Rapid Health Decline in the Older Person – What to do?
Local Nepean Region Pathway – A local pathway to support those who care for older people with acute care needs.

Rapid Health Decline in the Older Person – What to do?

Local Nepean Region Pathway – A local pathway to support those who care for older people with acute care needs.

How to use our tool.

Click on any step in the pathway below for more information.

OK, GOT IT!

Unexpected deteriotation - Unexplained & sudden changes within hours or days

IS IT LIFE THREATENING?

Is there an Authorised Care Plan in place?

Call Triple Zero (000)

The emergency number for an ambulance in Australia is Triple Zero (000), 24 hours a day, seven days a week.

NSW Ambulance Attendance

Your patient will be triaged for their level of required care.

+ Click here for more information

Nepean Hospital Emergency Department

Your patient will be triaged for their level of required care.

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Medical Assessment Unit (MAU) Ward - Home or Comminity

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

The Medical Assessment Unit (MAU) at Nepean Hospital is an inpatient short stay unit co-located with ED. MAU aims to deliver faster, safer and better care for older persons and those with chronic conditions and as an alternative to treatment in the Emergency Department

Geriatric Medicine have 52 acute beds and 16 geriatric rehabilitation beds. There are also satellite Subacute beds in Springwood Hospital (10-15 beds)

Older patients are discharged either home or to a Community service

All discharged patients will be referred back to their usual GP.

GP

The patients usual GP coordinates the referral to the appropriate level of care for their patients.

Hospital Outreach

Virtual Aged Care Service (VACS) is a new model of care that was introduced in 2008 to strengthen the links between hospital and community care. A specialist Multidisciplinary Team (MDT) led by a Geriatrician delivers specialist services in the community and in Residential Aged Care Facilities (RACFs) via Single Point of Contact (SPC). Older patients require a referral by a GP.

Hospital Outreach offer a Telehealth service to selected RACF’s by videoconference of residents post discharge, ongoing education, assessment and management of medically unwell residents.

VACS 0407 411 387 Mon-Fri 8am-4.30pm Attends within 24-48 hours

Aged Care Specialist (On Call After Hours)  Via Nepean Hospital Switchboard 4734 2000 after 4.30pm.

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Community Health

Aged Care Assessment Team (ACAT) is a multidisciplinary team who undertake comprehensive assessment for older people with complex care needs. ACAT provides a range of information to clients on aged care services appropriate to meet client's needs including assessment for Commonwealth funded services for home packages, residential care and respite. Nepean/Blue Mountains ACAT no longer receive direct referrals and now need to go through My Aged Care.

My Aged Care
Mon-Fri 8am - 8pm, 10am - 2pm Sat
1800 200 422
View Aged Care Referral

Transitional Aged Care Program (TACP) provides personal care, nursing and therapy services to people following hospital discharge. Referral must occur while a person in hospital and eligibility criteria apply.

Nepean Outreach Service

Hospital in the Home (HITH)
View Hospital in the Home

Non Government Organisations (NGOs)

Hospital Outreach

Virtual Aged Care Service (VACS) is a new model of care that was introduced in 2008 to strengthen the links between hospital and community care. A specialist Multidisciplinary Team (MDT) led by a Geriatrician delivers specialist services in the community and in Residential Aged Care Facilities (RACFs) via Single Point of Contact (SPC). Older patients require a referral by a GP.

Hospital Outreach offer a Telehealth service to selected RACF’s by videoconference of residents post discharge, ongoing education, assessment and management of medically unwell residents.

VACS 0407 411 387 Mon-Fri 8am-4.30pm Attends within 24-48 hours

Aged Care Specialist (On Call After Hours)  Via Nepean Hospital Switchboard 4734 2000 after 4.30pm.

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Community Health

Aged Care Assessment Team (ACAT) is a multidisciplinary team who undertake comprehensive assessment for older people with complex care needs. ACAT provides a range of information to clients on aged care services appropriate to meet client's needs including assessment for Commonwealth funded services for home packages, residential care and respite. Nepean/Blue Mountains ACAT no longer receive direct referrals and now need to go through My Aged Care.

