Support at Home · Coordinated clinical care
You don’t need to know which clinician you need. Tell us what has changed. Clinics GRP can coordinate physiotherapy, nursing and prescribed remedial massage around your Support at Home plan, where clinically appropriate and approved.
Your Support at Home provider remains involved in plan, funding and service authorisation. Intake confirms clinical suitability and availability.
Referral received → clinical decision → care commencement. Urgent and routine care are alternative routes according to clinical need.
01 · Referral received
Same business day
We confirm that your referral has been received.
02 · Clinical decision
By the next business day
Clinical intake reviews needs, risks, setting, urgency and the required clinical capability.
Care commencement · alternative routes
03 · Care commencement · urgent
By the next business day
Urgent care can commence where clinically suitable and available.
04 · Care commencement · routine
Within 3 business days
Routine care commences according to the clinically appropriate pathway.
Business hours are 8:00 am–5:00 pm, Monday–Friday, excluding public holidays, in Brisbane time. Referrals received outside these hours are treated as received on the next business day. Response timeframes run from receipt during business hours.
Urgent care is subject to clinical suitability and service availability. Clinics GRP is not an emergency service; acute or unstable presentations require urgent medical assessment.
Provider arrangements, approved services and available funding are confirmed as part of intake and do not replace clinical triage.
Your care, coordinated
Explore how a concern becomes an assessment-led plan, with your Support at Home provider involved.
View the journey from your perspective
Tell us what has changed. We can help you and your provider work out the appropriate clinical starting point.
Eight stages of coordinated care
Select a stage · Swipe to explore
Stage 1 of 8: Refer / enquire
Start with the concern, not the service name. An older person, family member, provider or referrer can contact intake.
An enquiry or referral for intake review.
Intake gathers the information needed to understand the request and coordinate with the person and their provider.
The referral context and information needed for review.
The participant and Support at Home provider confirm approved services, available budget and the authorisation needed for care.
Confirmed arrangements, or a clear request for further information.
Clinical triage considers the referral concern, urgency, safety, accepted scope and available clinical capacity. Urgent concerns are addressed when identified; they do not wait for funding checks.
An appropriate next step, subject to suitability and availability.
Intake helps identify the appropriate starting discipline. Physiotherapy, nursing and prescribed remedial massage may be coordinated where clinically appropriate and authorised.
A proposed clinician or combination of disciplines for assessment.
The clinician assesses the relevant needs in the home environment, discusses goals and agrees the care approach with the person.
An assessment-led plan linked to the person’s goals.
Accepted services are delivered within the agreed plan. Clinicians coordinate relevant care and updates with the person and provider, with consent.
Care delivered with agreed communication and review arrangements.
Review considers response, function and goals. Reports inform the next care decision with the person and their provider.
Clear provider communication, timely clinical notes and reports, and a documented next step.
Intake confirms suitability, provider arrangements and availability before care is booked.
The starting point is assessment. You may need one discipline or coordinated input from more than one, with your consent and within the approved plan.
Movement · mobility · falls · strength · transfers
Assessment and rehabilitation for changes in walking, balance, strength and everyday function.
Wounds · medicines · monitoring · continence
Nursing assessment, intervention and review for accepted clinical needs at home.
Comfort · movement tolerance · functional support
Assessment-led remedial massage may support a prescribed allied-health plan for functional decline. Relaxation massage is excluded.
The contribution category depends on the service. Intake confirms the relevant arrangements with you and your Support at Home provider before care begins.
Clinical supports
Eligible nursing and physiotherapy in an approved Support at Home plan do not require a participant contribution. These services still draw on the available programme budget; provider authorisation and the service agreement must be confirmed.
My Aged Care: contribution guidanceTherapeutic services for independent living
Remedial massage has a different service category. It requires an accredited therapist and inclusion in an allied-health-prescribed treatment plan addressing functional decline. Relaxation massage is excluded. Participant contributions may differ from clinical supports.
Department of Health: service requirementsProgramme information checked 8 September 2026 against the linked government sources. This describes funding rules, not evidence of clinical benefit or individual eligibility. Clinical evidence and limitations are available on the linked discipline pages.
This is Clinics GRP’s care-coordination process. It does not replace the government’s Restorative Care Pathway, End-of-Life Pathway or Assistive Technology and Home Modifications scheme.
Our published coverage guide is a starting point. Intake confirms your address, the discipline needed and clinician availability.
Hospital-to-Home supports the transition after an admission. Ongoing care may continue through an approved Support at Home plan, with review and provider confirmation.
The next step might be continued home care, rehabilitation, therapeutic exercise, clinic care or supported self-management. Your clinician and provider help confirm the suitable setting and arrangements.
Explore practical questions about physiotherapy, nursing, rehabilitation and coordinated care through Support at Home.
Research and clinical governance
The care-coordination approach draws on person-centred assessment, community rehabilitation, medication safety and review of the response to care. Research and guidance inform individual components of the pathway.
These sources do not evaluate the Clinics GRP Support at Home pathway as a whole. They do not establish that it prevents hospitalisation, avoids residential care or achieves a particular outcome. Clinical suitability, consent, individual goals and ongoing reassessment remain necessary.
WHO guidance connects initial and in-depth assessment with a personalised plan, implementation and monitoring in primary and community care.
Relevance and limits: Informs starting with the person’s needs, agreeing goals and reviewing care. This is clinical guidance, not a trial of Clinics GRP’s service or a guarantee of benefit.
