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Needs Assessment & Service Coordination - Dunedin | Southern | Te Whatu Ora

Public Service, Older People's Health

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Description

Formerly Southern DHB Needs Assessment & Service Coordination - Dunedin

Health of Older Persons Needs Assessment and Service Coordination is a district-wide service that is based in Dunedin, Invercargill and the Rural Hospitals.

The service provides assessment to identify the level of need for ongoing support in the home and community settings. Services are allocated based on this identified need.

The service provides support for older people with an ongoing disability.

Access to the service is Monday to Friday 8.00am to 5.00pm.

For more information on this service in other areas please click on the following links:

Referral Expectations

Most often referrals for Needs Assessment are sent by a person's GP to the Care Coordination Centre (CCC). This is a team who manage referrals and services. A person can also refer themselves. In the case of self referrals, the CCC team may need to contact the person's GP  to access health information necessary to process the referral.

The CCC will check to see if a person meets eligibility criteria for services and send the referral to the correct team who will contact the person to arrange the assessment. If necessary, they will refer the person to other parts of the health service.

The Needs Assessment team in Dunedin assess and coordinate services for people with high and complex needs.

Hours

Mon – Fri 8:00 AM – 5:00 PM

Public Holidays: Closed ANZAC Day (25 Apr), King's Birthday (3 Jun), Matariki (28 Jun), Labour Day (28 Oct), Waitangi Day (6 Feb), Otago Anniversary (24 Mar), Good Friday (18 Apr), Easter Sunday (20 Apr), Easter Monday (21 Apr).

Procedures / Treatments

Needs Assessment

The NASC work within a Restorative Support Service model which aims to maximise a person's independence. The service will be person centred and goal oriented, seeking to build on the individual person’s strengths. The service aims to provide flexible, integrated support services for service users, which will enable them to continue to age in place. Needs Assessment A needs assessment is a comprehensive assessment of a person's functioning, what a person can do for themselves and what support they need. It will look at how needs can be met and whether a person qualifies for publicly funded support. The assessment is completed by a registered health professional employed by the DHB, called a Clinical Needs Assessor. The clinical needs assessor will come and see the person in their home. Family/whānau are encouraged to attend the assessment where possible. Clinical Needs assessors also see people in hospital to help with returning home or if entry to Aged Residential Care is indicated. The assessment and support planning process is very comprehensive. The assessment used is called interRAI and can take up to two hours.

The NASC work within a Restorative Support Service model which aims to maximise a person's independence. The service will be person centred and goal oriented, seeking to build on the individual person’s strengths. The service aims to provide flexible, integrated support services for service users, which will enable them to continue to age in place.

Needs Assessment

A needs assessment is a comprehensive assessment of a person's functioning, what a person can do for themselves and what support they need. It will look at how  needs can be met and whether a person qualifies for publicly funded support.

The assessment is completed by a registered health professional employed by the DHB, called a Clinical Needs Assessor. The clinical needs assessor will come and see the person in their home. Family/whānau are encouraged to attend the assessment where possible. Clinical Needs assessors also see people in hospital to help with returning home or if entry to Aged Residential Care is indicated. 

The assessment and support planning process is very comprehensive. The assessment used is called interRAI and can take up to two hours.

Service Co-ordination

Service co-ordination is a process of working with the Clinical Needs Assessor to identify, plan and review what support is required to meet the needs and goals of the person and, where appropriate, their family/whānau and carers. Service co-ordination also determines which of the assessed needs can be met by government funded services and which can be met by existing family and social support networks and other non funded services. There may be a cost for some services; others may be subsidised/funded. The Clinical Needs Assessor will discuss what options are available to the person and their family/whānau. Together they decide what services will be provided and who will provide them. The Clinical Needs Assessor will write a letter to the client that summarises the assessment, identified needs and goals and what support has been recommended or arranged. The plan may include support to complete daily activities such as showering, dressing, exercise, leisure/recreational activities, support for carers etc. The plan will include assistance from family/whānau, friends, other agencies and support options available in the community. It will also include any referrals sent on to other health services for further assessment or support.

Service co-ordination is a process of working with the Clinical Needs Assessor to identify, plan and review what support is required to meet the needs and goals of the person and, where appropriate, their family/whānau and carers. Service co-ordination also determines which of the assessed needs can be met by government funded services and which can be met by existing family and social support networks and other non funded services. There may be a cost for some services; others may be subsidised/funded.

The Clinical Needs Assessor will discuss what options are available to the person and their family/whānau. Together they decide what services will be provided and who will provide them. The Clinical Needs Assessor will write a letter to the client that summarises the assessment, identified needs and goals and what support has been recommended or arranged. The plan may include support to complete daily activities such as showering, dressing, exercise, leisure/recreational activities, support for carers etc. The plan will include assistance from family/whānau, friends, other agencies and support options available in the community. It will also include any referrals sent on to other health services for further assessment or support.

Contact Details

Dunedin Hospital

Dunedin - South Otago

201 Great King St
Dunedin

Information about this location

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Get directions

Street Address

201 Great King St
Dunedin

Postal Address

Private Bag 1921
Dunedin 9054

This page was last updated at 2:40PM on February 13, 2024. This information is reviewed and edited by Needs Assessment & Service Coordination - Dunedin | Southern | Te Whatu Ora.