Chronic & Complex Care Service

The St Vincent's Chronic and Complex Care Service is an outpatient service which provides time-limited goal oriented care for people with chronic and complex health and social care needs. 

These patients often require comprehensive assessment, care planning and review to prevent unplanned hospital admissions.  

Our Services

Allied Health Services
  • High Risk Foot Services
  • Physiotherapy
  • Social work
  • Dietitian
  • Exercise Physiologist
  • Occupational Therapist
Specialist Nursing
  • Chronic Obstructive Pulmonary Disease (COPD) Support
  • Diabetes Support
  • Heart Failure support
  • Chronic Care Coordination Service (Care Coordination, Health Coaching and Self- management Support)
  • Chronic and Complex Wound Management
  • Chronic Disease Transitional Nurse practitioner
Generalist Community Nursing
  • High Risk Foot Services
  • Physiotherapy
  • Social work
  • Dietitian
  • Diabetes Service 
  • Osteoporosis Refracture Prevention Service

Who can use this service?

  • People who are aged 16 years or older
  • Able to self-manage or have carer
  • Diagnosed chronic and complex health condition/s
  • Within St Vincent’s Hospital Sydney Catchment Area

Patients outside St Vincent’s Hospital catchment are not eligible.

Click here for St Vincent's Catchment Map

How do I refer?

Call the O'Brien Referral Centre: 02 8382 1450
OR Fax the referral to: 02 8382 1997
Or Email the referral to


Referral Form

Referrals should include:
  • Community and Ambulatory Service Referral Form
  • Demographics (3 to identify the patient)
  • Medical History
  • Reason for referral
Other specific requirements on referral:
  • Wound care chart
  • Relevant diagnostic results which may include
  • Swab results
  • APTI’s/ duplex scan results