Metro North Health is piloting a number of Rapid Access Clinics and Services. These services provide assessment and treatment to patients requiring escalation of care. They aim to bypass the need to attend ED where this is avoidable.
Referrals for most Rapid Access Clinics can be made by calling the Metro North Clinical Advice Line on 1800 569 099, Monday to Friday, 8:30am – 4pm. Eye Casualty is a walk in only clinic, please send referral information with the patient.
This page will be updated as further services are made available.
General Medicine Rapid Access Clinic (RAC) – The Prince Charles Hospital Catchment
This clinic provides adult patients in the TPCH catchment area with a rapid general medicine clinic assessment and treatment (within 2-3 business days). The aim is to prevent an avoidable Emergency Department (ED) presentation by providing an early specialist intervention (but shouldn’t be seen as an alternative to an outpatient clinic referral).
Hemodynamically stable, general medical, adult patients.
Referrals may include management for patients with an acute flare of their chronic disease, wound review, low risk TIA review, hypertension, abnormal investigations or pathology that does not require emergency management.
Systemically unwell patients.
Not suitable for conditions such as acute chest pain, shortness of breath, or those requiring intravenous therapy or emergency care.
Existing patients known to an oncology/palliative/respiratory/cardiology specialist at TPCH. These should be referred to those specialities if their condition requires specialist review.
If the patient is accepted by the consultant for the RAC clinic, the patient is contacted directly by an admin officer to arrange an appointment time within 2-3 business days after referral. The patient does not need to present to the emergency department.
Call the TPCH General Medicine RAC Nurse on (07) 3139 6721.
Older Persons Assessment and Rehabilitation Service (OPARS) Rapid Access Clinician – Kallangur Satellite Hospital Catchment
The Rapid Access Clinician (RAC) is an Advanced Occupational Therapist within the Kallangur Satellite Hospital Older Persons Assessment and Rehabilitation Service (OPARS). RAC provides same day or next day assessment and interventions to prevent hospital presentations from age related medical conditions.
The Rapid Access Clinician is available Monday to Friday 8.00am – 4.30pm.
Patient is over 65 years (Over 50 if Aboriginal / Torres Strait Islander person).
Australian resident residing in Satellite Hospital catchment suburb including Bray Park, Brendale, Cashmere, Dakabin, Dayboro, Eatons Hill, Griffin, Kallangur, Kobble Creek, Lacey’s Creek, Lawnton, Mount Samson, Murrumba Downs, Petrie, Samson Vale, Strathpine.
Patient requires immediate or next day intervention to prevent hospital admission due to age-related medical conditions.
Patients may be ineligible if:
Currently accessing equivalent services in public or private sector
Reside outside of catchment area
Medically unstable requiring inpatient assessment or currently an inpatient
Only require therapy for maintenance of chronic condition
Please contact the clinic for further information on 1800 569 099.
Older Persons Emergency Network (OPEN): Fracture Service for RACFs – Metro North catchment
OPEN is an emergency department substitution service offering emergency care for older people in their own home. The Fracture service provides fracture management for residential aged care facilities. Services include acute fracture management, fracture follow up, plaster application/re-application and medical imaging. The multidisciplinary team consists of senior medical officers, nurse practitioners and pharmacists.
General Practitioners and Practice Nurses can now refer adult patients who are experiencing an exacerbation of a chronic condition or a new illness or injury that require rapid, comprehensive, community assessment or advice as an alternative to hospital presentation.
