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Medical

Medical

Cardiology
Level 1
  • Staffed by RN with some visiting services
  • Emergency first assessment, treatment and appropriate referral
  •  Provision of ETS
Level 2

As for Level 1 plus:

  • On-call medical cover by GP/VMP/ SMO
  •  Initial assessment, stabilisation and transfer to higher level facility
Level 3

As for Level 2 plus:

  • GP inpatient care
  • 24/7 cover by RN
  • Access to some allied health services
  •  Access to non-invasive monitoring
Level 4;

As for Level 3 plus:

  • Inpatient care by on-site general medical physician
  • Access to consultancy service provided by a specialist or physician credentialed in cardiology
  • Access to designated allied health services
  • Some allied health undergraduate education
  • Non-invasive diagnostic procedures, echocardiograms and exercise stress testing
  •  Links with community cardiac rehabilitation
Level 5

As for Level 4 plus:

  • Inpatient care by on-site cardiologist
  • Registrar/RMO/ Intern
  • CCU/HDU
  • Regional referral role
  • Access to specialist SRN
  • Some undergraduate teaching and possibly some research
  • Links with Level 5 rehabilitation service
  • Emergency services available by on-call cardiologist
  • May provide some cardiology diagnostic and interventional services
  • Access to specialised allied health services
Level 6

As for Level 5 plus:

  • Full range of cardiac services including cardiac sub-specialties and emergency services
  • Statewide referral role
  • Undergraduate and postgraduate teaching role
  • Research role
  • Complete range of diagnostic and interventional services (includes catheter labs)
Dermatology
Level 1
No level 1 service. Please refer to a higher level.
Level 2
  • Access to phone advice and consultation including via Telehealth/e- health
Level 3

As for Level 2 plus:

  • GP inpatient care
Level 4;

As for Level 3 plus:

  • Inpatient care by on-site general medical physician and GPs
  • May have visiting dermatology registrar
  • Phone advice and consultation provided from Level 5 or 6 services, including via Telehealth/e-health 
Level 5

As for Level 4 plus:

  • Range of dermatology services
  • Dermatology registrar
  • Dermatology department
  • Dermatology inpatients and consultation service for patients admitted under other specialties
  • May have teaching and research role 
Level 6

As for Level 5 plus:

  • Comprehensive range of dermatology services
  • Specialist RN
  • Access to MRI
  • Access to CT and PET (adult services)
  • Access to phototherapy
  • Comprehensive patch testing service
  • Statewide referral, consultancy and decision support via Telehealth/e-health/phone
  • May have dermatologist on-call 24/7
  •  Teaching and  research role 
Endocrinology
Level 1
No level 1 service. Please refer to a higher level.
Level 2
No level 2 service. Please refer to a higher level.             
Level 3
  • GP inpatient care
  • 24/7 cover by RN
  • Access to some allied health services 
Level 4;

As for Level 3 plus:

  • Inpatient care by on-site or visiting general medical physician or consultant
  • Diabetes education service and integrated hospital/ community diabetes management service
  • Specialist RN
  • Access to designated allied health services
  • Some allied health undergraduate education 
Level 5

As for Level 4 plus:

  • Inpatient care by on-site endocrinologist
  • Registrar/RMO
  • Regional referral role
  • Access to specialist SRN
  • Some undergraduate teaching and possibly research role
  • Links with Level 5 rehabilitation service
  • Emergency care available from on- call specialist
  • Access to specialised allied health services 
Level 6

As for Level 5 plus:

  • Full range of endocrinology services, with endocrinology department and emergency care
  • Statewide referral role
  • Undergraduate and postgraduate teaching role
  • Research role 
Gastroenterology
Level 1
No level 1 service. Please refer to a higher level.
Level 2
No level 2 service. Please refer to a higher level.             
Level 3

GP inpatient care

  • 24/7 cover by RN
  • May have fibre optic endoscopy by credentialed medical practitioner
  • Access to some allied health services
Level 4;

As for Level 3 plus:

  • Inpatient care by on-site general medical physician or visiting consultant
  • Regular endoscopy service including colonoscopy
  • Specialist RN
  • Gastroenterology services provided by integrated physician and surgical services
  • Access to designated allied health services
  • Some allied health undergraduate education
Level 5

