Home and Community Support Services

Home and Community Support Services funded by the Ministry are services to help you live at home. They can help with both household management and personal care.

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Home and Community Support Workforce Advisory - 17 November 2021

The mandatory vaccination order has been legislated to keep our population safe and allow our health and disability support system to continue to function. We know that many people who have health issues, including people with a disability and older people, are more likely to become very unwell due to COVID-19. This is why getting as many people vaccinated as possible is so important.

A number of health and disability support workers have chosen not to be vaccinated. This means providers may need to reduce services and focus support to those most in need.

Until the workforce is able to return to existing levels, providers will need to prioritise those supports which are essential to keeping our population safe at home. This may mean reducing or stopping household management services and may mean reducing the number of visits to some clients. 

If you receive home and community support services and are concerned about what this might mean, please communicate with your provider about your needs and their ability to meet those needs over the next few months while the workforce issues are addressed.  

View more on COVID-19 mandatory vaccinations and the exemptions process.

There is also a dedicated email for queries about the Order: [email protected]


Household management and personal care

Household management may include help with:

  • preparing meals
  • washing, drying or folding clothes
  • house-cleaning, vacuuming and tidying up.

Personal care may include help with:

  • eating and drinking
  • getting dressed and undressed
  • getting up in the morning and getting ready for bed
  • showering and going to the toilet
  • getting around your home.

Who can get Ministry-funded Home and Community Support Services

You can get Home and Community Support Services if you:

  • are under 65 years old
  • meet Disability Support Services’ eligibility requirements
  • have had a needs assessment that decides you need home-based support services.

Household management is only available to:

  • people that have a Community Services Card
  • children under the age of 16 years whose parents or caregivers have a Community Services Card.

Whether or not you can get a Community Services Card depends on income and family size. Visit the Work and Income website to find out more.

If you are over 65 years old or have a chronic long-term illness and you think you need household management and/or personal care to help you live at home, please contact your local district health board for more information.


Getting Home and Community Support Services

You’ll need to contact a Needs Assessment Service Coordination (NASC) service. Go to Needs Assessment and Service Coordination services to find the contact details for your local NASC, and more information about the process. Your doctor or health professional should also be able to refer you.

You can have an advocate, carer or a member of your family, whānau or āiga with you while you are going through this process.

The NASC will assess what support you need to live an everyday life. They’ll work with you to find out your goals and figure out what kind of Home and Community Support Services you will need, paid for by Disability Support Services.

The NASC will also talk with you about which service providers in your area are able to provide you with a support worker.


Service providers

The Ministry contracts service providers to provide Home and Community Support Services.

After you have chosen a service provider, the NASC will send information about you to them and a person from that service will contact you.

The service provider will prepare an individual plan with you, which may include:

  • what you can do for yourself and what you need help with
  • any things the support worker needs to know about your culture or the way you like to do things
  • any things that the support worker needs to know about your home, for example, if you have a dog
  • what days or time of day you would prefer to get support.

There will be other things the service provider will discuss with you. If you have any concerns or questions about the service, they should be able to answer them too.

Your service provider should also tell you what to do if you want to make a complaint or if you are worried about the support you are receiving.

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