Credit Tū Ora Compass Health

The purpose of this resource is to guide the Clinical Assistant within Primary Care working under the delegation of a General Practitioner or Nurse Practitioner.
Please note – all practices utilising this resource need to ensure that the recommended actions have been reviewed and agreed upon within the practice context or updated to a practice specific version under the guidance of practice clinical governance/leadership.
This has been written with Wellington based laboratory limits and 3D Health Pathways recommendations and was last fully reviewed in November 2023.

Feilding Health Care is in the largest town in the Manawatū district, situated 20km from Palmerston North.  The practice provides services to the wider Manawatū area, with an enrolled population of 21,000 people.

Feilding Health Care (FHC) has embraced the Health Care Home (HCH) model of care as an early adopter, providing integrated primary health care services to their community.

Their approach includes extended care teams; continuous improvement methodology and culture; and tackling triage approaches to improve both patient/whānau and workforce experiences.

Feilding Health Care (FHC) has embraced the Health Care Home (HCH) model, providing integrated primary health care services to their community. Their journey includes various arms of continuous improvement, including managing demand through triage and use of the extended care team.

Their HCH model has been instrumental in training, retaining, and supporting medical staff, offering them flexibility and variety in their careers, which has proven attractive to both new and seasoned healthcare professionals.

The resource has been created to support General Practices when employing a paramedic of Extended Care Paramedic (ECP) into their practice. It has been developed by Collaborative Aotearoa through collaboration with various partners across the health sector, as outline in Acknowledgements section. The updated version includes new case studies and reference to the updated ACC Regulations.

Last updated: February 2025