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Jobseeker Support : Contents

Medical review and reassessments

Medical reassessments determine whether a client's condition or work capacity has changed.

A client's registered medical practitioner or nurse practitioner (or dentist or midwife where relevant) will indicate on a medical certificate when they consider a client's capacity for work should next be reassessed (medical coverage). This provides useful information to help MSD work with the client.

Generally, MSD will accept the recommended reassessment period made by the client's registered medical practitioner or nurse practitioner (or dentist or midwife where relevant) unless there is any inconsistency.

For example, if the information on the client's capacity to work section of the medical certificate indicates the client is available for full-time employment but another question states they are unable to work full-time.

If it is past the date the registered medical practitioner or nurse practitioner (or dentist or midwife where relevant) assessed that the client is expected to be fit for work, or their capacity to work should be reviewed, there should be a further check on the client's progress.

When MSD is uncertain about the registered medical practitioner or nurse practitioner (or dentist or midwife where relevant) recommendation for reassessment, MSD should seek advice from the Regional Health Advisor or Regional Disability Advisor.

They may recommend the client is referred to a designated health practitioner for a second opinion.

When medical coverage is for 2 years or longer - assess whether the client qualifies for Supported Living Payment

A client's medical coverage determined by a registered medical practitioner or nurse practitioner could be 2 years or longer, which may indicate their health condition, injury or disability is permanent. In such cases, MSD should consider whether the client would qualify for the Supported Living Payment.

For more information see:

Some clients getting Jobseeker Support because of a permanent health condition, disability or injury will not qualify for a Supported Living Payment because their work capacity is not severely restricted.

For example, a client's health condition, injury or disability may be expected to continue for at least 2 years (permanently), but they may not be severely restricted in their capacity for work (i.e. they could regularly work more than 15 hours a week but less than 30 hours a week). In these cases, Jobseeker Support is the correct benefit for a client.

Information provided by a registered medical practitioner or nurse practitioner on a medical certificate regarding a client's work capacity should be used to help MSD determine if a client may qualify for Supported Living Payment. MSD can also contact the Regional Health Advisor or Regional Disability Advisor for advice.

Maximum review periods for specific situations

There are some situations when a maximum review period is applied for clients with specific health conditions.

Legislation

Medical coverage is the period of time a registered medical practitioner, nurse practitioner, dentist or midwife (where relevant) has medically determined a client is unable to work, due to their health condition, injury or disability.

The medical coverage should also tell MSD when the client will:

One of the registered health practitioners listed above will indicate the period of a client's medical coverage ...

Nurse practitioners are health practitioners who are registered with the Nursing Council of New Zealand and hold a current annual practising certificate.

Nurse practitioners are expert or specialist nurses with advanced education, clinical training and experience. They have demonstrated clinical competence and have the legal authority to practice as independent healthcare providers.

All nurse practitioners have a unique identifying number called a Health Practitioners Index number (HPI number).

Some nurse practitioners have specialised ...

A dentist or dental practitioner is a health practitioner who is registered with the Dental Council of New Zealand and cares for any disease, disorder or condition of the teeth and associated structures.

Dentists can only sign medical certificates for conditions that have occurred because of dental work or dental conditions.

A medical practitioner is commonly referred to as a doctor. Medical practitioners are health practitioners who are registered with the Medical Council of New Zealand as practitioners of the profession of medicine and hold a current practising certificate.

All medical practitioners have a unique identifying number called a Health Practitioners Index number (HPI number).

Medical practitioners don't need to have completed their training in New Zealand but must be registered with the New Zealand ...

A midwife is a health practitioner who is registered with the Midwifery Council of New Zealand and trained to provide necessary support, care and advice during pregnancy, labour and the postpartum period up to 6 weeks, to facilitate births and to provide care for the newborn.

Midwives can only sign medical certificates for pregnancy, childbirth or related conditions within the range of the midwives' profession.

This includes signing medical certificates for complications ...