The purpose of the Manawanui Whai Ora Kaitiaki(MWOK) programme is to walk alongside and empower individuals, and their whanau, who have Long term Health conditions (LTC) to successfully self-manage their conditions.
CM Health is in the pilot phase of our Enhancing Primary Care programme. Working collaboratively with our primary health organisations (PHOs) and nine general practices, the programme creates a more sustainable model, which will release capacity in general practice teams to support more planned proactive care for our patients with complex health needs.
Personalised care planning aims to ensure that people with long term conditions are more involved in decisions about their care through a care planning discussion. This focuses on what is important to them with goal setting and the provision of information and support for self care. Care planning aims to address wider, holistic needs which should open up wider choices including services to support self care or services to meet other needs such as social or psychological.
The Flinders Programme is an evidence-based approach that provides a structured, holistic approach to partnering and planning care with patients/clients that is person/family-centred and supports effective behaviour change.