Care Capacity and Demand Management (CCDM)

 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.

 How does CCDM work?

The CCDM programme is a set of tools and processes helping DHBs better match the capacity we have to cope with patient demand. The key parts of the programme helping DHBs deliver Safe Staffing are:

1. Governance and programme monitoring
2. Staffing Methodology such as FTE and skill mix 
3. Core Data Set
4. Variance Response Management ( forecasting and responding to demand)
5. Patient acuity (using a validated tool called Trendcare)

Lakes DHB is assessed against these five CCDM standards.

Read here for FAQs answered.

Why is this programme so important?

CCDM is part of the Nurses MECA, and the Safer Staffing ACCORD signed with the Ministry of Health. All DHBs across the country are expected to have this programme implemented by June 2021. We report on our progress to the Safe Staffing Healthy Workforce National Governance group and the Minister of Health.

Click here to see the latest national up date on the CCDM Accord.


In 2018 health partners committed to there being sufficient nurses and midwives in our public hospitals to ensure both their own and their patients’ safety. This was part of the New Zealand Nurses Organisation (NZNO) Multi Employer Collective Agreement (MECA) 2018.

The Safer Staffing Accord provides options for providing employment and training for NZ nursing and midwives.

The Safer Staffing Healthy Workplace Unit was set up to help DHB's implement the safe staffing strategy.

Who are the partners involved?

• All our Nurses, Health Care Assistants, Midwives and Allied Health teams.
• New Zealand Nurses Organisation (NZNO)
• Safe Staffing Healthy Workplace Unit (SSHW)
• The Public Service Association (PSA)
• Midwifery Employee Representation and Advisory Service (MERAS).

Contact us  

Contact our CCDM Coordinator  Sue Cooper for more information about how Lakes DHB is going with our implementation.