How to access health services for older people
Assessing your needs   |   What is an interRAI assessment?   |   What is service coordination?
What to do if you have concerns about your assessment and/or service coordination
Eligibility for long-term, funded support services   |   Community support services
Aged residential care   |   Income / asset testing    |   More information   |   Ongoing support and advice



Assessing your needs
Understandably, some people are less able to live independently than others as they get older so if you feel you need help, please visit your doctor and discuss your concerns. Doctors know and understand our general health needs well and he or she will be well placed to refer you for assessments if they believe that might help.

The WDHB has a team of highly qualified clinical staff who provide specialist assessments for people aged 65 years and over.
 
Referrals
To request a referral for an assessment please contact:
 
Assessment, Treatment and Rehabilitation Community Services
Whanganui Hospital
Ground Floor, Lambie Building
100 Heads Road, Whanganui
Ph. 06 348 3309
 
You can do this yourself, or you can nominate someone else to do this on your behalf. Other people who can make a referral for you include:
  • a family/whanau member
  • a friend
  • your doctor
  • other suitable healthcare professionals, support groups and organisations.
 
Please note that if you do nominate someone else to act on your behalf, it is essential that we receive your consent prior to a referral being made. This consent can come from you or your legal representative (e.g. your Enduring Power of Attorney (EPOA)).

Your referral needs to include sufficient information and detail to ensure we can meet your needs in a timely manner. 

Once your referral has been accepted, you will be contacted to arrange a suitable time and place for an assessment. If you wish, you can invite a family/whanau member or another support person to accompany you during the assessment.

An assessor will visit you to discuss your needs and during this visit, they will complete an interRAI assessment (Will make the word ‘interRAI’ a text link within the flow of text) using a laptop computer. 

If for any reason we are unable to action your referral, you and/or the person who has made the referral will be advised in writing. If at all possible, we will provide information on alternative avenues of support available.
 
 
What is an interRAI assessment?

The interRAI (International Resident Instrument Assessment) is a comprehensive assessment process designed to help us meet the medical, rehabilitation and support needs of an older person so they can remain at home, and therefore, delay their potential need to move into residential care.
 
The interRAI helps us gather information about what you can do and what you have difficulty with, including mobility, memory, safety round the home, pain and the support of others. If you have a carer, then we also look at their needs in relation to the support they provide for you. 
 
InterRAI assessors work with you and, where appropriate, your family/whanau and support people. Our assessors welcome family/whanau being part of the assessment process.
Please tell us prior to your assessment if you have any special requirements that need to be in place such as an interpreter or translator.
 
Once the interRAI is completed, the assessment is then referred to the Whanganui region’s Access Ability (our local service coordination provider). The WDHB's interRAI lead practitioner can be contacted on 06 348 1234 ext. 8353.
 
The Ministry of Health roll-out of the InterRAI is a government initiative that has seen all New Zealand district health boards implement the tool by June 2012 to improve the assessment of older people. InterRAI has replaced the Support Needs Assessment.

The two tools currently used are the:
Homecare: full assessment encompassing 30 overall health needs such as vision, continence, nutrition, health promotion, falls and cognition.

Contact-short assessment: covering the main areas of urgency, complexity and rehabilitation potential.

In August 2012, the interRAI assessors completed the Community Health Assessment, and some New Zealand residential care facilities are currently piloting the interRAI Residential Care tool.

Research indicates that the use of the interRAI results in better outcomes, a standardised and consistent approach, enhanced communication, reduced duplication and minimises omissions.

For more information about the interRAI, visit: www.interrai.org or www.interrai.aug.org.
 
 
What is service coordination?


After the completion of the interRAI assessment an Access Ability service coordinator will contact you and arrange a visit to discuss your needs and potential support options. You can have a friend or relative with you for support if you would find this more comfortable.

 
Some options identified may include funded support for particular activities. Where this is the case, we will advise you on the extent of that support and the criteria that apply.

Service coordinators have a wide knowledge and will be able to discuss all the options available to you, including public, private, voluntary and community services.

Once your support plan is agreed, the service coordinator will then work with other service providers contracted to the WDHB, to put your support services in place. You will then receive a letter confirming this.

The WDHB’s Service Coordination service is provided by: 
 
Access Ability
244 Victoria Avenue, Whanganui
Phone: 0800 758 700
Email: wanganui@accessability.org.nz

 
What to do if you have concerns about your assessment and/or service coordination


If you have any concerns regarding your interRAI assessment and/or service coordination you are very welcome to request a review. 

Please express your concerns to your assessor/service coordinator in the first instance.  If this doesn’t resolve your concerns, then please contact the Access Ability manager.
 
