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What is CCDM?

The Care Capacity Demand Management (CCDM) programme is about better matching staff resources to patient demand so we can improve patient care, make the best use of resources and provide a better work environment for our staff at the front line.

The five CCDM standards cover patient acuity, core data set, staffing methodology such as FTE and skill mix, variance response (forecasting and responding to demand), and governance and programme monitoring.

The programme is a partnership between:

  • the district health boards (DHBs)
  • the New Zealand Nurses Organisation (NZNO)
  • the New Zealand Public Service Association (PSA)
  • the Midwifery Employee Representation and Advisory Service (MERAS).

CCDM is guided by a letter of agreement between the partnership that states what each party is responsible for, how they will work together and what the expected outcomes are.

You can read the letter of agreement here.

CCDM is facilitated by the Safe Staffing Healthy Workplaces Unit, which was up to help DHBs to implement the Safe Staffing Strategy. You can read more about the background to this at https://tas.health.nz/strategic-workforce-services/safe-staffing-health-workplace/.

CCDHB work programme – the 5 standards

The CCDM letter of agreement includes an annual work plan that lists all planned activities. The work plan covers the 5 standards of the programme –

  1. Governance
  2. Validated Patient Acuity
  3. Core Data Set
  4. Staffing Methodology
  5. Variance Response Management

Read more about each standard and download associated resources below.


The CCDM governance councils (organisation and ward/unit) ensure that care capacity demand management is planned, coordinated and appropriate for staff and patients.

Validated Patient Acuity

The validated patient acuity tool underpins care capacity demand management for service delivery.

Core Data Set

The organisation uses a balanced set of CCDM measures (Core Data Set) to evaluate the effectiveness of care capacity and demand management overtime and to make improvements.

Staffing Methodology

A systematic process is used to establish and budget for staffing FTE, staff mix and skill mix for to ensure the provision of timely, appropriate and safe services.

Variance Response Management

The DHB uses a Variance Response Management system to provide the right staff numbers, mix and skills at all times for effective patient care delivery.

Contact us

Emma Williams, CCDM Programme Manager
Email: Emma.WilliamsCCDM@ccdhb.org.nz

Jo Coffey, NZNO Organiser
Email: Jo.Coffey@nzno.org.nz

Suzanne Rolls, NZNO Professional Nursing Advisor
Email: Suzanne.Rolls@nzno.org.nz

NZNO phone: 0800 283 848

Alex Ward, PSA Organiser
Email: alexandra.ward@psa.org.nz

PSA phone: 0508 367 772

CCDM project support coordinators

Email: CCDM@ccdhb.org.nz

Read more about the nationwide CCDM programme: https://www.ccdm.health.nz/

CCDM logo

Last updated 16 November 2021.