“Well-being, together | Waiora, tahi”
Our Policies
ADHD
From February 2026, GPs in New Zealand will be able to diagnose ADHD and initiate ADHD medication.
We know many patients and whānau are waiting for clearer pathways and shorter delays.
Below is an update on how ADHD care will work at Travis Medical Centre
ADHD Assessments at Travis
• No NP/GPs at Travis Medical are offering ADHD assessments
ADHD assessments will continue to be completed by:
• Psychologists
• Psychiatrists
• NP/GPs in other practices who have completed specialised ADHD assessment training
Cost:
A Clinician-provided ADHD assessment is not government funded and is likely to cost a similar amount to assessments provided by psychologists or psychiatrists.
Initiating ADHD Medication at Travis Medical
All GPs at Travis Medical are currently upskilling so they can safely initiate ADHD medication from February 2026.
What you’ll need before medication can be started –
Before we can initiate ADHD medication, patients must provide a comprehensive diagnostic report completed by:
• 🧠 a psychologist
• 🩺 a psychiatrist, or
• 👩⚕️ a GP/NP with formal ADHD assessment training
These reports are detailed and require careful review to ensure safe, evidence-based prescribing.
You will also need:
• 🧪 a urine test
• ❤️ an ECG
Process and Costs for ADHD Medication Initiation
Step 1: Specialist report review
Your Enrolled Clinician reviews your diagnostic report and treatment recommendations.
Cost: $75
Step 2: Health checks
Appointment with a nurse or healthcare assistant to:
• check blood pressure, heart rate and weight
• arrange urine testing and ECG
Cost: $60
Step 3: Enrolled Clinician appointment to start medication if appropriate
A 15 minute GP/NP appointment to discuss treatment options and, if appropriate, initiate medication. Signing of a contract.
Depending on Health checks. There is no guarantee of script at this time if the Clinician has concerns.
Costs:
• $62
• Community Services Card:
$20 (15 minutes)
Step 4: Follow-up care
Ongoing GP/NP appointments to monitor response, side effects, and make any adjustments.
Cost: Usual fees apply
Cost support 💙
In some situations, funding support may be available if cost is a barrier to accessing care. Please discuss this with your enrolled clinician.
Why can’t this be done in a usual 15-minute appointment?
We understand this may feel unexpected or frustrating. However, safe ADHD prescribing requires more time.
Your Enrolled Clinician must ensure that:
• ✔️ all legal, clinical, and safety requirements are met
• ❤️ cardiovascular and mental health history are carefully reviewed
• 💬 medication options, risks, benefits, and monitoring plans are fully discussed
• 🤝 shared decision-making occurs without rushing
• 🛡️ follow-up and safety monitoring are clearly arranged
This cannot be done safely within a standard 15-minute appointment.
Why is there a cost for initiating ADHD medication?
At present, there is no government funding allocated for ADHD medication initiation in general practice.
Most NP/GP visits are partially subsidised by the government. Because ADHD medication initiation is not funded, patients are required to cover the full cost of these appointments.
Why aren’t ADHD assessments offered at present?
We recognise the long waits and high costs many people face when seeking an ADHD assessment.
Our decision is not due to lack of interest. Rather:
• ADHD assessment requires substantial specialised training, with no funded time or support
• NP/GPs complete training in their own time and at their own cost
• Current capacity allows us to upskill for medication initiation, but not full assessments
• Offering full ADHD assessments would significantly reduce availability for routine GP care for our wider patient community
Our commitment
While we are not offering ADHD assessments currently, we are committed to:
• 🤝 supporting patients who already have an ADHD diagnosis
• 💊 providing safe, evidence-based ADHD medication initiation
• 🔍 being open and transparent about costs
• 🛑 avoiding rushed or unsafe prescribing
• 📢 continuing to advocate for clearer pathways and government funding for ADHD care in primary care
We understand that ADHD assessment and treatment can be an emotional and sometimes frustrating journey. By explaining our process clearly, we hope to reduce surprises, set expectations, and support you through the next steps.
If you have questions about what this means for you or your whānau, please contact your enrolled Clinician.
Privacy
Privacy Statement – July 2026
This Privacy Statement explains how Travis Medical Centre collects, uses, stores and shares your personal and health information.
