Accepting participant and provider referrals

Community Nursing for Individuals & Healthcare Partners

NDISSupport at HomeTransition Care Program (TCP)DVACTP

Providing RN-led community nursing across Canberra and nearby NSW.

Everwell Community Nursing Pty Ltd provides direct nursing support to NDIS participants and flexible subcontracted clinical services to healthcare, aged care, rehabilitation and community care organisations.

Registered Nurse led
Direct & subcontracted nursing
Canberra & nearby NSW
Registered nurse caring for an older person at home

Continuity of clinician

the same RN, wherever possible

Proactive nursing to catch issues early and keep clients stable at home.

About Everwell

Bridging the gap between community supports and clinical care.

Everwell Community Nursing Pty Ltd is a locally operated, Registered Nurse-led service in Canberra. We provide direct community nursing to individuals and flexible subcontracted nursing to healthcare, aged care, rehabilitation and community care organisations across Canberra and nearby NSW.

Where clinically appropriate and within the Registered Nurse's scope of practice.

Reduce avoidable hospital visits

Provide clinical oversight at home

Support safe hospital discharge

Help clients stay stable long-term

Who We Help

Direct nursing for individuals. Flexible support for providers.

Everwell works with participants directly and partners with organisations that need dependable community nursing capacity.

NDIS Participants

Everwell provides community nursing services to self-managed and plan-managed NDIS participants across Canberra and nearby NSW. We work collaboratively with participants, families, support coordinators, plan managers, supported independent living providers and allied health professionals.

Support at Home Providers

We provide subcontracted community nursing services to Support at Home providers requiring reliable local clinical capacity, continuity of care and responsive nursing support for their clients.

Transition Care Program Providers

Everwell can support Transition Care Program providers with short-term community nursing following hospital discharge, helping clients recover safely, maintain independence and reduce the risk of avoidable hospital readmission.

DVA Providers

We partner with approved DVA and community care providers through subcontracting and brokerage arrangements to deliver eligible nursing services to veterans and war widows in their homes.

CTP and Motor Accident Clients

We provide community nursing services for people recovering from motor vehicle injuries through approved insurers, rehabilitation providers, case managers and other authorised referral pathways. This includes CTP and ACT Motor Accident Injuries Scheme referrals, subject to referral, funding approval or a letter of authority where required.

Healthcare & Community Care Organisations

We support aged care providers, disability organisations, rehabilitation services, hospitals, discharge teams and community care providers requiring additional nursing capacity or specialised community-based clinical support.

Services Available

Registered Nurse-led care, tailored to each referral.

Available for NDIS, Support at Home, TCP, DVA and CTP pathways across Canberra and nearby NSW. All services are delivered within the Registered Nurse's scope of practice and are subject to clinical assessment.

Assessment & Care Planning

  • Comprehensive Nursing Assessments
  • Post Hospital Discharge Reviews
  • Nursing Care Plans
  • Care Coordination
  • Clinical Liaison with GPs, Specialists and Allied Health

Medication & Clinical Support

  • Medication Management
  • Medication Administration
  • Vital Signs Monitoring
  • Diabetes Monitoring
  • Chronic Disease Management

Wound & Skin Care

  • Wound Assessment and Management
  • Pressure Injury Prevention and Management
  • Palliative Nursing Support
  • Complex Nursing Supports

Education & Capacity Building

  • Clinical Health Education
  • Support Worker Clinical Training

Community & Daily Support

  • Community and Social Support
  • Support with Daily Personal Activities

Continence Assessments

Comprehensive continence assessments completed by a Registered Nurse, including assessment of bladder and bowel needs, continence routines, functional considerations, skin integrity risks, support requirements and recommendations for suitable continence products and ongoing management.

Assessment scope

  • NDIS continence assessments
  • Continence management recommendations
  • Continence product and consumable recommendations
  • Reports for participants, support coordinators, plan managers and care teams
  • Education for participants, families and support workers

Funding approval and product funding are not guaranteed; outcomes depend on the client's plan and reviewing decision maker.

Tube, Catheter and Drain Management

Registered Nurse support for eligible tube, catheter and drain-related procedures in the community, based on the participant's clinical needs, the nurse's scope of practice, available clinical information and an established management plan.

Where clinically appropriate and within scope, examples may include:

  • Urinary catheter care and monitoring
  • Suprapubic catheter care
  • Nephrostomy tube care
  • Gastrostomy or PEG site care
  • Enteral feeding tube support
  • Stoma-related nursing support
  • Surgical drain monitoring
  • PleurX or indwelling drainage catheter support
  • Paracentesis or ascitic drain-related care
  • Drainage procedures prescribed by a treating specialist
  • Tube and insertion-site assessment
  • Dressing changes around catheter, drain or tube sites
  • Monitoring for leakage, blockage, infection or skin breakdown
  • Participant, family and support worker education

Why Choose Everwell

Professional clinical care with a personal touch.

Everwell combines professional clinical care with the flexibility, accountability and personal attention of a locally operated RN-led service.

Consistency

We prioritise continuity of care by allocating the same Registered Nurse whenever possible. This supports stronger therapeutic relationships, clearer communication and a better understanding of each client's ongoing clinical needs.

Responsiveness

We provide direct and timely communication with participants, families, care partners, support coordinators and referring organisations. Clinical concerns are escalated appropriately, and relevant updates are communicated without unnecessary delays.

Holistic, Person-Centred Care

We look beyond a single procedure or diagnosis. Our nursing care considers the person's physical health, mental wellbeing, functional needs, home environment, support network, personal goals and risk of avoidable hospitalisation.

Additional strengths

  • Registered Nurse-led care
  • Continuity of clinician
  • Collaborative care planning
  • Clear clinical documentation
  • Flexible referral pathways
  • Canberra & nearby NSW coverage

Experience across disability, aged care, post-hospital care, mental health and complex community nursing. Strong communication with healthcare and community care partners.

Referrals & Subcontracting

Two clear pathways. One responsive team.

Whether you're seeking care for yourself or a family member, or you're an organisation looking for reliable community nursing capacity, we're happy to have a conversation.

For Participants & Families

Looking for community nursing support? Contact Everwell to discuss your needs, funding arrangement and preferred service schedule.

Call 0450 270 547

For Providers & Healthcare Partners

Need additional community nursing capacity? Contact Everwell to discuss subcontracting, brokerage, post-discharge nursing or ongoing clinical support.

Call 0450 270 547
Trusted Partners

Proudly working alongside dedicated organisations.

We are proud to work alongside organisations that share our commitment to responsive, person-centred and high-quality community care.

Pearl Home Care

Disability, Ageing and Community Care Services

Kalinga Australia Pty Ltd

FiloPhys

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Canberra Ear Clinic

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Displayed as text-based partner cards while formal consent to display logos is being confirmed.

Contact

Replies within 1 hour during business hours

Let's talk about how we can help.

Whether you're a participant, family member, coordinator, provider or organisation, we'd be happy to hear from you. Please share a few details and we'll follow up within one business day.

We'll respond within one business day. For urgent clinical matters, please call 000.