SearchWell-connected and accessible health services provide the foundation that enables older persons to live well in their place of choice. The PHN's region has a culturally diverse population of older persons living across urban, suburban and rural settings. In response to this complexity, we work closely with health providers to commission and coordinate services that support older persons to stay well and socially connected in their preferred place of residence.
We commission and coordinate a range of programs across the aged care spectrum:
- Living well at home
- Living well with coordinated support
- Living well in supported living
- Care at End of Life
Acknowledgement of our partnerships
- West Moreton Care at End of Life Collaborative
- West Moreton Older Persons Care Collaborative
- Project ECHO® Older Persons Series - Dementia Conversations
- Darling Downs Care at End of Life Collaborative
Living well at home
Healthy Ageing Support
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.
Elder Care Journal
Co-designed with Kambu Health and local Elders, this journal is a free resource to all older people living in the region.
Living well with support
Care finder
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.
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.
RACH Group Program
Our Residential Aged Care Home (RACH) Group Program helps people with their mental health and wellbeing. It is free and available for people who live in residential aged care homes.
Offered over six sessions by experienced and qualified facilitators, the Lives Lived Well RACH Group Program allows residents to:
- Create connections
- Gain an understanding of mental health
- Identify unhelpful thinking patterns
- Develop coping skills that enhance wellbeing
- Build confidence
- Set goals for the future.
Where is it available?
The RACH Group Program is being delivered in residential aged care homes throughout the Darling Downs and West Moreton region.
How to get involved?
There is no specialist or GP referral needed. To learn more about the RACH Group Program, call 1300 101 149.
Service Provider
Free Telehealth Training
We offer telehealth training as well as other resources and supports for people working in residential aged care homes.
CiMAS Palliative Care in RACHs
We support in-hours and after-hours palliative care services for residents of residential aged care homes (RACHs).
RACH Group Program
A Residential Aged Care Home (RACH) Group Program that helps people with their mental health and wellbeing. It is free and available for people who reside in residential aged care homes.
After Hours Care with AGES Project
We support after-hours care through the Darling Downs Health Acute Geriatric Evaluation Service (AGES) Model of Care Project.
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.
Care finder
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.
Dementia Australia services for people living with dementia
Darling Downs and West Moreton PHN have created resources to assist people living with dementia or for family, friends, and carers of people living with dementia.
Need support?
Our Primary Care Liaison team is available to provide one-on-one support.
E: practicesupport@ddwmphn.com.au
P: 07 4615 0900
