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Factsheet HSV16 - Community Nursing Services


This Factsheet is about community nursing services, who is eligible to receive these services and how you can access community nursing.

What is community nursing?

Community nursing provides clinical nursing services to eligible members of the veteran community in their own home. Community nursing services can assist with medication, wound care, hygiene and help with showering or dressing. Community nursing services can help to restore or maintain your health and independence at home and assist you to avoid early admittance to hospital or residential care.

Community nursing services are provided by a mix of personnel including registered and enrolled nurses and nursing support staff, who work within the framework of their relevant national standards.

Who is eligible?

If you have a Gold Card, the Department of Veterans' Affairs (DVA) will fund community nursing services through DVA arrangements to meet all of your assessed clinical and/or personal care needs.

For more information, please see Factsheets HSV59 – Eligibility for the DVA Health Card/Veteran Card All Conditions or Totally & Permanently Incapacitated (GoldCard) and HSV60 – Using the DVA Health Card/Veteran Card – All Conditions (Gold) or DVA Health Card/Veteran Card Totally & Permanently Incapacitated (Gold).

If you have a White Card DVA will fund community nursing services if they are required because of an accepted war or service caused injury or disease (accepted disabilities).

For more information, please see Factsheet HSV61 – DVA Health Card/Veteran Card – Specific Conditions (White).

DVA will fund community nursing services for Commonwealth and other allied veterans for injury or disease that has been accepted as war caused by the country of origin. For more information on the services available, please refer to Factsheet HSV62 – Commonwealth and Other Allied Veterans Living in Australia.

How do I obtain community nursing services?

You need a referral to access community nursing services, which you may obtain from:

  • a General Practitioner (GP),
  • a Nurse Practitioner specialising in a community nursing field,
  • a treating doctor in hospital,
  • a hospital discharge planner, or
  • a Veterans’ Home Care (VHC) Assessment Agency.


A referral is only required for:

  • newly admitted entitled persons to the Community Nursing Program, or
  • entitled persons starting a new episode of care.

How many services can I have?

The community nursing provider receiving your referral will arrange for a registered nurse to assess your clinical need for nursing services. The registered nurse will then determine, in consultation with you, the number, type and frequency of nursing services you need. These will be monitored and reviewed at least monthly by a registered nurse to ensure the care you receive is appropriate to your clinical needs.

Do I need to pay?

No, the community nursing provider will bill DVA directly for the care provided to you. Advise DVA immediately if you receive an account for your community nursing care, and do not pay the account.

What happens on my first visit?

The registered nurse will:

  • assess your clinical need for nursing care;
  • contact DVA to confirm that you are eligible for community nursing services if you have a White Card;
  • if you are assessed as requiring 1.5 hours or less of personal care per week, and you have no clinical need for nursing care, the nurse will refer you to the Veterans’ Home Care program to provide your personal care;
  • if you are assessed as requiring more than 1.5 hours of personal care per week, and/or if you require any level of clinical nursing care, your care will be delivered through the DVA Community Nursing Program; and
  • in consultation with you, and your carer if present, prepare a written community nursing plan.

You will be asked to sign a copy of the care plan, and the registered nurse will give you a copy of your care plan to keep in your home.

What is the Coordinated Veterans’ Care (CVC) Program?

The CVC Program aims to increase community based support for eligible Gold Card holders who have one or more chronic conditions, complex care needs and are at risk of hospitalisation.

CVC Program care coordination services may be provided by either a Practice Nurse in the GP’s practice or a community nurse from a DVA community nursing provider through the Community Nursing Program. You may ask your GP to assess your eligibility for the CVC Program.

More Information

DVA General Enquiries

Phone: 1800 555 254 *


Factsheet website:

DVA Website:

Additional Information

DVA Service Provider Enquiries

Phone: 1800 550 457*

Service Provider Website:

Open Arms - Veterans & Families Counselling

Phone: 1800 011 046 *


At Ease Website:

Related Factsheets


The information contained in this Factsheet is general in nature and does not take into account individual circumstances. You should not make important decisions, such as those that affect your financial or lifestyle position on the basis of information contained in this Factsheet. Where you are required to lodge a written claim for a benefit, you must take full responsibility for your decisions prior to the written claim being determined. You should seek confirmation in writing of any oral advice you receive from DVA.

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17 October 2019