My Aged Care
Mon-Fri 8am - 8pm, 10am - 2pm Sat
1800 200 422
View Aged Care Referral

Transitional Aged Care Program (TACP) provides personal care, nursing and therapy services to people following hospital discharge. Referral must occur while a person in hospital and eligibility criteria apply.

Nepean Outreach Service

Hospital in the Home (HITH)
View Hospital in the Home

Non Government Organisations (NGOs)

Hospital Outreach

Virtual Aged Care Service (VACS) is a new model of care that was introduced in 2008 to strengthen the links between hospital and community care. A specialist Multidisciplinary Team (MDT) led by a Geriatrician delivers specialist services in the community and in Residential Aged Care Facilities (RACFs) via Single Point of Contact (SPC). Older patients require a referral by a GP.

Hospital Outreach offer a Telehealth service to selected RACF’s by videoconference of residents post discharge, ongoing education, assessment and management of medically unwell residents.

VACS 0407 411 387 Mon-Fri 8am-4.30pm Attends within 24-48 hours

Aged Care Specialist (On Call After Hours)  Via Nepean Hospital Switchboard 4734 2000 after 4.30pm.

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Medical Assessment Unit (MAU) Ward - Home or Comminity

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

The Medical Assessment Unit (MAU) at Nepean Hospital is an inpatient short stay unit co-located with ED. MAU aims to deliver faster, safer and better care for older persons and those with chronic conditions and as an alternative to treatment in the Emergency Department

Geriatric Medicine have 52 acute beds and 16 geriatric rehabilitation beds. There are also satellite Subacute beds in Springwood Hospital (10-15 beds)

Older patients are discharged either home or to a Community service

All discharged patients will be referred back to their usual GP.

GP

The patients usual GP coordinates the referral to the appropriate level of care for their patients.

Hospital Outreach

Virtual Aged Care Service (VACS) is a new model of care that was introduced in 2008 to strengthen the links between hospital and community care. A specialist Multidisciplinary Team (MDT) led by a Geriatrician delivers specialist services in the community and in Residential Aged Care Facilities (RACFs) via Single Point of Contact (SPC). Older patients require a referral by a GP.

Hospital Outreach offer a Telehealth service to selected RACF’s by videoconference of residents post discharge, ongoing education, assessment and management of medically unwell residents.

VACS 0407 411 387 Mon-Fri 8am-4.30pm Attends within 24-48 hours

Aged Care Specialist (On Call After Hours)  Via Nepean Hospital Switchboard 4734 2000 after 4.30pm.

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Community Health

Aged Care Assessment Team (ACAT) is a multidisciplinary team who undertake comprehensive assessment for older people with complex care needs. ACAT provides a range of information to clients on aged care services appropriate to meet client's needs including assessment for Commonwealth funded services for home packages, residential care and respite. Nepean/Blue Mountains ACAT no longer receive direct referrals and now need to go through My Aged Care.

My Aged Care
Mon-Fri 8am - 8pm, 10am - 2pm Sat
1800 200 422
View Aged Care Referral

Transitional Aged Care Program (TACP) provides personal care, nursing and therapy services to people following hospital discharge. Referral must occur while a person in hospital and eligibility criteria apply.

Nepean Outreach Service

Hospital in the Home (HITH)
View Hospital in the Home

Non Government Organisations (NGOs)

Hospital Outreach

Virtual Aged Care Service (VACS) is a new model of care that was introduced in 2008 to strengthen the links between hospital and community care. A specialist Multidisciplinary Team (MDT) led by a Geriatrician delivers specialist services in the community and in Residential Aged Care Facilities (RACFs) via Single Point of Contact (SPC). Older patients require a referral by a GP.

Hospital Outreach offer a Telehealth service to selected RACF’s by videoconference of residents post discharge, ongoing education, assessment and management of medically unwell residents.

VACS 0407 411 387 Mon-Fri 8am-4.30pm Attends within 24-48 hours

Aged Care Specialist (On Call After Hours)  Via Nepean Hospital Switchboard 4734 2000 after 4.30pm.