As for Level 4 plus:

  • Inpatient care by on-site gastroenterologist
  • Registrar/RMO
  • Regional referral role
  • Access to specialist SRN
  • Some undergraduate teaching and possibly some research role
  • Full endoscopy service
  • Emergency care available by on-call specialist
  • Access to specialised allied health services
Level 6

As for Level 5 plus:

  • Full range of gastroenterology services, with gastroenterology department and emergency care
  • Statewide referral role
  • Undergraduate and postgraduate teaching role
  • Research role
General medical
Level 1
  • Provision of primary health care and urgent primary care
  • Staffed by RN
  • Emergency first assessment, treatment and appropriate referral
  • Telehealth services available (appropriate to location).
Level 2
As for Level 1 plus:
  • 24/7 on-call by GP/VMP/SMO
  • 24/7 cover by RN
Level 3
As for Level 2 plus:
  • GP inpatient care
  • Access to some allied health services
  • Acute inpatient care provided where possible on-site/close on-
  • call GP/VMP/SMO available 24/7
Level 4;
As for Level 3 plus:
  • Inpatient care by on-site general medical physician and GPs
  • Specialist RN
  • Phone advice and consultation provided to lower level sites including via Telehealth/e- health
  • On-site designated allied health services
  • Some allied health undergraduate education 
Level 5
As for Level 4 plus:
  • Inpatient care by on-site general medical physician, GPs and sub- specialists
  • Visiting sub- specialists
  • Registrar/RMO/ Intern
  • CCU/HDU
  • Regional referral role
  • Some undergraduate teaching
  • Emergency services available by on-call specialist
  • Specialist consultation or diagnosis provided via Telehealth/e-health to rural and other smaller sites and services
  • specialised allied health services
Level 6
As for Level 5 plus:
  • Broad range of medical sub- specialists and emergency medical services on-site
  • Statewide referral role in certain subspecialties
  • Undergraduate and postgraduate teaching role
Geriatric
Level 1
No level 1 service. Please refer to a higher level.
Level 2
  • Phone advice and support by regional aged care program (including ACAP)
  • May coordinate and discharge to community and residential aged care services
  • May provide   respite care
Level 3

As for Level 2 plus:

  • Inpatient care
  • GP and access to visiting geriatrician or by Telehealth
  • 24/7 cover by RN
  • Respite care and limited restorative services
  • Access to ACAT
  • Access to some allied health services
Level 4

As for Level 3 plus:

  • Access to consultant physician specialising in geriatric medicine
  • Active assessment and rehabilitation services for inpatients
  • Some allied health undergraduate education
  • Most allied health disciplines available for inpatient sub-acute programs
Level 5

As for Level 4 plus:

  • Inpatient care by on-site specialist
  • Registrar/RMO
  • Links with inpatient rehabilitation unit
  • Access to specialist SRN
  • Some undergraduate teaching
  • Links with geriatric psychiatry services
  • Co-located or links with psychogeriatric services
  • Access to specialised allied health services
Level 6

As for Level 5 plus:

  • Undergraduate and postgraduate teaching role
  • Research role
  • Statewide referral  role
Haematology
Level 1
No level 1 service. Please refer to a higher level.
Level 2
No level 2 service. Please refer to a higher level.
Level 3

May include:

  • GP inpatient care
  • 24/7 cover by RN
  • Visiting haematologist or by Telehealth
  • Access to some allied health services 
Level 4

As for Level 3 plus:

  • On-call haematologist
  • Some inpatient services
  • Integration of home based services with area based program
  • Access to designated allied health services
  • Some allied health undergraduate education
Level 5

As for Level 4 plus:

  • General Medical Registrar on-call 24/7
  • Appointed haematologist
  • May have teaching and research role
  • Access to specialised allied health services
  • May have cancer unit 
Level 6

As for Level 5 plus:

