Older Persons' Health and Wellbeing Strategy 2021–2026
The Older Persons' Health and Wellbeing Strategy (2021 – 2026) has been jointly developed by PHN and West Moreton Health. The strategy has been developed to guide the way we plan and deliver community, primary and secondary health services to support older people to stay healthy, connected and at home. Additionally, the strategy recognises the important role families and carers play in helping to keep our older population healthy, happy, and fulfilled.
The Plan outlines seven action items developed following extensive consultation with a range of stakeholders including consumers, their family, and carers. In developing the strategy, the current state was examined, the ideal future position was defined, and the required direction to achieve the vision was determined.
Services we support
Scroll through the below programs to discover how the PHN supports external programs assisting older people in our region.
CiMAS Palliative Care in RACHs in West Moreton
We support in-hours and after-hours palliative care services for residents of residential aged care homes (RACHs). This service provides residents access to coordinated and high-quality palliative care that is timely, patient-centred, based on clinical need and the patient’s GP palliative care plan.
Who is eligible?
- Residents in an RACH in the West Moreton region requiring palliative care assessment, symptom management and/or assistance with a care plan.
Who can refer?
- staff at RACHs
- self-referral, or referral from a family member or loved one.
Mental Health Services for residential aged care
- Lives Lived Well
- Psychological support delivered to people in Residential Aged Care Homes, who have a diagnosed mental health condition, or are at-risk of developing mental ill-health. The services are delivered primarily in a group setting, with opportunity to step up into individual psychological interventions, where clinically necessary.
Who is eligible?
- Residents at RACHs with, or at risk of, a mild to moderate mental health condition, who are located within our Darling Downs and West Moreton PHN region
Who can refer?
- Referrals can come from self-referral, family and friends, ACAT teams, RACH staff or GPs
- Lives Lived Well will ensure that the patient’s GP is advised that they have been referred to mental health services if the GP is not the referring agent and require confirmation that the individual has been assessed for physical causes of symptoms.
- A medical review and/or diagnosis of mental illness by a GP or psychiatrist is important to ensure that symptoms of cognitive decline, dementia or delirium are not mistaken for mental illness, and to ensure that physical illness, and medication needs are considered in the overall care plan of the individual.
Healthy Ageing Support
As you get older, living as independently as possible in your own home and community and having the continued ability to undertake your usual activities of daily living, is extremely important.
Healthy Ageing Support helps connect older people, as early as possible, to the primary care, community and at-home services required so they are able to remain living in their own home for as long as possible.
Healthy Ageing Support services are provided at no cost to the older person as they are fully funded through our PHN.
The aged care system is complex, and some people find it more difficult than others to navigate and access the services they need.
Care finders support vulnerable older people who would not be able to arrange services without intensive support and do not have a family member or friends who can help.
The care finder program is part of aged care reform in response to the recommendations of the Royal Commission and funded nationally through PHNs to improve integration between the health, aged care and other systems at a local level.
Care finder services are provided at no cost as they are fully funded through Darling Downs and West Moreton PHN.
RACH Nurse Guide
West Moreton Health in partnership with the PHN have developed a comprehensive care guide to assist nurses and personal care staff working in West Moreton residential aged care homes (RACHs).
The aim of the care guide is to:
- enhance thoroughness of nursing assessments
- assist in care planning
- promote early health interventions to prevent avoidable health declines and hospitalisations and keep the elderly in their home environment for as long as possible.