Personal information is any information that identifies you as an individual. Health information includes information about your health, disabilities, medical history, treatment and care. Throughout this statement, the term “information” refers to both your personal information and your health information.
Travis Medical Centre complies with the Privacy Act 2020 and the Health Information Privacy Code 2020.
If you have any questions about this Privacy Statement or how we manage your information, please contact our Privacy Officer.
Collection of your information
We collect your personal and health information so we can provide you with safe, effective and coordinated healthcare, communicate with you, and inform you about services that may be relevant to your health, such as screening programmes, recalls, reminders and community services.
Where possible, we collect information directly from you. We may also collect information from someone you have authorised us to speak with, such as a family member, whānau, support person or caregiver. Whenever practicable, we will collect information from you first unless there is a good reason not to, for example if you are unwell and unable to provide the information yourself.
To support your ongoing healthcare, we may also receive information from other healthcare providers and organisations involved in your care. These may include:
- Health New Zealand | Te Whatu Ora hospitals and specialist services
- Other general practices
- Medical specialists
- Laboratories and radiology providers
- Pharmacies
- Community nursing and allied health providers, including physiotherapists, midwives, dentists and optometrists
- Mental health and community support services
- ACC
- Government agencies where authorised or required by law, such as the Ministry of Social Development, Health New Zealand or Police.
Where required under the Health Information Privacy Code 2020, we will take reasonable steps to notify you when we collect your information indirectly, unless an exception applies. In many situations, you would reasonably expect this information sharing as part of your healthcare, such as receiving hospital discharge summaries, specialist reports or laboratory results.
We collect, use, hold and share your information in accordance with the Privacy Act 2020, the Health Information Privacy Code 2020, and other applicable health legislation.
How we use and share your information
We use your information to:
- Provide healthcare and treatment.
- Coordinate your care with other healthcare providers.
- Arrange referrals, prescriptions, investigations and follow-up care.
- Maintain accurate clinical records.
- Contact you by telephone, text message, email or post regarding appointments, recalls, screening programmes, test results and other matters relating to your healthcare.
- Meet our legal, funding and regulatory obligations.
- Support the safe and effective operation of our practice.
We share relevant information only when it is necessary for your care, where required or permitted by law, or to meet our contractual, funding and regulatory obligations.
This may include sharing information with:
- Hospitals and specialist services
- Laboratories and radiology providers
- Pharmacies
- ACC
- Other healthcare and community providers involved in your care
- Health New Zealand and other authorised health agencies where required by law
Where appropriate, we will discuss information sharing with you. However, there are circumstances where we may disclose information without notifying you first, such as where there is a serious threat to your health or safety or that of another person, or where disclosure is authorised or required by law.
Pegasus Health receives information from our practice to support the delivery of funded primary healthcare services, provide clinical support, and meet reporting and funding requirements.
If concerns are raised about the care or services we provide, we may disclose relevant information to our professional advisers, insurers, indemnity providers, legal advisers or regulators to investigate and respond appropriately.
Electronic health records
Our practice participates in HealthOne, a secure South Island electronic health record system that enables authorised healthcare providers directly involved in your care to securely access relevant health information, such as medications, allergies, test results, hospital summaries and GP clinical information. This helps support safe and coordinated healthcare.
HealthOne operates within the requirements of the Privacy Act 2020 and the Health Information Privacy Code 2020. Access is restricted to authorised healthcare professionals and is regularly audited.
If you wish to restrict the sharing of your information through HealthOne, please contact HealthOne Privacy on 0508 837 872 or healthone.privacy@pegasus.health.nz.
If you choose to register for MyIndici, some of your health information will also be available to you through the secure patient portal. Separate terms and conditions apply to your use of MyIndici.
Holding your information
We take reasonable steps to protect your information from loss, unauthorised access, use, disclosure or misuse.
Your information is stored securely in our electronic clinical record systems and is only accessible by authorised staff who require access to perform their duties.
We retain your health information for at least 10 years after the last health service we provide to you, or longer where required by law.
Your rights
You have the right to:
- Request access to the personal and health information we hold about you.
- Request correction of information you believe is inaccurate, incomplete or out of date.
