A range of acute outreach and community-based services deliver services by visiting the people in their homes. Examples of health services that are delivered in the home include:
Health services that are provided in a clinic setting (such as hospital outpatients or community health centres) should follow
Guidance for outpatient clinics.
Given the evolving situation, services should regularly monitor
NSW Health - COVID-19 for updates and refer to the
advice for Home Care Service providers from the Chief Health Officer.
Find your Local Government Area by suburb for a list of individual suburbs in relevant Local Government Areas.
Management of patients prior to community-based appointments and home visits should be according to current public health guidance for testing and home isolation.
Home visiting services should review models of care and incorporate risk screening, assessment and mitigation processes that includes:
In addition to usual work health and safety assessment, health care providers should conduct routine risk screening and assessment prior to home visiting. Services will need to develop a system to implement the steps below, including appointing an appropriate person to assess whether or not it is safe to defer the home visit appointment and communicating with relevant partner service organisations.
Risk screening and assessment should be undertaken for:
Develop a system, prior to attendance (e.g. phone call, SMS), to pre-screen patients and others present in the household for risk criteria. Where there is a yes response to any of the risk criteria, home visiting health services should ensure systems are in place to manage patients appropriately, including appointing an appropriate person (e.g. a senior clinician) to assess whether or not it is safe to defer the appointment.
Patients and others present in the household should be asked:
Advice on current areas of concern is at
Latest COVID-19 case locations and alerts in NSW.
If there is a 'Yes' response to any of the risk criteria:
For patients who are well and do not have a yes response to any of the COVID-19 risk criteria, the visit may proceed ensuring that service delivery is consistent with the most current infection control advice.