After Hours GP Service is an urgent after hours healthcare service which operates from 6pm to 8am - 7 days per week. Central Otago does not have an Emergency Department. In an emergency, please dial 111 and ask for an ambulance. The nearest EDs are located at Dunedin Public Hospital or Lakes District Hospital in Frankton. Accessing the GP After Hours Service (between 6pm and 8am) If you need to access URGENT healthcare please call Ka Ora Telecare on 0800 252 672. The phone triage service will take your details and if appropriate make arrangements for you to be seen by the After Hours GP service. Please do not present directly at Dunstan Hospital in Clyde. We do not accept “walk ins” - you must call and be triaged first. Where are we located? The After Hours GP Service operates from the rear of Dunstan Hospital, 29 Hospital Street, Clyde. Please follow the RED SIGNS when you arrive at Dunstan Hospital. This will take you around the rear of the building to the After Hours GP entrance way. Please DO NOT report to the Vincent Ward entrance. Will there be a cost? Yes, costs will apply for this service except for children under 14 years of age. Payment is expected at the time of your visit. Our standard fees for patients enrolled with a local GP Practice are: 6pm to 11pm $100 (GST Inc.) 11pm – 8am $180 (GST Inc.) ACC co-payment $65.00 (GST Inc.) children aged under 14 are free if you live in the Southern DHB region NB: Additional fees will be charged for visitors to the area. Unpaid debts will incur monthly account fees and any debt recovery costs will be on-charged.

Hours 8:30am - 5:00pm Monday to Friday If a social worker is unavailable a message may be left on the answerphone or with the Community Health Services receptionist. Services Provided Allocation of home-help, personal care, meals on wheels, etc. Assessment of home and social situation Coordination with other community providers Termination of pregnancy (TOP) counselling Coordination of some aspects of terminal and palliative care

Chemotherapy is available every Tuesday, Wednesday & Thursday. NOTE: Chemotherapy is not a 24/7 service. Services Provided Specialist chemotherapy nurses Chemotherapy treatment Monitoring of clients who have returned to to the area following treatment Pre-treatment advice and follow up The chemotherapy nurses also act as resource people. Chemotherapy contact numbers: Tuesday, Wednesday and Thursday: Phone: 03 440 4300 Extension 52653 Monday and Friday: Chemo Questions: Phone: 0800 292 963 Saturday and Sunday: Phone 03 440 4300 and ask for Dunedin Ward 8C Appointment changes: Phone: 03 440 4300 Extension 52653 (please leave a message)

Hours 8:30am - 4:30pm Monday to Friday The service is provided in the home, community, pre-school or clinic or via Telehealth. Referrals that meet service criteria will be accepted by via mail, consult request or email to dunstancommunity@cohealth.co.nz If a therapist is unavailable a message may be left with the Community Health Services receptionist. Services Provided Assessment and intervention for children (0-15 years) with a diagnosed physical, sensory or intellectual disability or presenting with developmental delays and their families.

The Diabetes Nurse Specialist Service is based at Dunstan Hospital, and covers the Central Otago District. Clinics are held in General Practices, via telehealth and in the Outpatient Department.

Hours - Alexandra/Cromwell area 8:00am - 4:30pm Monday to Sunday including Public Holidays. Nurse Led Clinic 8.30 am - 3.30pm Tuesdays and Fridays at Dunstan Hospital Hours - Wanaka area 8:00am - 4.30pm Monday to Sunday including Public Holidays Services Provided Specialist wound care Palliative care General nursing care Domiciliary oxygen IV therapy Enteral feeding ACC community (home based) nursing Access to Service General practitioner referral via ERMS Ward referral / DPH referral via Consult Requests Interdisciplinary referral via Consult Requests

Hours 8:30am - 5:00pm Monday to Friday, then on an on-call basis Appointments are not necessary but a request form from a GP or specialist is required. Use of the Awanui Laboratory website to book for a blood test is encouraged but is not required. If you do not book please note your wait time may be longer. Services Provided Biochemistry Blood bank service Haematology Microbiology Skin tests for allergies - by booking only.

The Mobile Surgical Services bus visits approximately one day every five weeks. Visit the Mobile Surgical Services website.

Hours 8:30am - 5:00pm Monday to Friday Services are provided in the Vincent Ward, clinic or at home. Referrals will be accepted from GP's via ERMS, internal referrals via Consult Requests or external providers via email to dunstancommunity@cohealth.co.nz If a therapist is unavailable a message may be left with the Community Health Services receptionist. Services Provided Holistic assessment of the impact health issues and/or disability have on daily life Training and support promoting independent management of disability or health issues Cognitive assessment Environmental adaptations in the home or workplace Equipment provision Personal care items Household management Splints Pre-operation preparation Stress management Remedial tasks to improve function

Hours 8:00am - 4.30pm Monday to Friday - no Public Holidays. Referrals are reviewed by Dunedin Hospital specialists to assess against the Ministry of Health criteria, and appointments are made accordingly. Clinics available include: Cardiology^ Colposcopy* Diabetes / Diabetes Educator Dietitian Endocrine Endoscopy * Event Monitoring Exercise Tolerance Testing^ Gastroenterology General Surgery Gynaecology Liver Clinical Nurse Specialist * Holter Monitoring^ Neurology * Neurosurgery * Obstetrics * Older Person's Health * Oncology - Medical and Radiation Orthopaedic Pacemaker * Paediatric* Respiratory Retinal Photography Stomal Therapy * Urotherapy / Continence* *Regional SDHB Contracts ^Joint Private/Public Ventures

A pharmacy service to the hospital is provided Monday to Saturday. A pharmacist is on call at all times. This service is provided to Dunstan Hospital by Unichem Alexandra Pharmacy. Services Provided Inpatient dispensing of prescriptions Outpatient dispensing of prescriptions

Hours 8:30am - 4:30pm Monday to Friday Physiotherapy Services are provided at Dunstan Hospital to inpatients, outpatients (at the unit) and as home visits if transport is not possible. If the therapist is unable to answer the phone, a message may be left on the answerphone, or with the Community Health Services receptionist. Services Provided Treatment of musculoskeletal and respiratory conditions Rehabilitation of neurological, musculoskeletal or other conditions Hydrotherapy at the Molyneux Aquatic Centre Exercise classes Provision of walking aids Respiratory testing ACC treatment Public funded physiotherapy is also available through clinics at Wanaka. Contact details are available from the Community Health Services receptionist.

Visiting Hours 2.00pm - 8:00pm daily, or by agreement with staff Services Provided 24 inpatient beds Rural Hospital Medicine including: - High Dependency Unit - Acute Assessment Unit - General Medicine - Palliative Care - Paediatrics Assessment, Treatment & Rehabilitation (AT&R) Post surgical rehabilitation Dunstan Hospital provides generalist rural hospital medical services, with some specialist care provided in conjunction with base hospital consultants Some patients may be assessed and stabilised at Dunstan before being tranferred to Dunedin Hospital Access to Service All patients are referred through GPs, St John Ambulance or base hospital staff.