NZNO nurses’ strikes planned for 2 and 4 September 2025
Nurses at Health NZ public hospitals and health services plan to strike from 7am to 11pm on both Tuesday 2 September and Thursday 4 September. Emergency departments will be open for emergencies only.
GPs, after-hours and urgent care clinics, and other community health providers are not affected by the strikes and will continue to operate as normal.
The physiotherapy service for Health New Zealand | Te Whatu Ora Hawke's Bay includes both hospital and community based physiotherapists. Physiotherapists can help restore movement and function, particularly when you have been affected by injury, ageing, disability or disease.
A range of physiotherapy services are available at Hawke’s Bay Hospital. Patients are triaged and prioritised according to need and on occasion, some low-risk referrals may be declined when there are capacity constraints.
Some physiotherapy services are contracted out to private providers.
Access to community-based outpatient assessment and treatment is limited — we recommend you go to private physiotherapists where possible, especially for accidents covered by ACC.
Include the following information in your referral:
body part
problem summary
onset (sudden or insidious and timeframe)
impact on function
previous and current medical history
current medications
any cognitive or communication issues.
Service information
The adult respiratory outpatient physiotherapy service is offered in both Hastings and Napier with some availability in Wairoa.
The Hastings clinic is based in the Physiotherapy outpatient department in the hospital grounds.
The Napier clinic is based at Napier Health Centre on Wellesley Road.
Wairoa clinics are held in Wairoa hospital outpatient department as the need arises.
A contract with Plus rehab in Central Hawke's Bay also includes some outpatients requiring respiratory physiotherapy. Patients can be seen in the community, including in Central Hawke's Bay if required.
Conditions seen
New diagnosis of bronchiectasis requiring education regarding management of their condition, airway clearance assistance or both.
Known bronchiectasis requiring an update in airway clearance techniques, for example, those with more than 3 exacerbations per year, or following a recent hospital admission.
COPD where the patient is not already engaged with the Pulmonary Rehabilitation (Better Breathing Hawke's Bay) team.
Breathing pattern disorders or hyperventilation syndrome with a Nijmegen score of 23 or more, or persisting breathlessness when other causes have been excluded.
Neuromuscular conditions with increased secretions or difficulty clearing secretions, following discussion with the MDT or appropriate specialist.
Persisting breathlessness or loss of function following lung surgery.
We do not see patients already engaged with the Pulmonary Rehabilitation (Better Breathing Hawkes Bay) team.
Include the following information in your referral:
HOPC with diagnosis
surgical or radiation history
medical plan if treatment is ongoing
PMH including any conditions with potential to impact skin integrity, sensation and circulation, or potential to impact ability to comply with therapy such as mobility or cognitive issues.
Conditions seen
Acute oedema management
Wound care and scar management
Fractures — below elbow
Nerve compressions such as carpel tunnel, cubital tunnel and SRN
Nerve injury and repairs
Soft tissue conditions, tendonitis — De Quervain’s, trigger finger
OA and RA
Tendon injuries
Amputations
Neuropathic pain and CRPS
Thumb sprains
Volar plates and dislocations
Chronic stiffness and oedema
Burns — hands and forearms
Elbow conditions
We do not see the following conditions:
central nervous system pathology such as stroke, parkinsons or multiple sclerosis
patients need to have a rehabilitation goal, patients who are unlikely to gain a lasting benefit from therapy will be declined.
Include the following information in your referral:
presenting condition — injury or diagnosis
date of injury or onset
ACC number
surgery (if applicable) including date, type and precautions
treatment requests
PMH
return to work.
Referrals are triaged.
If insufficient information is supplied or there is no clear rehabilitation goal the referrer will be contacted for more information and a decision made regarding whether the referral is accepted or declined.
People requiring treatment or rehabilitation due to neurological and vestibular disorders can be seen by a dedicated neuro physiotherapy service, at clinics around Hawke's Bay. Some services are contracted out to private providers.
Conditions seen
Including but not limited to:
BPPV
vestibular hypofunction
stroke and sub arachnoid haemorrhage
Parkinson’s disease
Multiple sclerosis
progressive ataxias
motor neuron disease
muscular dystrophy
functional neurological disorder — with a clear diagnosis the patient accepts
brain tumours
Guillain Barre
post-polio
cerebral palsy.
We do not accept neuro physiotherapy referrals for:
patients without the potential for rehabilitation and clear goals for therapy
ACC clients seen by private providers — refer directly to ACC
people who do not have the ability or support to participate in rehab, or the desire to complete home-based programme
outpatient service — need to be able to be brought to clinic. If client is physically housebound, clearly state this in the referral and the referral will be considered for community physiotherapy.
Referral information
To make a referral for Hastings and Napier patients, either send:
a referral using the 'Engage Community Allied Health referral form in your software such as Medtech or Indici
Include the following information in your referral:
diagnosis
current functional level
goals for rehabilitation and reason for referral
contacts of other people or services involved in care related to neurological condition and function
past medical history.
This referral will be triaged by clinical coordinators and referred on to contracted private providers, or the Central Hawke's Bay and Wairoa providers if appropriate.
Respiratory conditions — seen only by consultant for confirmed diagnosis and optimisation of medication.
Long standing neurodevelopmental conditions — refer to Child development service.
MSK conditions — refer to MSK outpatient service.
People in hospital are seen by physiotherapists to help prevent complications from their admission and speed recovery.
Physiotherapists have an important role to play in treating and preventing breathing problems as well as regaining strength and balance after illness or injury.
Physiotherapists work with patients and whānau to help optimise recovery during and after hospital admission.
After a referral is received
Referrals are triaged for urgency by an experienced physiotherapist. We will contact you by phone or letter once we can offer an appointment.
There may be a wait time of some weeks between accepting your referral and when the therapist contacts you if the referral is classed non-urgent.
Call us if you either:
think you have been referred but have not heard back