The centralAlliance is a collaborative agreement between Whanganui and MidCentral District Health Boards to maximise their resources and knowledge.

The Foundation Agreement was formalised in August 2009. This agreement drives the two DHBs' efforts to develop clinically-led, collaborative health services and more effective and efficient shared support services with common objective being to achieve improved health outcomes for their DHB populations. The leadership of both DHB's meet regularly to drive and monitor progress.

Commitment to the alliance is underpinned by the Foundation Agreement which sets out the centralAlliance objectives, while protecting each DHB's autonomy and decision-making.

What we have done together to date:

Clinical services

  • Cancer treatment services
  • Renal services
  • Specialist medicine – neurology, respiratory, sleep apnoea
  • Specialist surgical – vascular
  • Public Health Services - health protection
  • Specialist women’s health services
  • Urology services.

Shared leadership and governance

  • Joint Regional Midwifery Advisor
  • Joint Regional GM Human Resources and Organisational Development
  • Joint Regional Allied Health Director
  • Regional Director of Women’s Health
  • Child Health Service Network
  • Child and Youth Mortality Review coordination
  • Autism Spectrum Disorder Service coordination
  • Medical credentialing processes
  • Clinical policies and procedures.

Support services

  • Bio-medical engineering
  • Cleaning services
  • Facilities management, engineering and maintenance
  • Food services
  • Grounds maintenance
  • Laundry services
  • Orderly services
  • Security services
  • Transport and fleet management.

What we intend to do together over the next year:
There are nine joint initiatives to be progressed during 2012/13. These are included in each DHB’s 2012/13 Annual Plan and include:

  • Establishment of shared incident reporting, customer feedback and workplace hazard identification systems
  • Shared staff education and development
  • Shared senior medical officer appointments
  • Shared clinical systems, governance and leadership
  • A health needs assessment of our combined districts
  • Implementation of the regional women’s health service
  • Develop a new model of care for renal services
  • Review medical imaging services
  • Establish sub-regional service delivery arrangements for specified sub-specialities (urology, neurology, cardiology, ophthalmology, ENT and laboratory).



centralAlliance Foundation Agreement 2013
2015 Health Needs Assessment