If you would like to access or correct your information, please contact our practice. If another healthcare provider is better placed to respond to your request, we will let you know and, where appropriate, assist with transferring your request.
We will respond to your request as soon as reasonably practicable and within the timeframes required by the Privacy Act 2020.
To protect your privacy, we may ask you to verify your identity before releasing personal information.
If someone is acting on your behalf, we may ask them to provide evidence that they are authorised to make the request.
Privacy concerns or complaints
If you have any concerns about how we have collected, used or managed your information, please contact our Privacy Officer. We welcome the opportunity to resolve any concerns promptly and fairly.
If you are not satisfied with our response, you have the right to make a complaint to the Office of the Privacy Commissioner.
Privacy
Our practice is committed to meeting our obligations under the Health Information Privacy Code (HIPC) to protect the privacy of your health information. To ensure that we meet our obligations we have:
- trained our staff in the Health Information Privacy Code
- appointed a privacy officer. The privacy officer for our practice is the Practice Manager. If you wish to speak to her, please contact reception.
- developed a privacy policy for our practice
- have available a privacy brochure “Your health information, Know your privacy rights”.
For further information you can contact the Office of the Privacy Commissioner on 0800 803 909 or go to the website www.privacy.org.nz
Please note that this practice is contributing to, and accessing healthcare information from HealthOne –
DNA - Did Not Attend
Appointment Policy Reminder
Appointments at our clinic are in high demand. If you are unable to attend your scheduled appointment, please give us at least 2 hours’ notice so we can offer the slot to someone else in need.
If you do not attend your appointment without prior notice, a $20 fee will apply.
This policy applies to both children and adults.
We understand that emergencies happen, but repeated non-attendance affects everyone. Please be considerate and help us provide timely care to all our patients.
Thank you for your cooperation.
Zero Tolerance
We are here to assist you and your family achieve your health and wellbeing goals.
The practice has a ZERO TOLERANCE approach to any verbal, aggressive or violent abuse and behaviour towards staff or patients. If a patient or any person who attends an appointment at the practice is abusive or aggressive towards staff and/or other patients, you may be removed from our enrolled patients list.
CHILD PROTECTION
CHILD PROTECTION POLICY
20 August 2026
1. OUR COMMITMENT
Travis Medical Centre is committed to protecting the safety, wellbeing and dignity of every child and young person who uses our services, or whose whānau uses our services.
We are committed to providing a safe, respectful and supportive environment and to taking appropriate action when there are concerns about a child’s safety or wellbeing.
Child protection is everyone’s responsibility.
The safety and wellbeing of the child is our priority.
________________________________________
2. PURPOSE
This policy provides staff with clear guidance about:
PREVENTION
How we create a safe environment for children.
RECOGNITION
How we recognise possible abuse or neglect.
RESPONSE
What to do when a concern, disclosure or allegation is made; how to respond to concerns about wellbeing of a child/young person.
REPORTING
When and how concerns are escalated.
RECORDING
How concerns and actions are documented.
________________________________________
3. OUR PRINCIPLES
Travis Medical Centre will:
• put the child’s safety and wellbeing first;
• treat children with dignity, respect and care;
• listen to children and take concerns seriously;
• recognise the important role of parents, caregivers and whānau;
• involve whānau wherever it is safe and appropriate;
• ensure staff know how to recognise and respond to concerns;
• encourage staff to speak up about unsafe or inappropriate practice;
• maintain appropriate professional boundaries;
• share information when necessary to protect a child;
• work with relevant agencies when required; and
• maintain accurate and confidential records.
________________________________________
4. WHAT IS CHILD ABUSE?
Child abuse includes:
Physical Abuse
Actions that cause or may cause physical harm, this can be but is not limited to hitting, kicking, shaking, biting, burning, bruising, suffocation, poisoning, growing a child, choking, inappropriate physical punishment; pregnant mother exposed to family harm/physical abuse; fabricated or induced illness.
Emotional Abuse
Behaviour that repeatedly harms a child’s intellectual, emotional or psychological wellbeing and sense of worth, including humiliation, intimidation, threats, rejection, isolation, verbal assault, confinement, exposure to family violence or any other treatment that may diminish the sense of identity, dignity and self-worth.
