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The full text of a 2004 Q&A brochure about access to cross-boundary healthcare is as below (macrons added).

For the people of Ōtaki and Te Horo


Kāpiti Community Health Group Trust, in conjunction with MidCentral District Health Board and Capital & Coast District Health Board – 2004


Q: I am about to receive hospital care at Wellington. Am I able to have district nursing care at my home in Ōtaki afterwards?

A: Yes. MidCentral DHB will provide district nursing services.

Q: I work in Paraparaumu but live at Ōtaki beach. Can I visit Kāpiti Health Centre and get free physiotherapy there instead of travelling to Levin?

A: Yes.

Q: What health services are available in Ōtaki?

A: Refer to “Ōtaki Services” brochure developed by MidCentral DHB. These are available at the Ōtaki Medical Centre, the Citizens Advice Bureau and the Ōtaki Library.

Q: If I need mental health services for myself or a member of my Ōtaki-based family, who will provide the service?

A: Mental health services to the Ōtaki district are provided by MidCentral DHB.

Q: I live in Ōtaki township and have just received hospital care at Palmerston North. I want to convalesce in Wellington with my family. Can I get district nursing care there?

A: Yes, if a patient is convalescing at an address within Capital & Coast DHB boundaries then district nursing care is provided by Capital & Coast.


Q: If I need hospital care, I would like to go to Wellington as my health records and family support are there. Is this possible?

A: Yes. In general, it is expected that people from Ōtaki/Te Horo will receive their specialist care from MidCentral DHB. However, people can receive care from Capital & Coast if it is more convenient to them. You just need a referral from your doctor to the appropriate specialist in Capital & Coast.


Q: If I go to the Ōtaki Medical Centre to see a doctor, can I be referred to a specialist at Kāpiti, Kenepuru or Wellington?

A: Yes. In general it is expected that people from from Ōtaki/Te Horo will receive their specialist care from MidCentral DHB. However, people can be referred to Capital & Coast if it is more convenient for them.

Q: I use the Waikanae Health Centre. Can I be referred to Palmerston North Hospital if necessary?

A: Yes, it is generally expected that in most cases Ōtaki/Te Horo people will receive their care from MidCentral DHB in either Levin or Palmerston North.


Q: I live in Ōtaki and my friend lives in Te Horo. In an emergency, can the ambulance take either of us to Wellington Hospital?

A: Generally no, but in some situations of high tech need, yes (see below). Ambulance services follow referral protocols that ensure patients are taken to the place most appropriate for their condition – Kenepuru, Wellington or Palmerston North. Those living north of Peka Peka Road will in most instances be transported to Palmerston North Hospital by St John Ambulance Service. For reasons of patient safety (that of the immediate patient and that of possible further patients in the next few hours) it is not possible to respond to individual patient preference.

Q: Why do some Ōtaki/Te Horo people get transferred directly to Wellington Hospital in an emergency and others don’t have the choice?

A: The ambulance will only take the patient to Wellington Hospital if that is where the emergency service is located, for example, cardiothoracic or neurosurgery.

Q: If an ambulance can take me to Levin, then transfer me to another ambulance that then takes me to Palmerston North, why can’t they take me south and transfer me at Waikanae or Paraparaumu to go to Wellington?

A: The ambulance will only take the patient southwards to Wellington Hospital if that is where the emergency service is located, for example, cardiothoracic or neurosurgery. Roadside transfers are not encouraged.

Q: Who is Kāpiti EMS? Are their services available to me in Ōtaki?

A: Kāpiti EMS is a free volunteer service provided by Dr Chris Lane and a team of paramedics. Ems carry out advanced intervention at the scene of medical emergency or severe trauma, treating and stabilising patients so they can be taken to hospital by ambulance or helicopter. St John Ambulance will active their services if necessary through Wellington Free Ambulance.


The establishment of PHOs in Ōtaki and Kāpiti make no difference to the responses to these questions.

For information on Primary Health Organisations (PHOs), please refer to the separately developed brochure Primary Health Organisations (PHO) Answering your Questions.

This brochure has been developed for Ōtaki and Te Horo residents by the Kāpiti Community Health Trust with MidCentral and Capital & Coast District Health Boards, Wellington Free Ambulance and St John Ambulance Services to enable better understanding about your choice of where to go for services, how to get there, and why some boundary restrictions exist. In general, Ōtaki residents receive their health care through MidCentral District Health Board.

For further information please contact:

Kāpiti Community Health Group Trust

PO Box 17


Phone: 04 298 6917



Brigade: 4 calls a week

Ōtaki Volunteer Fire Brigade attended 22 incidents in December, bringing the total number of attendances to 211 for the year – an average of four a week. The brigade went to four property fires in December (including assistance at two large fires in Levin), and four vegetation and rubbish fires. It also made eight special services (for example, medical emergencies, helicopter landings, powerlines down etc), three private fire alarms and three motor vehicle accidents.

Races on Monday

The next meeting of the Ōtaki-Māori Racing Club is this Monday (January 21). There will be seven races from 1pm, gates opening at 11.30am. No entry fee and the members’ stand is open to everyone. 

Most popular baby names

Th e most popular baby names of 2018 were Oliver, Charlotte, Mia and Nikau. Disallowed names, because it is against the law, were Royal and King. Th e Registrar-General is responsible for reviewing potentially inappropriate or illegal names. In 2018, 66 names were declined, which included military titles, roman numerals and religious names. Among the names rejected since 1995 have been gems such as “4real” and “Anal”.


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