. Key websites to refer to for updates are: Midland Community Healthpathways https://midland.communityhealthpathways.org/728651.htm Ministry of Health https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novelcoronavirus/covid-19-information-health-professionals/covid-19-primary-care