Sexual Abuse
Any acts that involve forcing or enticing a child under the age of 16 to take part in sexual activities, whether or not they are aware of what is happening. This may involve physical contact i.e., touching breast, genital/anal fondling, masturbation, oral sex, penetration or non-penetration contact with anus or genitals or encouraging child such acts on another; or non-contact behaviour such as grooming, sexual or suggestive messages, exposure to pornography; asking for or sharing images or online sexual exploitation.
Neglect
A failure to meet a child’s basic needs which causes, or is likely to cause, harm.
This may include; –
• Physical – not providing the necessities of like, i.e. lack of food or appropriate clothing, unsafe living conditions; harmful drug or alcohol use in pregnancy;
• Neglectful Supervision – leaving children without someone safe looking after them;
• Emotional– not providing comfort, attention, love;
• Medical – untreated health needs; seeking anti-natal support late in pregnancy
• Educational / Developmental – allowing chronic truancy, failure to enroll in education or inattention to educational needs; failure to meet significant developmental needs.
________________________________________
5. PREVENTION – KEEPING CHILDREN SAFE
Preventing abuse is an important part of everyone’s role.
Staff will:
• treat children with respect;
• use appropriate language and behaviour;
• maintain professional boundaries;
• respect children’s privacy and dignity;
• explain clinical procedures in an age-appropriate way;
• explain examinations before they occur;
• use physical contact only when clinically appropriate or necessary;
• provide appropriate comfort and reassurance;
• avoid unnecessary situations where they are alone with a child;
• use approved work communication systems;
• report inappropriate behaviour by another adult or staff member;
• offer the child or young person to have a support person in the room.
Staff must not:
• hit, threaten, shame or humiliate a child;
• use inappropriate physical contact;
• engage in sexualised behaviour or conversation;
• develop inappropriate personal relationships with children;
• contact children through personal social media;
• give inappropriate gifts;
• ask children to keep secrets;
• take photographs of children for personal use;
• behave in a way that could be considered grooming; or
• provide private babysitting or other personal services to patients’ children.
________________________________________
6. PROFESSIONAL BOUNDARIES
All staff must maintain clear professional boundaries with children and young people.
Be alert to:
• unnecessary one-to-one contact;
• inappropriate touching;
• favouritism;
• excessive personal communication;
• inappropriate gifts;
• secretive communication;
• personal social media contact;
• sexualised comments or behaviour; or
• attempts to isolate a child.
Speak up
If something does not feel right, raise the concern with the Practice Manager or Child Protection Lead.
You do not need to prove that abuse has occurred before raising a concern.
________________________________________
7. RECRUITMENT & SAFETY CHECKING
Travis Medical Centre takes reasonable steps to ensure that people working with children are suitable to do so.
Where required, safety checking will be completed in accordance with the Children’s Act 2014.
Required safety checks will be renewed within the required timeframe.
________________________________________
8. STAFF TRAINING
Child protection forms part of staff induction.
Staff will receive appropriate training and information about:
• this policy;
• recognising abuse and neglect;
• responding to disclosures;
• professional boundaries;
• prevention of abuse;
• confidentiality and information sharing;
• reporting concerns; and
• who to contact for advice.
Refresher training will be provided as required.
________________________________________
9. RECOGNISING POSSIBLE ABUSE OR NEGLECT
Staff do not need to be certain that abuse has occurred before raising a concern. While there are different definitions of abuse, the important thing is for us to consider overall wellbeing and the risk of harm to the child. It is not so important to be able to categorise the type of abuse or neglect.
Children and Young People are more at risk if one or more of these ‘toxic trio’ are present
1. Family harm in home;
2. Caregiver undiagnosed or unmanaged mental health;
3. Caregiver substance abuse
Possible physical signs
• unexplained injuries; repeated injuries; bruising, burns or fractures; injuries with an explanation that does not appear consistent; injuries in unusual locations or patterns; genital injuries; sexually transmitted diseases; untreated medical problems.
Possible emotional or behavioural signs
• significant changes in behaviour; anxiety or fear; withdrawal; overly familiar; aggression; low self-esteem; unusual sexualised behaviour; self-harm; fear of a particular person; sleep problems; sadness/loneliness; reluctance to go home.
