Post-Acute Care

For Patients and Visitors

What is the Service?

Northern Post-Acute Care (PAC) provides short term care (usually up to 4 weeks) to help people get better at home following a hospital stay. PAC mainly supports people who have limited help, or who care for others at home.

The service can be accessed for 28 days following discharge from a public hospital.

 What can I expect from the service?

Hospital staff will talk to you about your needs with you while you are in hospital and make a referral to PAC. The PAC team will then link you to one, or more, of these services for up to 28 days following discharge from hospital:

  • nursing
  • personal care
  • cleaning
  • shopping
  • physiotherapy

The Northern Post-Acute Care (PAC) team provides services to patients living in Whittlesea, Hume and parts of Darebin. Those living outside these areas will be referred onto a PAC Program near home.

 What do I bring/need for my appointment?

All PAC services are provided in your home so there is no need to bring anything.

 How much does it cost?

    • No cost for Post-Acute Care Services
    • If you are receiving other services, such as council home care, then you will continue to pay for these separately.
    • You may need to pay a fee of $5-10 per week if you are referred on to our Community Therapy service.

If you are ineligible for Medicare the referral for the service will need to be reviewed by management.

Contact us:

 For general enquiries please contact the Northern Post-Acute Care team on 9495 3367.

For Health Professionals

 Service/Clinic overview

Northern Post-Acute Care (PAC) provides short term care (generally up to 4 weeks) to assist clients at home, to facilitate their recuperation post hospitalisation. PAC is mainly designed for people who have limited help or who are carers for others at home.

The service can be accessed for 28 days post discharge from a public hospital.

 What can be provided?

Following assessment from hospital clinicians, clients may receive assistance in the home for one or more of these services for up to 28 days post discharge from hospital:

  • personal care
  • cleaning
  • shopping
  • physiotherapy

 Inclusion criteria:

  • Be discharged from a public hospital or Emergency Department
  • Agree to receiving services brokered by PAC and sharing of information with Service Providers.
  • Be unable to receive help they require to return and remain at home, from their family/carers or community service providers
  • Be medically stable prior to discharge
  • Have a sustainable discharge plan, and be able to be supported by mainstream services within 28 days, post PAC
  • The Northern Post-Acute Care (PAC) team provides services to patients living in Whittlesea, Hume and parts of Darebin. Those living outside these areas will be referred onto the PAC Program near home.

 Exclusion criteria:

    • People without a Medicare or from a country without a reciprocal health care agreement.
    • HITH- classified as an inpatient.
    • Clients on packages of care may eligible for services only where needs are beyond what the packaged services were providing prior to hospital admission, to facilitate a safe discharge home. This is with the understanding that PAC services will only be provided for the 4 week post discharge period.
    • Clients being discharged to residential aged care or awaiting residential aged care
    • Those with a Primary Psychiatric diagnosis 

How to Refer:

Referrals are accepted via email directly to Post Acute Care TNH-PACReferrals@nh.org.au. They may also be faxed to 9495 3226

Minimum requirement for all referrals is that they are ISBAR compliant.

For enquiries or referrals regarding this service please contact the Northern Post-Acute Care team on email TNH-PACReferrals@nh.org.au  or phone 9495 3367.

Alternative service options:

  • Normal services are explored prior to purchasing under PAC. Where a patient is eligible for Commonwealth Home Support Program services, or Palliative Care, PAC will ascertain when normal services can commence and purchase services to meet the identified gap.
  • Transition Care Program
  • GEM @Home