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Community Health

Aged Care Assessment Team (ACAT) is a multidisciplinary team who undertake comprehensive assessment for older people with complex care needs. ACAT provides a range of information to clients on aged care services appropriate to meet client's needs including assessment for Commonwealth funded services for home packages, residential care and respite. Nepean/Blue Mountains ACAT no longer receive direct referrals and now need to go through My Aged Care.

My Aged Care
Mon-Fri 8am - 8pm, 10am - 2pm Sat
1800 200 422
View Aged Care Referral

Transitional Aged Care Program (TACP) provides personal care, nursing and therapy services to people following hospital discharge. Referral must occur while a person in hospital and eligibility criteria apply.

Nepean Outreach Service

Hospital in the Home (HITH)
View Hospital in the Home

Non Government Organisations (NGOs)

Hospital Outreach

Virtual Aged Care Service (VACS) is a new model of care that was introduced in 2008 to strengthen the links between hospital and community care. A specialist Multidisciplinary Team (MDT) led by a Geriatrician delivers specialist services in the community and in Residential Aged Care Facilities (RACFs) via Single Point of Contact (SPC). Older patients require a referral by a GP.

Hospital Outreach offer a Telehealth service to selected RACF’s by videoconference of residents post discharge, ongoing education, assessment and management of medically unwell residents.

VACS 0407 411 387 Mon-Fri 8am-4.30pm Attends within 24-48 hours

Aged Care Specialist (On Call After Hours)  Via Nepean Hospital Switchboard 4734 2000 after 4.30pm.

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Extended Care Paramedics (ECP)
7am to 7pm
Download PDF GP

The patients usual GP coordinates the referral to the appropriate level of care for their patients.

Hospital Outreach

Virtual Aged Care Service (VACS) is a new model of care that was introduced in 2008 to strengthen the links between hospital and community care. A specialist Multidisciplinary Team (MDT) led by a Geriatrician delivers specialist services in the community and in Residential Aged Care Facilities (RACFs) via Single Point of Contact (SPC). Older patients require a referral by a GP.

Hospital Outreach offer a Telehealth service to selected RACF’s by videoconference of residents post discharge, ongoing education, assessment and management of medically unwell residents.

VACS
0407 411 387
Mon-Fri 8am-4.30pm Attends within 24-48 hours

Aged Care Specialist (On Call After Hours) 
Via Nepean Hospital Switchboard 4734 2000 after 4.30pm.

Community Health

Aged Care Assessment Team (ACAT) is a multidisciplinary team who undertake comprehensive assessment for older people with complex care needs. ACAT provides a range of information to clients on aged care services appropriate to meet client's needs including assessment for Commonwealth funded services for home packages, residential care and respite. Nepean/Blue Mountains ACAT no longer receive direct referrals and now need to go through My Aged Care.

My Aged Care
Mon-Fri 8am - 8pm, 10am - 2pm Sat
1800 200 422
View Aged Care Referral

Transitional Aged Care Program (TACP) provides personal care, nursing and therapy services to people following hospital discharge. Referral must occur while a person in hospital and eligibility criteria apply.

Nepean Outreach Service

Hospital in the Home (HITH)
View Hospital in the Home

Non Government Organisations (NGOs)

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Nepean Hospital Emergency

Your patient will be triaged for their level of required care.

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Medical Assessment Unit (MAU) Ward - Home or Comminity

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

The Medical Assessment Unit (MAU) at Nepean Hospital is an inpatient short stay unit co-located with ED. MAU aims to deliver faster, safer and better care for older persons and those with chronic conditions and as an alternative to treatment in the Emergency Department

Geriatric Medicine have 52 acute beds and 16 geriatric rehabilitation beds. There are also satellite Subacute beds in Springwood Hospital (10-15 beds)

Older patients are discharged either home or to a Community service

All discharged patients will be referred back to their usual GP.

Community Health

Aged Care Assessment Team (ACAT) is a multidisciplinary team who undertake comprehensive assessment for older people with complex care needs. ACAT provides a range of information to clients on aged care services appropriate to meet client's needs including assessment for Commonwealth funded services for home packages, residential care and respite. Nepean/Blue Mountains ACAT no longer receive direct referrals and now need to go through My Aged Care.

