Team Care Coordination/ Staying Healthy Staying Home

The objective of the program is to improve the quality of life and the ability to live well at home for people with chronic health conditions.

The program is a free patient centred service for people with complex chronic health conditions that provides:

  • health and community information/education
  • comprehensive assessment and coordination of health, community and social support services.

The program is:

  • delivered by the phone or face to face in home consultations
  • staffed by Clinical Nurses
  • managed by Brisbane North PHN
  • funded by Metro North Hospital and Health Service.

Team Care Coordination supports access for general practice referrals, whereas Staying Healthy, Staying Home supports referrals from hospital patients.


The objective of the program is to improve the quality of life and the ability to live well at home for people with chronic health conditions.

The program is a free patient centred service for people with complex chronic health conditions that provides:

  • health and community information/education
  • comprehensive assessment and coordination of health, community and social support services.

The program is:

  • delivered by the phone or face to face in home consultations
  • staffed by Clinical Nurses
  • managed by Brisbane North PHN
  • funded by Metro North Hospital and Health Service.

Team Care Coordination supports access for general practice referrals, whereas Staying Healthy, Staying Home supports referrals from hospital patients.


  • The Team Care program aims to improve the quality of life and the ability to live well at home for people with chronic health conditions.Team Care Coordination (TCC) supports access for general practice referrals, whereas Staying Healthy, Staying Home (SHSH) supports referrals from hospital patients. Your feedback is important and will assist us in understanding how we can continue to improve our service.

    The survey should only take 2 minutes to complete and your participation is voluntary. If you have experienced any difficulties in completing this survey, please contact Amalia Savini, Evaluation and Reporting Officer, the Brisbane North

    The Team Care program aims to improve the quality of life and the ability to live well at home for people with chronic health conditions.Team Care Coordination (TCC) supports access for general practice referrals, whereas Staying Healthy, Staying Home (SHSH) supports referrals from hospital patients. Your feedback is important and will assist us in understanding how we can continue to improve our service.

    The survey should only take 2 minutes to complete and your participation is voluntary. If you have experienced any difficulties in completing this survey, please contact Amalia Savini, Evaluation and Reporting Officer, the Brisbane North PHN on amalia.savini@brisbanenorthphn.org.au.

    Take Survey