About the Service
The Gerontology Nurse Specialists (GNS) are part of the multidisciplinary team including district nurses, GPs, and therapists. They provide gerontology nursing assessment, follow-up and care co-ordination for older adults in the community that are a high risk for multiple hospital admissions due to increased frailty, risk factors and highly complex situations.

With the patient’s permission, referrals are accepted by:

• Self, family, caregivers, health professionals, GPs, hospital staff and specialist
• Healthcare providers from any organisation that interfaces with older adults
• Other WDHB services.

We advise that the patient's GP should be aware of health concerns and advised of referral to the gerontology nurse specialist service. 
 

Entry Criteria

• Over 65 years of age
• Patients who will significantly benefit from intervention which is designed to keep them well or optimally functional and/or out of hospital
• High risk older adults requiring comprehensive geriatric assessment and care coordination due to multiple co-morbidities and/or high risk of acute episodes requiring hospitalisation due to multiple geriatric frailty factors e.g. depression, dementia, incontinence, falls, nutrition/hydration issues, isolation and lack of caregiver support.
   

Click on the link to find information about the Residential Aged Care Integration Programme (RACIP).