Project SPLICE has been initiated by Taranaki District Health Board to address the projected health needs of its older population and people who have a long term conditions such as cardiovascular disease, diabetes and respiratory disease. This paper outlines a structure that will, within currently available funding, on an evolutionary basis enable services to refocus around the needs of people with long term conditions and of older people as their health deteriorates. Key developments include: care clusters with care manager, GP, allied health, and home based support services (HBSS); district support and development unit. More information can be found at: http://workforceinnovation.hiirc.org.nz/page/32350/project-splice-taranaki-dhb/;jsessionid=AB340EF9C66FA0FBD366B1E89EA8377C?contentType=1461§ion=18375.