For People Living In Residential Aged Care Facility
Bulk-billed Clinical Review and Behaviour Support Plan
Ideal for resident-specific support. Focused on assessment, management, and
treatment.
treatment.
Step 1: Comprehensive Geriatric Assessment (CGA)
Full NP-led CGA including:
– Physical assessment
– Cognitive screening
– Social and psychosocial background
– Functional evaluation
– Medication review
Step 2: BPSD Assessment
Conducted by NP using best-practice BPSD guidelines
Identification of behavioural triggers and unmet needs
Review of pharmacological and non-pharmacological interventions
Medication review for compliance with restrictive practice obligations
Family and staff collateral
Strategies aligned with Aged Care Quality Standards
Step 3: Phone Follow-Up
Conducted one week after initial visits
Medication and symptom review
Staff and/or family feedback
Updates on intervention response and progress
Follow-up recommendations as needed
Behaviour Support Plan (Optional)
Comprehensive, individualised BSP
Person-centred, strengths-based approach
Clear documentation of proactive and reactive strategies
Guidance on PRN use and restrictive practices
Cost
The three-step individual reviews are all bulk-billed, and no costs to facility and family. If you require individualised BSP, it costs $250 as it is not covered by MBS.
Deliverables
Comprehensive assessment documentation
Individualised Behaviour Support Plan (Optional)
Clinical communication and recommendations shared with GP and care team
Facility will receive comprehensive review note, and BSP (optional)
Ongoing Care
Unlimited bulk-billed reviews can be provided after initial assessment if required
Ensures continuity of care and monitoring at no extra cost
Contract with RESPOND CARE
The RESPOND Care Contract is an NP-Led Behavioural Consultancy service. We partner with your facility to embed safe, sustainable behavioural support that meets restrictive-practice obligations and lifts everyday care. Unlike one-off reviews, we work alongside your team, build capability, and leave systems that last.
Tailored to Your Facilityʼs Goals
Each facility can shape the contract to address specific behavioural care challenges and compliance needs. The Nurse Practitioner works with you to define clear, achievable goals.
Core Components You Can Include
Weekly Education Sessions
30 minutes: Structured core knowledge (e.g. restrictive practices, PRN use, understanding BPSD)
30 minutes: Reflective session to transform knowledge into practice with nursing staff and leisure therapists
These sessions improve staff confidence and clinical decision-making.
Sundowning Shift Review (4–8 PM)
Onsite, hands-on coaching during high-risk periods
Real-time support with de-escalation techniques
Modelling PRN decision-making and documentation
Builds practical skills in frontline staff through observation and joint problem- solving
BSP Review & Restrictive Practice Alignment
Audit, create and refine Behaviour Support Plans
Ensure compliance with Aged Care Quality Standards
Highlight gaps and plans to minimise them
Train-the-trainer coaching model for sustainable improvements in practice
NP-Embedded Care
Behaviour-focused prescribing aligned with restrictive practice legislation. Direct communication and case conferencing with GPs
Family engagement and liaison to support shared understanding.
Onsite presence builds ongoing clinical trust with your team
Liaise effectively with the multidisciplinary team, including nursing staff, leisure therapists, occupational therapists, physiotherapists, and other allied health professionals to ensure coordinated, person-centred care.
Train-the-Trainer Coaching Model
Targeted coaching for team leaders or champions
Builds internal leadership capacity to mentor others
Supports long-term skill retention beyond the contract period
Ideal for organisations aiming to reduce dependency on external consultants.
Contract Structure & Flexible Options
Minimum engagement: 4 weekly onsite visits.
Visit types: Half-day (4h) or Full-day (7h).
Mix & match: Combine half- and full-days to meet your goals (e.g., include a 4–8 pm sundowning session within a full-day)
Example Plans
Plan A — Foundations: 4 × Half-Day
Education, BSP refresh cycle, and targeted on-shift coaching.
Education, BSP refresh cycle, and targeted on-shift coaching.
Plan B — Mixed Focus (with sundowning): 3 × Half-Day + 1 × Full-Day
Three half-days for education/BSP work/coaching + one full-day that includes a 4–8 pm sundowningobservation.
Three half-days for education/BSP work/coaching + one full-day that includes a 4–8 pm sundowningobservation.
Scheduling tip: Book the full-day in Week 3 to apply learning mid-program.
Plan C — Enhanced Coverage: 2 × Full-Day + 2 × Half-Day
For larger or higher-acuity sites; more BSP throughput and leadership mentoring.
How it works
Enquire: Share your goals and current challenges.
Plan: Agree priorities, visit pattern, and measures.
Embed: On-site coaching, education, BSP updates, and MDT liaison.
Track results: Short monthly summary with progress and next steps.
What success looks like
Fewer behaviour-related incidents and safer de-escalation.
Improved documentation quality for RP/PRN decisions and BSPs.
Higher staff confidence and education completion.
Clearer GP/family communication and follow-through.
Facility-Tailored Focus
Choose components such as education, BSP review, staff coaching, embedded prescribing, or sundowning support
NP adapts focus each week in response to evolving priorities and team input
Benefits to Your Facility
Strengthen Clinical Confidence
Enhance Documentation & Audit Readiness
Reduce Behaviour-Related Incidents
Customised Facility-Wide Support
Increase Staff Retention & Morale
Improve Family & GP Engagement
Cost
Please contact RESPOND CARE for further information and cost for contract.