
Older People's
Health
East Health's Intergrated Care Coordination service provides a coordinated approach to the health care of older people.
Intergrated Care Coordination supports older people to live independently in the community.
It can provide you and your family/whaanau with information about health and community services for older people and link you to the appropriate services. It offers health information to community groups about ageing positively.
Your doctor and practice nurses work closely with the Integrated Care Coordination team and can refer you to our service.
Your doctor and/or practice nurse can refer you to the Intergrated Care Coordination team.
Ageing Well
East Health's Intergrated Care Coordination team are providing Aging Well support to local community groups based on common questions our team are seeing when supporting patients and their families as they age.
Below is a list of resources where you can find more support for ageing well.
Frequently Asked Questions
What happens if my loved one can no longer drive and doesn’t have a licence anymore?
Losing a licence doesn’t have to mean losing independence. If your loved one has a long-term impairment that makes using public transport difficult or unsafe, they may be eligible for a Total Mobility card. The scheme subsidises taxi and approved transport fares, so they can keep getting to appointments, the shops and social activities.
Can someone come into the home to help with showering, meals and cleaning?
Yes. In-home care can include personal care such as showering, dressing and medication prompts, household tasks such as cleaning and meal preparation, companionship, and respite to give family carers a break.
Do we have to pay for in-home care, or is it free?
It can be either. Funded care is arranged through NASC after a needs assessment and is paid for by Health NZ. Private care is arranged and paid for directly with a provider, which gives more choice over hours, timing and the type of help. Many families use both, topping up funded hours with private care.
What’s the difference between the two types of EPOA?
There are two types. A property EPOA covers money, bills, assets and property, and can take effect straight away or only if mental capacity is lost. A personal care and welfare EPOA covers decisions about health, care and living arrangements, and only takes effect if mental capacity is lost.
Does hospice take over from our GP?
No. Hospice works alongside the GP and other health professionals, who stay involved in care.
Will hospice look after my loved one at home 24 hours a day?
No. Hospice doesn’t provide round-the-clock hands-on care in the home. Personal care and home support are arranged through NASC or privately, and the hospice team can help you access these.
How does my mum or dad get a Total Mobility card?
They’ll need an assessment through an approved needs assessment and service coordinator (NASC). The assessor will look at whether their impairment stops them from doing part of a public transport journey on their own, such as walking to a bus stop, getting on board, or knowing where to get off. Once approved, they’ll receive a card to use with participating transport providers.
How do I get a needs assessment for an elderly parent?
A referral can come from their GP, a hospital team or another health professional like our ICC team, and in many cases you or your parent can contact NASC directly. An assessor will talk with your parent (and family or whānau if they wish) about their health, daily activities, safety at home and goals. Many assessments use a tool called interRAI to build a full picture of their needs.
How do I start an Advance Care Plan?
Begin by thinking about your values and talking with the people close to you. Your GP, practice nurse or hospice team can help you complete it. A free national template is available from Te Tāhū Hauora Health Quality & Safety Commission. Once it’s done, share a copy with your GP and family.
Who makes decisions for my parent if they can’t make them anymore?
That’s what an Enduring Power of Attorney (EPOA) is for. It’s a legal document that lets someone choose a trusted person (their “attorney”) to make decisions on their behalf if they lose the ability to do so themselves.
How much does hospice cost?
Nothing. Hospice services are free, funded through a mix of government funding and community fundraising.
Does hospice help people die sooner?
No. Hospice care neither speeds up nor delays death. Hospices don’t provide assisted dying, but they will continue to care for and support anyone who is considering or has chosen it.
How much does Total Mobility actually save on taxi fares?
The card covers a set percentage of each eligible fare, up to a maximum amount per trip, and the passenger pays the rest.
What kind of support can NASC arrange?
Depending on assessed needs, NASC can arrange funded home support, personal care, carer support and respite, day programmes, and assessment for residential care.
When is the right time to write an Advance Care Plan?
Any time. It’s never too early, and it’s especially worthwhile if you’re living with a long-term or life-limiting illness, or are getting older. You can update your plan whenever your health or wishes change.
Is hospice only for people with cancer?
No. Hospice supports people of any age with a life-limiting illness, including heart failure, lung disease, kidney failure, motor neurone disease and dementia, as well as cancer. Support extends to family and whānau too.
Does going into hospice mean someone only has days to live?
No. Many people are referred months or longer before the end of life. Getting hospice involved earlier often means better symptom control and more time to plan.
What can I do now to be prepared?
Talk about your wishes early, complete an Advance Care Plan and an EPOA, and consider supporting your local hospice by volunteering or donating.
