Home Support Agreement

NEUROCARE

NEUROCARE is a specialist multi-disciplinary group offering comprehensive Liaison Neuropsychiatric support services to a broad spectrum of Healthcare establishments.

Both brain-specific and general physical illnesses are capable of causing complications of brain or mind.

Complications can include attention deficit (ADD) symptoms, confusional states (delirium), memory problems, dementia syndromes, emotional symptoms (depression, anxiety), behavioural abnormalities, biological dysfunction (sleep, appetite disturbance), psychosis (hallucinations, delusions), dissociation or syndromes specific to certain brain areas (focal deficits).

Clinical services include multi-disciplinary outpatient consultation, virtual consultation, hospital liaison services, various options for hospitalization, critical services to retirement villages, and a broad offering of legal assistance.

Specialist tests available include pathological investigation (blood tests etc), brain imaging (MRI and CT scans), electrophysiology (EEG for epilepsy), muscle tests (EMG), nerve tests (NCS), detailed memory and attention deficit (ADD) assessment as well as options for remote screening and monitoring ( MediWeb).

Our specialists represent the fields of Liaison Psychiatry, clinical Neurology, applied Neurophysiology, diagnostic Neuroradiology, and all branches of Psychology including Educational- and Neuropsychology.

NEUROCARE Home Support

There is a growing number of older people affected by illnesses such as Dementia, cerebro-vascular Stroke, Parkinson's disease and Depression.

Many find it difficult to access specialist clinics especially when they grow older and traveling becomes a bit more tedious. Sadly the result is that many neglect their health allowing illnesses to progress and serious consequences to develop.

Perhaps even more alarming is the common complication of ending up on long lists of unnecessary or even harmful medication when not instructed and monitored by a Specialist.

In order to solve these problems we offer various levels of community programs which offer comprehensive input from NEUROCARE professionals to selected retirement villages.

As such NEUROCARE supported establishments not only offer true critical Neuropsychiatric services to their residents, but gain a reputation for excellence in healthcare service delivery which add in most cases considerable value to investment.

Level 1a Service Agreements - Critical Screening

In broad terms NEUROCARE offer Level 1a Service Agreements to Establishments keen on providing their Residents state-of-the-art screening programs for the early detection of any brain-related illness.

Such programs include regular in-person screening visits by NEUROCARE Doctors on-site, FREE of charge.

Once confirmed as a Patient at risk Patients are given the option to request NEUROCARE to apply for Medical Aid PMB registration. In most instances PMB registration will safeguard up to 15 Specialist consultations annually, 21 days in-hospital and all tests such as MRI scans and 24-EEG.

PMB applications are offered at an annual fee of R1500.

Level 1b Service Agreements - PMB Motivation

Level 1b Service Agreements commence with an initial confirmatory MEDIWEB Software Module assessment aimed to clearly identify and quantify concerns accurately in order to design the most effective way forward. .

MEDIWEB Software Module are created by our very own Oxford (UK) based Development Group, and is considered of immense value in terms of offering true specialist screening, measuring and monitoring solutions. Once conducted they form the basis of motivation towards Medical Aid sponsorship for MRI brain scans, EEG assessment and a complete Neuropsychological Cognitive Assessment (memory test).

MEDIWEB initiation is offered at a once-off fee of R1500.

Level 2a Service Agreements - Accurate Diagnosis

Level 2a Service Agreements offer arrangements for an initial detailed diagnostic test series, the initiation of an applicable care plan, and conducting annual comparative tests.

As such Patients receive a formal assessment from a NEUROCARE registered Specialist who will order applicable blood tests, an MRI brain scan, EEG electrophysiological test and Neuropsychological Cognitive Assessment (memory test).

Generally once registered as a NEUROCARE Level 3 Patient such Specialist consultation and requested tests are available on Medical Aid PMB registration, or alternatively through a short hospitalization procedure or discounted private fee structure.

There are NO additional fees for PMB supported diagnostic procedures (except for the occasional small co-payment on some Aids), and in most instances Patients gain up to R50 000 worth of sponsored tests through NEUROCARE-mediated diagnostic process.

