IDENTIFYING CONNECTIONS ACROSS SERVICE PROVIDERS ON HEALTHPATHWAYS
ADVANCE CARE PLANNING AND PALLIATIVE CARE
Please answer all questions below.
Demographic question - About you and your workplace.
Q1. You are a
Allied Health practitioner
Other (Please specify)
Q2. Please write below the name of your healthcare provider / practice.
Network questions – How you link with others in the pathways.
Q3. Below are the names of agencies/individual clinicians that offer services across advance care planning and palliative care pathways. Please indicate which ones you are AWARE of.
Note: if you don’t select any agencies/individual clinicians below you will be taken to the final question in this survey.
Palliative Care Services - ACT
Palliative and Hospice Care
Covenant Care Day Hospice
Home Based Palliative Care
Palliative Care Service (Canberra Region Cancer Centre)
Calvary Public Hospital
Palliative Care Services - NSW
Southern NSW Local Health District – Community Health Intake
Dr Suzanne Rainsford – (Cooma) Palliative Medicine Specialist
Respite Care - ACT
Belconnen Community Service
Gungahlin - Communities@Work
Northside Community Service
Southside Community Services
Tuggeranong - Communities@Work
Weston Creek - Communities@Work
Woden Community Service
Duo Services Australia
Kincare Community Services ACT
Respite Care - NSW
Queanbeyan - Home Care
Ronald McDonald Family Retreat Fiona Lodge
The OTIS Foundation
Yurana Cancer Kids Holiday Homes
State based agencies - ACT
Palliative Care ACT
State based agencies - NSW
Palliative Care NSW
Q4. Are there any 'other' agencies/individual clinicians that can offer services across the advance care planning and palliative care pathways. List up to three names
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