Capital and Coast District Health Board logo

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 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

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.

TrendCare annual work plan 2018

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.

Additional nurses and midwives to provide immediate relief

More nurses and midwives are being employed to provide immediate relief to clinical areas with staffing pressures as part of a one-off $38 million nationwide Government package.

An extra 34 nursing and midwifery FTE will be employed with recruitment already underway.

The Care Capacity Demand Management (CCDM) Council, which includes DHB and union representatives, analysed data from payroll, SQUARE, and where available the DHB’s acuity tool TrendCare to determine the areas in greatest need. They also used criteria from the Safe Staffing Healthy Workplace unit.

CCDM Council Chair and Executive Director of Nursing and Midwifery Andrea McCance says a lot of thought and work has gone into deciding where the additional staff go.

“It was a robust process done in partnership with the unions.

“This allocation is the start of alleviating workload pressures experienced by our members. NZNO representatives on the CCDM council ensured the funding allocation was used in a way that best benefits nurses and midwives and to do this as soon as possible. There is more work to be done towards ensuring safe staffing and healthy workplaces is achieved at CCDHB.” says NZNO professional nursing advisor Suzanne Rolls.

“The inclusive approach has been appreciated and the additional funding for the maternity areas will be welcomed by midwives,” said MERAS Co-Leader (Midwifery) Caroline Conroy.

“PSA appreciates the thoughtful approach the Council has taken. This makes sure workers and patients get the greatest possible benefit from this funding, including in mental health nursing and midwifery,” says PSA organiser Alex Ward.

The extra staff are part of a one-off Government package included in the 2018 DHB NZNO multi-employer collective agreement (MECA). Capital & Coast DHB’s proportion of this package was nearly $2.6 million.

The Government package also included resources to support the implementation of CCDM. The CCDM Council has agreed to use for a permanent Trendcare coordinator role across mental health (MHAIDs), and three CCDM project support coordinators for a three year period.

The CCDM programme is run partnership between the DHB and three health unions (NZNO, PSA and MERAS). Once fully operational, CCDM will help us better match the capacity to care with patient demand and workload using data from across our patient areas and wards.

Additional FTE allocated through Government funding package:


WardFTEWorkforce capacity
Outpatients - Ophthalmology1.21 additional 0.8 FTE RN 1 additional 0.4 FTE RN
Outpatients - Orthopaedics0.81 additional 0.8 FTE RN
Ward 1 - Paediatrics3.41 additional RN on nights 1 additional RN on PM
Ward 2 - Paediatrics0.81 additional RN on AM Mon-Fri
4 North - Maternity1.71 additional RM or RN on AM
Delivery Suite1.71 additional RM or RN on PM
NICU0.51 additional RN on Sat-Sun
5 North3.41 additional RN on AM 1 additional RN on night
5 South1.71 additional RN on AM shifts (shared with 6 East)
6 North1.71 additional RN on nights
6 South2.21 additional RN on AM shifts 1 additional RN on PM shifts Thu-Fri
7 North1.71 additional RN on nights
Emergency Department1.71 additional RN on swing shift
MAPU1.71 additional RN
Paediatric Diabetes11 additional RN on AM Mon-Fri
Community Nursing Service - Wellington11 additional RN on AM Mon-Fri
Community Nursing Service - Keneperu11 additional RN on AM Mon-Fri
Ra Uta MHOP Psychogeriatric Inpatient Unit3.41 additional RN on AM shift
1 additional RN on PM shift
Hikitea ID Youth Inpatient Unit3.41 additional RN on AM shift
1 additional RN on PM shift


Contact us

Emma Williams, CCDM Programme Manager

Jo Coffey, NZNO Organiser

Suzanne Rolls, NZNO Professional Nursing Advisor

NZNO phone: 0800 283 848

Alex Ward, PSA Organiser

PSA phone: 0508 367 772


Read more about the nationwide CCDM programme:

CCDM logo

Last updated 6 December 2018.