My Aged Care
Mon-Fri 8am - 8pm, 10am - 2pm Sat
1800 200 422
View Aged Care Referral

Transitional Aged Care Program (TACP) provides personal care, nursing and therapy services to people following hospital discharge. Referral must occur while a person in hospital and eligibility criteria apply.

Nepean Outreach Service

Hospital in the Home (HITH)
View Hospital in the Home

Non Government Organisations (NGOs)

Hospital Outreach

Virtual Aged Care Service (VACS) is a new model of care that was introduced in 2008 to strengthen the links between hospital and community care. A specialist Multidisciplinary Team (MDT) led by a Geriatrician delivers specialist services in the community and in Residential Aged Care Facilities (RACFs) via Single Point of Contact (SPC). Older patients require a referral by a GP.

Hospital Outreach offer a Telehealth service to selected RACF’s by videoconference of residents post discharge, ongoing education, assessment and management of medically unwell residents.

VACS
0407 411 387
Mon-Fri 8am-4.30pm Attends within 24-48 hours

Aged Care Specialist (On Call After Hours) 
Via Nepean Hospital Switchboard 4734 2000 after 4.30pm.

Community Health

Aged Care Assessment Team (ACAT) is a multidisciplinary team who undertake comprehensive assessment for older people with complex care needs. ACAT provides a range of information to clients on aged care services appropriate to meet client's needs including assessment for Commonwealth funded services for home packages, residential care and respite. Nepean/Blue Mountains ACAT no longer receive direct referrals and now need to go through My Aged Care.

My Aged Care
Mon-Fri 8am - 8pm, 10am - 2pm Sat
1800 200 422
View Aged Care Referral

Transitional Aged Care Program (TACP) provides personal care, nursing and therapy services to people following hospital discharge. Referral must occur while a person in hospital and eligibility criteria apply.

Nepean Outreach Service

Hospital in the Home (HITH)
View Hospital in the Home

Non Government Organisations (NGOs)

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Nepean Hospital Emergency

Your patient will be triaged for their level of required care.

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Medical Assessment Unit (MAU) Ward - Home or Comminity

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

The Medical Assessment Unit (MAU) at Nepean Hospital is an inpatient short stay unit co-located with ED. MAU aims to deliver faster, safer and better care for older persons and those with chronic conditions and as an alternative to treatment in the Emergency Department

Geriatric Medicine have 52 acute beds and 16 geriatric rehabilitation beds. There are also satellite Subacute beds in Springwood Hospital (10-15 beds)

Older patients are discharged either home or to a Community service

All discharged patients will be referred back to their usual GP.

Community Health

Aged Care Assessment Team (ACAT) is a multidisciplinary team who undertake comprehensive assessment for older people with complex care needs. ACAT provides a range of information to clients on aged care services appropriate to meet client's needs including assessment for Commonwealth funded services for home packages, residential care and respite. Nepean/Blue Mountains ACAT no longer receive direct referrals and now need to go through My Aged Care.

My Aged Care
Mon-Fri 8am - 8pm, 10am - 2pm Sat
1800 200 422
View Aged Care Referral

Transitional Aged Care Program (TACP) provides personal care, nursing and therapy services to people following hospital discharge. Referral must occur while a person in hospital and eligibility criteria apply.

Nepean Outreach Service

Hospital in the Home (HITH)
View Hospital in the Home

Non Government Organisations (NGOs)

GP

The patients usual GP coordinates the referral to the appropriate level of care for their patients.

Hospital Outreach

Virtual Aged Care Service (VACS) is a new model of care that was introduced in 2008 to strengthen the links between hospital and community care. A specialist Multidisciplinary Team (MDT) led by a Geriatrician delivers specialist services in the community and in Residential Aged Care Facilities (RACFs) via Single Point of Contact (SPC). Older patients require a referral by a GP.

Hospital Outreach offer a Telehealth service to selected RACF’s by videoconference of residents post discharge, ongoing education, assessment and management of medically unwell residents.

