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Kāpiti clinic Palmerston North clinic

Referral Information for Clinicians

Nathan Scott, pelvic health physiotherapist at CoreGood

CoreGood is a physiotherapy practice dedicated to pelvic health, with clinics in Paraparaumu Beach and Palmerston North. We see men and women referred by GPs, urologists, gynaecologists, colorectal surgeons, midwives, continence nurses and other physiotherapists, and we see patients who self-refer.

Patients do not require a referral to be seen. A referral letter is useful and we welcome one, but its absence will not delay an appointment.

Contact: 0800 267 346 | hello@coregood.co.nz

Scope of practice

Pelvic health physiotherapy assessment and rehabilitation for adults, both men and women.

Areas seen:

  • Urinary incontinence, stress, urge and mixed
  • Urinary urgency and frequency
  • Faecal incontinence and defaecatory dysfunction
  • Pelvic organ prolapse, conservative management
  • Chronic pelvic pain, male and female
  • Dyspareunia and vaginismus
  • Antenatal and postnatal pelvic floor rehabilitation, including maternal birth injury
  • Pre-operative and post-operative rehabilitation for pelvic and prostate surgery
  • Post-prostatectomy urinary incontinence
  • Erectile dysfunction and ejaculatory dysfunction, pelvic floor contribution
  • Lumbopelvic and abdominal wall dysfunction, including diastasis recti
  • Coccydynia

Not within scope. We do not provide medical or surgical management, prescribe medicines, fit pessaries, or perform urodynamic studies. Where a patient presents with red flags or with symptoms that warrant medical investigation, we will say so and write to you.

Clinician

Nathan Scott BPhty (Otago), MNZSP, PAANZ, Registered Physiotherapy Acupuncturist.

Bachelor of Physiotherapy, University of Otago, 1994. Practising since 1994, working in pelvic health for more than a decade. Postgraduate training in pelvic health physiotherapy, manual therapy, manipulation, acupuncture and human nutrition. Founded CoreGood in 2015.

Physiotherapy Board of New Zealand registration number 70-05697, holding a current Annual Practising Certificate for the year ending 31 March 2027 in a General scope of practice.

Nathan is the only clinician at either site.

ACC provider number G09375.

Full profile: About Nathan Scott

Assessment capability

Assessment is objective where possible. Non-invasive assessment is used first, and internal examination is undertaken only where it will change management and with the patient’s informed consent.

ModalityApplication
Real-time diagnostic ultrasoundTransabdominal and transpelvic imaging of bladder and pelvic floor. Observation of pelvic floor contraction, relaxation and coordination. Post-void residual estimation. Used for assessment and as visual biofeedback
MAPLe HD pelvic floor EMGHigh-definition surface EMG providing regional assessment of pelvic floor muscle activity, differentiating between regions rather than treating the pelvic floor as a single unit. Used where a detailed picture of activation, coordination or overactivity would change management
Non-invasive upright biofeedbackActivation, endurance, coordination and relaxation. Also used as a rehabilitation tool
Digital examinationVaginal or rectal, where clinically indicated and with consent. Strength grading, prolapse assessment, myofascial assessment

Every modality above is available at both clinics.

PelviPower repetitive magnetic stimulation, focused shockwave therapy and acupuncture are treatment modalities rather than assessments, and are described on the Treatments pages.

How to refer

Any of the following.

  1. Letter or e-referral to hello@coregood.co.nz. Free text is fine. There is no referral form to complete.
  2. Phone 0800 267 346 to discuss a patient before referring, including whether pelvic health physiotherapy is an appropriate step at all. We would rather have that conversation than receive an inappropriate referral.
  3. Direct the patient to book. Patients can book without a referral. Ask them to mention your name at booking so we know where they came from and can write to you.

Useful in a referral, if available: presenting problem and duration, relevant obstetric and surgical history, current medications, investigations already undertaken, red flags excluded, and what you would like from the referral. A single sentence stating the clinical question is more useful than a full history.

Triage and waiting times

We aim to see referrals within one week at both clinics. If a patient needs to be seen before an operation, say so in the referral and we will prioritise it.

What you receive back

With the patient’s consent:

  • An initial assessment letter following the first appointment, covering assessment findings, the physiotherapy diagnosis, the agreed plan and the expected number of appointments, normally within five working days.
  • A discharge summary at the conclusion of care, covering outcome against the goals set, home programme provided and any recommendation for further review.
  • Interim correspondence where findings warrant medical review, where the presentation changes, or where the patient is not progressing as expected.

Correspondence is sent to the referrer and, where the patient asks, to their GP as well. Nothing is sent without the patient’s agreement.

Correspondence is sent by email. We are not on Healthlink or an equivalent EDI network.

ACC

CoreGood is a registered ACC treatment provider, and Nathan is credentialed with ACC to lodge maternal birth injury claims directly.

In practice that means maternal birth injury claims for injuries sustained on or after 1 October 2022 can be lodged here at the first appointment, without GP involvement, which removes an appointment from the patient’s pathway and a task from your day. ACC covers injury and not illness, so most non-obstetric pelvic health presentations are self-funded. Surcharges are published in full on the fees page.

Detail for patients is on Fees and ACC.

Working alongside medical management

Pelvic health physiotherapy is frequently used alongside medical or surgical management rather than instead of it, including pre-operative and post-operative rehabilitation for pelvic and prostate surgery, alongside pharmacological management of overactive bladder, and alongside pessary management of prolapse.

Where a patient is under your care, we work to the plan you have set. If we form a different view we will contact you rather than the patient.

If a patient is on a surgical waiting list, tell us the timeframe. It changes what a sensible rehabilitation plan looks like.

For physiotherapy colleagues

We accept referrals from physiotherapists whose patients need pelvic health assessment beyond their own scope or equipment, and we return them to you for ongoing musculoskeletal management where that is appropriate. Say so in the referral and we will do exactly that.

Contact

Phone0800 267 346
Emailhello@coregood.co.nz
Kāpiti clinic2 Seaview Road, Paraparaumu Beach, Paraparaumu 5032. Details
Palmerston North clinicOraKinetics, The Pillars (next to Milson Pharmacy), 91 Milson Line, Palmerston North 4410. Details
ClinicianNathan Scott, BPhty (Otago), MNZSP, PAANZ

To discuss a patient before referring, ring Nathan on 027 247 3585. The 0800 number transfers to the same phone.

Patient-facing information you can point people to: What happens at the first appointment, Fees and ACC, Men’s pelvic health, Women’s pelvic health.


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