Service Integration


PCP members work locally to support organisations to navigate health and social reforms; effectively engage with community to meet local needs; assist consumers to access and navigate services; and ensure consumers have a voice in determining how services are delivered.

The Service Integration priorities include;

  • Health equity - strengthening service provider knowledge, skills and resources related to vulnerable and disadvantaged groups
  • Better Access for people to navigate and be supported to services
  • Service Integration - facilitate how various parts of the system integrate with each other focussed on COVID-19 responses and recovery

Service Integration focus areas for 2020-21 are;

  1. Service Integration: Mapping of service eligibility criteria for health services across Campaspe, supporting intake, referral & discharge processes for chronic and complex consumers
  2. Access: Supporting service system navigation for mental health
  3. Integration: promoting and sharing service disruption and access changes during COVID-19 response and recovery

Equity Access and Service Integration Operational Plan 2017 - 2021

Campaspe PCP Integration Plan 2019-2021



Supporting Service Coordination related to COVID-19 Service changes and disruptions

Campaspe COVID-19 Service Directory - For a more detailed list of local service changes and disruptions due to COVID-19, please refer to this spreadsheet which lists organisation and service changes with local contact details.

COVID-19 Services Changes & Disruptions


Campaspe PCP completed a mapping project of service eligibility criteria for health services across Campaspe, supporting intake, referral and discharge processes for chronic and complex consumers. The products developed as a result of this initiative include:

  • Flowchart - a simple decision making flow chart with links to more information or to referral
  • Interactive excel spreadsheet - of services available in the Campaspe Shire that assist our aged population in Chronic Disease management

The target audience for the resources are service providers primarily to support care planning for chronic and complex consumers.

Service Coordination

Victorian Service Coordination Practice Manual

The Victorian Service Coordination Practice Manual defines the common practices, processes, protocols and systems which support Service Coordination across Victoria. The manual:

  • articulates Victoria's Service Coordination vision and practice standards.
  • documents clear expectations for agencies and practitioners.
  • provides information on systems and other supports available to agencies involved in Service Coordination.
  • guides the implementation of Service Coordination at an agency level.
  • provides a resource for managers and practitioners involved in Service Coordination.
  • Victorian Service Coordination Practice Manual 2012 / view PDF /

The manual is supported by these resources:

  • Good Practice Guide 2012 / view PDF /
  • Continuous Improvement Framework 2012 / view PDF /
  • Service Coordination Tool Templates 2012 / website /

Local resources include:

  • Campaspe Service Coordination Orientation Checklist  / view PDF /
  • Service Coordination Resource Campaspe  / view PDF /


Rural Support Network Key Achievements and Impacts 2016-2019 / view PDF /

Campaspe Dairy Support List of Key contacts / view PDF /

Rural Support Wallet Card Resource / view PDF /

Campaspe Rural Support Community Event Grants, June 2021 / view PDF /

When Times are Tough Newspaper Dec 2020 / view PDF /

Supporting Vulnerable Children and Families In CAMPASPE

Supporting Vulnerable Children and Families

Campaspe Core Competencies Project Summary Report

Child and Youth Area Partnerships - Core Competencies Project / visit /

The Loddon Child and Youth Area Partnership supported a demonstration project in Campaspe based on a

  • commitment to creating a shared understanding of the drivers of vulnerability;
  • Understanding trauma and brain development;
  • Social inclusion;
  • Respecting culture and cultural differences;
  • Sharing information and integrating services.

Campaspe PCP worked in partnership with Campaspe Shire Council and the Loddon Child and Youth Area Partnership in this pilot project to test the hypothesis;
‘Increasing a shared understanding of the drivers of vulnerability will lead to policy and practice change. If we create a shared understanding of the importance of the agreed four areas, will this lead to:

  1. Organisations reviewing their organisational policies and practices?
  2. The development of place-based strategy to address the drivers of vulnerability?
  3. If so, what are the enablers and barriers to this approach being successful?’


