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Roadside to Bedside - A 24-Hour Clinically Integrated Acute Management System for New Zealand

Date of publication: March 1999

Minister's Foreword
New Zealanders want to know that when they have an accident or a medical emergency they will receive the right care, at the right time, in the right place, delivered by the right person. This document provides New Zealand’s health providers and funders with a high-level accident and emergency, or acute management, framework that will ensure this aim continues to be achieved.

In 1998 the Government released the Hospital Services Plan and a draft Rural Health Policy. The Hospital Services Plan set out clearly how hospital services are organised. It also provided certainty to communities by confirming that the current availability of services would remain in place for three years.

The draft Rural Health Policy signalled the Government’s ongoing commitment to the health of rural New Zealanders. It is a recognition that in rural areas, distance, geography, small populations and the limited availability of providers can make access to health services difficult.

This document complements the Hospital Services Plan and the draft Rural Health Policy by recognising that people’s urgent treatment needs are best provided when health providers work together. One of the key elements of the framework is the establishment of regional networks. This means that wherever urgent health needs arise, a network of providers will ensure the quickest possible access to the most appropriate place of care.

The development of the framework described in this report has been made possible by the interest and commitment of a large number of health providers and organisations. I look forward to receiving the assistance of health funders, providers and community groups as the framework moves from a concept to an implemented strategy.

Every New Zealander needs to have access to 24-hour acute and emergency health services. I assure New Zealanders that the Government is committed to implementing the strategies outlined in this document to ensure a safe and effective backbone of these services throughout the country.


Wyatt Creech
Minister of Health




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