Physiotherapy Inpatients The Physiotherapy Service covers all Adult inpatient areas at ACH (excluding Mental health). Physiotherapists use their in-depth knowledge of how the body works, combined with hands-on clinical skills, to assess, diagnose and treat people’s symptoms of illness, injury or disability. Our aim is to help people make the most of their potential to participate in a full active life. First, we assess a patient’s problems. Then we establish treatment and rehabilitation goals to help them move, learn new skills, cope with any remaining disabilities and improve how they carry out the activities of daily life and recreation and provide a discharge plan for a wide range of conditions. We work closely with medical, nursing, social work and speech, and occupational therapy teams. Physiotherapy is available Monday to Friday. The on-call and weekend service is in place for inpatients whose condition would deteriorate without physiotherapy or who need physiotherapy in order to be discharged. Physiotherapy Outpatients Physiotherapy Outpatients provide a physiotherapy service to the residents of ADHB. It operates as a secondary and tertiary service provider, seeing patients with a wide range of cardiac, respiratory, orthopaedic, rheumatological, musculoskeletal and pelvic disorders. Priority is given to hospital based referrals however, there is a contract to also see GP referrals for patients living within ADHB catchment area. Referrals are required from a doctor, or dentist, or physiotherapist, or from a clinic and these should be sent to the ADHB Central Referrals Office at the Greenlane Clinical Centre. Our emphasis is on movement and function promoting self-management through active physiotherapy and patient centred treatment. For statutory holidays, weekend days or out of hours call-back, please use the hospital operator as per the usual weekend protocol. Contact Details: Clinical Lead - Physiotherapy Phone: (09) 307 4949 ext. 22218

Occupational Therapy/Therapy Assistants provide services to acute (medical, surgical, orthopaedics, oncology, neurology, including EDF and APU) and reablement areas. Occupational Therapists focus on enabling people to do the things that they need to, want to and are expected to do (i.e. occupations) when they leave hospital. They work in multidisciplinary teams (MDT), assessing a patient's occupational performance and providing interventions for people who have identified difficulties with their everyday activities, tasks and roles. Occupational Therapists may also identify physical, affective or cognitive issues that may impact on a person's occupational performance/participation and safety in their home and community. Occupational Therapy in acute and reablement services focus and promotes independence, safety and resumption of occupational participation and engagement. Occupational therapists may work with people to: Assist with learning new ways of doing things following illness or injury, for example dressing or meal preparation. Issue, adapt material or equipment, for example recommend wheelchairs or provide essential special adaptive equipment enabling participation with tasks/occupations Make changes to the living or working environment to help them undertake their usual occupations Enable independence or assisted performances (doing) and participation (involvement) with tasks/occupations Suggest changes to the living or working environment to enable usual occupations to be performed Provide education on works simplifications, energy conservation, managing fatigue and head injury education Contact Details: Clinical Lead - Occupational Therapy/Therapy Assistants Phone: (09) 307 4949 ext. 22817

Speech Language Therapists provide assessment, diagnosis and treatment of communication (speech, language, voice and augmentative/alternative communication) and oropharyngeal swallowing disorders. They also work closely with other members of the care team to facilitate weaning patients from breathing tubes. Speech Language Therapists work to maximise function, independence and quality of life by providing programmes of rehabilitation, care, advice and education. Therapists work directly with patients and with their carers and families as needed. Speech language therapists work with patients with acute (e.g. stroke, surgery and traumatic brain injury) and progressive/chronic difficulties (e.g. Parkinson's disease, motor neuron disease, dementia. The SLT service are available between 7am - 5pm, Monday to Friday and provide an on call service to stroke patients between 0800 and 1700 Saturday and Sunday. Contact Details: Clinical Lead – Speech Language Therapy Phone: (09) 307 4949 ext. 22820

Adult Social Work The Adult Social Work Service provides initial assessment and on-going intervention to all medical and surgical wards and some outpatient clinics, including the Adult Emergency Department, the Department of Critical Care Medicine, Admission & Planning Unit, Orthopaedics, Urology, Renal Services, Liver services, and General Medical and Surgery. The role of the social worker is to assess and support the patient and their family/Whanau in relation to their emotional, psychological, social and practical needs. Social workers are part of an inter-disciplinary team and work closely with physiotherapists and occupational therapists to co-ordinate a safe discharge. On discharge from the hospital, the social worker may refer patients to appropriate community support services. Social workers are available Monday to Friday from 7:30am to 4:00pm. An afterhours service is provided to the hospital for acute emergency situations. The majority of these referrals come from the Adult Emergency Department, Admission & Planning Unit and Department of Critical Care. This service is available outside of usual hours during the week and over the weekend and on public holidays. Contact Details: Clinical Lead – Social Work (Adult) Phone: (09) 307 4949 ext. 22687 Women’s Health Social Work The Women’s Health Social Work team practices from a trauma-informed, relationship-based approach and provides holistic social work services to women and their whānau across a variety of inpatient, outpatient and community health settings. Service areas include Fertility Plus, Community Maternity, High Risk Maternity, Maternal Foetal Medicine, Gynaecology and Gynae/Oncology, Recurrent Pregnancy Loss, Epsom Day Unit and the Neonatal Intensive Care Unit. The role of the Women’s Health social worker includes undertaking psychosocial assessment, therapeutic counselling, advocacy, pre-decision and post-procedural counselling, and grief and loss support. The team also has a key role in working alongside LMC Midwives with wahine hapū and whānau in pregnancy and coordinating multi-agency/multi-disciplinary risk assessment and safety planning often in the context of family violence and child protection worries. They partner closely with a range of community agencies to ensure continued support in the community. Social Workers are available Monday to Friday from 7:30am - 4:00pm, a weekend on-call service is available Friday 5:00pm – Monday 8:00am and on public holidays from 8:00am - 6:00pm. Contact Details: Clinical Lead – Social Work (Women's Health) Phone: (09) 307 4949 ext. 22687 Email for referrals/enquiries: womenshealthswk@adhb.govt.nz

Nutrition and Dietetic Services provide cover across all adult wards at Auckland City Hospital, renal services and outpatients. Dietitians use scientific evidence about food and nutrition and translate it into practical strategies to support a person’s optimal health and well-being. A Dietitian will work in partnership with an individual and their whanau and provide nutrition assessment, education, intervention and monitoring tailored for their needs. Monday to Friday within the hospital Dietitians are available to assess inpatients considered to require nutrition support such as parenteral (intravenous), enteral or supplementary nutrition drinks or special diets. There is also a Dietitian available on weekends and public holidays for enteral feeding who can be contacted on 021 753 089 For Outpatients please referrals are required from a doctor or Dietitian and these should be sent to the ADHB Central Referrals Office at Greenlane Clinical Centre.