Counties Manukau District Health Board plans to roll out the TrendCare patient acuity and workload management tool at Middlemore Hospital following the signing of the national accord to implement the Care Capacity Demand Management (CCDM) program for safe staffing levels for nurses and midwives.

TrendCare, which is used by almost all of the other DHBs as the patient acuity tool for CCDM, will replace McKesson's Assignment and Workload Manager (AWM) tool, a module of the ANSOS One-Staff system now owned by Change Healthcare, which merged with McKesson in 2016.

CCDM involves a full-time equivalent staff calculation for setting the base staffing in wards, a variance response management system and a core data set for monitoring. It is designed to be a more flexible method for safe staffing than nurse-to-patient ratios, such as those used in Victoria.