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HealthInfo West Coast-Te Tai Poutini

Complex Clinical Care Network (CCCN)

Complex Clinical Care Network (CCCN) is a service for people aged over 65 who would benefit from a short period of rehabilitation in their own home for up to six weeks. For example, people who've recently experienced an acute illness or injury but who don't need hospital treatment.

It also carries out needs assessment for people needing longer-term home help.

The aim of CCCN is to enable older adults to live well at home and in their community.

How CCCN works

  1. Health professionals can arrange referral to the CCCN service. For example, referral can be from Buller, Reefton, or Grey hospitals, an after-hours surgery, or a general practice. Hospital staff help to identify people who would benefit from the service and arrange referral.
  2. A case manager is allocated to each person using CCCN. The case manager creates a tailored rehabilitation programme, including goals and a care plan.
  3. Community providers (registered nurses or trained support workers) visit people at home to deliver these rehabilitation programmes. CCCN provides up to four visits a day, seven days a week.
  4. CCCN monitors each person's care and progress to make sure goals are being met.

Some people who've experienced the CCCN service have commented on improved mobility and independence.

Costs

CCCN is free to those eligible for the service.

More information

For more information about CCCN, phone: (03) 768-0481.

Information provided by the Canterbury DHB. Adapted by the West Coast DHB. Last reviewed August 2019.

Page reference: 219719

Review key: HISSO-48278