Silverchain’s WA Community Specialist Palliative Care Service, previously the Hospice Care Service provides in-home specialist palliative care services for eligible clients within the Perth metropolitan area as defined by the Department of Health Western Australia.

Referrals to the Community Specialist Palliative Care Service and Advanced Dementia Specialist Service can be received from either a Medical Practitioner or a Specialist Nurse Practitioner.

Referrals to Palliative Nurse Consultancy can be received from Medical Practitioners, Specialist Nurse Practitioners and other health professionals in consultation with the clients General Practitioner.

1. Check referral criteria.


  • Client has an active, progressive, life-limiting condition (malignant or non-malignant); AND
  • Specialist palliative care advice, support, assessment and/or care at home is required for complex symptom management (physical, psychosocial and/or spiritual) beyond the capacity of the primary care team to manage optimally or the client is dying, and the primary care team requires additional support/advice to manage the clients end-of-life care; AND
  • The client or their substitute decision-maker have been consulted and given consent for referral to the service and to receiving palliative care at home; AND
  • Have a home environment in which care can be delivered safely; AND
  • You would not be surprised if the client died in the next 12 months.


If client does not meet the eligibility criteria above, other avenues of support may be:

  • Clients over 65 years old may access services via My Aged Care.
  • Clients under 65 years old may access services via NDIS.
  • Other palliative care services from clinics, inpatient services and facilities.  For information, visit Palliative Care WA or WA Department of Health websites.
  • You may call us 24/7 to help you navigate palliative care needs of your clients.

2. Determine what type of palliative care services will best meet your patient’s needs.

Community Specialist Palliative Care Service

  • Interdisciplinary specialist palliative care team support.
  • Access to respite, personal care, equipment and consumables.
  • Bereavement support.
  • Available 24 hours a day, 7 days a week.
  • Excludes clients in Residential Aged Care facilities (RACF).

Advanced Dementia Specialist Service

  • Specifically for those with advanced dementia.
  • Led by Nurse Practitioners, supported by Social Workers and Spiritual Care workers.
  • Medical governance maintained by the General Practitioner (GP).
  • Facilitated transition to the Community Specialist Palliative Care Service as indicated.
  • Available Mon-Fri 0800-1630 with access to out-of-hours nursing support as required.

Palliative Nurse Consultancy

  • Available to services and organisations who do not have access to Specialist Palliative Care Services, such as RACF, group homes, clients with Home Care Packages (level 3 and above) and other Silverchain services.
  • Provided by Registered Nurses only.
  • Medical governance maintained by GP.
  • Facilitated transition to the Community Specialist Palliative Care Service for eligible clients (excludes clients in RACF).
  • Available 24 hours a day, 7 days a week.

3. To refer, you can either:

4. Send referral document either as:

5. To provide updates on client care, fill in the Update Form.

6. For enquiries, phone 1300 512 322 to speak to a Palliative Care Liaison Nurse Monday to Friday 8:00am to 4:30pm, or the Clinical Nurse Manager outside these hours.

7. If you have an URGENT referral please call 1300 512 322.