The service will not accept referrals for patients when;
Primary issue of concern is acute mental health presentation
Primary issue of concern is alcohol, tobacco or other drugs
The RACC clinical nurse and/or occupational therapist (depending on the reason for referral) will initially assess the patient in their own homewithin 1 business day and refer on to the most appropriate, established community support services including:
Metro North Community Health services:
Post Acute Care
Coordinated, complex, multidisciplinary care
Allied health services e.g. Occupational Therapy, Physiotherapy, Dietetics, Speech Therapy, Social Work, Podiatry, Pharmacy medication review
PHN Team Care Coordination (noting that GPs can continue to direct refer to Team Care Coordination)
NB: Patients can self-refer via contacting their local heart failure support service (see numbers under ‘for more information’)
Patients will usually be offered a RAHFTS appointment at the hospital most involved in their care and/or closest to home (depending on urgency). RAHFTS locations are at The Prince Charles Hospital (Mon, Wed) or Royal Brisbane & Women’s Hospital (Tues, Thurs) and Redcliffe Hospital (Wed).
Patients accepted in to RAHFTS will be contacted within one business day of referral and provided with instructions on check in and clinic location.
You will receive a letter detailing the recommended management plan for the patient and what treatment was provided at RAHFTS (also available on “The Viewer”). You will be notified on the day of the clinics if the patient does not attend.
Please contact the following Heart Failure Support Services:
Royal Brisbane and Women’s Hospital: Tel 3646 6465
The Prince Charles Hospital : Tel 3139 4693 option 3
Redcliffe Hospital RAHFTS/Cardiac liaison service: Tel 3049 6821
Metro North Virtual Ward – Metro North wide catchment
Metro North Virtual Ward provides timely access to acute virtual care in the community for adult clients to prevent avoidable hospital presentations. The Virtual Ward team includes medical officers, nurses, pharmacists, and social workers and provides acute admitted inpatient level care for patients in their own home via telehealth.
Where required, patients will be provided with an oxygen saturation probe, blood pressure machine, thermometer, glucometer or scales free of charge to monitor their vital signs during their admission. The Virtual Ward admission is expected to be short term with transfer back to the referring general practitioner for ongoing care as soon as the acute problem is clinically stable, or a direct admission to a hospital ward facilitated if required.
Operates Monday to Sunday 7am – 7pm with a deteriorating hotline for patients to call outside of those hours that is answered by an experienced Virtual Ward nurse.
General Practitioners can refer adult high risk adult COVID patients or moderate risk patients of concern and those requiring IV Remdesivir.
Virtual Ward can also accept patients who are experiencing an acute illness or an acute exacerbation of a chronic condition that requires ongoing monitoring and treatment as an alternative to hospital presentation such as:
Patients who require a brief period of monitoring and treatment which would otherwise require them to stay in hospital
Patients at risk of deterioration, which if detected early, can be managed at home with the aim that hospital admission be avoided
Examples of conditions that may be suitable
infective exacerbations of asthma and other chronic obstructive airway conditions
community acquired pneumonia
soft tissue, skin infections
urinary tract infection
severe hypertension without neurological red flags for short term monitoring, medication adjustment
high blood sugar without ketoacidosis for short term monitoring, medication adjustment.
The service will not accept referrals for patients when;
Patients aged under 16 years
Patients residing in an Residential Aged Care Facility (please contact RADAR)
Vestibular Rapid Access Service – The Prince Charles Hospital
This clinic provides physiotherapy-led vestibular assessment and treatment for adult patients in The Prince Charles Hospital catchment within 1-2 business days. The aim is to prevent an avoidable Emergency Department presentation by providing early specialist intervention.
The Rapid Access Service operates Monday to Friday 8am – 4pm.
If the patient is accepted for review in clinic, the patient is contacted directly by the Advanced Vestibular Physiotherapist to arrange an appointment time within 1-2 business days after referral. The patient does not need to present to the emergency department.
Please contact the clinic for further information on (07) 3139 6073.
Eye Casualty – RBWH
This clinic provides adult patients in the Metro North catchment area with a rapid eye assessment and treatment on a walk in basis only. Eye Casualty is a Rapid Access Clinic for acute or urgent eye assessment and patients are triaged on arrival; and seen in order of assessed urgency.
Eye Casualty is located on level 8, Ned Hanlon Building, RBWH and operates Monday to Friday 8.00am – 3.00pm. Please refer to the Department of Emergency Medicine, RBWH outside these hours.