Services

Support for vulnerable homeless people who have been housed through the 50 Lives 50 Homes Project with after hours support to assist them with their health and other support needs. Nursing and psychosocial support is provided on evenings and weekends that integrates with the case management and tenancy support provided by organisations participating in 50 Lives 50 Homes.

This service is for community members with conditions of mental health and substance misuse. Support is provided by the care manager to improve the persons ability to self manage and improve their mental health outcomes.

Located at Mawarnkarra Health Service, this Chronic Disease Nurse works with clients to increase their access to a range of primary and allied health care services for rural and remote communities. This position focuses on promoting a coordinated, multi-disciplinary team-based approach to the provision of integrated primary health care services, in partnership with the WA Country Health Service, Pilbara Population Health and other identified providers.

Located at Wirraka Maya Health Service, this Chronic Disease Nurse works with clients to increase their access to a range of primary and allied health care services for rural and remote communities. This position focuses on promoting a coordinated, multi-disciplinary team-based approach to the provision of integrated primary health care services, in partnership with the WA Country Health Service, Pilbara Population Health and other identified providers.

Located at Puntukurnu Aboriginal Medical Service, this Chronic Disease Nurse works with clients to increase their access to a range of primary and allied health care services for rural and remote communities. This position focuses on promoting a coordinated, multi-disciplinary team-based approach to the provision of integrated primary health care services, in partnership with the WA Country Health Service, Pilbara Population Health and other identified providers.

This service is for people with Chronic Obstructive Pulmonary Disease (COPD) who are non-oxygen dependent and discharged from Joondalup Health Campus. The individuals will be supported with education and linked to community based services to assist them with self management strategies.

In addition to supporting individuals, COPD upskilling will be provided to general practitioners to improve care and management of their COPD patients.

Community members and primary health care providers from across Country WA can access diabetes education via Diabetes WA Telehealth service. Service delivery can occur either face to face, telehealth, phone, skype, VC, face time or video calling.
A referral to diabetes WA is required.

Community members who require medical attention during the evening and weekends when their general practice is normally closed. The clinics are walk-in and appointments do not have to be made.

This activity is targeted at community members, including those in remote areas, with chronic diabetes, respiratory conditions and cardiovascular disease. Patients will be supported by a care coordinator who will link them to allied health services they needs to better manage their condition and feel more confident about their health. Telehealth services will be utilised to help support face to face service, for those patients living in remote locations.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

Community members who have a chronic condition such as diabetes, respiratory and/or cardiovascular disease will be supported by a care coordinator who will link them to allied health services they needs to better manage their condition and feel more confident about their health. Telehealth services will be utilised to help support face to face service, for those patients living in remote locations.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

Community members who have a chronic condition such as diabetes, respiratory and/or cardiovascular disease will be supported by a care coordinator who will link them to allied health services they needs to better manage their condition and feel more confident about their health.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

The chronic disease service is targeted at community members, with chronic diabetes, respiratory conditions and cardiovascular disease. Patients will be supported by a care coordinator who will link them to allied health services they needs to better manage their condition and feel more confident about their health. Telehealth services will be utilised to help support face to face service, for those patients living in remote locations.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

This activity is targeted at community members, including those in remote areas, with chronic diabetes, respiratory conditions and cardiovascular disease. Patients will be supported by a care coordinator who will link them to the allied health services they needs to better manage their condition and feel more confident about their health.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

Community members with a chronic condition such as diabetes, respiratory and/or cardiovascular disease will be supported by a care coordinator who will link them to allied health services they needs to better manage their condition and feel more confident about their health. Telehealth services will be utilised to help support face to face service, for those patients living in remote locations.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

This activity is targeted at community members, including those in remote areas, with chronic diabetes, respiratory conditions and cardiovascular disease. Patients will be supported by a care coordinator who will link them to allied health services they needs to better manage their condition and feel more confident about their health.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

