“Pathway to Wellness Support Team”
The purpose of the Ngā Kaitiaki Manawanui Whai Ora (NKMWO) programme is to walk alongside and empower individuals, and their whānau, who have long term health conditions (LTC) to successfully self-manage their conditions.
We provide a mobile nurse and kaiāwhina partnership working together with Hauraki PHO general practice teams, community agencies and hospital based health service provider colleagues.
Having a nurse and kaiāwhina partnership gives the individual/whānau support with clinical aspects and social issues that may be effecting their health.
Some of the services that are provided are as follows:
The NKMWO model of care is patient/whānau centred and provides care that is respectful, responsive and meaningful to the individual patient preferences, needs and values. We encourage high quality and sustainable long term condition management within the community that empowers individuals and their whānau to take control of their wellbeing.
The NKMWO team understand the importance of whanaungatanga and getting to know individuals and their whānau. Our team will discuss with the individuals/whānau what is important to them and strive to support them in anyway they can.
This service is free for patients enrolled with a Hauraki PHO general practice and has an expected enrolment period for each individual of up to six months to assist them to move to self-management. General Practices refer patients who they believe will benefit from more intensive assessment and intervention.
The main criteria for entry into the programme is as follows:
Patients are referred by utilising the Medtech/Evolution Outbox document called MWOK Referral.