Skip to main content
background pattern
Work and income | Te Hiranga Tangata
  • COVID-19 support
  • Employers
  • Providers
  • Go to MyMSD login
  • Benefits and payments homepage

    • Overview

      Take a look at the range of benefits and payments we have available.

    • Not working

      Redundancy, health condition or disability or another reason you can’t work

    • Living expenses

      Food, school costs, power, accommodation or other living expenses you need help with

    • Relationship changes

      You’ve had a relationship break-up, family breakdown or violent relationship end

    • Health and Disability

      Counselling, prescription and GP costs, medical alarms and other costs we can help with

    • Seniors

      Travelling overseas, how to apply, payment rates and dates, overseas pensions, income and other info for Seniors

    • Caring

      Caring for someone else’s child or someone with a health condition, injury or disability

    • Urgent or unexpected costs

      Dental, glasses, car repairs, fridge, washing machine, funeral or other urgent costs you need help with

    • Children

      Childcare, school uniforms, stationery, having a baby and other costs if you have children

    • Payment issues

      Fixing issues with Accommodation Supplement, Special Benefit and other payments we’ve made

    • 16-19 year olds

      Education, training, work and benefit help for 16-19 year olds

    • Benefits and forms

      A-Z list of benefits, forms, benefit rates

  • Work homepage

    • Overview

      Find out what services we can offer to help you find work and when you start a new job.

    • Looking for work

      We have jobs available now in various industries and you can search on our job websites.

    • Help with your job search

      From advice on making a plan, to tips on where to look and following up leads.

    • Training and experience

      Our programmes can help you get ready for work with training and work experience.

    • Job Connect on Facebook

      Find out how we can help you get ready to work, find work, and support available while you're working.

    • CVs and cover letters

      We’ve got great templates and advice for writing your CV or cover letter, and filling out job applications.

    • Help with work costs

      Get help to pay for the things you need to start work

    • Job support and advice

      Get all the support and advice you need to stay in work.

    • Health and disability

      If you want to work, we can support you to find the right job for you.

    • Start your own business

      We can help you get your business up and running.

    • Job interviews

      Get advice about how to prepare for and deliver a great interview.

    • Help for 16-19 year olds

      We’ve got extra support for young people to get ready for work and find a job.

  • On a benefit homepage

    • Overview

      Check out what you need to do when you're getting a benefit or other payment from us.

    • Something's changed

      Address, contact details, overseas travel, childcare, relationship or anything else that’s changed.

    • Income

      Declare income, wages deduction calculator and tables

    • Childcare

      Change in your childcare situation, continue childcare payments, cohort entry schools and other childcare information

    • Re-apply

      Re-apply for Jobseeker Support, Sole Parent Support, Temporary Additional Support and more

    • Payments

      Check or stop your payments, payment cards and other information

    • Debt

      Check your debt, repayments and other debt information

    • Rights and responsibilities

      Our commitment to you,  obligations, complaints, benefit fraud and more

  • Housing homepage

    • Overview

      Find out how we can help you with housing.

    • Nowhere to stay

      Get help if you have nowhere to stay right now.

    • Find a house

      Find out where to look for private housing, or apply for public (social) housing.

    • Living in your home

      Get help with accommodation costs, and advice on any housing issues and public housing tenancies.

    • Move house

      Find out how we can help if you’re moving house.

