Multidisciplinary Ambulatory Consulting Service (MACS) outpatient services in CALHN

The MACS clinic provides outpatient services to patients living in the Central Adelaide Local Area Health Network (CALHN). MACS is a multidisciplinary service supporting patients with multiple and complex chronic conditions who are at risk of being hospitalised.

The service combines evidence based clinical guidelines, patient centred practice and a shared care approach with general practitioners to enable patients to optimise their health and wellbeing and reduce hospital admissions.

Criteria for referral

Patients that:

  • require complex medical management  due to multimorbidity
  • frequently present to the emergency departments, requiring hospital admissions
  • require medication optimisation
  • would benefit from holistic care management with multidisciplinary input
  • require coordination of care, as they see multiple medical specialists and would benefit from case management.
  • require further health education and support for effective self-management.
  • are transitioning from paediatric chronic care management at Women’s and Children’s Hospital (WCHto the adult system, such as Royal Adelaide Hospital (RAH).
    Please view the MACS Clinic pamphlet for young people transitioning from the WCH to RAH (PDF 1MB) developed specifically for this patient population. 

For patients in residential care facilities please contact our team directly to discuss the most suitable follow-up options which may include discussion with other services.

Appointment location – Outpatients

Royal Adelaide Hospital (RAH) Level 5 East

RAH, 1 Port Road, Adelaide SA 5000
Please view the Outpatient map (go to level 5 map)

Appointment enquiries including new, review or change of appointments contact: (08) 7074 2701 MACS department

Department location

Clinical Pharmacology Department/ MACS Team
Level 8, RAH, 1 Port Road, Adelaide SA 5000
Telephone: (08) 7074 2701 
Fax: (08) 8429 6070

GP information

Multidisciplinary team members

Medical staff

  • Professor Sepehr Shakib (Director of Clinical Pharmacology) *
  • Dr Rami Tadros (Clinical Pharmacologist, General Physician) *
  • Dr Nicholas Farinola (Clinical Pharmacologist, General Physician, Hospital at Home Consultant)
  • Dr Josephine Thomas (General Physician) *
  • Dr Jane Conway (General Physician)
  • Dr Patrick Russell (General Physician)
  • Dr Liza Phillips (Endocrinologist) *
  • Dr Daniel Scherer/ (Cardiologist)
  • Dr Angela Molga (Geriatrician, Clinical Pharmacologist)
  • Dr Tom Polasek (Clinical Pharmacology RMO)

* named referrals required

Case coordinators

  • Allyson Rappensberg (Chronic Disease Nurse Consultant)
  • Georgina Walker (Chronic Disease Nurse Consultant)

Allied Health

  • Amanda Shields (Project Manager, Occupational Therapist)
  • Pharmacists:
  • Natalie Soulsby
  • Nashwa Masnoon
  • Administration:
  • Todorka Grammatopoulous

Referral process

Refer your patient

Fax referral to us

We accept GP and specialist referrals to this service. 

All referrals are triaged by the service according to clinical urgency.

To make a referral (RAH):  

Fax: (08) 7074 6247  or  (08) 8429 6070                                             

Appointment enquiries including new, review or change of appointment contact:

Telephone: (08) 7074 2701 MACS Department.

General information

If the patient, or their general practitioner, is concerned about a deterioration and assessment is required earlier than planned, a phone call to the RAH Clinical Pharmacology Department on (08) 7074 2701 will allow this to be discussed with one of the team members.

Post discharge guidelines

Patients will be discharged once their medical conditions have stabilised. If re-assessment is required, a new referral, preferably a named referral (see consultant list), should be faxed to the MACS clinics on the numbers above.

Patient information

How to access that clinic

Referral from your GP

You need a referral letter from your GP or medical practitioner to access this service.

Your doctor will need to fax your referral letter to us.  We will be in contact with you within clinically recommended times, depending on waiting list length. If there is no waiting list, you will receive an appointment booking letter or we will contact you to arrange a suitable time.

Please refer to the information sheets below for information regarding the outpatient service.

Please refer to the outpatient map below and present to your designated clinic on the day of your appointment.

  • Outpatient map – RAH

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