VACS
0407 411 387
Mon-Fri 8am-4.30pm Attends within 24-48 hours

Aged Care Specialist (On Call After Hours) 
Via Nepean Hospital Switchboard 4734 2000 after 4.30pm.

Community Health

Aged Care Assessment Team (ACAT) is a multidisciplinary team who undertake comprehensive assessment for older people with complex care needs. ACAT provides a range of information to clients on aged care services appropriate to meet client's needs including assessment for Commonwealth funded services for home packages, residential care and respite. Nepean/Blue Mountains ACAT no longer receive direct referrals and now need to go through My Aged Care.

My Aged Care
Mon-Fri 8am - 8pm, 10am - 2pm Sat
1800 200 422
View Aged Care Referral

Transitional Aged Care Program (TACP) provides personal care, nursing and therapy services to people following hospital discharge. Referral must occur while a person in hospital and eligibility criteria apply.

Nepean Outreach Service

Hospital in the Home (HITH)
View Hospital in the Home

Non Government Organisations (NGOs)

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Nepean Hospital Emergency

Your patient will be triaged for their level of required care.

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Medical Assessment Unit (MAU) Ward - Home or Comminity

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

The Medical Assessment Unit (MAU) at Nepean Hospital is an inpatient short stay unit co-located with ED. MAU aims to deliver faster, safer and better care for older persons and those with chronic conditions and as an alternative to treatment in the Emergency Department

Geriatric Medicine have 52 acute beds and 16 geriatric rehabilitation beds. There are also satellite Subacute beds in Springwood Hospital (10-15 beds)

Older patients are discharged either home or to a Community service

All discharged patients will be referred back to their usual GP.

Community Health
Copy to come.

PRIMARY CARE

Contact GP

Call usual GP so they can monitor the care of their client.

Call GP within business hours as per usual arrangement.

Is the GP Available?

YES NO

Consult or refer to Hospital Outreach

View Hospital Outreach

GPs After Hours arrangement

The usual GPs After Hours arrangement is often instructed on their general practice telephone answering machine. This may include a GP's mobile phone number or contact number for a nominated After Hours deputising service.

Ambulance Booking

Call 13 12 33
Ambulance Booking Non Life Threatening

If the GP is unable to take the call at that moment or return the call promptly, please call 13 12 33 Ambulance Booking Non life threatening

In a non-life threatening emergency, call 13 12 33 for patients that require ambulance transport from an aged care facility, residential address or General/Medical practice to an Emergency Department.

Doesn't have a GP

If your client does not have a usual GP, visit www.nbmphn.com.au and use the 'Find a Health Service' directory to search for a local GP.

Unexpected deteriotation

What to do when your older client experiences an unexpected deterioration or unexplained and sudden changes within hours or days. This local pathway will support all those health care professionals who care for older people with acute care needs in the Penrith Local Government Area (LGA) and bordering areas of the Blue Mountains and Hawkesbury.

Close

IS IT LIFE THREATENING?

This is decided by you, the health service provider. Given there are many health service providers who care for the older person, this decision should not replace existing policy of practice at your particular place of work. How to recognise a deteriorating patient may assist you.

Close

Call Triple Zero (000)

The emergency number for an ambulance in Australia is Triple Zero (000), 24 hours a day, seven days a week.

Download PDF Close

Call GP

Call usual GP so they can monitor the care of their client.

Close

Within Business Hours with Usual GP

Call GP within business hours as per usual arrangement.

Close

Usual GPs After Hours arrangement

The usual GPs After Hours arrangement is often instructed on their general practice telephone answering machine. This may include a GP's mobile phone number or contact number for a nominated After Hours deputising service.

Close

Find a Local GP

If your client does not have a usual GP, visit www.nbmphn.com.au and use the 'Find a Health Service' directory to search for a local GP.

Close

Find a Local GP

Close

Is the GP Available? Yes

Consult or refer to Hospital Outreach.

View Hospital Outreach Close

Is the GP Available? No

If the GP is unable to take the call at that moment or return the call promptly, please call 13 12 33 Ambulance Booking Non life threatening

In a non-life threatening emergency, call 13 12 33 for patients that require ambulance transport from an aged care facility, residential address or General/Medical practice to an Emergency Department.

