Mental Health Services Productivity Improvement: Best Practice Review

Mental Health Services Productivity Improvement: B…
01 Aug 2014

This report was commissioned to focus on improving the productivity of adult community mental health services by identifying successful strategies for achieving productivity, including overseas and locally. This report was prepared using a literature search and interviews, synthesis and analysis of this information, and review of the draft report by a reference group.


The purpose of this report is to inform any future actions by DHB clinical directors and general managers pursuing productivity improvement. Many DHBs and NGOs already have productivity initiatives underway.  There is a desire to take a more collaborative approach and avoid duplication of effort to implementing productivity initiatives.  Hence, the commissioning of this work funded by the Ministry of Health via the Mental Health Commissioner to Ko Awatea. 


An expert advisory group nominated by DHB MH&A services clinical directors and general managers was established to develop the scope of the project and provide feedback on the draft report. 

Expert Advisory Group

Robyn Byers (Chair), Nelson Marlborough DHB

Frank Rawlinson, Whanganui DHB

Jeanette Wylie, Mid Central DHB

Joanna Jastrzebska, Tairawhiti DHB

Tess Ahern, Counties Manukau DHB

Clive Bensemann, Auckland DHB and Chair National MH&A Service  KPI Group

As a first step to completing this report, a request for literature on productivity was made to the Counties Manukau Health Library.  The results of their search led to the identification of 11 resource websites, 46 reports and approximately 82 abstracts (some of these were duplicates). The abstracts and websites were appraised.  A total of 75 reports were reviewed to inform this report.

The search strategy was to search several databases using two search topics:

  • Productivity and improvement
  • Productivity improvement measures for health care services, especially mental health.

The databases searched with the limits of English language and year coverage 2010-2014 were:

  • Medline
  • PsycInfo
  • Proquest Health and Medical Complete
  • Proquest Nursing and Allied Health

The library also did a manual search of internet sites relating to productivity and health sector productivity covering the NHS, Australia, Canada and the USA.

In order to supplement the literature with current experience and advice about mental health productivity initiatives in New Zealand, meetings or phone conversations were held with the following key informants between 28 May and 17 June 2014. 

Key informants: interviewed

John Crawshaw, Ministry of Health

Helen Wood, Waitemata DHB

Toni Gutschlag,  Canterbury DHB

Robyn Shearer, Te Pou

Clive Bensemann, Auckland DHB

Barbara Disley, Richmond Fellowship

Tess Ahern, Counties Manukau DHB

Virginia Endres, Waikato DHB

Francois Rawlinson, Whanganui DHB

Emma Wood, Te Pou

Rees Tapsell, Waikato DHB

Jane O’Malley, Ministry of Health

Jeff Bennett, Waikato DHB

Derek Wright, Recovery Solutions

Rebecca Merrington, KPI Forum

Paul Ingle, Platform

Note that there were others key informants who were approached but were unable to contribute due to a variety of reasons.

Page last modified: 08 Aug 2018