High cost treatment pathway
Clinician guidelines for high cost medical treatment
High Cost Treatment Pool Pathway

Clinical Process
Confirm treatment is not available in New Zealand
Identify overseas treatment provider options
Notify Service Clinical Director /Director
Obtain approval in principle to proceed
Follow application process
Application form returned to HCTP@health.govt.nz and patient's home DHB
Funder :
Notify funder accessing HCTP
CC application form
CC correspondence with Ministry of Health (MoH )Non-Auckland DHB patients – clinician obtains approval from patient’s home DHB cc Funder
Provide MoH with additional travel, accommodation, transport costs (accurate as possible)
Ensure family aware of MoH funding guidelines and potential financial implications for them
Alert finance of HCTP patient (Auckland DHB patients only)
Auckland DHB patients only
Request DHB financial support for additional whānau to accompany the patient
1. Discuss with Child Health Director
2. Director obtain approval to cover cost from Director Provider Services
Escalation pathway
Escalate to Chief Medical Officer for MoH (Andy Simpson) if concerned that approval delays will adversely affect patient
Funder
Ensuring contract signed with MoH and processed
Providing advice and assistance as needed
Ministry of Health
Guidelines download from MoH website or: https://www.health.govt.nz/our-work/hospitals-and-specialist-care/high-cost-treatment-pool
Application form available from: HCTP@health.govt.nz
MoH funding covers:
Treatment costs based on treatment providers quote (payable to the provider)
Flights, accommodation and internal travel costs for patient and 1 other (parent/caregiver) payable to patient’s home DHB
Family
Advise family of the following:
Obtain all in country travel receipts in order for funds to be claimed back from MoH
MoH will only pay for 1 member of the whānau to accompany child
Check passports current
Ensure patient/whānau have required consumables / equipment for trip
Contact information
MoH CMO – Andy Simpson: Mobile: 021418705 Andrew.Simpson@health.govt.nz
MoH - Manager office of chief clinical officers: Clare Possenniskie: Mobile: 021 827 911 Claire.Possenniskie@health.govt.nz
Funder – Nicky Plant: Nicky.Plant@waitematadhb.govt.nz Mobile: 027 355 5279
Application form submitted to: HCTP@health.govt.nz and Nicky.Plant@waitematadhb.govt.nz