Possible signs of neglect
• poor hygiene; inadequate clothing or food; unsafe living conditions; lack of safe supervision; untreated health needs; developmental concerns; cognitive delays, falling behind in school; poor speech and social skills; repeated failure to attend important health appointments.
Remember
One sign does not necessarily mean abuse. Look at the whole situation, consider patterns, and talk to a senior staff member.
________________________________________
10. IF A CHILD TELLS YOU SOMETHING
DO …
LISTEN
Stay calm and allow the child to speak.
BELIEVE
Take what they say seriously.
REASSURE
Tell them they have done the right thing by telling you and that it is not their fault.
EXPLAIN
Let them know you may need to tell someone who can help keep them safe.
RECORD
Write down what was said as soon as possible. Ensure you use their own words.
REPORT
Tell the Practice Manager or Child Protection Lead.
DO NOT
• interrogate the child; however, can clarify, for example if unclear can ask the child to ‘describe’, ‘show’ or ‘explain it’. Can also check if it happens to anyone else in the home – i.e. another sibling (assessing their safety)
• ask lots of questions;
• ask leading questions;
• suggest answers;
• promise secrecy;
• confront the alleged abuser; or
• investigate the allegation yourself.
Listen. Support. Record. Report.
________________________________________
11. RESPONDING TO A CONCERN
When you have a concern about a child:
1. PROTECT
Make sure the child is safe.
2. LISTEN
If the child has disclosed something, listen calmly.
3. RECORD
Write down what you saw or were told (remember to use the words the child/young person used).
4. REPORT INTERNALLY
Tell either the:
Child Protection Lead / Senior Staff Member / Practice Manager
5. SEEK ADVICE
Contact Oranga Tamariki or Police where appropriate.
6. TAKE ACTION
Make a report of concern where required.
7. FOLLOW UP
Ensure the concern and actions are documented and followed up.
________________________________________
12. IMMEDIATE DANGER
If a child is in immediate danger or there is an immediate risk of serious harm:
CALL POLICE – 111
Then:
• ensure the child is safe;
• seek urgent medical assistance if required;
• notify the Practice Manager / Child Protection Lead;
• document what happened and what action was taken.
Do not alert an alleged abuser if doing so could place the child at greater risk.
________________________________________
13. ORANGA TAMARIKI
Staff may contact Oranga Tamariki when they are concerned about the safety or wellbeing of a child.
You do not need to have proof of abuse before seeking advice.
Oranga Tamariki
0508 FAMILY
0508 326 459
Staff should use the current Oranga Tamariki reporting process if contact details change.
________________________________________
14. PARENTS, CAREGIVERS & WHĀNAU
We recognise the important role of parents, caregivers and whānau in keeping children safe.
Where appropriate, families will be involved in discussions and planning.
However, parents or caregivers should not be informed about a concern before advice is obtained if doing so could:
• place the child at greater risk;
• place another person at risk;
• interfere with a Police investigation; or
• interfere with an Oranga Tamariki assessment.
The reason for not informing the parent/caregiver must be documented.
________________________________________
15. CONFIDENTIALITY & INFORMATION SHARING
Child protection information must be treated confidentially.
However, confidentiality does not prevent appropriate information sharing when it is necessary to protect a child.
Staff should:
• only share information that is necessary;
• share information with the appropriate person or agency;
• record what information was shared and why; and
• seek advice if unsure.
Child protection concerns must be recorded securely in the patient’s clinical record.
________________________________________
16. RECORDING CONCERNS
Records must be:
• factual;
• clear;
• objective;
• dated and timed;
• completed as soon as possible; and
• securely stored.
Separate:
WHAT I SAW
Factual observations.
WHAT I WAS TOLD
Record the person’s words where possible.
WHAT I AM CONCERNED ABOUT
Your professional concern or assessment.
Avoid assumptions or unsupported conclusions.
________________________________________
17. CHILD PROTECTION / ORANGA TAMARIKI REGISTER
Travis Medical Centre will maintain a confidential register of child protection notifications and significant child safety concerns.