  • Medical registrar on-site 24/7
  • Has haematology department
  • Haematologist on- call 24/7
  • Haematology registrar on-call 24/7
  • Teaching and research role
  • May provide cell separation/ plasmapheresis
  • May perform bone marrow transplantation
  • Full range of services including inpatients
  • Comprehensive cancer centre
  • Inpatient care delivered by a multidisciplinary team
  • Most acute care services must be available 24/7
  • Links with other consultation services
  • Provides consultation to other services
Immunology
Level 1
No level 1 service. Please refer to a higher level.
Level 2
No level 2 service. Please refer to a higher level.
Level 3
  • GP inpatient care
  • 24/7 hour cover by RN
  • Access to some allied health services
Level 4

As for Level 3 plus:

  • Inpatient care by on-site general medical physician
  • Capacity for the provision of specialist service by a visiting consultant
  • Specialist RN
  • Access to designated allied health services
  • Some allied health undergraduate education
  • Phone advice and consultation provided to smaller sites including via Telehealth/e-health 
Level 5

As for Level 4 plus:

  • Inpatient care by a Medical Specialties RMO
  • Registrar/RMO
  • Regional referral role
  • Access to specialist SRN
  • Some undergraduate teaching and research
  • Full service for the assessment and treatment of patients with allergy disorders, acquired and primary immunodeficiency disorders and autoimmune diseases
  • Access to specialised allied health services
  • Specialist consultation or diagnosis provided by Telehealth/e-health to rural and other smaller sites and services
Level 6

As for Level 5 plus:

  • Full range of clinical immunology services with immunology department and 24/7 clinical and laboratory on-call
  • Statewide referral role
  • Undergraduate and postgraduate teaching and training role Research role 
Infectious diseases
Level 1
No level 1 service. Please refer to a higher level.
Level 2
No level 2 service. Please refer to a higher level.
Level 3
No level 3 service. Please refer to a higher level.
Level 4
  • Ambulatory and inpatient consulting services may be provided by generalist with training in infectious diseases
  • Facilities include isolation rooms with internal wash basins and toilets, as well as staff wash basins immediately outside the room
  • An area with separate air conditioning available
  • Delivery and administration of HITH to patients requiring intravenous antibiotic therapy
  • Infection control leadership responsibilities – supervises on-site CNM Phone advice and consultation provided to smaller sites including via Telehealth/e- health 
Level 5

As for Level 4 plus:

  • Medical registrar on-call 24/7
  • Dedicated infectious diseases & HITH registrar +/-RMO (basic or advanced trainee(s))
  • Appointed specialist with direct links with tertiary/quaternary level infectious diseases service
  • May have teaching and research role
  • Links with sexual health services, viral hepatitis and HIV services and microbiology department
  • Specialist consultation or diagnosis provided by Telehealth/e-health to rural and other smaller sites and services
Level 6

As for Level 5 plus:

  • Medical registrar on-site 24/7
  • Has specialist infectious diseases physicians and advanced trainee infectious diseases registrar(s) and fellow(s)
  • Infectious diseases CNCs with responsibilities in sexual health, viral hepatitis, HIV, clinical trials and infection control
  • Designated inpatient area for management of infectious and communicable diseases
  • Facilities to treat all quarantinable diseases (single site only – SCGH)
  • Major teaching and research role Statewide referral role 
Neurology
Level 1
  • Assessment and non-acute care by community health staff and GPs
  • Emergency services
Level 2

As for Level 1 plus:

  • GP inpatient care
  • 24/7 cover by RN
  • Referral coordination and linkage with specialist programs and/or diagnostic services.
Level 3

As for Level 2 plus:

  • Access to some allied health services
Level 4

As for Level 3 plus:

  • Inpatient care by on-site general medical physician
  • Capability of a visiting specialist to provide a consultancy service
  • On-site Level 4 rehabilitation services
  • Access to geriatricians
  • Specialist RN
  • Access to designated allied health services
  • Some allied health undergraduate education
  • On-site CT
  • Access to MRI;
Level 5

As for Level 4 plus:

  • Inpatient care by on-site neurologist
  • Registrar/RMO
  • Regional referral role
  • Access to specialist SRN
  • Some undergraduate teaching and possibly some research role
  • Neurosurgery support, EMG, nerve conduction, evoked responses and EEG on-site
  • Emergency services provided by on-call neurologist
  • Access to specialised allied health services
  • On-site MRI 
Level 6

