Health Care Home

What is Health Care Home?

The Health Care Home model is designed to deliver an improved and more sustainable primary care service in New Zealand.  It enhances a patient and whanau experience, creates a more attractive working environment for the workforce and supports better value for the health dollar.

The Health Care Home improves care over four core domains of health care:

  • Improved sustainability
  • Ready access to urgent and unplanned care
  • Proactive care for those with more complex needs
  • Better routine and preventative care



The New Zealand based Health Care Home model was originally developed and piloted through Pinnacle Midlands Health Network.

A national Health Care Home Collaborative has developed a HCH Model of Care framework in the form of a maturity matrix, a credentialing and certification process and a national dataset to measure practice and System level outcomes for Health Care Home practices.

The membership of the National Collaborative is growing and now includes 16 Primary Health Organisations and six DHBs and supporting organisations include GPNZ; RNZCGP and the DHB National CEO group.

Implementing a Health Care Home (HCH) model in the Nelson Marlborough region is a top priority for the Top of the South Health Alliance and is being implemented district wide through Marlborough Primary Health and Nelson Bays Primary Health in partnership with Nelson Marlborough Health.


Many Practice Teams are likely to be already innovating in some or many of the areas that are included  in the HCH model of care but as a package, the HCH model supports practices to achieve specific outcomes through a comprehensive supported change programme.

Health Care Home Model of Care Requirements

The Health Care Home model of care requirements offers a national framework to help PHOs, practices and providers adopt and develop the Health Care Home model. These requirements formalise the journey through a maturity matrix and benchmarking measures.

Click the booklet above to download your own copy of the requirements booklet.


For further information contact:

Health Care Home Facilitator Lead: (District Wide)
Rachel Dalgleish

Cell: 021-933-209
DDI: 03 928 4188


Marlborough Primary Health


Health Care Home National Collaborative

The Health Care Home National Collaborative was formed in 2016 to support the establishment and ongoing development of the Health Care Home Model of Care across New Zealand and ensure consistency in its adoption. The New Zealand Health Care Home Collaborative is a network of DHBs, PHOs and practices who are on the Health Care Home journey. The Network supports member organisations to improve patient services, increase efficiency, and expand staff roles.

Find out more –


What does it mean for me and my practice?
Patient benefits from this model include:

  • Alternatives to the traditional face to face practice visit saving them time
  • Easier access to their clinical team
  • Access to an online portal to access services 24/7
  • Greater service choice 
  • Improved access to care when it is urgently needed
  • Proactive support to keep them as well as they can be
  • Better support and management of ongoing health conditions
  • An opportunity for their voice to be heard about how services are delivered
  • A calm, quiet practice environment
Practices are benefiting from:

    • A calmer working day by managing acute demand more effectively
    • Time and resources to care for the more complex patients well
    • Additional roles in the team spreading the workload more effectively
    • Improved business efficiency
    • Support from change management experts and significant suite of resources
    • Joining a community of like-minded individuals for support and shared learning


Information & Newsletters

  1. 13 November 2019  First year in review Nelson and Marlborough
  2. 15 May 2018
    An update on patient portals at Karori Medical Centre, Wellington
  3. 7 May 2018
    Pinnacle Health Care Home evaluation – updated analysis just released
  1. 20 April 2018

This month 12 General Practices from across New Zealand were officially certified Health Care Homes, in the inaugural certification for this new model of care. The Health Care Home model is designed to ensure primary care remains fit for the future; able to cope with increasing demand, an aging population and workforce challenges whilst at the same time delivering improved patient outcomes and satisfaction.

HCH National Collaborative Practices Certified
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4. 18 April 2018

HCH Issue 2_Newsletter-Collaborative-April-2018
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Patient Journey Link here

Roll out to the Nelson/Marlborough region

General Practice teams from across the Top of the South district who are interested in becoming a Health Care Home Practice, by utilising the HCH model as a framework for quality improvement and change management, join the HCH Programme through an expression of interest process.

Practices currently implementing the HCH Model include:

Tranche One – commenced August 2018  Stoke Medical Centre; Greenwood Health; The Doctors MotuekaCivic Family Health, Omaka Medical Centre
Tranche Two A – commenced July 2019  Tahunanui Medical Centre, Mapua Health Centre, Golden Bay Community Health CentreSpringlands Health
Tranche Two B – commenced January 2020  St Luke’s Health Centre, Wakefield Health Centre, Harley St Medical, Toi Toi Medical, Medical and Injury Centre