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National Intestinal Failure & Rehabilitation Service (NIFRS)

Public Service, Gastroenterology & Hepatology (Liver)

Kia ora.


At alert level 4 we are making  a number of changes to keep you and our staff safe:

·         We are converting outpatient clinic appointments to telephone of video appointments where possible – you’ll be provided with all the information you need.

·         We are still seeing patients in person who require urgent appointments. If you have an in person appointment and have any COVID-19 symptoms or have been told by public health to isolate please phone the number on your appointment letter in advance.

·         Unfortunately most of our planned surgery is being rescheduled. Acute and critically urgent surgery will still go ahead as usual.

·         We are trying to contact our patients to confirm their appointment or to reschedule them. 

·         Visitor restrictions are in place at the moment – you can visit Auckland DHB website for more information.


The situation is changing so please continue to visit the Auckland DHB website for updates.


What is the National Intestinal Failure and Rehabilitation Service (NIFRS)?

The New Zealand National Intestinal Failure and Rehabilitation Service (NIFRS) is designed to improve outcomes for patients of all ages with intestinal failure (IF). The NIFRS is a national service provided by Auckland District Health Board on behalf of the Ministry of Health.  The NIFRS provides support to clinicians and allied health staff managing patients with IF.


The purpose of NIFRS

  • Ensure equitable access to IF services for patients and their families
  • Create standards of care and clinical management protocols for IF
  • Improve communication and coordination of care for patients and their families
  • Advocate for IF patients and their families
  • Provide data that will improve quality of care for patients with IF.


What this means for you

Intestinal failure is defined as a dependency on intravenous nutrition (IVN) which is also called parenteral nutrition (PN). Any fluid that contains amino acids (excluding blood products) delivered intravenously is considered to be intravenous nutrition.

For patients and families: your clinician will contact NIFRS and will provide you with information on how the service will assist you and your clinician in your care.

For clinicians: more information about notifications, shared care and education resources are located under Clinical Information section. Please contact NIFRS for login details.


How NIFRS will improve outcomes for IF patients

  • A register of all patients with IF will provide data that will inform quality improvement.
  • notification process for patients with IF. Notification may result in a virtual consultation, clinic assessment or inpatient transfer. It is anticipated that care for most patients will be delivered by their local care team in partnership with the NIFS, meaning the patient remains under the care of their home DHB wherever possible.
  • A shared care model will help with communication between clinicians and patients. Shared care is structured and inclusive care which is developed in partnership between the patient, their family/carers and health professionals.
  • National standards will help to ensure high quality care for all patients with IF.
  • Education resources will be developed for both patients with IF and the clinicians caring for them.


Who we are

  • Mr Ian Bissett - Clinical Director - Adult and Colorectal Surgeon and General Surgeon
  • Dr Amin Roberts - Clinical Director - Paediatric and Paediatric Gastroenterologist
  • Cate Fraser-Irwin - Coordinator and Clinical Nurse Specialist - Paediatric
  • Rebecca Coggins - Clinical Nurse Specialist - Adult
  • Kim Herbison - Senior Dietitian - Paediatric
  • Amy Andrews - Senior Dietitian - Paediatric
  • Lisa Guest - Senior Dietitian - Adult
  • Kristin Wilson - Business Manager - Adult
  • Melissa Estinel - Service Administrator


Referral Expectations

For health professionals: details relating to the notification process are located in the clinicians section of Healthpoint. Please contact  if you require access.

Contact Details

Postal Address

Building 1 Auckland City Hospital
Private Bag 92 024
Auckland Mail Centre
Auckland 1142

This page was last updated at 1:13PM on September 30, 2021. This information is reviewed and edited by National Intestinal Failure & Rehabilitation Service (NIFRS).