Hospital Admission arrangements (when applicable) are offered at a once-of fee of R1500.

Level 2b Service Agreements - Continuous Care

Regular review and continuous care has objectively been proven to be the biggest factors in achieving successful outcomes.

Level 2b benefits crucially add regular NEUROCARE Medical Officer review, as well as monthly on-site Medical Specialist review enabling optimal clinical management. All brain-related prescriptions, as well as occasional top-up tests are provided for, including Specialist preventative strategies and responsible sedation (where applicable).

Medical Officer review remains FREE of charge, whilst Specialist visits are fully funded from the Nationally commissioned PMB benefits for Neuropsychiatry. These essentially sponsored services is profoundly cost-effective compared to conventional external GP or any other service offerings.

MEDIWEB monitoring platforms enable coordinated care and clear continuous feedback to all involved at a minimal fee of R500/month.

Level 3a Service Agreements - Crises Hospitalization

As illnesses progress, additional medical events occur (such as infection) or accidents (such as falls). Swift and direct access to Specialist Hospital Admission at such times often prove critical to prevent catastrophe and regain health and function.

NEUROCARE Level 3a Service Agreements safeguard vital interventions such as seeing a Specialist on short notice, being admitted to Medical Hospital without delay or being safely medicated at home.

This level of care is generally only available to those already registered on PMB and where specific arrangements have been put in place in advance.

Hospital Admission arrangements are offered at a once-of fee of R1500.

Level 3b Service Agreements - Legal Assistance

Many Patients suffering brain conditions inevitably develop the need to be assisted with managing their personal affairs.

NEUROCARE has built a pristine reputation to assist with various processes such as Power-of-Attorney- and Curatorship applications or objective Competency judgments by way of Level 3b Service Agreements.

Generally speaking all such process can only follow from thorough recent assessment, and carries an administrative fee of R3000 considered to be the most cost-effective solutions available nationally.

Terms and Conditions

1. All NEUROCARE Clinicians are at all times fully qualified and registered with applicable National Organizations such as the HPCSA.

2. As such all NEUROCARE Clinicians conduct their professional duties as independent Practitioners and NEUROCARE as Company is hereby fully exempt from any consequential individual clinical-, administrative- or financial liability.

3. Similarly any liability arising in whatever way from said Supported Establishments is hereby fully referred back to such Establishment.

4. Once in Agreement all NEUROCARE Clinicians and Staff enjoy full access to agreed Establishment including the sharing of clinical data within the confines of ordinary clinical confidentiality.

5. NEUROCARE reserves the right to make use exclusively of professionals formally associated and incepted to NEUROCARE. However, we are clear on the fact that all Patients retain the right to make use of their own independent General Practitioners (GPs) or any other Healthcare Provider they need as our services are specific to brain health. However, at all times NEUROCARE care plans are considered nontransferable to any such external entity.

6. Considering that the NEUROCARE Home Support initiative is a critical effort to serve the vulnerable aging population, and that existing State and Private Facilities and Services are Nationally far from ideal, we consider NEUROCARE hereby indemnified from any service delivery shortfall and consequence which may result despite our best efforts.

7. However, as NEUROCARE accepts responsibility to provide true experts in the field of clinical Neuropsychiatric service delivery, it is hereby the assumption that Supported Establishment-staff will actively assist in identifying vulnerable Patients, communicate Patient contact- and other detail, refer emergencies without delay, provide active support for Medical Officer - and Consultant rounds by way of suitable dedicated space and nursing assistance, and facilitate medication- and other management alterations.

8. As the MEDIWEB system is considered the definitive clinical data-process to all Patients entrusted to NEUROCARE, we hereby permit authorized individuals from said Supported Establishments to duplicate or summarize NEUROCARE clinical data to local data processes if need be.

9. Due to the fact that this initiative is considered crucial Nationally all parties hereby accept equal responsibility to communicate inefficiencies, areas of concern or any any problem areas in order to be rectified by collective effort to the greater benefit of our Patients. No public criticism nor any other negating act is hereby considered applicable by mutual agreement.

THANK YOU for helping us making life better for those vulnerable Patients we serve collectively!