________________________________________
18. CONCERNS ABOUT A STAFF MEMBER
Any allegation or concern that a staff member has abused or behaved inappropriately towards a child must be reported immediately to the Practice Manager.
Management will:
• ensure the child is safe;
• consider removing the staff member from contact with children;
• seek advice from Police and/or Oranga Tamariki where appropriate;
• follow employment and disciplinary procedures;
• maintain appropriate confidentiality;
• document the matter; and
• ensure any internal investigation does not interfere with a Police or Oranga Tamariki investigation.
The staff member will be treated fairly and will have the opportunity to seek appropriate support or representation.
________________________________________
19. CHILDREN WITH ADDITIONAL VULNERABILITIES
Some children may need additional support, including children with:
• disabilities;
• developmental delays;
• communication difficulties;
• mental health concerns;
• high support needs;
• dependence on adults for personal care; or
• unstable living arrangements.
Staff should consider whether a child’s developmental or communication needs may affect their ability to report concerns.
Appropriate communication support should be provided.
________________________________________
20. CULTURAL SAFETY
We recognise the importance of:
• whakapapa;
• whānau;
• culture;
• identity; and
• connection.
Staff will provide culturally respectful care and avoid assumptions about children or families.
Cultural considerations must never prevent appropriate action when a child may be unsafe.
________________________________________
21. SUPPORT FOR STAFF
Travis Medical Centre is committed to providing support; clinical discussions; supervision; professional advice and wellbeing support for any staff member involved in child protection concerns.
________________________________________
22. WHO CAN I SPEAK TO?
If you are worried about a child, do not keep the concern to yourself.
Child Protection Lead; Practice Manager; Senior Staff
Child and Family Safety Team – Te Whatu Ora – (03) 339 1177 / 021 198 2203
Oranga Tamariki – 0508 FAMILY / 0508 326 459
or in an emergency Police 111
________________________________________
23. POLICY REVIEW
This policy will be reviewed at least every three years, or sooner if:
• legislation changes;
• relevant guidance changes;
• there is a significant child protection incident;
• an audit identifies a concern;
• services change; or
• improvements are identified.
________________________________________
“Well-being, together | Waiora, tahi”
Our Policies
ADHD
From February 2026, GPs in New Zealand will be able to diagnose ADHD and initiate ADHD medication.
We know many patients and whānau are waiting for clearer pathways and shorter delays.
Below is an update on how ADHD care will work at Travis Medical Centre
ADHD Assessments at Travis
• No NP/GPs at Travis Medical are offering ADHD assessments
ADHD assessments will continue to be completed by:
• Psychologists
• Psychiatrists
• NP/GPs in other practices who have completed specialised ADHD assessment training
Cost:
A Clinician-provided ADHD assessment is not government funded and is likely to cost a similar amount to assessments provided by psychologists or psychiatrists.
Initiating ADHD Medication at Travis Medical
All GPs at Travis Medical are currently upskilling so they can safely initiate ADHD medication from February 2026.
What you’ll need before medication can be started –
Before we can initiate ADHD medication, patients must provide a comprehensive diagnostic report completed by:
• 🧠 a psychologist
• 🩺 a psychiatrist, or
• 👩⚕️ a GP/NP with formal ADHD assessment training
These reports are detailed and require careful review to ensure safe, evidence-based prescribing.
You will also need:
• 🧪 a urine test
• ❤️ an ECG
Process and Costs for ADHD Medication Initiation
Step 1: Specialist report review
Your Enrolled Clinician reviews your diagnostic report and treatment recommendations.
Cost: $75
Step 2: Health checks
Appointment with a nurse or healthcare assistant to:
• check blood pressure, heart rate and weight
• arrange urine testing and ECG
Cost: $60
Step 3: Enrolled Clinician appointment to start medication if appropriate
A 15 minute GP/NP appointment to discuss treatment options and, if appropriate, initiate medication. Signing of a contract.
Depending on Health checks. There is no guarantee of script at this time if the Clinician has concerns.
Costs:
• $62
• Community Services Card:
$20 (15 minutes)
Step 4: Follow-up care
Ongoing GP/NP appointments to monitor response, side effects, and make any adjustments.
Cost: Usual fees apply
Cost support 💙
In some situations, funding support may be available if cost is a barrier to accessing care. Please discuss this with your enrolled clinician.
