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Creating your personalised action plan after a needs assessment

Once your needs assessment is complete, it’s time to create your personalised action plan. Whether that means support to stay at home, short-term respite services, or moving to permanent residential care, your plan will help you and your family understand your options for what comes next.

What is a personalised action plan?

A personalised action plan outlines the support you or your family member may need, based on the findings of your needs assessment. The plan is designed to help you access the right services at the right time, whether that’s home-based support, respite care, or a move to permanent residential care.

Your action plan is created with your local NASC (Needs Assessment and Service Coordination) service, and takes into account your health needs, living situation, and personal preferences, helping you move forward with clarity and confidence.

Support from your NASC coordinator

Your local NASC (Needs Assessment and Service Coordination) service will work with you and your family to develop your personalised action plan. They’ll confirm what support services you’re eligible for, and provide a list of care homes in your area that can meet your needs, whether that’s rest home care, hospital care, or dementia level care.

They’ll also ask whether you have an enduring power of attorney in place, helping ensure important legal arrangements are identified early in the process.

Respite care or permanent care?

Your personalised action plan may include either respite care (short stay in a care home) or permanent care (long-term residential care) for people who need ongoing support. Your NASC coordinator will help you understand the difference between care levels, and what is best for you and your situation.

Budget planning for care

Before visiting care homes, it’s a good idea to get a clear picture of where you stand financially. Planning your care budget early can help you and your family feel more confident about your next steps — from understanding what subsidies you may be eligible for, to knowing what additional costs might arise and how to manage payment options.

Understanding care subsidies and funding 

Your care needs, as identified during the needs assessment, will help determine both the level of care required and the potential costs involved. Depending on your personal and financial situation, you may qualify for a Residential Care Subsidy, which can help pay for long term care. You can check your eligibility, and apply, through the Work and Income NZ website.

To better understand the process, you can also find information about possible outcomes of a care subsidy application on the subsidies and funding page. 

Self funding and government support options

If you're not eligible for a subsidy or only receive partial support, you may choose to self-fund your care using personal savings or other income.

In addition to the Residential Care Subsidy, other options for financial support include:

Your NASC coordinator or a financial adviser can help you explore which options are available.

Understanding care costs: What’s covered and what’s extra 

Once you know the level of care needed, whether rest home, hospital or dementia level care, you’ll be able to explore what is typically included in care fees and what may come at an additional cost.

Typically, costs cover:

  • Meals
  • Assistance with personal care
  • Laundry
  • Housekeeping
  • Medication management
  • Social activities
  • Support team 24/7

Additional services, such as hairdressing or specialist therapies, may incur an extra charge, unless it is part of your treatment plan and funded by Te Whatu Ora, Manatū Hauora (Ministry of Health NZ) or ACC.

Learn more about accommodation, care charges & payments at Bupa.

Next step: Choosing the right care home

With your personalised action plan in place, the next step is finding a care home that best suits your needs. Choosing a care home is a big decision, but you don’t have to make it alone. In the next step of your journey, we’ll guide you through how to compare care homes, what questions to ask, and how to find the right fit for you or your family member.

Helpful links and resources

Your care home journey

Step 1

‎ Where to start

We know there’s a lot to consider when a family member or friend starts needing more support with everyday tasks. This guide provides early signs to look out for, such as missed medication, reduced independence, or difficulty keeping up with routines — and offers supportive advice on what to do next. If you’ve noticed a change or decline in a family member or friend a visit to your GP might be your next step.

Step 2

Organising a needs assessment

Before moving into a care home (also known as a rest home), you will need to organise a needs assessment. This may be done by Health NZ Te Whatu Ora or Health NZ funded Needs Assessment and Service Coordination (NASC) agencies. A person may also be assessed by a specialist while a patient in a public hospital. This process helps ensure you or your family member receives the right support, based on expert advice.

As part of the assessment, you will find out:

  • If the person can be safely supported in the community, or;
  • If the person needs long term residential care (in a care home) and;
  • at level of care is needed, for example rest home, hospital or dementia care.

Step 4

Choosing the right care home

Choosing a care home (also known as a rest home) is a big decision, and often one that needs to be made quickly. Whether you’re planning ahead or navigating an urgent situation, this information will help you feel more confident about what to look for, who can support you, and what to expect when visiting a Bupa care home.

Step 5

Sign an admission agreement

Before moving into a care home, you’ll be asked to sign an admission agreement. This document outlines your rights, the care and services you’ll receive, and any costs involved. In this video, we’ll walk you through what to expect from the agreement, what to look out for, and how the care home team can support you to feel confident before signing.

Step 6

Explore your eligibility for a residential care subsidy

Once you’ve signed your admission agreement, it’s time to explore your eligibility for the Residential Care Subsidy. In this guide, we will explain what a Residential Care Subsidy is, how to apply, and who can help if you’re unable to complete the process yourself. Understanding your options, and what you’re eligible for, can help with peace of mind and feeling prepared moving forward.

Step 7

Moving in

Moving into a care home (also known as a rest home) is a big step for you and your family/whānau. In this guide, we’ll walk you through what to expect on moving day, what to bring with you, and how the team will help you settle in.

From making your room feel like home, to meeting new people and staying connected with family and friends, we’re here to support you

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