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Programmes » Extended Care Team (referral service) - Tairāwhiti

Extended Care Team (referral service) - Tairāwhiti

Tairāwhiti | Under 18 | Over 18 | Over 65

Overview

The extended care team is available to compliment the care you provide to your patients.


The team includes a number of disciplines both clinical and non-clinical who are able to support patients across the lifespan with managing their health, including the complexities of long -term condition management.


The care provided is community-based and may be interdisciplinary and comprise a combination of group, peer and one on one support

This care is provided across the region.

This is a referral service only. It is not a claimable service. 

This is NOT a clinical guideline. 

Details

Which practices can refer to this service?

Any practice in Tairawhiti can refer to this service. 

Referrals can also be received from other healthcare providers and individuals

Who is eligible for the service?

To be eligible for these services patients must be eligible for publicly funded care in New Zealand.

Priority will be given to Māori/Pacific patients

Eligible patients are those who are:

  • Diagnosed with a long-term condition e.g., Type 2Diabetes, CHF, CVD, COPD or identified as high risk of developing a long-term condition e.g. IGT/pre-diabetes
  • Not currently under care of secondary care allied health

And have

  • Identified concerns/issues regarding medication management
  • Identified concerns/issues regarding nutrition
  • Difficulties self-caring/self-managing/accessing traditional GP services
  • Identified concerns/issues regarding lifestyle/environmental support
  • Identified concerns/issues regarding communication/memory/disengagement with health services
  • Identified concerns/issues regarding exercise support

Children with additional concerns not covered by Paediatric services or at high risk of missing child health milestones

Who is excluded from the service?
  • Patients who are under the care of secondary care allied health
Referral guidelines

This is not a claimable service; this is a free service that you can refer patients to.

Practices are required to submit an e-Referral requesting a package of care for their patient.

Please ensure your referral includes:

  • The main reason for your referral in the Clinical Details page of the BPAC EReferral – this is a mandatory field.
  • Any relevant test results
  • Any relevant goals/care plan information
  • Any other known support agencies/services involved

 

Does the patient have to pay?

No. There is no charge to the patients for this referral service. 

How the service is funded?

The service is funded by Te Whatu Ora Tairawhiti

Contact

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Taranaki
47 Molesworth Street
New Plymouth 4310
+64 6 759 4364
Tairāwhiti
Level 1
295-299 Gladstone Road (entrance via Cobden Street)
Gisborne 4010
PO Box 1188
Gisborne 4040
06 863 2661
Lakes
Level 1
95 Te Heuheu Street
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PO Box 1716
Taupō 3351
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