Why can’t this be done in a usual 15-minute appointment?
We understand this may feel unexpected or frustrating. However, safe ADHD prescribing requires more time.
Your Enrolled Clinician must ensure that:
• ✔️ all legal, clinical, and safety requirements are met
• ❤️ cardiovascular and mental health history are carefully reviewed
• 💬 medication options, risks, benefits, and monitoring plans are fully discussed
• 🤝 shared decision-making occurs without rushing
• 🛡️ follow-up and safety monitoring are clearly arranged
This cannot be done safely within a standard 15-minute appointment.
Why is there a cost for initiating ADHD medication?
At present, there is no government funding allocated for ADHD medication initiation in general practice.
Most NP/GP visits are partially subsidised by the government. Because ADHD medication initiation is not funded, patients are required to cover the full cost of these appointments.
Why aren’t ADHD assessments offered at present?
We recognise the long waits and high costs many people face when seeking an ADHD assessment.
Our decision is not due to lack of interest. Rather:
• ADHD assessment requires substantial specialised training, with no funded time or support
• NP/GPs complete training in their own time and at their own cost
• Current capacity allows us to upskill for medication initiation, but not full assessments
• Offering full ADHD assessments would significantly reduce availability for routine GP care for our wider patient community
Our commitment
While we are not offering ADHD assessments currently, we are committed to:
• 🤝 supporting patients who already have an ADHD diagnosis
• 💊 providing safe, evidence-based ADHD medication initiation
• 🔍 being open and transparent about costs
• 🛑 avoiding rushed or unsafe prescribing
• 📢 continuing to advocate for clearer pathways and government funding for ADHD care in primary care
We understand that ADHD assessment and treatment can be an emotional and sometimes frustrating journey. By explaining our process clearly, we hope to reduce surprises, set expectations, and support you through the next steps.
If you have questions about what this means for you or your whānau, please contact your enrolled Clinician.
Privacy
Privacy Statement – July 2026
This Privacy Statement explains how Travis Medical Centre collects, uses, stores and shares your personal and health information.
Personal information is any information that identifies you as an individual. Health information includes information about your health, disabilities, medical history, treatment and care. Throughout this statement, the term “information” refers to both your personal information and your health information.
Travis Medical Centre complies with the Privacy Act 2020 and the Health Information Privacy Code 2020.
If you have any questions about this Privacy Statement or how we manage your information, please contact our Privacy Officer.
Collection of your information
We collect your personal and health information so we can provide you with safe, effective and coordinated healthcare, communicate with you, and inform you about services that may be relevant to your health, such as screening programmes, recalls, reminders and community services.
Where possible, we collect information directly from you. We may also collect information from someone you have authorised us to speak with, such as a family member, whānau, support person or caregiver. Whenever practicable, we will collect information from you first unless there is a good reason not to, for example if you are unwell and unable to provide the information yourself.
To support your ongoing healthcare, we may also receive information from other healthcare providers and organisations involved in your care. These may include:
- Health New Zealand | Te Whatu Ora hospitals and specialist services
- Other general practices
- Medical specialists
- Laboratories and radiology providers
- Pharmacies
- Community nursing and allied health providers, including physiotherapists, midwives, dentists and optometrists
- Mental health and community support services
- ACC
- Government agencies where authorised or required by law, such as the Ministry of Social Development, Health New Zealand or Police.
Where required under the Health Information Privacy Code 2020, we will take reasonable steps to notify you when we collect your information indirectly, unless an exception applies. In many situations, you would reasonably expect this information sharing as part of your healthcare, such as receiving hospital discharge summaries, specialist reports or laboratory results.
We collect, use, hold and share your information in accordance with the Privacy Act 2020, the Health Information Privacy Code 2020, and other applicable health legislation.
How we use and share your information
We use your information to:
- Provide healthcare and treatment.
- Coordinate your care with other healthcare providers.
- Arrange referrals, prescriptions, investigations and follow-up care.
- Maintain accurate clinical records.
- Contact you by telephone, text message, email or post regarding appointments, recalls, screening programmes, test results and other matters relating to your healthcare.
- Meet our legal, funding and regulatory obligations.