This activity is targeted at community members, including those in remote areas, with chronic diabetes, respiratory conditions and cardiovascular disease. Patients will be supported by a care coordinator who will link them to allied health services they needs to better manage their condition and feel more confident about their health.
Telehealth services will be utilised to help support face to faces service, for those patients living in remote locations.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

This activity is targeted at community members, including those in remote areas, with chronic diabetes, respiratory conditions and cardiovascular disease. Patients will be supported by a care coordinator who will link them to the allied health services they needs to better manage their condition and feel more confident about their health.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

This activity is targeted at community members, including those in remote areas, with chronic diabetes, respiratory conditions and cardiovascular disease. Patients will be supported by a care coordinator who will link them to the allied health services they needs to better manage their condition and feel more confident about their health.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

The activity will deliver an integrated and holistic health solution for eligible individuals who have chronic health conditions, by coordinating their care to access specific clinical services provided by the Boab Health and complimentary services provided by other organisations. The activity will provide services with consideration to local health needs, and respond to local community requests for community events and health promotion activities. Services will be provided from local clinics, community venues and within community settings such as e.g. schools, pre-schools, aged care facilities, where clients feel comfortable to engage.

This activity is targeted at community members, including those in remote areas, with chronic diabetes, respiratory conditions and cardiovascular disease. Patients will be supported by a care coordinator who will link them to the allied health services they needs to better manage their condition and feel more confident about their health.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

This program supports patients who have chronic conditions, to access a multi-disciplinary allied health service, including telehealth and individual care coordination. The ICDC Care Coordinators receive referrals from GPs and are responsible for ensuring the patient receives appropriate coordinated care, including access to a multi-disciplinary team-based service that provides a wraparound patient-centred approach.

Patients eligible for ICDC services must have, or be at high risk of developing chronic diabetes, chronic obesity or cardiovascular or respiratory conditions. In addition, patients must also be vulnerable and disadvantaged, or live in an area of disadvantage which is not adequately serviced by regional health services or hold a Health Care Card. Priority will be given to patients with multiple morbidities and those at rising risk of developing a complex chronic condition.

This activity is targeted at community members, including those in remote areas, with chronic diabetes, respiratory conditions and cardiovascular disease. Patients will be supported by a care coordinator who will link them to allied health services they needs to better manage their condition and feel more confident about their health.

Telehealth services will be utilised to help support face to face service, for those patients living in remote locations.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

Community members who have a chronic condition such as diabetes, respiratory and/or cardiovascular disease will be supported by a care coordinator who will link them to allied health services they needs to better manage their condition and feel more confident about their health.
Eligibility for this services includes; financial disadvantage, hardship or healthcare card holder; living in an area not adequately serviced by health providers; social disadvantage.

This program is for the delivery of self management program, 8 week Health Eating active Lifestyle (HEAL) group. This is a program that care coordinators, GPs allied health professionals and clients can refer into once the client has reached a point in their care plan that they area able to participate. Client are not offered treatment of care in this program

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic condition/s and require additional support, other than that provided by their GP, to manage their chronic health conditions/s. A GP referral is required to participate in this activity.

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic condition/s and require additional support, other than that provided by their GP, to manage their chronic health conditions/s. A GP referral is required to participate in this activity.

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic condition/s and require additional support, other than that provided by their GP, to manage their chronic health conditions/s. A GP referral is required to participate in this activity.

The aim of this program is to improve health outcomes for Aboriginal people through the treatment and management of chronic health conditions. ITC is provided by a team comprising an Indigenous Health Project Officer (IHPO), Aboriginal Outreach Worker and Care Coordinator, who foster collaboration across the Aboriginal and mainstream primary health care sectors. By working closely with the patient’s GP, ITC staff can provide better access to coordinated multidisciplinary care and supplementary services.

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic condition/s and require additional support, other than that provided by their GP, to manage their chronic health conditions/s. A GP referral is required to participate in this activity.

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic condition/s and require additional support, other than that provided by their GP, to manage their chronic health conditions/s. A GP referral is required to participate in this activity.

