Donate Now
Donate Now

Chronic Disease Support:

Primary Care at Home (PCAH)
Go to Section
Diabetes Education
Go to Section
Health Navigator
Go to Section



Primary Care at Home (PCAH)

The Primary Care at Home (PCAH) program is a non-urgent service for vulnerable and disadvantaged adults with chronic health conditions.

Services will be provided by Nurse Practitioners and Registered Nurses in the clients’ safe place whether that be their home, hostel or community residential facility, or partner organisation facility.

Referral criteria

Eligible:

  • Have a diagnosed or suspected chronic condition (including physical and mental health conditions) or are at risk of developing one
  • Are disengaged with primary care – ie. does not have a GP or only sees GP for prescription; reliant on drop-in services
  • Aged 18 years or over
  • Resides in the Perth metropolitan area (from Two Rocks to Pinjarra and Wooroloo to the east)
  • Client is aware and consenting to the referral.

Not eligible:

  • Persons receiving Home Care Package Level 3-4

Geographical availability

Metropolitan WA:

  • All metropolitan areas.

Cost

No cost to client.

Program is funded by the WA Primary Health Alliance (WAPHA).


How to refer

Referrals can be received from any community organisations. Referrals cannot be received from GPs, in-patient hospitals, or self-referrals.

  1. Check referral eligibility criteria.
  2. Fill in the PCAH referral form.
  3. Send referral form either via:
  4. For any referral enquiries, please call to 1300 300 122 and ask to speak to our Case Co-ordinator or Program Manager Primary Care and Chronic Disease, available Monday to Friday from 8.00am to 4.00pm.
  5. We will make contact within 7 days of receiving a referral.
  6. For more information, refer to our referrer brochure and client flyer.



Diabetes Education

Diabetes education in the Peel, Geraldton and Busselton regions, provided by a Credentialed Diabetes Educator (Registered Nurse).

Referral criteria

Eligible:

  • Aged 18 years or over
  • Diagnosed diabetes (Type 1, Type 2 or Gestational)


Geographical availability

Diabetes education is available for the Peel, Geraldton, and Busselton regions.

Region

Address

Opening hours

Peel

72 Lakes Rd, (Greenfields) Mandurah WA 6210

Thursday and Friday

8.00am to 4.00pm by appointment.

Geraldton

Suite 2, 114 Sanford St, 

Geraldton WA 6530

Wednesday to Friday

8.00am to 4.00pm by appointment

Busselton

58 West St, 

Busselton WA 6280

Monday to Thursday 

8.00am to 4.00pm by appointment

Face-to-face or telehealth appointments are arranged based on client need.  

Cost

No cost to client.


How to refer
  1. To confirm service availability by region, call 1300 300 122.
  2. Arrange required investigations:
    • Hba1c, fasting blood glucose (FBG), UEC, LFT, glucose tolerance test
    • Full lipid profile and urinary microalbumin
    • If type 1 diabetes (or suspected): GAD autoantibodies; C-peptide
  3. To refer, either:
    • Fill in the Chronic Disease Support referral form and fax to 1300 601 788; or
    • Call 1300 300 122 (without a referral form) to provide referral details to our Contact Centre representative over the phone
  4. For any referral enquiries, please call 1300 300 122 and ask to speak to the Diabetes Educator or Program Manager Primary Care and Chronic Disease, available Monday to Friday from 8.30am to 4.30pm.
  5. Timeframes for response will be based on clinical need.



Health Navigator

Silverchain offers a telehealth co-ordination service that supports self-management of chronic conditions: diabetes, heart failure, heart disease and COPD or any long-term lung disease in the Wheatbelt, South West and Great Southern WA regions.

Referral criteria

Eligible:

  • Aged 18 years or over.
  • Has one or more of: diabetes, heart disease, heart failure, chronic lung condition or two or more risk factors.
  • Contactable via telephone.

Geographical availability

Metropolitan WA:

  • Not available

Country WA:

  • Wheatbelt regions
  • South West regions
  • Great Southern regions

Cost

No cost to client.


How to refer

Anyone can refer to this service, including self-referrals.

  1. Check referral eligibility criteria.
  2. Fill in the Chronic Disease Support referral form and send via:
  3. For any referral enquiries, please call 1300 300 122 and ask to speak to our Health Navigator team or Lead Chronic Disease Co-ordinator, available Monday to Friday from 8.00am to 4.00pm.
  4. Timeframes for response will be based on clinical need.