Information and Resources for GPs

COVID Positive Pathways

St Vincent’s Hospital Melbourne (SVHM) Victorian COVID Positive Pathways (CPP) program is no longer operational

On the 12th September 2022, SVHM handed over the care of COVID positive people isolating at home to cohealth – community health service.

The CPP service with cohealth will continue to:

1. Provide phone-based care and support for COVID positive patients to enable individuals to isolate safely.

2. Ensure that those patients who are at risk of deteriorating quickly are identified early and transitioned to higher levels of care (e.g. Hospital in the Home (HITH) or inpatient care).

 

COVID positive patients are allocated to CPP based on their residential postcode. Cohealth provides CPP for people residing in the following postcodes:

3002 East Melbourne    

3053 Carlton, Carlton South

3054 Carlton North, Princes Hill 

3065 Fitzroy

3066 Collingwood, Collingwood North       

3067 Abbotsford

3068 Clifton Hill, Fitzroy North                  

3070 Northcote, Northcote South

3101 Kew, Cotham                                                         

3121 Richmond, Richmond East/North/South, Cremorne, Burnley, Burnley North

3122 Hawthorn, Hawthorn North, Hawthorn West, Auburn South, Glenferrie South

As of January 2022, patients who test positive (PCR) or register their positive RAT with the Department of Health receive a public health triage survey assessing their suitability for self-care vs monitored care. This survey includes questions related to a patient’s age, comorbidities, vaccination status and ability to safely isolate at home.

Patients who are assessed at very low risk are allocated to self-care, and are directed to resources outlining:

  • Self-management of mild COVID
  • Symptoms of concern
  • Where/how to access clinical review

 

If you are caring for a patient who requires escalation into the CPP program:

 

Access to Medical Therapies For COVID-19

Resources for the prescribing of oral antivirals can be found at: https://www.health.vic.gov.au/covid-19/vaccines-and-medications-in-patients-with-covid-19

This includes details regarding the Victorian COVID-19 therapies PBS prescriber helpline.

The helpline is staffed 7 days a week between 8 to 5pm and can be contacted on 03 8290 3801.

An education model on the prescribing of COVID-specific oral antiviral therapy by Dr Nick Hewitt (St Vincent’s Infectious Diseases and Hospital in the Home physician) can be found here

SVHM has established a clinic for the administration of disease-modifying medical therapies for COVID-19 not available in the community as they become available to eligible patients.

If you believe your patient is eligible for one of these therapies, as per the guidelines below, please contact the clinic via phone 03 9231 3817 to discuss referral (this number is manned 7 days per week until 4:30pm).

Referral information to include:

  • Patient’s St Vincent’s Hospital UR (if known)
  • Patient’s full name
  • Date of onset of first symptom/positive test
  • Medical history including condition(s) confirming eligibility
  • Complete List of Medications
  • Interpreter requirements
  • Transport requirements

 

The clinic is located on Princess St, via the entrance opposite Regent St.
Hours of Operation 9am-6pm 7 days a week.

 

 

Long COVID

St Vincent’s Community Rehabilitation services at Fairfield and Kew are accepting referrals for people with enduring symptoms (at least 8-12 weeks post COVID infection).

The program offers person-centred multi-disciplinary allied health intervention tailored to the individual’s symptoms and aimed at optimising function in everyday activities.

Please send referrals (including medical summary) to SVHM’s Health Independence Programs Central Intake Fax 9231 2202, Ph 1300 131 470 for patients residing in cities of Yarra, Darebin (South of Preston) and Boroondara. For patients outside these local government areas, please refer to HealthPathways for local rehabilitation services.

 

Resources