Close

Extended Care Paramedics (ECP) 7AM to 7PM

Download PDF Close

NSW Ambulance Attendance

Your patient will be triaged for their level of required care.

View Link Close

Nepean Hospital Emergency Department

Your patient will be triaged for their level of required care.

Close

Third Door Admission

Third Door Admission streamlines older patients entry point to the hospital by bypassing the Emergency Department (ED) via Emergency Department Medical Assessment Unit (EDMAU).

Close

Emergency Department Medical Assessment Unit (EDMAU)

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

This is the Emergency Department for older patients for more extensive assessment and prompt discharge. It aims to avoid unnecessary hospital presentation or readmissions.

Close

Medical Assessment Unit (MAU) Ward - Home or Comminity

'Eligible persons 70 years and over or over 50 years for Aboriginal & Torres Strait Islander'

The Medical Assessment Unit (MAU) at Nepean Hospital is an inpatient short stay unit co-located with ED. MAU aims to deliver faster, safer and better care for older persons and those with chronic conditions and as an alternative to treatment in the Emergency Department

Geriatric Medicine have 52 acute beds and 16 geriatric rehabilitation beds. There are also satellite Subacute beds in Springwood Hospital (10-15 beds)

Older patients are discharged either home or to a Community service

All discharged patients will be referred back to their usual GP.

Close

Community Health

Aged Care Assessment Team (ACAT) is a multidisciplinary team who undertake comprehensive assessment for older people with complex care needs. ACAT provides a range of information to clients on aged care services appropriate to meet client's needs including assessment for Commonwealth funded services for home packages, residential care and respite. Nepean/Blue Mountains ACAT no longer receive direct referrals and now need to go through My Aged Care.

My Aged Care
Mon-Fri 8am - 8pm, 10am - 2pm Sat
1800 200 422
View Aged Care Referral

Transitional Aged Care Program (TACP) provides personal care, nursing and therapy services to people following hospital discharge. Referral must occur while a person in hospital and eligibility criteria apply.

Nepean Outreach Service

Hospital in the Home (HITH)
View Hospital in the Home

Non Government Organisations (NGOs)

Close

Usual GP

The patients usual GP coordinates the referral to the appropriate level of care for their patients.

Close

Hospital Outreach

Virtual Aged Care Service (VACS) is a new model of care that was introduced in 2008 to strengthen the links between hospital and community care. A specialist Multidisciplinary Team (MDT) led by a Geriatrician delivers specialist services in the community and in Residential Aged Care Facilities (RACFs) via Single Point of Contact (SPC). Older patients require a referral by a GP.

Hospital Outreach offer a Telehealth service to selected RACF's by videoconference of residents post discharge, ongoing education, assessment and management of medically unwell residents.

VACS
0407 411 387
Mon-Fri 8am-4.30pm Attends within 24-48 hours

Aged Care Specialist (On Call After Hours)
Via Nepean Hospital Switchboard 4734 2000 after 4.30pm.

Close

Rapid Health Decline in the Older Person – What to do?
Local Nepean Region Pathway – A local pathway to support those who care for older people with acute care needs.

This pathway was developed as an outcome from the Older Persons Care Consortium (August 2015, Penrith). Learn more about the Older Persons Care Consortium at www.nbmphn.com.au/PenrithForum

'The pathway will streamline access to acute care for the older person'
Dr Cecile Dinh, Local GP

'Patients will be better managed and not just transported'
Claire Walker, Coordinator Primary & Community Care, NSW Ambulance

'Aged Care at Nepean Hospital is dedicated in providing efficient service delivery for the older persons by incorporating innovative models of care with respect and dignity'
Dr Anita Sharma, Director of Geriatric Medicine/Clinical Medicine

For further information, please visit the Nepean Blue Mountains Primary Health Network at www.nbmphn.com.au or contact on telephone
4708 8100.

Wentworth Healthcare Limited (ABN 88 155 904 975) provider of the Nepean Blue Mountains PHN. 097_0916