Abstract
A new model of service delivery for people with disabilities in the community has emerged in New Zealand. Health purchasing authorities were given responsibility for the delivery of all services to this group. Responsibility for the delivery of assistive devices and adaptations was put out to tender. The New Zealand Disability Resource Centre Ltd formed the Equipment Management Service (EMS) which won the majority of contracts. In conjunction with the health authority, it has produced a comprehensive service manual. Professionals apply to be providers of categories of equipment and/or adaptations. Once accepted, they have autonomy to purchase equipment or adaptations to set monetary limits. Retailers of equipment must be registered, which involves making service quality commitments. This model may result in more efficient use of available professionals, but the practical difficulties of administration may be overwhelming. It should be monitored closely to Judge whether the possible benefits are realised.
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