Sign In
Aged and chronic care

Northern Sydney Local Health District's Primary and Community Health Service provides health care to older people requiring rehabilitation, chronic disease management and assessment to help them live their best life for longer.

As people increase with age they often experience various health issues and as a result older people may have multiple chronic diseases or conditions. 

NSLHD aged and chronic care services are provided in a variety of settings including private homes, hospitals, community centres and residential aged care settings. Health care services are also supported by a network of advice, referral and information services to help older people and their carers to find the programs that best match their needs.


Aged Care Assessment Team (ACAT)

The Aged Care Assessment Team independently assesses the care needs of complex frail older people in order to determine the right health care for them. ACAT comprehensively assesses the physical, medical, psychological, cultural, social and restorative dimensions of the older person care needs and provide a choice of appropriate services to meet their needs.

Clients are assessed in the community or as inpatients of the private and public hospitals within Northern Sydney Local Health District.

Click here for details on accessing ACAT service.


Chronic Disease Community Rehabilitation Service (CDCRS)

The Chronic Disease Community Rehabilitation Service (CDCRS) provides exercise rehabilitation and education to patients with a confirmed diagnosis of chronic respiratory and/or chronic heart failure across NSLHD.

The multidisciplinary program provides a short term intervention of 16 sessions over eight weeks to participants with access to exercise rehabilitation, disease related education, nutrition, occupational therapy, clinical psychology, respiratory specialist and nursing services.

 Click here for details on accessing CDCRS service.


Regional Assessment Centre (RAS)

The Regional Assessment Centre (RAS) conducts home support assessments with people over 65 years of age who live at home and are seeking care support funded by the Commonwealth Home Support Program (CHSP).

The Regional Assessment Centre operates within the My Aged Care online system to record assessments and submit referrals to relevant funded service providers. The service also organises ongoing support for clients requesting additional support via the My Aged Care Support Plan Review process. The RAS is based at Macquarie Hospital and assessments are conducted in the community.

Click here for details on accessing RAS service.


Transitional Aged Care Program (TACP)

Transition care provides short term care that seeks to optimise the functioning and independence of older people after a hospital stay.

Transition care is goal-oriented, time-limited and therapy-focused. It provides older people with a package of services that includes low intensity therapy such as physiotherapy and occupational therapy, as well as social work, nursing support or personal care. It seeks to enable older people to return home after a hospital stay rather than enter residential care prematurely.

Click here for details on accessing TACP service.