Care Coordination Programs

Silverchain provides many multidisciplinary and holistic care coordination programs to improve your physical, social, and mental wellbeing.

If you have a long term health condition or a chronic disease, we’ll help you manage.

Our free Care Coordination Programs make it easy for you to get the help you need. We can come to you or meet you at a place of your choice, so you don’t need to go anywhere to receive our care.

Working closely with you, your health professional and/or pharmacist, our care team can help you manage your health inbetween visits to your GP, to help you stay healthy and out of hospital.

We aim to help you achieve your goals and better understand your condition so you can self manage your health. Our care coordination services may include:

A personalised care plan based on your needs and wants, including an after hours plan.
Booking appointments for other services and assistance with arranging transport to and from them.
Explaining medical language, and test results to you.
Assistance with filling your prescriptions.

We can also find health solutions when you have long wait times for the services you need.

To find out how to get started, call our Contact Centre on 1300 650 803 or complete our enquiry form today.

Call us

Refer to us

If you are a health professional, here’s how you can refer your patients to our care programs:

Refer to us

Care Coordination services

Western Australia

South Australia

Victoria

New South Wales

Queensland

Availability

We provide various specialised care coordination programs in Perth and some regional areas in Western Australia (WA):

Care Plan Support and Coordination Service (CPSC): for people with mental health and/or drug and alcohol issues as well as chronic conditions (City of Wanneroo, Perth).
Health Navigator: virtual care support for people with chronic disease (Wheatbelt, Great Southern, and South West).
Primary Care at Home (PCAH): to connect vulnerable adults with ongoing health concerns to care they need (Perth).

Availability varies by capacity and location. Contact us to see what is available in your area.

Eligibility

Different eligibility criteria apply to each program.

CPSC – All people aged 18 and over, who attends a GP clinic in the City of Wanneroo, and are experiencing long term health conditions, with mental health and/or alcohol and other drug related problems.
Health Navigator – All people aged 18 and over with one or more risk factors such as diabetes, heart disease, heart failure or chronic lung conditions, and live in regional areas as mentioned under Availability.
PCAH – All people aged 18 and over with chronic conditions or at risk of developing one, are not engaged with a GP, and live in metropolitan Perth.

Speak to your health professional to find out if you’re eligible for a referral.

Cost

Our care coordination programs are funded through the WA Primary Health Alliance (WAPHA) and are free for clients with a referral.

Care Coordination services

Western Australia

South Australia

Victoria

New South Wales

Queensland

Availability

We provide various care coordination programs in Victoria:

Care Coordination Support Service (CCSS) in local government areas of Cardinia, Casey, Frankston, Greater Dandenong, Kingston, and Mornington Peninsula.
Right Care Better Health (RCBH) program is available in the local government areas of Whittlesea and parts of Murrindindi and Mitchell.

Availability varies by location. Contact us to see what is available in your area.

Private Care

Care coordination services are also available privately in greater Melbourne, and some parts of regional Victoria through Silverchain Private Care.

Eligibility

Different eligibility criteria apply to each program.

CCSS – All people aged 18 and over (15 and over for Aboriginal and Torres Strait Islanders), living in the listed LGAs, with a chronic condition or complex needs, and limited access to multidisciplinary care may be eligible for this program. Speak to your health professional or pharmacist for more information and to get a referral.
RCBH – All people aged 18 and over who have a diagnosis of chronic disease/s and are a current patient of the 10 participating GP clinics, in the local government areas of Whittlesea and parts of Murrindindi and Mitchell, may be eligible for this program. Speak to your GP to find out if you’re eligible for a referral.

Cost

Our Care Coordination Support Service and the RCBH service are funded through the Australian Government’s PHN program and is free for clients with a referral.

Private Care

For Silverchain Private Care, visit our Fees and Charges page and contact us for more details.

Care Coordination services

Western Australia

South Australia

Victoria

New South Wales

Queensland

Availability

Our Chronic Care Coordination Service is available in the New South Wales (NSW) local government areas (LGA) of Bega Valley, Eurobodalla, Goulburn Mulwaree, Jervis Bay, Kiama, Queanbeyan, Palerang, Shellharbour, Shoalhaven, Snowy Monaro, Upper Lachlan Shire, Wollongong, and Yass Valley.

Eligibility

People aged 18 and over (15 and over for Aboriginal and Torres Strait Islanders), live at home in the listed LGAs, with a chronic condition or complex needs, and eligible for a GP management plan (GPMP) or Aboriginal and Torres Strait Islanders People Health Assessment may be eligible for this program.

You can speak to your health professional for more information and to get a referral, or contact us.

Cost

Our Chronic Care Coordination Service is funded by the COORDINARE South Eastern NSW Primary Health Network and is free for clients with a referral.

Care Coordination services

Western Australia

South Australia

Victoria

New South Wales

Queensland

Availability

Our Complex Care Coordination program is available in the Queensland (QLD) local government areas (LGA) of Caboolture and Bribie Island.

Eligibility

Various eligibility criteria apply. Please contact one of the following GP clinics to find out if you are eligible and to get a referral:

Burpengary Doctors, Burpengary.
Caboolture Indigenous and Community Medical, Caboolture.
Moreton Aboriginal and Torres Strait Islander Community Health Service (ATSICHS), Morayfield.

Cost

Our Complex Care Coordination program is funded by North Metro Health (NMH) and is free for clients with a referral.

News feature

20 January 2023

The Wanneroo community will benefit from a new service, designed to provide effective treatment support for people with long-term health conditions.

For best care

Care Coordination Programs

If you have a long term health condition or a chronic disease, we’ll help you manage.

Refer to us

Care Coordination services

Care Coordination services

Care Coordination services

Care Coordination services

News feature

Our expert care team can help you coordinate, manage, and receive the health and support services you need.