Capital and Coast District Health Board logo

Our purposeIntegrated Care Collaborative logo

The Integrated Care Collaborative (ICC) Alliance Leadership Team provides strategic oversight and governance of initiatives that aim to make hospital and community health services more joined up and better for patients. The Alliance Leadership Team’s objective is to provide integrated health services with a ‘best for patient, best for system’ approach.

The ICC ALT meet every other month to monitor, oversee and support health system integration. The highlights of these meetings are published here.

Who we are


The CCDHB ICC Alliance Leadership Team (ALT) are a group of clinical leaders, key managers from provider organisations across the Capital & Coast District Health Board, who are selected on their competencies to lead the Alliance and achieve success for the ICC programme of work.


To achieve success the Alliance shares common objectives and commits to improving health outcomes for our population through collaboration and system wide thinking.

Members of the Alliance Leadership Team have a wide range of skills and clinical expertise within the Capital & Coast District Health region. They represent hospital, primary and community health services and includes Māori and Pacific representatives.


Members hold a wealth of health system knowledge and currently work in a variety of roles throughout the health system from GP practice to hospital services. The membership is expanding as more services become part of an integrated health system.

Dr Bryan Betty - ICCALT ChairDr Bryan Betty - ICCALT Chair

Dr Betty is a General Practioner at Porirua Union Community Health Services in East Porirua. His passion is to improve equity and health outcomes for high needs patients living in his community. Bryan advocates for health system change through addressing inequities behind New Zealands health policy and funding frameworks. Bryan supports the strategic oversight of the ICCALT system integration, which is at the heart of the Programme. He is also involved in several network and steering groups linked to the ICC programme of work.





 Astuti Balram – ICC Programme Manager

Astuti Balram – ICC Programme Manager

Astuti is the General Manager Integrated Care in the Strategy, Innovation & Performance team in CCDHB. She has been the programme manager for the ICC for the last five years. She is passionate about health system integration and the role it plays in improving health care. She has supported the development of strong working relationships across the health sector and has delivered a number of the integrated care models of care that are key pillars of the ICC work programme to date.


Sarah Henderson – ICC Programme Coordinator Sarah Henderson - ICC Programme Coordinator

Sarah is the programme coordinator for Integrated Care in the Strategy, Innovation & Performance team in CCDHB. She has been with the ICC team for 2 years and enjoys working across Primary and Secondary services, supporting health system design, improvements and change.

Our structure and governance

The Integrated Care Collaborative Alliance Leadership Team is an advisory and governance group that provides strategic oversight and clinical leadership. It decides and advises on what is recommended from the working groups. While the Alliance Leadership Team does not hold any direct funding accountability, it oversees programmes and projects of work.

Working groups are made up of Alliance Leadership Team members, consumers, clinical experts and Māori and Pacific representatives. Their purpose is to understand the needs of the target population and to design health services around the needs of those that use them. This is often through technology improvements and community based health services. The working groups stay well connected with community groups, health providers and other agencies.

Our work is governed by our:

What we're doing