Older Adult Health Hub referrals
WA Health has opened three Older Adult Health Hubs across Perth to make it easier for older people and their families to access health and wellbeing services in the community.
The hubs will provide specialist-led, coordinated, integrated care developed with clinicians and the community.
Our vision
Older adults living well at home and in the community, supported by coordinated and integrated care.
How we can support you and your patients
- Short-term input and support for the rising risk patient and care coordination.
- Rapid access to specialist advice and care navigation.
- Shared care planning.
- Support for complex patients to reduce both carer strain and hospital presentations.
Feedback from our referrers
“Having a single point of contact has been the most important feature of the hub. The navigators are responsive and readily available, and my patients report very good experiences with respect to being contacted promptly and connected with appropriate and helpful services.”
Referring GP
Our services
The hubs provide via flexible, coordinated and tailored care options:
- multidisciplinary geriatric assessment and management of geriatric syndromes including frailty, memory and cognition
- older adult psychiatry services (for stable, low risk mental health conditions)
- help navigating aged care and community services
- polypharmacy reviews and management
- bone health
- social and aged care assessments
- advance care planning
- group and individual education to promote preventative approaches to health and wellbeing.
Who can benefit
Consumers living in the SMHS catchment (external PDF 2MB):
- aged over 65 years (or 50 years for Aboriginal people)
- with complex/chronic conditions or geriatric syndromes who would benefit with short term multidisciplinary care and/ or care co-ordination to stabilise health and avoid hospital presentation.
Eligibility considerations
- Functional decline/increased care needs.
- Experiencing or at risk of frequent health service use/escalation risk.
- Frailty or multimorbidity.
- Cognitive concerns.
- Social factors affecting health and safety.
Alternative services may be more appropriate for consumers:
- in need of acute, urgent or emergency medical/mental health care
- likely to require subspecialist input or long term follow up or care
- under 65 years of age (or under 50 years for Aboriginal people) without geriatric conditions
- who live permanently in a residential aged care facility.
Alternative service providers for such patients could include:
- a hospital ED, urgent care clinic, or WA Virtual ED
- Mental Health Emergency Response Line (MHERL)
- Hospital in the Home/Home Hospital
- outpatient services via Central Referral System
- Residential Care Line.
How to refer
You can either:
- call 1300 229 080 to speak to a care navigator
- send a direct referral to via:
- Healthlink ID (SMHS: oahubsth)
- secure email (encrypted) to olderadulthubsouth@health.wa.gov.au
- fax to 6174 2022 with attention to ‘OAH HUB’.
Our location and hours
Older Adult Health Hub
11 Wentworth Pde, Success inside the Cockburn Integrated Health and Community Facility (above Cockburn Library).
8:30am to 4:00pm, Monday to Friday
Have your say
This brochure is a draft and will continue to evolve as the service develops.
We invite GPs to actively contribute to shaping the model and share feedback to ensure the hubs meet community needs and strengthen primary care.
Email us
- Email the SMHS Older Adult Health Hub
- Email the NMHS Older Adult Health Hub
- Email the EMHS Older Adult Health Hub
More information
Call 1300 229 080 for advice.