Update on iREAP service at War Memorial Hospital

War Memorial Hospital’s integrated Rehabilitation and EnAblement Programme (iREAP) provides comprehensive early intervention care to clients at risk of frailty and falls, or those with a degenerative neurological disease such as Parkinson’s. This anticipatory model of care aims to improve the quality of life of older clients in the community and prevent avoidable hospital admissions by building partnerships with local GPs and community providers to identify clients earlier in the course of their condition.

Each client receives an individualised multidisciplinary programme of care, tailored to their particular needs. iREAP co-ordinates the care from their allied health outpatient services, Geriatric Medicine and Continence Clinic over an eight week programme. Clients attend three times per week for group and individual exercise, education sessions and occupational therapy practical sessions, along with a suite of other services depending on a client’s needs, including hydrotherapy, speech pathology, clinical psychology, dietetics, podiatry, social work and continence clinic. All clients are provided with a comprehensive assessment by their geriatrician.

The programme has now been incorporated into core business at War Memorial Hospital with 150 clients coming through since the beginning of the program in 2016. Overall, clients completing the programme have improved their physical measures including mobility and falls risk, have reduced levels of frailty, improved their quality of life and confidence to manage their condition, and have been linked with enablement strategies to ensure improvements are sustained over time.

GPs can access the document iREAP referral form (61 KB) through our CESPHN website and can upload it into existing practice software to improve ease of referral. Transport is available to clients within the hospital catchment area, or community transport can be arranged to ensure safe access to the programme. Clients can only attend the program once.

For more information regarding the iREAP programme or to discuss potential clients please contact Annabel Kingsford, iREAP Care Co-ordinator on 9369 0457 or annabel.kingsford@health.nsw.gov.au.