  • Go to the Work and Income home page
When autocomplete results are available use up and down arrows to review and enter to select.
  • MyMSD login
  • Online Services
    • Apply online
    • Apply for NZ Super
    • Apply for COVID-19 Leave Support Scheme
    • Help while you’re self-isolating
    • MyMSD
    • Find a Job
    • Fixing some payment issues
    • Check what you might get
    • Supplier registration
    • List a job vacancy
  • Benefits and payments
    • Carers
      • Caring for someone with a health condition, injury or disability
      • Caring for a child with a disability
      • Caring for someone else's child
    • Children
      • Childcare
      • Having a baby
      • School costs
      • Caring for someone else's child
    • Emergencies
      • Civil Defence Payment
      • Cyclone Gabrielle
      • COVID-19
      • Farmers affected by adverse events
    • Health and disability
      • Vehicle modification
      • Contraception
      • Counselling
      • Dental treatment
      • Glasses
      • House modification
      • Medical alarms
      • Prescriptions and health practitioner costs
      • Residential care
      • Travel costs
    • Living expenses
      • Heating and power bills
      • Managing your money
    • You're not working
      • Redundancy
      • Health condition or disability
      • Fired or left
      • Deported to NZ
      • Released from prison
    • Relationships
      • Break-up
      • Family breakdown
      • Violent relationships
    • Seniors
      • NZ Super
      • Veterans Pension
      • Payment dates
      • Payment rates
    • Urgent costs
      • Food
      • Accommodation
      • Power, gas and water bills or heating
      • Dental treatment
      • Glasses
      • Whiteware
      • Medical costs
      • House repairs and maintenance
      • Car repairs
      • Bereavement
      • Fire or theft
    • 16-19 year olds
  • Work
    • Job search
      • 'Find a job' website
      • Jobs in MyMSD
      • Where to look for jobs
      • Job search by region
      • Seasonal work
      • Jobs in forestry
    • CVs and cover letters
      • CV templates and tips
      • Cover letter template and tips
      • Applying for job tips
    • Training and work experience
      • Mana in Mahi
      • Limited Services Volunteer
      • Work Confidence programmes
      • Training
      • Voluntary work
      • Work experience
      • Creative Careers Service
    • Help with work costs
      • Moving for a job
      • Help when you're working
      • Starting your new job
      • Help to stay in work
    • Job interviews
      • Job interview tips
      • Preparing for a job interview
      • Courses to help you get a job
    • Job support and advice
      • Advice when you get a job
      • Advice once you start work
      • Support for women
      • Support for men
    • Health and disability job support
      • Help with job search and costs
      • Health and wellbeing support for work
      • Work and Supported Living Payment
      • Employment Service
      • Employment service for secondary school students
      • Job and Training Support Funds
    • Start your own business
    • Job help for 16-19 year olds
  • On a benefit
    • Changes and income
      • Income
      • Change housing details
      • Relationships
      • Change bank account
      • Child enters or leaves your care
      • Change contact details
      • Overseas travel
    • Re-apply
      • Re-apply for Jobseeker Support
      • Re-apply for Sole Parent Support
      • Re-apply for TAS
    • Wages deduction tables
    • Obligations
      • Jobseeker Support obligations
      • Supported Living Payment obligations
      • Sole Parent Support obligations
      • When you don’t meet your obligations
    • Payments
      • Check your payments
      • Changes to your payments
      • Money management for youth clients
      • Stop your payments
      • Stop your childcare payments
      • Getting a Payment Card
      • Using your Payment Card
      • Balances and transactions on your Payment Card
      • Problems with your Payment Card
    • Debt
      • Pay debt from overseas
      • Pay debt from NZ
      • Pay debt when not on benefit
      • Pay debt while on a benefit
    • Childcare
      • Change in circumstances
      • Continuing pre-school childcare
      • Continuing childcare when your child's at school
      • Stop childcare
      • Childcare absences
      • Childcare centre closes due to COVID-19
      • Move to OSCAR
      • Extending childcare
    • Having another child
    • Arrest warrants
    • Your rights and responsibilities
      • Your obligations
      • Have someone act on your behalf
      • Avoid benefit and housing fraud
      • Annual review
      • Our commitment to you
  • Housing
    • Nowhere to stay
      • Emergency housing
      • Escaping family violence
      • Leaving prison
    • Find a house
      • Who can get public housing
      • Apply for public housing
      • Waiting for public housing
      • Accepting a public housing offer
    • Living in your home
      • Housing costs
      • Living in public housing
    • Move house
      • Bond Grant
      • Rent in Advance Grant
      • Moving Costs Grant
      • Tenancy Costs Cover
      • Transition to Alternative Housing Grant
      • Transfer to another public housing property
  • Benefits, rates and forms
    • A-Z benefits
    • Benefit rates
    • Forms
    • Income and cash asset limits
  • Pensions
    • Get benefits overseas
    • Get NZ Super overseas
    • Moving to NZ
    • Social security agreements
    • Seniors Services
  • Providers
    • Activity in the Community projects
    • Large scale emergency
    • Childcare assistance
      • What's new
      • Registering your childcare service
      • Become an approved OSCAR provider
      • How we can help you
      • Tell us when things change
      • Payment schedules
      • Contacting us if you're a childcare or OSCAR provider
      • Centre absences and closures due to COVID-19
    • Advocates
    • Health and disability practitioners
      • Guides and forms
      • Roles
      • Assisting people into work
      • Medical certificates
      • Health and disability related benefits
      • Designated health practitioners second opinions
      • Medical appeals
    • Housing providers
      • Property owners and landlords
      • Emergency housing providers
      • Public housing providers
    • Forms
  • About Work and Income
    • Contact us
      • Our locations
      • Senior Services International
      • Overseas pension agencies contact details
      • Veterans
      • Report a suspected fraud
      • Other languages
    • Our services
      • Appointments
      • Cheap as data
      • Become a contracted provider
      • Information for trespassed clients
    • Our privacy notice
      • Collecting your information
      • Using your information
      • Sharing your information
      • Respecting your information
      • Managing your information
    • Making a complaint
      • Review of decision
      • Review of a medical decision
    • News
    • Careers at Work and Income
  • About this site
    • Accessibility
    • Privacy, disclaimer and copyright information
    • Online security
    • Words we use
    • Site map
  • Employers
    • Recruitment
      • List a vacancy
      • Hire an LSV graduate
      • Hire disabled people or people with health conditions
      • Shortlisting
      • Work experience
      • Pre-employment drug testing
      • Make an employment offer
    • Extra support and training
      • Flexi-wage
      • Apprenticeship Boost
      • Mana in Mahi
      • Skills for Industry
      • Support once your employee starts work
      • Mainstream programmes
      • Modifications to your workplace
    • Industry partnerships
    • Redundancy support
    • Emergencies and adverse events
    • Employee debt
  • COVID-19
    • People affected by COVID-19
      • Help while you're self-isolating
    • COVID-19 support for employers
      • COVID-19 Leave Support Scheme
    • Previous COVID-19 payments
      • Short-Term Absence Payment
      • Wage Subsidies August 2021
      • Wage Subsidy March 2021
      • Resurgence Wage Subsidy
      • Income Relief Payment
      • Wage Subsidy Extension
      • 2020 Wage Subsidy
      • Essential Workers Leave Support Scheme
      • Leave payment
      • Repaying a previous COVID-19 payment
  1. Home
  2. Providers
  3. Health and disability practitioners
  4. Second opinions and designated health practitioners