This project worked with a cluster of cross-sector organisations and identified community groups based in Shire of Campaspe to:

  1. Support organisations to implement the organisational assessments & develop action plans - Coach and support five organisations to complete the organisational assessment tool and develop action plans to address the findings.
  2. Support organisations to trial the worker self-assessments - Support five organisations to trial the worker self-assessments tools across teams with varying levels of direct contact with children, young people and families and develop actions in response.
  3. Create community knowledge and awareness of the CYAP core competencies/drivers of vulnerability - Promote awareness of the commitment to the shared core competencies including by exploring hosting place-based information sessions with diverse organisations and potentially with community leaders.
  4. Evaluate the evidence of place-based approaches to addressing the causes of vulnerability
  5. Support the CYAP Campaspe Core Competencies Project Reference Group to achieve the goal and objectives of this initiative

Our commitment is that the work we do with children, young people and families is: informed by an understanding of trauma and brain development, respectful of cultural differences, responsive to the causes and impacts of poverty (by strengthening social inclusion) and underpinned by a culture of sharing information and integrating our services (through collaborative practice).

Understanding trauma and brain development

Respecting culture

Social inclusion

Collaborative practice

Campaspe Core Competencies Project Report June 2019


Healthcare That Counts Project

In 2017, the Victorian Department of Health and Human Services (DHHS) released the Healthcare that counts (HCTC): A framework for improving care for vulnerable children in Victorian health services. The HCTC framework was developed to support all Victorian health services to strengthen their response to children at risk of abuse or neglect and drive system-wide improvements to deliver coordinated and high-quality care. All health organisations across Victoria are expected to implement the HCTC framework – whether they be a community health service, acute hospital, Aboriginal health service, rural health service, mental health service, drug and alcohol service or integrated health service.

​A survey of PCP partners established that there were low rates of awareness of the HCTC framework. DHHS has funded the HCTC project to support six health organisations in the Loddon area including Echuca Regional Health and Kyabram District Health Service from the Campaspe area.

Healthcare That Counts Project Summary

Click here for all Healthcare That Counts Project Reports and Further Info (Central Website)

Regional Diabetes Pathway

  • Pathway for Prediabetes, Type I, Type 2 and Gestational Diabetes / website /
  • Diabetes Services Echuca (updated December 2017) / view DOCX /
  • Diabetes Services Kyabram (updated December 2017) / view DOCX /
  • Diabetes Services Rochester (updated December 2017) / view PDF /
  • Diabetes Services Rushworth (updated December 2017) / view PDF /
  • Care Planning definitions (February 2011) / view PDF /

Access & Equity

Providing better access for people to navigate and be supported by the appropriate services with a focus on vulnerable and disadvantaged populations. Strengthening service provider knowledge, skills and resources related to vulnerable and disadvantaged groups.

Dementia Project

  • Campaspe Pathways Flyer (September 2017) / view PDF /
  • Campaspe PCP Dementia Pathways Project Stage 2 Evaluation / view PDF /
  • Regional Sessions and Group Programs / website /
    These are offered to families, friends and carers of people living with dementia / resources /

Rosie Batty Forum 2017

  • Family Violence Service Provider Listing / view DOCX /
  • Strengthening Hospitals Responses to Family Violence / view PDF /
  • Respectful Relationships / view PDF /


  • My Aged Care Support in Campaspe / view PDF /
  • Respectful Language Fact Sheet / view DOCX /

Past Projects

Healthy Ageing Project

Service Coordination and Mental Health Forum 2017

  • Introduction of the NDIS in Campaspe - National Disability Insurance Agency
  • My Aged Care Regional Assessment Service - Regional Assessment Service
  • Active and Healthy Ageing - Department of Health and Human Services
  • Advance Care Planning - Kyabram District Health Service
  • Complex Care (HARP) Program - Echuca Regional Health
  • Innovation in Service Delivery - Recyclability Program - Community Living & Respite Services Inc.
  • Socially Inclusive Communities Project - Campaspe Primary Care Partnership