Application to become a patient


Because this practice is already bigger than ideal (both in terms of patient access and staff stress), a policy of restricted access has been adopted, rather than "closing the books".

  • Policy -In order to be accepted as a patient of Dr Blayney's Practice, one has to:
    1. Understand and accept that this practice is PRIVATE and INDEPENDENT of the government Primary Health Organisation system, so you will NOT receive any of the government's additional funding for "all" New Zealanders [see FEES] and
    2. Ask politely, in writing. Send to:
      Dr K T Blayney
      PO Box 447
      Hawera 4640
      or to k.blayney2@orcon.net.nz
      or preferably deliver in person to 24 High St.

  • Do I have to? -only if you want to become a patient. If you can't be bothered, neither can I. This has proven to be a very effective control on numbers so there are no exceptions to this requirement.

  • But I am free to select any doctor -yes, and as we are a private practice, I am free to not accept anyone, which is
    primarily anyone who can't be polite enough to ask. It is very simple.

  • What do I say? -whatever you like, but don't go overboard, and do include your name/s and a return address and phone number, not just a signature.

  • What happens next? -if you are needing to be seen quickly, you will be given an appointment as a "casual patient". You will then be given (or posted) a standard reply outlining how the practice is run and how to obtain your old notes (or give permission for us to request them). If you don't like the way the practice is run, feel free to go elsewhere.

  • Are there people you won't accept? -Yes. I cannot accept anyone:
    1. who as a patient of another local GP has been
      • referred to me (say for minor surgery), or
      • who has been seen by me as a supervisor at another practice
    2. for at least 6 months after being seen (for medico-ethical reasons);
    3. who won't ask in writing;
    4. who has no confidence in me;
    5. who wants a GP to provide drugs or certificates but not medical advice;
    6. who complains about having to be seen for medical care, there are subsidised on-line practices if you don't want face to face
      (Kanohi ki te kanohi) care;
    7. who doesn't intend to pay for our medical services (see Fees page), if you expect Government subsidies (other than GMS), there are subsidised practices available for you.
    8. who complains about our fees. If you want subsidised fees, go to a subsidised clinic. However, you need to understand that our unsubsidised fees are much lower than total fees (patient fee plus subsidy) of any practice see here and even lower than many city practices patient fees (who also get substantial Capitation and other subsidies) and so the GP income is VERY low. The fees we charge now are still much lower than other unsubsidised professionals with far less training and qualifications such as vets, dentists, optometrists, hairdressers and lawyers who arn't expected to subsidise their clients.
      Comparison with capitated practices: The easiest way to make a comparison is to see what a capitated practice receives on average for an under six "Zero Fee" consultation, currently about $162 [$452 p.a. plus GST divided by the average yearly utilisation rate of 3.2 for this age -see MoH listed capitation-rates. This amount does not include the extra funding for "Practice Component", Management Services, Health Promotion, Services to increase access (SIA), Primary Options for Acute Care (POAC), CarePlus, Long Term Conditions funding, Palliative Care Visits funding etc. received by PHO practices but not by those practices independent of PHOs]
      Our PHO independent practice can claim a General Medical Services (GMS) benefit of $35.78 (GST incl) for an under 6 year. Added to the 10 minute fee of $40 the total our practice recieves is $75.78 (less than 50% capitated practices recieve to run a full practice and pay GST). A 20 minute consultation works out at 68% of the capitated practice funding.

  • Can I have you as my GP but go other providers (Nurse Practitioner, Iwi Clinic, other GPs etc) when I wish?
    • If you don't have confidence in my care for the "easy bits", why would I want to take on the "difficult bits" without charging specialist rates?
    • How can I offer holistic care if I am excluded from aspects of your health care?
    • If something needs care or expertise not available in the Practice, it is better to be referred from the Practice to a service that can provide it (such as an appropriate specialist), so we then remain aware of overall health needs
    • The main exceptions are:
      1. Emergencies (chest pain, stoke, major trauma, difficulty breathing etc) - call an ambulance and/or go directly to ED
      2. Mental Health Emergencies - contact the Crisis Team, now called the "Assessment & Brief Care (ABC) Team" Free Phone 0508 292 4672
      3. After-hours urgent care that cannot wait - use ED or an A&M clinic
      4. Maternity care is no longer offered so find a Lead Maternity Carer (LMC) as soon as you find you are pregnant. For medico-legal reasons we will only deal with unfunded non-maternity medical problems in pregnancy. See Maternity (Obstetric) Care
      In short, the answer is, that this situation fragments care and is incompatible with our preferred practise and so if you want this, you may be better with a "health professional" who doesn't specialise in family medicine [actually that was the medium answer, the short answer is "no"].

      • Can I apply by e-mail? -of course. Please use the practice e-mail at Orcon, as only personal messages should be sent to my GMAIL address. Please also include a "snail mail" address to allow us to send practice information and transfer of notes request.

        Use this to apply to the surgery
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