Private Integrated Care

What is Private Integrated Care?

TBI Health’s Private Integrated Care (PIC) is a tailored assessment and rehabilitation service for people who are not eligible for ACC funding and require coordinated support for injury or health‑related needs.

Private Integrated Care supports functional recovery, independence, and quality of life, and may involve a single clinician or an integrated multidisciplinary team, depending on individual needs and goals.

The service is delivered nationwide, supported by a broad network of experienced clinicians across New Zealand, as well as Telehealth. This enables TBI Health to match the right expertise to each situation, ensuring consistent, high‑quality support regardless of location.

The service is suitable for referrals from Third Party Administrators, employers, insurers, and private funders.

Evidence‑informed approach

Evidence shows that early, coordinated, multidisciplinary rehabilitation, tailored to individual needs, supports improved functional outcomes, participation, and sustainable return‑to‑work where appropriate.

Private Integrated Care is designed around these principles, focusing on coordination, timely access, and goal‑driven care.

Who is Private Integrated Care suitable for?

Private Integrated Care is suitable for people who require support for a wide range of health conditions that impact activities of daily living (ADLs), work participation, or both, and are not covered directly by ACC, including (but not limited to):

  • Concussion and mild traumatic brain injury
  • Mental health conditions, including anxiety, depression and adjustment‑related difficulties
  • Post‑surgical rehabilitation
  • Cancer‑related rehabilitation and recovery
  • Injuries or health conditions not covered by ACC
  • Persistent pain or complex, multi‑factor presentations

What does the service include?

Depending on individual needs, Private Integrated Care may include (but is not limited to):

  • Specialised assessment services
  • Treatment and rehabilitation delivered by an interdisciplinary team, tailored to the individual
  • Vocational rehabilitation and return to work support
  • Persistent pain management
  • Wellbeing‑focused support, including non‑musculoskeletal and mental health conditions
  • Medical specialist input, including access to online Injury Doctors where required

Services may be delivered in a TBI Health clinic, in the community, at the workplace, or via Telehealth.

What can referrers expect?

  • A single Lead Provider coordinating the service
  • Prompt referral review and clear communication
  • An initial assessment report outlining findings, goals, and recommendations
  • Transparent discussion of services, costs, and expected outcomes
  • Ongoing updates and a completion summary where relevant

Timeframes and approval process

  • Referrals reviewed within 4 working hours
  • Assessments arranged promptly following acceptance
  • Fee‑for‑service delivery model
  • Referral approval covers the initial assessment, liaison, reporting and planning only
  • Any additional services or rehabilitation input will be discussed and approved with the referrer prior to delivery

Consent, privacy, and information sharing

  • Formal consent is obtained before services begin
  • Referrers receive information relevant to function, progress, and agreed goals

Supporting workplace participation & return to work

Where work participation is a goal, Private Integrated Care supports early and meaningful engagement with work for people whose ability to perform their role is impacted by injury, illness, or mental illness. Support is tailored to the individual’s capacity and the practical and/or cognitive demands of their role.

Using a holistic, allied‑health‑led approach, the focus is on improving health outcomes and sustainable work participation, supporting people to remain at work, return to work, or transition into new employment where required.

Support may include:

  • Assessment of work capacity and job or task demands
  • Early discussion of return‑to‑work or stay‑at‑work options, including modified duties, reduced hours, task changes or equipment
  • Practical strategies for both the individual and employer to improve work participation, productivity, and sustainability
  • Development of a graduated or sustainable return‑to‑work plan, or support to transition into suitable alternative roles
  • Support to build resilience and positive mental and physical wellbeing
  • Clinical recommendations or medical certification, where required
  • Coordination with physiotherapy, psychology, or other services when a multidisciplinary approach is needed
  • Ongoing liaison with the individual, employer, and other key stakeholders to support progress, wellbeing and sustainability

Supporting people to stay in work benefits both health outcomes and organisational capability, helping retain skills, knowledge and productivity.

How are employers involved?

Employer involvement is guided by consent and is designed to be practical and collaborative. This may include:

  • Providing information about job demands and the work environment
  • Participating in return-to-work planning discussions
  • Supporting agreed workplace adjustments or graduated duties
  • Maintaining communication around progress or changes

The focus is on clear communication, informed decisions, and smooth implementation.

Benefits of Private Integrated Care

Private Integrated Care provides a coordinated, outcomes‑focused approach that supports recovery, work participation, and informed decision‑making.

Key benefits include:

  • Timely assessment and intervention: Early referral review and prompt assessment support timely decision‑making, reduce delays, and enable earlier progression or re‑engagement with work where appropriate.
  • Integrated, multidisciplinary care: Coordinated input from the right health professionals supports appropriate service selection, reduces duplication, and improves continuity and efficiency of care delivery.
  • Improved work participation outcomes: Support to remain at work, return to work safely, or transition into suitable alternative employment helps minimise prolonged work absence and associated impacts.
  • Clear reporting and visibility of progress: Structured reporting provides transparency around goals, progress, functional change, and work participation, supporting confident, evidence‑based funding decisions.
  • Ability to track trends and outcomes: Aggregated insights across referrals, delivery timeframes, and outcomes support service planning, quality assurance, and continuous improvement.
  • Flexible delivery options: Services delivered in clinic, in the community, at the workplace, or via Telehealth support engagement, reduce unnecessary barriers to access, and fit with organisational needs.

How to refer

Referrals to Private Integrated Care can be made quickly and easily. Our team can support referrers through the process if required.

Referrers can submit a referral by:

Completing TBI Health’s online referral form Emailing a referral directly to tbireferrals@tbihealth.co.nz

All referrals are reviewed promptly, and the referrer will be contacted to confirm acceptance and next steps.