Primary Health Organisation Service Agreement Amendment Protocol (PSAAP)
PSAAP is a forum that has the mandate to agree changes to the Primary Health Organisation (PHO) Services Agreement.
It includes representatives from all DHBs, PHOs, General Practices and the Ministry of Health, and we:
- support the DHBs’ negotiations with advice and insights from across the health sector
- provide secretariat support.
The PSAAP protocol provides a framework for these organisations to work collaboratively. The protocol:
- sets out accountability, consistent approaches and roles and responsibilities
- provides the forum to implement the Government’s primary care priorities
- enables services to be provided on a ‘best for patient and best for system’ basis.
Agreements
Below are the current documents regarding the current PHO Services Agreement. Documents related to COVID-19 are now on the Primary Care COVID-19 page.
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System Level Measure payments: quarter four performance payment [150kb] The final quarter four performance payment has been brought forward to 15 June 2020 25 May 2020 |
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Systems Level Measure payments [92kb] Information on annual payments from DHBs to PHOs 20 April 2020 |
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2020 Influenza Immunisation Campaign Letter [80.8kb] 16 March 2020 |
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Supporting memo outlining changes from Version 5.1-Version 6.0 [149kb] October 2018 |
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PSAAP Negotiators’ Letter of Intent [865kb] October 2018 |
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Alliance Leadership Team charter final [64kb] May 2013 |
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PHO Back to Back Agreement (2020) [64kb] December 2020 |
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Buddle Findlay guidance about the Back to Back template [171kb] December 2020 |
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PSAAP Protocol V4.2.16 12 May [361kb] June 2016 |
Referenced documents
Referenced Documents support PHO and General Practice operations, and are part of the PHO Services Agreement.
These documents are identified in Schedule B3 of the PHO Services Agreement.
Technical specifications
Below are the technical specifications that are Referenced Documents.
Business rules
Audit
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PHO Service and Quality Audit Protocol V1.0 [125kb] January 2010 |
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Primary Health Organisation Audit Protocol – Financial, Claiming & Referred Service V3.1 [125kb] January 2019 |
Other Referenced Documents
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PHO Services Agreement Amendment Protocol [243kb] March 2019 |
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Reporting Requirements [119kb] June 2014 |
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Daily Record Laboratory Imaging and Pharmaceutical Requirements [119kb] September 2015 |
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June 2006 |
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Indicator definitions v7.0 (July 2015) Final [1.2Mb] August 2015 |
Fees review documentation
The DHBs and PHOs in each region have established a Fee Review Committee. The Committee's role is to make recommendations about whether increases to standard General Practitioner consultation fees (that are formally referred to it under the PHO Services Agreement) are fair and reasonable to patients and providers.
Fees templates that apply from 1 July 2022
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Fees Review Financial Information template (Excel spreadsheet) 4 August 2022 This template will help GPs and PHOs with their formal fees review applications by identifying key financial information. |
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Co-payment adjustment template - OPTION A - Intro- CSC Capitation Version [158kb] 16 June 2022 |
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Co-payment adjustment template - OPTION A - CSC Capitation Version [144kb] 16 June 2022 |
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Co-payment adjustment template - OPTION B - Intro- CSC Capitation Version [144kb] 16 June 2022 |
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Co-payment adjustment template - OPTION B - CSC Capitation Version [137kb] 16 June 2022 |
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Fees Template Instructions 2022-2023 [176kb] 16 June 2022 |
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Annual Statement of Reasonable GP Fee Increases 2022-2023 [762kb] 16 June 2022 |
Supporting documents
The referenced document Enrolment Requirements for Providers and Primary Health Organisations, which is also below, outlines the enrolment procedures and requirements.
Enrolment
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Certification of PHO Enrolment Register Form V1.1 [97kb] September 2009 |
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Certification of PHO Enrolment Register Form – Contracted Providers June 2008 [100kb] September 2009 |
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Enrolment Toolkit For PHOs – May 2011 [761kb] April 2011 |
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August 2013 |
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Summary Enrolment Information for Practice Staff May 2011 [541kb] May 2011 |
Forms
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November 2018 |
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PHO Enrolment Appeal Form [51kb] September 2013 |
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Use & Confidentiality Of Your Health Information (fact sheet) - Appendix 5 [92kb] May 2018 |
The Eligibility Direction from the Ministry of Health came into effect in April 2011 and sets out the eligibility criteria for publicly-funded health and disability services in New Zealand:
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April 2011 |
Other supporting documents
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Capitation-based Funding User Manual V1.0 [471kb] April 2004 |
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Capitation-based Funding Stabilisation Information Pack [303kb] September 2009 |
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March 2019 |
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Capitation-based Funding External Error Messages [402kb] February 2007 |
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Clinical Performance Indicators Data Transfer Specification V5.6 [697kb] March 2019 |
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Data Format Standard: Clinical Performance Indicators V2.3 [346kb] March 2019 |
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Data Format Standard Service Utilisation Reports V1.7 [319kb] March 2019 |
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Primary Care ethnicity data audit toolkit June 2013 |
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Template for PSAAP Papers [56kb] September 2021 |
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VLCA Case Studies PSAAP report [482kb] August 2013 |
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Improving Māori Health – a Guide for PHOs (June 2004) [419kb] September 2016 |
Historical agreements
Below are historic PSAAP Agreements and documentation relating to the PSAAP Agreement: