Complex Care Program

Our Complex Care Program is designed to support patients who are at risk of avoidable hospital admissions because of chronic conditions such as:

• chronic pulmonary disease
• chronic heart failure
• diabetes with complex needs, or
• health conditions with chronic and complex needs.

This program is offered to people who attend our emergency department or are admitted to hospital and assessed as being suitable for this program.

More information: Complex Care Brochure

Home-Based Nursing

Our Home-Based Nursing team offers a range of services to the community including:

• general and technical nursing
• specialised wound care
• home Assessments, and
• in-home palliative care

Our goal is always to work with you to support your health and wellbeing. We work closely together as a team to support you.

This means we want to make sure that:

• you are involved in your treatment
• we help you do as much as you can for yourself, and
• we help you stay independent.

From the start, we want to talk with you about why you have been referred to us and what your health goals are to ensure our care helps you achieve these.

More information: Home-Based Nursing Services brochure 

Home-Based Palliative Care

Our Palliative Care service provides care and support to clients with a life-limiting illness and their carers, plus access to a wide range of other services.

We aim to improve our clients’ quality of life and help them to die with dignity in the environment of their choice. We offer:

• Symptom management and comfort care
• Support with end-of-life planning and decision making
• 24-hour on-call nursing 7 days a week
• Collaboration with local GPs and nurse practitioners for medical care
• Emotional and bereavement support.

More information: Home-Based Nursing Services brochure 

Hospital in the Home

Hospital in the Home allows people with specific illnesses to have part or all of their treatment at home rather than in a hospital.

You can use this service if:

• your condition is stable
• you feel comfortable with the idea of treatment at home and have support if required
• you understand your treatment plan so you can respond to changes in your condition at home
• you agree to follow the advice of the nurses and doctors who are responsible for your care and treatment at home, and
• your home environment is safe for visiting staff.

More information: Hospital in the Home brochure

Residential In-Reach

Many visits to hospital from residential aged care facilities are preventable.

Once a resident is transferred from their aged care facility for higher level care,
they are risk of increasing confusion, falls, pressure injuries, infection and adverse medication events.

Residential In-Reach services support right care, right place and at the right time;
aiming to reduce the need for hospital transfers with comprehensive safe effective care delivered within the residential aged care facility.

Referrals must be made with resident/next of kin consent, discussion with residents GP prior to RIR referral is advised.

More information: Residential In-Reach