Geriatric services - CALHN

The geriatric medicine services for Central Adelaide Local Health Network (CALHN) are based at the Royal Adelaide Hospital (RAH) and The Queen Elizabeth Hospital (TQEH).

Hospital based services

RAH — See more about our inpatient and outpatient services on Geriatric medicine
TQEH

Community based services

Community based geriatric services programs for CALHN, covering RAH and TQEH, include:

Aged Care Assessment Team
Falls clinic — based at Sefton Park Intermediate Care
Geriatrics in the Home (GITH)
Multi-Disciplinary Community Geriatrics Service
Transition Care Program

Aged Care Assessment Team (ACAT)

For more information relevant for referrals from Local Health Network (LHN) staff for clients who require an ACAT assessment.

Aged Care Assessment Team

Multi-Disciplinary Community Geriatrics Service (MCGS)

The MCGS is a small multidisciplinary team covering the CALHN catchment area providing short term comprehensive multidisciplinary assessment, intervention and care planning for complex frail older people with dementia and geriatric syndromes.

Clients accepted to our service generally have a combination of the following scenarios:

No formal cognitive diagnosis
Risk to self or others
Limited or no informal support
BPSD
No formal services
Frequent presenter to the hospital system
Resistant to support services.
Failure to attend OPD
Live alone
No EPOA or ACD
Complex social situation
Falls or reduced mobility
Suspicion of elder abuse
Insecure accommodation

CALHN MCGS resources

Contact

Telephone: (08) 8222 1429
Fax: (08) 8222 1480
Email: health.calhnmcgs@sa.gov.a

Transition Care Program (TCP)

What we do

The CALHN Transition Care Program (TCP) offers short-term care for older people to help them recover after a hospital stay. This program helps older people:

Recover after being in the hospital
Regain mobility or strength
Stay independent in their own homes
Delay moving into an aged care home for as long as possible
Avoid long-term care if possible
Finalise ongoing care needs

Download: How Transition Care supports your healing after hospital stay (PDF 228KB)

Eligibility

To be eligible for the program, a person must:

Be 65 years or older (or 50 years or older for Aboriginal and Torres Strait Islander people)
Be a patient in a public or private hospital (including hospital at home)
Be ready to leave the hospital
Have approval from an Aged Care Assessment for TCP (within the last 28 days)
Be able to benefit from short-term care aimed at recovery
Be willing to follow recommended care plans and set achievable recovery goals

This program is designed to help older adults recover and regain their independence, making it easier for them to stay at home longer.

More information and referrals

Please speak with hospital discharge planner and medical staff if you are interested in this program.

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Last updated: 24 Jan 2025