The RAPHS Extended Care Support Team was established to provide support, advice and guidance to RAPHS practices and community organisations.
The team combines the resources of nursing, pharmacy, hospital and community-based health and social services through an integrated multidisciplinary team.
The service aims to:
- Reduce unnecessary ED/hospital admission/readmission for at risk patients.
- Support transitional care for complex patients discharged from the hospital setting to home.
- Support complex patients to better self-manage their personal health in their own environments.