World Health Organization · ICOPE handbook, second edition · 2025Across 129 studies involving 74,946 participants, individualised care planning with tailored actions, medication review and regular follow-up was among the most promising approaches for sustaining independence. Effects varied: most comparisons had low or very-low certainty, and the living-at-home estimate for this combination included no difference.
Relevance and limits: Informs linking assessment to specific actions and scheduled review, with medication review by appropriately qualified professionals where indicated. More services are not automatically better; some combinations reduced independence. This supports personalised decisions, not a promise that this pathway prevents residential care.
Crocker et al. · BMJ · 2024 · Systematic review and network meta-analysisA review of 22 trials of home-based comprehensive geriatric assessment found a small improvement in function at 6–24 months (standardised mean difference 0.17; 95% confidence interval 0.09–0.25; low-certainty evidence). There was little or no difference in nursing-home admission or emergency-department presentation.
Relevance and limits: Informs assessment in the person’s everyday environment, tailored planning and coordinated follow-up. Comprehensive geriatric assessment involves specialist expertise and a broader multidisciplinary model; an individual Clinics GRP discipline assessment is not equivalent to that intervention.
Hayes et al. · Journal of the American Geriatrics Society · 2025 · Systematic review and meta-analysisThe review found high-certainty evidence that exercise reduces falls in older adults living in the community. Balance and functional exercise were key components; evidence for several other exercise types and non-fall outcomes was less certain.
Relevance and limits: Supports appropriately prescribed physiotherapy and exercise after assessment. It does not show that this pathway prevents falls for every person, or that any exercise package is suitable for everyone.
Sherrington et al. · Cochrane · 2019High-certainty evidence supports home fall-hazard reduction for older people selected for higher falls risk. In that group, the rate of falls was reduced by 38% (rate ratio 0.62; 95% confidence interval 0.56–0.70). There was no evidence of benefit in people not selected for falls risk.
Relevance and limits: Informs asking about falls and daily function during intake, assessing relevant home risks and referring for appropriate environmental assessment or modifications. It does not establish that a general home visit or advice alone has the same effect, or that modifications are automatically funded.
Clemson et al. · Cochrane · 2023 · Systematic reviewWHO’s safety framework identifies medication processes, high-risk situations, polypharmacy and transitions of care as priorities for reducing avoidable harm.
Relevance and limits: Informs clear medicines information, communication, monitoring and escalation within nursing scope. It does not expand prescribing authority or establish the effectiveness of this service.
World Health Organization · Medication Without HarmThis review found possible short-term benefits for some low-back-pain presentations, with low or very-low certainty evidence.
Relevance and limits: Supports cautious, assessed use rather than general recovery claims. These findings cannot be generalised to all older people or all conditions, and they do not establish Support at Home funding eligibility.
Furlan et al. · Cochrane · 2015The Australian Commission on Safety and Quality in Health Care provides guidance on communicating clinical information, shared care planning and comprehensive care. These are design references, not a claim of accreditation or endorsement.
The Support at Home program manual – A guide for registered providers (version 4.3, current linked edition checked 8 September 2026) is the operational reference for provider arrangements, care planning and review.
The government Support at Home service list and participant contribution guidance describe programme requirements. They are not evidence of clinical effectiveness or approval of this service.
The funding section explains why nursing and physiotherapy must be distinguished from prescribed remedial massage. Discipline-specific evidence and limitations are available on the linked service pages.
Review status: Approved Clinics GRP pathway. Clinical governance: Clinics GRP Clinical Review Team.
Source check: 8 September 2026. Research evidence and funding-policy requirements are reviewed separately.
How Clinics GRP manages clinical evidenceClinical notes from our team are shared with the provider within 48 hours of each visit. A progress report is shared with the provider within 48 hours of completing the treatment cycle. A discharge report is shared with the provider within 48 hours of discharge. With consent, we communicate escalation or de-escalation, the reason for the change and agreed next steps clearly with the provider. Urgent concerns are communicated promptly without waiting for a routine report.
No. Tell intake what has changed and what is difficult at home. Clinical triage helps identify the appropriate assessment or combination of disciplines, subject to suitability, authorisation and availability.
Yes. A provider can send one referral describing the clinical concerns and requested support. Intake reviews the request and confirms the disciplines, accepted scope and communication arrangements. A referral does not guarantee that every requested service can be provided.
This page describes how Clinics GRP coordinates clinical services within approved Support at Home arrangements. Programme eligibility and approval remain with the relevant government processes and provider arrangements. It does not replace the government’s Restorative Care Pathway, End-of-Life Pathway or Assistive Technology and Home Modifications scheme.
You can still contact Clinics GRP intake to discuss other access options. My Aged Care can explain assessment and eligibility for government-funded aged care. An enquiry does not create funding approval.
Our published coverage guide includes areas across north, south, east and west Brisbane. Intake confirms the exact address, discipline, travel arrangements and clinician availability before care is booked.
Complete your referral here. Support at Home clinical care and care at home are already selected. Include the provider, approved plan and clinical concerns, and attach relevant documents if available.
Review your details before sending. Cloudflare Turnstile and server-side security checks protect the form. A successful submission displays a referral reference for follow-up with intake.
A referral requests an intake review; it does not confirm an appointment or funding approval. Intake confirms the provider arrangements, clinical suitability, coverage and timing.
Private Care · Direct clinical access
Explore self-funded care in our clinics, at home and across appropriate care settings. You do not need a Support at Home plan. Clinical suitability, availability and any applicable rebate requirements are confirmed before care begins.
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