Providers

  • Activity in the Community projects
  • Large scale emergency
  • Childcare assistance
  • Advocates
  • Health and disability practitioners
    • Guides and forms
    • Roles
    • Assisting people into work
    • Medical certificates
    • Health and disability related benefits
    • Designated health practitioners second opinions
    • Medical appeals
  • Housing providers
  • Forms

Second opinions and designated health practitioners

Work and Income have established a panel of respected health practitioners to provide second opinions on medical information - designated health practitioners. The provision of a second opinion assists Work and Income to determine a person's capacity for work and entitlement to financial assistance. It also assists us with helping people to move towards employment.

Information

The designated health practitioner is expected to provide an independent, medically based opinion to Work and Income

Second opinions are used when the information on a Work and Income medical certificate is inadequate, unclear or does not appear to align with other information the case manager may have available.

It may also be used where the supporting information provided by the person when applying for a Supported Living Payment is inadequate to determine entitlement.

When completing the medical certificate, the health practitioner is able to state a second opinion is appropriate. This will initiate a referral to a designated health practitioner.

A case manager may consider referring a person for an assessment by a designated health practitioner when:

  • the practitioner has indicated on a Work and Income medical certificate that they are not best placed to provide the information
  • the diagnosis is unclear
  • the information provided in the medical certificate or other supporting health and/or disability information is ambiguous or conflicting
  • a previous medical certificate contains a substantially different diagnosis or recommendation (where the person is applying for Supported Living Payment)
  • the person is engaged in activities that appear to be at odds with recorded incapacities or with work capacity information
  • capacity for work is unclear
  • there is inadequate information in the medical certificate or other supporting health and/or disability information to establish medical eligibility to Supported Living Payment (where the person is applying for this benefit type)
  • the person is unable to provide existing reports and/or medical certificate
  • the person is applying for Supported Living Payment and they choose to see a designated health practitioner.

The referral will be accompanied by a copy of the original medical certificate and/or available supporting information and, where appropriate, the client's consent to the release of information.

The designated health practitioner is expected to meet with and assess the patient within 10 days of referral, and provide a completed medical certificate to Work and Income within five days of the assessment.

The designated health practitioner is encouraged to discuss any issues with the patient's usual practitioner if necessary or request a Host Doctor Report be completed.

The report completed by the designated health practitioner is used by Work and Income to determine a person's capacity for work and entitlement to financial assistance. It also assists us with helping people to move towards employment.

Work and Income, through the National Accounting Centre, provides a payment for the completion of a designated health practitioner assessment.

The National Accounting Centre checks in the person's Work and Income records to ensure that a report has been requested by the case manager before payments are made.

If a registered health practitioner is interested in becoming a Work and Income designated health practitioner, they should contact the local Health and Disability Team to discuss their application and fill out the form below.

Once completed the form should be returned to the Health and Disability Team.

linksDesignated Doctor application form (PDF 109.22KB)

If you're a designated health practitioner, please contact your local Health and Disability Team if you need further information. If you do not have their contact details, please call our General Enquiries number 0800 559 009 and one of our Customer Services Representatives will arrange for them to contact you.

How we can help

  • Benefits and payments
  • Work
  • On a benefit
  • Housing

Online services

  • Check what you might get
  • Find work
  • Apply online
  • MyMSD
  • How to stay safe online

About

  • About Work and Income
  • About this site
  • Accessibility
  • Privacy, disclaimer and copyright

Contact us

  • Phone numbers
  • Find a service centre
  • Facebook
  • Twitter
  • Feedback
  • Help in other languages
Go to Ministry of Social Development's website Go to Govt.nz's website Shielded Site