Care Point Banner

Care Point - Care Capacity Demand Management

How CCDM improves health system reslience

What is the Care Point campaign?

Care Point is the NZNO campaign which promotes the implementation of the Care Capacity Demand Management (CCDM) Programme in District Health Boards. The CCDM programme matches patient demand with staff capacity to ensure the right number of staff with the right mix of skills are available.

Getting CCDM? Get involved!

Over the next few months we'll be highlighting each component of the care capacity demand management (CCDM) programme. The main components are

  • Staffing Methodology, which includes Work Analysis and FTE calculation, 
  • Variance Response Management, which has six tools and processes
  • Core Data Set, which is used to audit how well CCDM is working

CCDM Programme Standards


  • The Care Capacity Demand Management (CCDM) Programme Standards are divided into 5 sections:
        1.0 CCDM Governance
        2.0 Validated Patient Acuity Tool
        3.0 Core Data Set
        4.0 Staffing Methodology
        5.0 Variance Response Management
  • Each of the 5 standards has specific criteria for attainment and guidance on how to meet the criteria and therefore the overall programme standards.
  • There is also a CCDM Programme Standards Assessment Tool. This tool is for use by the New Zealand Nurses Organisation (NZNO) and District Health Board (DHB) partnership to identify progress with implementation and where continuous improvement is being achieved.


  • Standards are a common way to monitor levels of service provision in healthcare. Two examples are the Health and Disability Service Standards and the Magnet Recognition Programme.
  • The CCDM Standards provide a nationally consistent monitoring framework. This ensures all DHBs are being measured with the same yard stick. The Standards set the goals to be achieved but give DHBs some flexibility about how they go about it.


  • NZNO and DHBs are partners in the CCDM programme. This means at every level from the floor to the board collectively determine how CCDM works within that hospital. The CCDM Programme Standards Assessment is undertaken by the NZNO and DHB partners.
  • Completed assessments are reviewed by the CCDM Council to set the next annual plan of work; the SSHW Unit to ensure the right resources and schedule is established for programme implementation; and the SSHW Unit Governance Group as the overall governance of CCDM.


  • The CCDM Programme Standards Assessment can be completed by the partners prior to engaging in the programme (as an initial stocktake), during the programme (to determine progress to date) or periodically after completion of all programme components (to demonstrate business as usual or continuous improvement).


  • The Standards can be used by all DHB participating in the CCDM Programme. The CCDM Programme Standards Assessment is undertaken by the NZNO and DHB partners in person, by email correspondence and at CCDM Council Meetings.

CCDM Programme Standards

How does the Safe Staffing Healthy Workplaces Unit fit in?

A partnership between the District Health Boards and NZNO and the other health unions is key to the successful implementation of the CCDM programme. The work is facilitated and lead by the Safe Staffing Healthy Workplaces Unit.

Health unions and DHBs - a partnership approach

The Safe Staffing Healthy Workplaces Unit was established in 2007, and tasked to develop a programme to implement the recommendations from the 2006 Report of the Committee of Inquiry on Safe Staffing Healthy Workplaces.

The Report represented a shared commitment by the District Health Boards and NZNO to work together to agree on:

  • a mechanism for nurses, midwives and employers to respond immediately if workloads exceed the determined levels, and
  • a sustainable solution to safe staffing issues, developed in a way that has the confidence of nurses and midwives.

This commitment has led to the development of the CCDM programme, using the TrendCare software tool.

Introductory video to the Care Capacity Demand Management programme