Thank you for your input. Yes I am in NZ. I currently work for a DHB providing community rehab (short-term) for over 65s. However we find we are routinely getting re-referrals (usually after an inpatient admission) for clients who have a major neurological disability or progressive neurological disease and would like to have the ability to continually monitor them. However, i agree, funding is and will always be an issue. I am hopefull we can persuade the DHB to get on board by selling the idea that by regularly managing a client's disability/function as it progresses with age, we could hopefully prevent admissions and costly geriatrician follow up for these clients.
Tara