This service is designed to support a co-response team (CRT) where mental health clinicians, kaimahi Māori, Police and St John will work together when responding to mental health emergency calls.
From time to time there may be a requirement for primary care to provide support for this service, for mild to moderate patients, as identified by the CRT.
When the CRT is supporting a patient who fits the threshold, the clinician in the CRT will make contact with the general practice where the person is enrolled and seek to confirm if a same or next day appointment is available. If no appointments are available, the CRT may also choose to contact an urgent care provider.
The CRT will confirm the available appointment and determine with the clinician the most appropriate means of sending through any relevant patient details, assessments and management plan.
This person is likely to require:
The consultation fee will be funded for eligible patients.
CRT will not redirect a patient unless the receiving practice has accepted them. Patients will be provided with information regarding the appointment that has been made for them.
For conditions that meet Primary Options Acute Care criteria, practices can initiate a separate referral and claim via the usual Primary Options Acute Care process.
Your Pinnacle Services Contract applies to this service. By claiming for this service, you have indicated that you have read and agreed to the business rules set out here.
This is NOT a clinical guideline.
All Pinnacle practices in Taranaki region can claim for this service.
Patients who have not been actively referred from CRT.
The episode of care ends when the outcome and claim are submitted.
Payment will be made once an outcome has been lodged for the case.
All ED redirect initial consults should be claimed for by selecting the ED redirect GP/NP consultation.
If the patient meets POAC criteria, please initiate a separate referral for any invoices claimed under that POAC pathway.
CRT redirect GP/NP consultation: $85.00
This invoice funds a consultation for the redirected patient.
CRT redirect GP/NP consultation after hours: $95.00
This invoice funds the initial consultation for the redirected patient after 5pm on a weekday, on weekends or public holidays.
Once the patient is at the practice, the GP/NP will assess the patient and determine whether the condition meets any Primary Options Acute Care criteria or is considered normal GP business/non-acute.
If the patient meets Primary Options Acute Care criteria, please claim one of the above invoices to cover the cost of their initial consultation and continue to claim as you normally would for a Primary Options Acute Care case.
Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of funding.
There is no co-payment to be charged to the patient.
The service is funded by Te Whatu Ora.
Primary options team, Pinnacle Midlands Health Network
infoprimaryoptions@pinnacle.health.nz
027 687 7312
The Te Tumu Waiora integrated mental health and wellbeing service has been up and running in general practices in Taupō and Tūrangi since July 2019. The response from practices and the community has been overwhelmingly positive.
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