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Programmes » Free after hours care for children under 14 - Waikato

Free after hours care for children under 14

Waikato | Allergy | Diabetes | Ear, nose, throat (ENT) | Gastroenterology | Musculoskeletal | Neurology | Renal | Respiratory | Skin | Wellbeing | Under 18

Overview

This service aims to:

  • improve access by reducing financial barriers
  • address the national variability in fees for after-hours services for this age group
  • reduce the number of young children presenting to emergency departments with conditions that may be better treated by primary care providers
  • enhance child health outcomes.

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. 

Details

Which practices can claim for this service?

This is a restricted service, Pinnacle practices in the Waikato and Bay of Plenty (BOP) regions can only claim for this service if they have an after-hours clinic available.

Service components

The contracted general practice will provide this service from 6pm to 8am on working days and at all times on weekends and public holidays in their region.  All eligible children will not pay for general medical services/consultations during these times.

The service must be of a type normally provided as part of general practice.

The contracted practice must provide a clinical record of the after-hours consultation to the general practice that the child is enrolled with as soon as possible, unless requested not to do so by the parent or child.

Who is eligible for the service?

Patients must be:

  • eligible to receive publicly funded services and ineligible for any other funded service such as ACC funded services; and
  • present with conditions that cannot be safely deferred until 8am on the next working day when general practice is open for normal business; and
  • under 14 years old; and
  • either casual or enrolled; and
  • present for treatment in the DHB region in which your general practice referred to above is based.

Patients may be local or non-local to your practice region.

Who is excluded from the service?

Patients who are not eligible to receive publicly funded services and are eligible for any other funded service such as ACC funded services.

Claiming guidelines

Prices are GST inclusive.

Free after-hours care for children aged 0-5 years of age: $25.43

Free after-hours care for children aged 6-13 years of age: $48.47

Claims must be submitted in the electronic format as provided by Pinnacle Midlands Health Network with all mandatory information for the service is required, claims will only be paid on completion in the electronic form. 

Does the patient have to pay?

No.

How is this service funded?

This service is funded by Waikato and Bay of Plenty DHBs. 

Contact

Nikki Belfield, Practice Development Facilitator
nikki.belfield@pinnacle.health.nz
027 417 5617

RELATED RESOURCES
Free after hours care for children under 14 (Medtech) one-point-lesson
Published: 27/01/2022 | 1 file | Document

Please use this one point lesson (linked as a resource to the programme page) and make the fee changes within the Free afterhours U14s advanced form.

View resource | Download files
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Taranaki
47 Molesworth Street
New Plymouth 4310
+64 6 759 4364
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Level 1
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PO Box 1188
Gisborne 4040
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PO Box 1716
Taupō 3351
+64 7 376 0060
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Copyright © 2022 Pinnacle Incorporated
Privacy policy Terms & conditions Practice update dashboard