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic condition/s and require additional support, other than that provided by their GP, to manage their chronic health conditions/s. A GP referral is required to participate in this activity.

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic condition/s and require additional support, other than that provided by their GP, to manage their chronic health conditions/s. A GP referral is required to participate in this activity.

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic condition/s and require additional support, other than that provided by their GP, to manage their chronic health conditions/s. A GP referral is required to participate in this activity.

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic conation/s and require additional support, other than that provided by their GP, to manage their chorionic health conditions/s. A GP referral is required to participate in this activity.

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic condition/s and require additional support, other than that provided by their GP, to manage their chronic health conditions/s. A GP referral is required to participate in this activity.

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic conation/s and require additional support, other than that provided by their GP, to manage their chronic health conditions/s. A GP referral is required to participate in this activity.

The Integrated Team Care activity is designed for Aboriginal people who have existing chronic condition/s and require additional support, other than that provided by their GP, to manage their chronic health conditions/s. A GP referral is required to participate in this activity.

This activity helps people suffering from persistent pain to improve the self-management of their pain through expert education, support and goal setting. Participants will learn about different strategies for living well; leading to reduced reliance on medication use.

This activity helps people suffering from persistent pain to improve the self-management of their pain through expert education, support and goal setting. Participants will learn about different strategies for living well; leading to reduced reliance on medication use.

A clinical facilitator provides care coordination and education to individuals with chronic pain, using the Turning Pain Into Gain program. Five groups are run each year (six sessions/group) for up to 20 patients per group, supported by allied health services and one-on-one sessions over a twelve month period.

This service is for people with chronic condition/s who for various reasons do not connect with primary healthcare providers. The service aims to provide holistic, person-centred healthcare to improve a persons access health services, to support then to manage their health conditions.

This service is for people with chronic condition/s who for various reasons do not connect with primary healthcare providers. The service aims to provide holistic, person-centred healthcare to improve a persons access health services, to support then to manage their health conditions.

Nurse practitioners work with clients of selected community and social service organisations to undertake a health assessment, develop an individualised plan and link the person to a regular GP. Nurse practitioners go to the client’s home and work collaboratively with the client’s community support worker.

This service is for people with complex and chronic health conditions. A nurse practitioner will support the individual with self management strategies and care coordination to achieve better health outcomes.

People with advanced respiratory disease and those who require domiciliary oxygen are eligible for respiratory care coordination. Support and information will be provided to enable help people make informed decisions and work towards self management of their health to improve their outcomes.

People with advanced respiratory disease and those who require domiciliary oxygen are eligible for respiratory care coordination. Support and information will be provided to enable help people make informed decisions and work towards self management of their health to improve their outcomes.This service is for adult patients with advanced respiratory disease who require domiciliary oxygen across the metro area. A care coordinator assists patients to maintain stable respiratory disease and the management of acute exacerbations, along with care and support for end stages of disease. The aim is to enhance self-management and connect patients to community services by working collaboratively with the hospital discharge team. Telehealth monitoring enables early identification of clinical deterioration and referral to an appropriate clinical service if required.People with advanced respiratory disease and those who require domiciliary oxygen are eligible for respiratory care coordination. Support and information will be provided to enable help people make informed decisions and work towards self management of their health to improve their outcomes.

Western Australian Police and Community Youth Centres (WA PCYC) is a not-for-profit organisation that delivers development (intervention) programs and recreational activities for young people. This pilot program will employ a Nurse for one day week to attend to medical needs of children presenting at the center with injuries or infections. The nurse will then perform follow up on the cases attended to, including changing dressings, or arranging an appointment with a Medical service and act as an advocate on their behalf, ensuring full treatment is received.

This service is for Aboriginal communities in the Wiluna Region, with a focus on women and families with conditions of mental illness and substance misuse. People will be supported to develop a positive self image, gain confidence and cope with difficult circumstances.

This activity aims to improve Aboriginal communities knowledge, access and engagement with available services.