Primary care

Primary care plays a critical role in helping injured people recover and return to work and independence. We know the primary care sector is under pressure, and you’re often balancing increasing patient complexity, workforce constraints, and administrative burden.

We're working with primary care to strengthen rehabilitation outcomes for our shared kiritaki and support a sustainable Accident Compensation Scheme. Our focus is on making it easier for certifying practitioners to do the right thing, and supporting timely, evidence-based recovery.

On this page

    What we’re doing

    We’re working with the primary care sector to ensure every client receives the right treatment at the right time so they can return to work and independence sooner.

    We’ve done a significant amount of work over the last two years to improve rehabilitation outcomes. But there is more to do, and we can’t do it alone.  

    We’re continuing to collaborate with our providers and suppliers, to make improvements, including:

    • exploring how we can redesign the ACC18 medical certificate and ACC45 claim injury forms to better support primary care and reduce administrative burden
    • supporting certifying practitioners by developing tools, such as a dashboard that is helping them to track and compare rates and durations of incapacity certification with their peers. 
    • changing the way we commission services by contracting directly with organisations who have strong links to general practice to address known pain points and improve certification practices. 

    Why this work matters

    Our data shows more people are spending longer off work after injury, particularly for low complexity injuries such as sprains and strains. Longer time away from work and everyday activity can make recovery harder and has negative impacts for the injured person, their whānau, employer and community. It also puts pressure on the Scheme and the sustainability of the entitlements ACC provides.

    We’re focused on supporting recovery that is active and timely – so people can get back to what matters, sooner.

    How to stay informed

    • Join our online primary care engagement webinars to hear updates, ask questions and share feedback.
    • Use the medical certification dashboard to support reflection on certification practice and recovery outcomes.
    • Look out for updates about ACC18/ACC45 improvements and what you may need to do as changes roll out.
    • Stay connected via monthly Provider Updates and through this web page. 
    • Meet our team and share your feedback at primary care conferences throughout the year.

    Send questions or feedback to:

    Email engage.primarycare@acc.co.nz

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    Past webinars

    Click through to view previous webinar recordings and download the presentation slides and FAQ documents.

    We’re looking at ways to improve how we identify rehabilitation and support needs for injured New Zealanders. We hosted another primary care online engagement webinar on Thursday 23 April 2026.

    Watch the online recording

    We hosted another primary care online engagement webinar on Wednesday 8 October 2025. These sessions build on feedback from earlier webinars held in February and May, and are helping to shape a range of initiatives that are now underway.

    Watch the online recording

    We held an online joint primary and secondary care webinar following our engagements with both sectors held in February. 
    We shared what we heard, and our next steps to achieve better outcomes for injured New Zealanders.

    Watch the online recording

    Download the slide pack 

    View the FAQ document

    We held an online session which covered the challenges we’re seeing, as well as the impact on clients, their families and their communities.  

    Watch the online recording

    Download the slide pack 

    View the FAQ document

    We discussed 'fit for selected work' (FFSW) medical certification at the event, we have a helpful factsheet you can also download.

    FFSW fact sheet

    Watch the 'Primary care market engagement: summary of your ideas' video

    Primary care external reference group

    Our Primary Care External Reference Group provided guidance on potential solutions to improve rehabilitation outcomes for clients accessing primary care services. This group represented a diverse group of clinicians specialising in different areas of primary care with broad geographical representation. 

    Themes discussed were:

    • Primary care – current state and future visions
    • Client access, experience and outcomes – enhancing experience and results
    • Digital health solutions – improving communication, streamlining processes, reducing administrative burden
    • Education and clinical pathways – promoting learning and best practice
    • Innovative rehabilitation programmes – integrated models of care
    • Meeting reflections – summarising insights, findings, and recommendations.

    Name

    Details

    Bart Dutkowski

    Product Manager, BPAC Clinical Solutions​

    Carolyn Gullery

    Strategic Digital Advisor, Spark Health/Irico/Streamliners

    Cate Hampton

    Occupational Health Nurse

    Executive member NZ Occupational Health Nurses Association

    Dr Cathy Stephenson

    Principal Health Advisor, Ministry of Social Development

    GP Fellow, The 502 Rangatahi Ora​

    Chris Higgs

    Senior Professional Practice Fellow/Physiotherapy 

    Clinical Education Programme Lead, University of Otago

    Dr Darran Lowes

    GP fellow, Taradale Medical Centre,

    Chair, Health Hawke's Bay

    Lecturer of Occupational Medicine, University of Otago

    Dr Emily Kate Armstrong

    Locum GP Fellow (rural), Colville Health Trading Trust

    Prospero Health & Social Care

    Helen Topia

    Nurse Practitioner (rural), Te Hau Awhio whio Whanau Hauora Centre 

    Lecturer, Auckland University of Technology

    Mary Morrissey

    Practice Manager, Family Health Centre

    Chair of PMANZ

    Dr Monica Liva

    GP Fellow (urban - Māngere South Auckland), Turuki Health Care

    Dr Stephanie Taylor​

    GP Fellow (urban)

    Deputy Chair – GenPro

    Velonika Tuitea-Tuck

    Nurse Practitioner, Ngati Pikiao/Owhata Health Services

    Last published: 3 July 2026