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National Intestinal Failure Service

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What is the National Intestinal Failure Service (NIFS)?

The New Zealand National Intestinal Failure Service (NIFS) is designed to improve outcomes for patients of all ages with intestinal failure (IF). The NIFS is a national service provided by Auckland District Health Board on behalf of the Ministry of Health.

The purpose of NIFS

NIFS was created to:

  • Ensure equitable access to IF services for patients and their families
  • Create standards of care and clinical management protocols for IF
  • Improve communication and coordination of care for patients and their families
  • Advocate for IF patients and their families
  • Provide data that will improve quality of care for patients with IF.

What this means for you

Intestinal failure is defined as a dependency on intravenous nutrition (IVN) which is also called parenteral nutrition (PN). Any fluid that contains amino acids (excluding blood products) delivered intravenously is considered to be intravenous nutrition.

For patients and families: your clinician will contact NIFS and will provide you with information on how the service will assist you and your clinician in your care.

For clinicians: more information about registration, referral, shared care and education resources are located under the Clinical Information section of this page. Your login has been sent to your DHB email.

How NIFS will improve outcomes for IF patients

  • A register of all patients with IF will provide data that will inform quality improvement.
  • A referral system for patients with IF. Referral may result in a virtual consultation, clinic assessment or inpatient transfer. It is anticipated that care for most patients will be delivered by their local care team in partnership with NIFS, meaning the patient remains cared for in their home DHB wherever possible.
  • A shared care model will help with communication between clinicians and patients. Shared care is structured and inclusive care which is developed in partnership between the patient, their family/carers and health professionals.
  • National standards will help to ensure high quality care for all patients with IF.
  • Education resources will be developed for both patients with IF and the clinicians caring for them.

Who we are

  • Dr Helen Evans, Clinical Director (Paediatric) and Paediatric Gastroenterologist
  • Mr Ian Bissett, Clinical Director (Adult) and Colorectal Surgeon and General Surgeon
  • Cate Fraser-Irwin, Coordinator and Clinical Nurse Specialist (Paediatric)
  • Briar McLeod, Acting Coordinator and Clinical Nurse Specialist (Adult)
  • Kim Herbison, Senior Dietitian (Paediatric)
  • Amy Andrews, Senior Dietitian (Paediatric)
  • Lisa Guest, Senior Dietitian (Adult)
  • Carla Jacobson, Operations Manager (Paediatric)
  • Kristin Wilson, Business Manager (Adult)


Referral Expectations

For health professionals: details relating to the referral process are located in the Clinical Information section of this website. If you need the password to access this section, please email .

Contact Details

Postal Address

Private Bag 92 024
Auckland Mail Centre
Auckland 1142

This page was last updated at 12:47PM on October 29, 2018. This information is reviewed and edited by National Intestinal Failure Service.