The service is intended to facilitate the care of terminally ill patients in their home or the practice environment by increasing access to primary care.
The service aims to improve access to first level services for terminally ill patients by:
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.
Pinnacle practices in the Te Whatu Ora Lakes area who do not receive Health Care Home funding can claim for this service
GPs and nurse practitioners can claim for this service provided they are set up for payments with Pinnacle.
Once a patient is assessed as being within their expected last year of life you may claim payments for a combination of 15 home or practice visits per patient provided by either the nominated general medical/nurse practitioner or registered nurse (an extension to these 15 visits may be granted if need is evidenced in the claim form).
The 15 visits may include:
In addition, an allowance for kilometres travelled may be claimed to see patients living more than a 20 km round trip from the general practice.
Should a patient require transfer to a rest home facility or be a resident in a rest home where the rest home does not provide funded general practice visits, the rest home visits may be claimed under this agreement.
You are required to:
Patients who are:
Rest home visits, for patients who are not entitled to subsidised care under their residency agreement, are also eligible for this service.
Visits to hospice facilities are not included in this service.
Once the 12 home or practice visits have all been claimed. Or prior to that, if they are no longer required. Although an extension to these 12 visits may be granted if need is evidenced in the claim form.
Claims are submitted in the electronic format provided by Pinnacle Midlands Health Network.
End of Life Care Visit Allowance Total prices (GST incl)
Funding is for 15 visits per patient in any combination of the following:
An extension to these 15 visits may be granted if need is evidenced in the claim form.
Please be aware this funding does not cover patients who are under the care of hospice.
Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of funding.
It has been recommended that in addition to a good assessment and history, the full range of appropriate observations should be documented. It is important to state the time of consultations and interactions with the patient.
No co-payment can be charged to the patient.
From Pinnacle's flexible funding budget.
Sally Newell, Regional Support Manager - Clinical Contracts
sally.newell@pinnacle.health.nz
021 150 8788
Manatū Hauora, the Ministry of Health, will be inviting the public to share their views on the End of Life Choice Act as part of a review of the Act. The Ministry of Health administers the Act. Under the legislation, the Ministry is required to review the operation of Act within three years of it coming into force, and every five years after. The review is currently underway and will conclude in November 2024. An online portal will provide an opportunity for the public to share their views about the Act.
Read moreThe Service is intended to facilitate the care of terminally ill patients in their home or the practice environment by increasing access to primary care.
View detailsPeople will be able to request assisted dying from 7 November 2021 and your practice needs to be prepared, informed and knowledgeable on the End of Life Choice Act implementation.