Older Persons Care Hub (OPCH)


The Older Persons Care Hub (OPCH) delivers specialist geriatric care to older adults in their homes, focusing on those at risk of potentially avoidable hospital admissions. Our team recognises the value of home-based care and conducts comprehensive in-home assessments, providing short-term, targeted interventions to support safety and independence within the community.

Our team is staffed by various clinicians with a specialty in Geriatric care. The team includes:

  • Physiotherapist
  • Occupational Therapist
  • Nursing
  • Social Work
  • Geriatrician

What to expect from the service?

Patients accepted by the OPCH will receive an initial phone call assessment within 24 hours of receiving the referral (where possible). This initial assessment enables a decision as to whether a home visit is required and who the most appropriate health discipline/s to provide this.

Our clinicians will visit you in your home and complete a comprehensive assessment. From this assessment, we will determine the most appropriate interventions to keep you safe at home. These interventions might include providing equipment to prevent you from falling or referring you to longer term services to support your ongoing care needs in the community.

You might be referred to our Geriatrician clinic, where our Geriatrician can investigate medical concerns related to ageing.
The OPCH is a rapid engagement service with the goal of discharging all patients within two weeks. Where longer-term support is required, our team will ensure that appropriate services are in place to provide ongoing care.

Prior to discharge, OPCH staff will contact you to confirm that you have received all relevant information regarding the assessments and interventions provided during your care.


The OPCH is a rapid community service, providing home based assessment and intervention to Older Adults at risk of avoidable admissions to hospital.

Inclusion criteria:

  • Over 65 years old, or over 55 years old for Aboriginal and Torres Strait Islander Australians
  • Live within 15kms (or 30 minute drive) from the Northern Hospital Epping
  • Medically safe for discharge and able to return home without major medical intervention

Exclusion criteria:

  • Lives in RACF
  • Requiring ongoing medical intervention in the home
    Currently, the OPCH is only accepting referrals from the Northern Hospital Emergency Department. All referrals can be submitted via CPF Referral Manager.

Alternatively, your detailed referral and relevant investigations can be faxed to Community Access.

For referrals or enquiries regarding this service please contact the Community Access Service team.

Free Call: 1300 128 539
Fax: 8405 8616



Last edit: 23/04/2026

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