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HomeHospitals and ServicesHornsby Ku-ring-gai Hospital – GRACE (Geriatric Rapid Acute Care Evaluation)

Hornsby Ku-ring-gai Hospital – GRACE (Geriatric Rapid Acute Care Evaluation)

Level 4,

Hornsby Ku-ring-gai Hospital 

60 Palmerston Rd



Map view

Hornsby Ku-ring-gai Hospital – GRACE (Geriatric Rapid Acute Care Evaluation)

Contact us

Phone: 02 9485 6552

CNC M: 0434 183 549
CNC M:0438 768 336

Fax: 02 9477 9162

Email: [email protected]

Opening hours

Monday to Friday: 8:00am to 8:00pm
(excluding Public Holidays)

Related Services

Other important contact details:

  • Extended Care Paramedics (Assessment for non-urgent hospital avoidance), pls call 131 233
  • Health Contact Centre APAC (IV antibiotics/Iron service. infusion/anticoagulation monitoring) referral, please call 1300 732 503
  • Dementia Support Australia (Behavioural and Psychological symptoms of dementia), please call 1800 699 799
  • Older People's Mental Heath Service, please call 1800 011 511
  • Hammond Care (Palliative Care Outreach Team), please call 9998 3600/1800 427 255
  • Poisons Helpline (Overdose and medicaiton errors), please call 13 11 26
  • National Home Doctors Service (After Hours Medical Services), please call 13 74 25

 What we do

NSLHD’s geriatric outreach service aims to keep older and frail people with acute health needs safe at home by providing specialist geriatric team support covering peak times of need on weekdays. 


  1. Align the geriatric outreach service to the strategic direction of NSLHD, proactively managing frail and older patients at risk of presenting to an emergency department(ED)
  2. Support NSW Ambulance initiatives, such as the NSW Ambulance Virtual Clinical Care Centre (VCCC)
  3. Provide the basis for clarity and consistency in referrals, interventions,and linked services
  4. Ensure equitable access to the geriatric outreach service to patients across the district
  5. Support the ability to monitor and evaluate service activity and outcomes
  6. The objective of the geriatric outreach service is to treat patients experiencing an acute decline which may necessitate a transfer to ED if not medically reviewed within 48 hours.
  7. Response times aim to be within 4 hours, with a maximum of 24 hours(currently limited to business hours on weekdays only).


We care for…

  • Rapid acute medical assessment
  • Falls assessment and management following a fall with high likelihood of a subsequent fall
  • Comprehensive Geriatric Assessment for people at risk of hospitalisation
  • Heart failure and chronic obstructive pulmonary disease(COPD) management
  • Infections
  • Fracture management
  • Behavioural support
  • Intravenous therapy
  • Pain management
  • Medication
  • Management of indwelling tubes
  • Wound management / skin infections
  • Care coordination
  • End of life care

 What to bring

 When to visit us

  • Aged 70 years and over or have an age-related illness
  • Aboriginal and Torres Strait Islander people 60yearsof age and above
  • Residents of the community within NSLHD boundaries including residents of RACFs
  • Experiencing an acute clinical, functional, or cognitive decline and are at risk of imminent hospitalisation(within 48 hours)
  • Patients who are not at risk of imminent hospitalisation are referred to other appropriate services if necessary.

 How to visit us

 Referral information

 Other information

The use of decision support tools such as the  DETECT website ( and printed resources by RACFs is strongly encouraged by the geriatric outreach service. 

DETECT is a deteriorating resident clinical decision tool which includes point of care symptom checkers, clinical decision flowcharts, educational videos, as well as additional resources and contact links. 

Identification of resident needs and appropriate classification according to their risk is key to obtaining the right services at the right time.

 Related links