As for Level 5 plus:

  • Full range of neurology services, with neurology department and emergency care
  • Statewide referral role
  • Undergraduate and postgraduate teaching role
  • Access to PET
  • Research role 
Oncology
Level 1
No level 1 service. Please refer to a higher level.
Level 2
  • Specialist RN in region (cancer nurse coordinator/ breast care nurse) who links with relevant tumour specific CNC and treating facility for care coordination
  • No treatment facilities 
Level 3

As for Level 2 plus:

  • GP inpatient care
  • 24/7 cover by RN
  • Low risk chemotherapy for the four most common cancers and palliative patients
  • Multidisciplinary case conferencing with tumour specific specialist for all patients
  • Access to some  allied health services
Level 4

As for Level 3 plus:

  • Inpatient care by on-site general medical physician
  • Chemotherapy shared care with the tertiary facilities for common cancers with more complex needs
  • Links with radiotherapy, palliative care and pain management services
  • Specialist RN
  • Access to designated allied health services
  • Some allied health undergraduate education
  • Consultancy services provided by a visiting consultant or physician experienced in oncology 
Level 5

As for Level 4 plus:

  • Inpatient care by on-site oncologist
  • Registrar/RMO
  • Regional referral role
  • Access to specialist SRN
  • Some undergraduate teaching and possibly some research role
  • Multidisciplinary management of patients including case conferences
  • Formalised link with or referral pathways to palliative care services and may have pain management clinic
  • Emergency care available
  • Access to specialised allied health services 
Level 6

As for Level 5 plus:

  • Full range of oncology services, with oncology department and emergency services (NB: radiation oncology defined separately)
  • Medical registrar on-site 24/7
  • Statewide referral role
  • Statewide mentoring and specialist leadership role
  • Undergraduate and postgraduate teaching role
  • Research role 
Palliative care
Level 1
  • Assessment, referral and management by local GPs
  • Emergency assessment and referral
  • Links with the palliative care network
  • Visiting primary health care providers
  • Access to Telehealth services or support
Level 2

As for Level 1 plus:

  • Inpatient care by GP in consultation with specialist services
  • Access to some allied health services
  • 24/7 cover by RN
  • Referral, coordination and link with specialist community and inpatient programs 
Level 3

As for Level 2 plus:

  • 24/7 cover by clinical nurse with training and/ or experience in palliative care services
Level 4

As for Level 3 plus:

  • Palliative care patients managed by
  • GP and medical practitioner specialising in palliative care
  • Access to specialist SRN
  • Access to designated allied health services
  • Some allied health undergraduate education 
Level 5

As for Level 4 plus:

  • Inpatient care by on-site palliative care physician
  • Registrar/RMO
  • Regional referral role
  • Undergraduate teaching and some research role
  • Integrated community consultative service under direction of palliative care physician
  • Links with oncology radiotherapy, anaesthetics, psychiatry, pain clinic and rehabilitation
  • Access to specialised allied health services
Level 6

As for Level 5 plus:

  • Full range of palliative care services with palliative care specialist providing consultancy to other units referral hospitals
  • Emergency services available
  • Statewide referral role
  • Undergraduate and postgraduate teaching role
  • 24/7 on-call  specialist 
Renal services
Level 1
No level 1 service. Please refer to a higher level.
Level 2
No level 2 service. Please refer to a higher level.
Level 3
  • GP inpatient care
  • Access to general medical physician or visiting renal specialist or by Telehealth
  • 24/7 cover by RN
  • May accommodate self-care dialysis inpatients
  • \Access to some allied health services
Level 4

As for Level 3 plus:

  • Inpatient care by on-site general medical physician
  • Specialist RN
  • Access to designated allied health services
  • Some allied health undergraduate education
  • May have on-site haemodialysis 
Level 5

As for Level 4 plus:

  • Inpatient care by on-site renal specialists
  • Registrar/RMO
  • Emergency services provided by on-call specialist
  • Regional referral role
  • Access to specialist SRN
  • Some undergraduate teaching and possibly some research role
  • All types of dialysis available and renal biopsies performed
  • Provides a full range of dialysis access surgery
  • Access to specialised allied health services 
Level 6

