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District Nursing Service

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The MidCentral DHB District Nursing Service provides patient-centred specialist nursing care in the community.
This care may be delivered in your home, at school or workplace, at your general practice team clinic, or at a district nursing clinic and includes wound care, palliative care, Hospital in the Home (Home Intravenous Therapy) and ACC Nursing Care. 
The district-wide nursing service runs from 7am - 11pm, seven days a week and generally provides episodic, intensive and short term care working in partnership with patients, their families/whānau and other health care providers. It is for patients whose health care needs cannot be met by a general medical or nursing service alone.
The district nursing team consists of registered and enrolled nurses based in Palmerston North, Foxton, Levin, Otaki, Pahiatua, Dannevirke and Feilding.

The Purpose of the District Nursing Service is to:

  • prevent avoidable admission to, or enable early discharge from hospital 
  • minimise the impact of a personal health problem
  • provide support to people with long term or chronic personal health problems
  • promote self-care and independence
  • provide terminal/palliative care in the community

Specialist District Nursing Services include:


  • assessment of risk, health needs, functional ability, environment, social supports
  • nursing care and support
  • education and information
  • palliative care
  • intravenous therapy
  • enteral feeding and supply of equipment
  • wound assessment and care
  • rehabilitation
  • ostomy/continence support
  • complex condition management
  • care coordination 
  • discharge planning
ACC Home Nursing
If you have had an injury related to an accident you may require ACC Home Nursing services, but may still come to the district nursing clinic for your care. 
Palliative Care
If you or a family member needs palliative care the district nursing service provides symptom management, personal care, psychological, family and bereavement support, in partnership with Arohanui Hospice and/or their GP Team.
Hospital in the Home
Hospital in the Home (HITH) enables you to receive your treatment (generally intravenous therapy) at home, or in a community facility -  if you are well enough to leave hospital. Until you are discharged from HITH you will remain under the care of your hospital specialist and team.
The hospital-to-community nurse will organise and coordinate your care with you, your family/whānau or carer, the hospital team and district nurses.  
How to access the District Nursing Service
The district nursing service is accessed by referral following discharge from hospital, or from General Practice teams, or other health care professionals working in either a hospital or the community. We provide as much care as possible in a clinic to enable us to see more patients.  Your district nurse will discuss this with you.
There is no cost for district nursing services for New Zealand residents although you may need to pay for parking when attending a clinic in Palmerston North.
Non NZ residents will be charged for nursing services unless they are covered under ACC. 

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General information about Palmerston North Hospital.