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

Our Home-Based Nursing team provides nursing care and support to people in their own homes, with the option to access our treatment clinic at the Main Campus, Gibbs Building. Our services include:

• Wound care and management
• Catheter care
• Nursing assessments and health monitoring
• Nursing support for ongoing health needs
• Palliative care – see our Home Based Palliative Care service for more information

Our goal is to work alongside you to support your health, wellbeing and independence. We involve you in decisions about your care and support you to do as much as you can for yourself.

From the beginning, we will talk with you about why you have been referred to our service, what is important to you and what you hope to achieve. Together, we will work with you to provide care that is appropriate to your individual needs and goals.

More information: Home-Based Nursing Services brochure 

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 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

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 (RIR) 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

Post Acute Care services are short-term, community-based services to help you recover after leaving hospital.

These services are offered as part of the Health Independence Program and are available to people who:

• have been discharged from a public hospital, including day procedure, the short stay unit and the emergency department
• are assessed as needing services after leaving hospital, and
• have given consent to receive services

Services include:

• home-based and community nursing
• home care services (vacuuming, cleaning, meal preparation and more)
• personal care services such as shopping, and
• in-home respite.

More information: Post Acute Care brochure