You have the right to access all information arising from your assessment and service plan. Your privacy and confidentiality is respected at all times. If you are in any way dissatisfied with our service, you can contact the following:

Health and Disability Advocacy Commissioner
0800 555050
advocacy@hdc.org.nz 
 
Health and Disability Commissioner
0800 11 22 33
www.hdc.org.nz   

 
Eligibility for long-term, funded support services


Eligibility of an older person for long-term, funded support services will depend on the outcomes of their interRAI assessment.

It is therefore the WDHB’s expectation that long-term, funded support services will not be allocated to a person until the interRAI is completed, and all specific problems and risks for decline have been addressed.

Where a person needs funded support for a disability caused by accidental injury and their claim has been accepted by Access Ability, the WDHB generally accepts that ACC will fund the required support services. 

Home support services information:
What to expect from home support services
What to do if you have concerns about your home support service

   

Community support services - packages of care


Home-based support services can include:
  • household management
  • personal care
  • respite care
  • carer relief, residential respite, day activity, other carer support.
 
Regular reviews will help ensure you have the appropriate support to maintain maximum independence and functionality. Agencies providing home-help and personal care services include:

Organisation Contact
Access 04 939 8802
Enliven 06 349 1484
Healthcare NZ 06 349 0216
Te Oranganui Iwi Health Authority 06 348 0476

Referrals may also be made to other support service providers relevant to your needs such as, Meals on Wheels (partially funded by the WDHB), and community organisations and support groups such as, Parkinson’s New Zealand, the Stroke Foundation of New Zealand, Age Concern and  Alzheimers New Zealand. (Add links to the websites of the organisation’s listed)
 
 
Aged residential care

Residential care is generally only considered after all other options have been explored, and if all the support options allowing a person to remain living at home are not successful. 
 
An interRAI assessor and members of the WDHB’s multi-disciplinary team will work together to determine the right level of care a person needs. 
The decision about which care facility to choose is left with the older person and their family/whanau. 
There are four different categories of rest homes, each of which cater for different levels of care:

  1. rest home care – for those who require high-level help with their daily activities
  2. dementia care - for those who require an enclosed and secure environment
  3. hospital continuing care - for those who require very high levels of nursing support
  4. psychogeriatric care - for people with very high and complex dementia needs.
 
Below are the contracted residential care facilities, and the level of care they provide, which are located in the Whanganui region.
 
Residential Care Facility Rest home level of care Dementia level of care Hospital level of care Psychogeriatric
Broadview Wanganui
(06) 344 6915
x x x x
Edale  Marton
(06) 327 8562
x x    
Jane Winstone, Wanganui
(06) 345 6783
x      
Kowhainui Wanganui
(06) 349 1400
x   x  
Lady Joy Wanganui
(06) 343 2613
x      
Lancewood Wanganui
(06) 322 1188
x   x  
Masonic Court Wanganui
(06) 343 9091
x      
Nazareth Wanganui
(06) 345 8548
x      
New Vista Wanganui
(06) 345 2381
x   x  
Okere House Wanganui
(06) 348 4857
  x    
Springvale Manor Wanganui
(06) 348 8003
x x    
Summerset Wanganui
(06) 343 3133
x   x  
Virginia Lodge Wanganui
(06) 345 2319
x      
 
A full list of all aged residential care facilities and current vacancies in the Whanganui region ( including respite and day care rest homes, which can be useful options to give full-time carers a break from their care responsibilities) is available at: www.eldernet.co.nz (click on the map under ‘Residential Care’).


Income / asset testing

An older person entering residential care may be eligible for a residential care subsidy or a residential care loan. Work and Income New Zealand (WINZ) complete an income and asset test to determine this. 
 
If a residential care subsidy is approved, then part of the person’s superannuation also contributes to the cost of residential care. If a person exceeds the asset and/or income criteria, they may need to pay for all, or part of their care. 
 
As the eligibility thresholds change each year, older people and their families/whanau need to check their eligibility status regularly. Rest homes are also obliged to advise when threshold changes occur.
 
For more information about income/asset testing, contact WINZ’s specialised processing department on 0800 999 727, or visit www.workandincome.govt.nz. Alternatively, you can contact your local Citizens Advice Bureau.
 

More information


For more information about the support options that may be available to you, such as residential care, home-based care and short-term relief care for caregivers, please call the Seniorline National Information Service on free phone 0800 725 463.

 
Ongoing support and advice


You can initiate a review or re-assessment at any time by contacting Assessment, Treatment and Rehabilitation Community Services or Access Ability. Include Links to ATR Service and Access Ability.

You may wish to arrange a re-assessment and review of your support services, or discuss ways to make things work better for you.