Multiple Diseases

 

What is Care Plus?


The Care Plus project, provided through Counties Manukau District Health Board (CMDHB) and offered by ETHC, is a full check-up and support service for patients with more than one chronic or long-term condition.

Care Plus is a project for people with high health needs due to:

  • chronic conditions

  • acute medical or mental health needs

  • terminal illness.

 It aims to:

  • improve chronic or long term care management 

  • reduce inequalities 

  • improve teamwork between healthcare professionals

  • reduce the cost of services for high-need patients.


Eligible patients are entitled to cheaper clinic visits four times a year.
 

Who is eligible for Care Plus?

You are eligible if you are:

  • enrolled in a PHO (with a doctor's clinic)

  • assessed by a doctor or nurse at your doctor's clinic general practice as being able to benefit from at least two hours of care from one or more members of the ETHC healthcare team over the following six months. 
You must also:
  • have two or more chronic or long term health conditions – as long as each condition is a major disability or has a major burden of morbidity, creates a major cost to the health system, has agreed objective diagnostic criteria and continuity of care and a primary health care team approach has an important role in management; or

  • have a terminal illness (defined as someone who has advanced, progressive disease whose death is likely within 12 months); or

  • have had two acute medical or mental health-related admissions in the past 12 months (excluding surgical admissions); or

  • have had six first-level service or similar primary health care visits in the past 12 months (including emergency department visits); or

  • be on active review for elective services.
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Ask your doctor of nurse if you think you may be eligible. If you are not eligible other support and services will be offered.

 

How is Care Plus different?

As a Care Plus patient, you can expect:

  • an initial, full assessment, exploring your health needs

  • an individual care plan including realistic, achievable health and quality of life-related goals, with regular follow-ups

  • effective management of chronic health conditions

  • a better understanding of your condition 

  • support to make lifestyle changes.

 

Care Plus services are provided at a reduced cost.