- Support the safe and effective operation of our practice.
We share relevant information only when it is necessary for your care, where required or permitted by law, or to meet our contractual, funding and regulatory obligations.
This may include sharing information with:
- Hospitals and specialist services
- Laboratories and radiology providers
- Pharmacies
- ACC
- Other healthcare and community providers involved in your care
- Health New Zealand and other authorised health agencies where required by law
Where appropriate, we will discuss information sharing with you. However, there are circumstances where we may disclose information without notifying you first, such as where there is a serious threat to your health or safety or that of another person, or where disclosure is authorised or required by law.
Pegasus Health receives information from our practice to support the delivery of funded primary healthcare services, provide clinical support, and meet reporting and funding requirements.
If concerns are raised about the care or services we provide, we may disclose relevant information to our professional advisers, insurers, indemnity providers, legal advisers or regulators to investigate and respond appropriately.
Electronic health records
Our practice participates in HealthOne, a secure South Island electronic health record system that enables authorised healthcare providers directly involved in your care to securely access relevant health information, such as medications, allergies, test results, hospital summaries and GP clinical information. This helps support safe and coordinated healthcare.
HealthOne operates within the requirements of the Privacy Act 2020 and the Health Information Privacy Code 2020. Access is restricted to authorised healthcare professionals and is regularly audited.
If you wish to restrict the sharing of your information through HealthOne, please contact HealthOne Privacy on 0508 837 872 or healthone.privacy@pegasus.health.nz.
If you choose to register for MyIndici, some of your health information will also be available to you through the secure patient portal. Separate terms and conditions apply to your use of MyIndici.
Holding your information
We take reasonable steps to protect your information from loss, unauthorised access, use, disclosure or misuse.
Your information is stored securely in our electronic clinical record systems and is only accessible by authorised staff who require access to perform their duties.
We retain your health information for at least 10 years after the last health service we provide to you, or longer where required by law.
Your rights
You have the right to:
- Request access to the personal and health information we hold about you.
- Request correction of information you believe is inaccurate, incomplete or out of date.
If you would like to access or correct your information, please contact our practice. If another healthcare provider is better placed to respond to your request, we will let you know and, where appropriate, assist with transferring your request.
We will respond to your request as soon as reasonably practicable and within the timeframes required by the Privacy Act 2020.
To protect your privacy, we may ask you to verify your identity before releasing personal information.
If someone is acting on your behalf, we may ask them to provide evidence that they are authorised to make the request.
Privacy concerns or complaints
If you have any concerns about how we have collected, used or managed your information, please contact our Privacy Officer. We welcome the opportunity to resolve any concerns promptly and fairly.
If you are not satisfied with our response, you have the right to make a complaint to the Office of the Privacy Commissioner.
Privacy
Our practice is committed to meeting our obligations under the Health Information Privacy Code (HIPC) to protect the privacy of your health information. To ensure that we meet our obligations we have:
- trained our staff in the Health Information Privacy Code
- appointed a privacy officer. The privacy officer for our practice is the Practice Manager. If you wish to speak to her, please contact reception.
- developed a privacy policy for our practice
- have available a privacy brochure “Your health information, Know your privacy rights”.
For further information you can contact the Office of the Privacy Commissioner on 0800 803 909 or go to the website www.privacy.org.nz
Please note that this practice is contributing to, and accessing healthcare information from HealthOne –
DNA - Did Not Attend
Appointment Policy Reminder
Appointments at our clinic are in high demand. If you are unable to attend your scheduled appointment, please give us at least 2 hours’ notice so we can offer the slot to someone else in need.
If you do not attend your appointment without prior notice, a $20 fee will apply.
This policy applies to both children and adults.
We understand that emergencies happen, but repeated non-attendance affects everyone. Please be considerate and help us provide timely care to all our patients.
Thank you for your cooperation.
Zero Tolerance
We are here to assist you and your family achieve your health and wellbeing goals.
The practice has a ZERO TOLERANCE approach to any verbal, aggressive or violent abuse and behaviour towards staff or patients. If a patient or any person who attends an appointment at the practice is abusive or aggressive towards staff and/or other patients, you may be removed from our enrolled patients list.