As for Level 5 plus:

  • Full range of renal services, with renal department and emergency care services
  • Renal transplantation available
  • Coordinated by full time renal unit manager
  • Statewide referral role and statewide geographical area based service delivery role
  • Undergraduate and postgraduate teaching role
  • Research role 
Respiratory
Level 1
No level 1 service. Please refer to a higher level.
Level 2
No level 2 service. Please refer to a higher level.
Level 3

GP inpatient care

  • Access to general medical physician or visiting renal specialist or by Telehealth
  • 24/7 cover by RN
  • May accommodate self-care dialysis inpatients
  • Access to some allied health services
Level 4

As for Level 3 plus:

  • Inpatient care by on-site general medical physician
  • Specialist SRN
  • Access to lung function diagnostics (spirometry, volumes and gas transfer)
  • Access to respiratory specialist for inpatient consultation
  • Links with sleep service
  • Access to designated allied health services
  • Some allied health undergraduate education
  • Provision of NIV
  • Capability to provide bronchoscopy by visiting consultant
  • Links with community services e.g. pulmonary rehabilitation
Level 5

As for Level 4 plus:

  • Inpatient care by on-site respiratory specialist
  • Registrar/RMO
  • Regional referral role
  • On-site specialist SRN
  • Significant undergraduate teaching
  • Provision of lung function laboratory
  • On-site bronchoscopy services
  • Access to Level 5 cardiology and cardiothoracic surgery
  • Emergency care provided by on- call specialist
  • Strongly linked with sleep service
  • Access to specialised allied health services 
Level 6

As for Level 5 plus:

  • Full range of respiratory services, with respiratory department and emergency care
  • Statewide referral role
  • Undergraduate and postgraduate teaching role
  • Research role
  • Respiratory function laboratory
  • Provision of complete diagnostic services including bronchoscopy suite
  • Specialised respiratory ward, with NIV capability
Rheumatology
Level 1
No level 1 service. Please refer to a higher level.
Level 2
No level 2 service. Please refer to a higher level.
Level 3
  • GP inpatient care
  • 24/7 cover by RN
  • Access to some allied health services
  • Liaison with NGO/ government providers for access to aids and home modifications 
Level 4

As for Level 3 plus:

  • Inpatient care by on-site physician and inpatient consultative service by a visiting rheumatologist
  • Links with Level 4 rehabilitation service at minimum
  • Access to designated allied health services and specialist RN
  • Provide a range of same-day procedures 
Level 5

As for Level 4 plus:

  • Emergency care available by on- call specialist/ rheumatologist
  • Inpatient care by rheumatologist
  • After-hours patients to be admitted under general medicine with direct links to Level 6 rheumatology service
  • Registrar/RMO
  • Regional referral role
  • Some undergraduate teaching and possibly research
  • Links with Level 5 rehabilitation service at minimum
  • Access to specialised allied health services and specialist RN
  • Provides a range of same-day procedures 
Level 6

As for Level 5 plus:

  • Full range of rheumatology services, with rheumatology department and emergency care
  • Statewide referral role
  • Accredited site for advanced training i.e. advanced trainee(s) in rheumatology
  • Undergraduate and postgraduate teaching role
  • Research role 
Sexual health
Level 1
No level 1 service. Please refer to a higher level.
Level 2
No level 2 service. Please refer to a higher level.
Level 3
  • NP or MO or public health physician
  • Access to specialist medical services
  • Links with sexual assault services 
Level 4

As for Level 3 plus:

  • Sexual health physician sessions
  • Provides GP and junior staff training and support
  • Formal links with specialist services including HIV
  • Research and multidisciplinary health promotion conducted 
Level 5

As for Level 4 plus:

  • Sexual health physician on staff
  • Team of medical and nursing staff with recognised qualifications
  •  Specialist clinics in areas such as dermatology and colposcopy
  • Clinical research and professional development
  • On-site laboratory
  • Undergraduate and postgraduate teaching
  • Integrated with Level 6 services
  • Statewide responsibility to mentor and support Level 1-4 services 
Level 6

As for Level 5 plus:

  • Access to inpatient beds and services including theatres and HITH;
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