We have a new name To better describe the services we provide, the team has been renamed. Formerly the Canterbury Initiative Support Services (CISS), we are now the Integrated Services team, encompassing the Integrated Respiratory Service and Integrated Diabetes Service.
We are a joint initiative of the Canterbury District Health Board and general practice in Canterbury. We support a clinically-led way of working which focuses on increasing access to care for patients by delivering assessment and treatment in the community when possible, and by focusing hospital capacity on treating more complex needs.
It focuses on:
- Joint general practice and hospital clinician design of integrated clinical pathways
- Keeping people well and out of hospital
- General Practice-led with specialist support as required
- Empowering general practice to be more effective.
Community Respiratory Service
The Community Respiratory Service helps patients receive spirometry, sleep assessments, education and pulmonary rehabilitation by making them available from approved general practitioners or at the patient’s general practice by the mobile respiratory nurse facilitators. Pulmonary rehabilitation courses are held in various locations in the community. A Community Respiratory Physician is available for advice, case review and practice staff education.
GP Subsidised Procedures
General practice teams have been upskilled in a number of procedures – to date these have included starting insulin, newly diagnosed diabetes, skin cancer/melanoma excisions, gynaecology procedures, sleep studies, musculoskeletal steroid injections and aspects of child health. GPs who have attended these training sessions have been able to remove previously-referred patients from the hospital waiting list and treating in primary care.
GP Liaison Service
Motivated and passionate GPs are part of a team that link primary care with hospital services. Linking with key individuals (clinical and management) and key groups is an important focus. The three objectives of the service are to: improve outcomes for patients, improve patient access to service and improve patient flow through services.
This community-based service operates from general practice settings and uses spare clinic capacity in strategic locations to help rural and urban patients and general practice teams with musculoskeletal expertise and training.