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 requiring palliative care you may claim payments for a combination of 12 home or practice visits per patient provided by either the nominated general medical/nurse practitioner or registered nurse (an extension to these 12 visits may be granted if need is evidenced in the claim form).
The 12 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.
Palliative Care Visit Allowance Total prices (GST incl)
Funding is for 15 contacts 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.
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
Summerset Pohutukawa is seeking GP expressions of interest (EOI) to provide primary care services to a new build, aged residential care facility in Taranaki when it opens later in the year.
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 detailsView the presentation given by Dr Mike Tombleson GP educator, Lakes and Dr Jo Scott-Jones Pinnacle MHN medical director.