Community Services

We provide patients with the extra support that they need after a hospital stay.

These services work with patients to optimise their health, ability to manage everyday tasks and quality of life. Staff will work with patients by taking a holistic approach to help them achieve the goals that are important to them.

The role of the Community Services is to ensure a smooth pathway from hospital to home.

Community Services provides the following services:

• Post Acute Care (PAC) - short term assistance for people after a hospital stay (such as community nursing, home help and physiotherapy)
• Royal Park Campus Specialist Clinics - outpatient clinics for people with chronic conditions such as memory change, pain, falls and continence
• Community Therapy Services (CTS) - home and clinic-based therapy services (such as occupational therapy, physiotherapy and speech therapy) that help people work towards rehabilitation goals
• Hospital Admission Risk Program (HARP) - specialist treatment, care planning, education and support for people who are at risk of hospital admission because of chronic or complex health issues
• Aged Care Assessment Service (ACAS) - assessment, information and advice for older people and their carers to help them make informed decisions regarding individual care needs
• Case Management Services - ongoing support to assist older people remain as independent as possible in their own homes
• RMH@Home - hospital level care in the patient's home environment
• Residential In-reach
• Cardiac Rehabilitation
• Continuing Cardiothoracic Care
• Cardiomyopathy Clinic
• Transition Care Program: Residential
• Transition Care Program: Home-based

Complex care discharge and referral options

To help you determine what service is most appropriate for your patient, who to contact and how to make a referral, read our complex care and referral options guide.