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Care Capacity Demand Management

What is Care Capacity Demand Management (CCDM)?

The CCDM Programme is a set of tools and processes that help DHBs better match the capacity to care with patient demand.

Getting the balance right between patient demand and staff capacity means DHBs can improve the quality of care for patients, the staff working environment, and use health resources in the best possible way.

CCDM toolkit

If you're a CCDM site coordinator, a member of a health union, programme consultant, or have an interest in CCDM, check out our website

The website provides:

  • Information sheets on each component of the programme
  • Self-directed PowerPoint presentations, for a quick 15 minute overview of each component
  • Roadmaps that show who needs to be involved in the programme, and their role.

Why was CCDM developed?

The Safe Staffing Healthy Workplaces Unit (SSHW) in partnership with the DHBs and health unions, developed CCDM. Initial recommendations for the programme came out of the Safe Staffing Healthy Workplaces Committee of Inquiry Report, 2006.

The Government’s accord, signed with the Nurses Union and District Health Boards in August 2018, puts safe staffing levels as a top priority for nurses and DHBs. 

What does it involve?

The CCDM Programme has four main components:

  1. CCDM governance is a permanent group that meets regularly. They monitor CCDM implementation and monitor safe staffing in partnership with the health unions.
  2. The core data set is a set of 23 measures. Groups from the ward to the CCDM Council monitor how you are doing, using these measures.
  3. FTE calculations are an annual method for generating a recommended roster and budgeted FTE. The roster is based on patient acuity and the calculation includes the MECA entitlements and allowances.
  4. Variance response management is about responding on the day to changing patient demand. It includes an operations centre, electronic screens, staff early warning system and standard operating procedures.