Care Capacity Demand Management programme

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CCDM-logo.jpgCare Capacity Demand Management (CCDM): Safe Staffing, Healthy Workplaces programme is a programme run in partnership with district health boards (DHBs), the New Zealand Nurses Organisati​on (NZNO), the Public Service Association (PSA) and the Midwifery Employee Representation and Advisory Service (MERAS).

CCDM is about better matching staff resources to patient demand to improve patient care, support a healthy and sustainable work environment and make best use of health resources. 

CCDM workstreams

The CCDM programme has four main components with an over-arching governance structure:

  • Patient Acuity - staff use a validated acuity software tool, TrendCare, for inputting data on the intensity of nursing or midwifery care required by a patient, for each shift, so we have a clear view of the patient acuity demands for every ward and area.
  • Core Data Set – reviewing how well we're doing against specific measures around quality patient care, a quality work environment and making best use of health resources.
  • FTE Calculation looking at full-time equivalent (FTE) and skill mix requirements.
  • Variance Response Management or forecasting and responding to daily demand.
    CCDM Nursing.jpg​ 

​Having accurate data through TrendCare means we have clear, real-time information on whether areas need added support and how that may be provided, and in the long term, that we have robust and transparent information on patient needs and staff capacity trends to work out where we need our resources. The data TrendCare captures will help the DHB with calculating nursing and midwifery FTE, recommended skill mix, forecasting for staffing needs, and rostering profiles.

CCDM is governed by a Council made up of senior DHB leaders and union representatives, with working groups of staff and union representatives contributing to variance response management, core data set and FTE calculation workstreams, and an acuity and workforce management steering group helping implement TrendCare. Local data councils also work on the core data set and quality improvement initiatives. The CCDM governance councils (organisation and ward/unit) ensure that care capacity demand management is planned, coordinated and appropriate for staff and patients. If you are interested in joining a working group or data council please talk to your manager.

Background to CCDM

Safe staffing is a national priority, as agreed to in the Government's accord signed with the Nursing and Midwifery Unions and all DHBs in 2018. Read more about the background to the Safe Staffing Healthy Workplace Unit that developed the national CCDM programme. This has been widely adopted by New Zealand DHBs and following the 2018 MECA agreement for nursing and midwifery staff this is mandated to be implemented by June 2021 by all DHBs.

Canterbury DHB is lucky to be able to draw on the experience of past implementations of CCDM over the last 10 years by other DHBs and apply lessons learned. ​

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Key contacts

For general enquiries and feedback 
talk to CCDM Champions, your
manager or email 
CCDM@cdhb.health.nz

Janette Dallas, Nursing Director
CCDM Janette.Dallas@cdhb.health.nz

Margaret Burns, Nurse Coordinator
CCDM Margaret.Burns@cdhb.health.nz or 021 583 177

Alistair Cree, Business Systems
Analyst Alistair.Cree@cdhb.health.nz



Page last reviewed: 12 November 2019