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.
Our response standard
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
Start with a concern rather than a service name. Intake and clinicians work with you and your Support at Home provider to confirm a suitable next step.
Tell us what has changed.
We work out what clinical support is needed.
The appropriate clinician assesses and provides care.
We report, adapt and agree what happens next.
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.
What to have ready
Choose the perspective that fits your enquiry or referral.
Tell us what has changed. We can help you and your provider work out the appropriate clinical starting point.
Match support to the need
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.
When balance or falls are the main concern, assessment can help identify suitable care within the approved plan.
Explore Balance & FallsFunding and access
Contribution categories differ by 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.
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.
Home visits in Brisbane
Check the published guide, then let intake confirm your exact address, clinical need and clinician availability.
View the Brisbane coverage guide
Continuity of care
Care after hospital can start with nursing-led transition at home, focused physical rehabilitation or broader rehabilitation. If an approved Support at Home plan applies, ongoing care may continue with review and provider confirmation.
These are possible transitions, not a required sequence or funding entitlement. Your clinician and provider confirm the appropriate setting and arrangements.
Explore Post-Hospital RecoveryEvidence and clinical governance
Research and clinical guidance inform the parts of this pathway. They do not evaluate the Clinics GRP pathway as a whole or guarantee an individual outcome.
Person-centred assessmentStart with goals, daily function and clinical need.
Home-based rehabilitationTailor intervention to the person’s everyday setting.
Review and communicationShare relevant changes and agree what happens next.
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.
Clinical 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.
Tell intake about the person, the provider and the clinical concern. You can review the details before sending.
Protected submission uses Cloudflare Turnstile and server-side checks. A referral requests review; it does not confirm an appointment or funding approval.
Another way to access care
You can discuss appropriate Clinics GRP services through Private Care. Clinical suitability, availability and any applicable rebate requirements are confirmed before care begins.
Support at Home: Clinical Care Explained
How a time-limited restorative care episode can connect assessment, meaningful goals, rehabilitation, nursing and review under Support at Home.
7 min read
Support at Home: Clinical Care Explained
Explore what falls and balance care should address under Support at Home, from individual assessment to meaningful activity and review.
7 min read
Support at Home: Clinical Care Explained
Learn when changes in function, health, support or goals warrant discussion, and how clinical review differs from a formal support-plan review.
7 min read
