Multidisciplinary Ambulatory Consulting Service (MACS) - CALHN outpatient services
The MACS clinic provides outpatient services to patients living in the Central Adelaide Local Area Health Network (CALHN). MACS is a multidisciplinary service supporting patients with multiple and complex chronic conditions who are at risk of being hospitalised.
The service combines evidence based clinical guidelines, patient centred practice and a shared care approach with general practitioners to enable patients to optimise their health and wellbeing and reduce hospital admissions.
Criteria for referral
require complex medical management due to multimorbidity
frequently present to the emergency departments, requiring hospital admissions
require medication optimisation
would benefit from holistic care management with multidisciplinary input
require coordination of care, as they see multiple medical specialists and would benefit from case management.
require further health education and support for effective self-management.
are transitioning from paediatric chronic care management to the adult system.
For patients in residential care facilities please contact our team directly to discuss the most suitable follow-up options which may include discussion with other services.
Clinic fax (for referrals): (08) 84296070
Named referrals are accepted. Please state the reason for referral.
Comprehensive referrals including medications and a problem list assist with triaging
Triage categories include:
Immediate appointment (please call if the referral is urgent)
If the patient, or their general practitioner, is concerned about deterioration in the medical condition, and assessment is required earlier than planned, a phone call to the Chronic Disease Nursing staff on 0434362390 or to RAH Clinical Pharmacology Department on (08) 7074 2701 will allow this to be discussed with one of the team members.
Post discharge guidelines
Patients will be discharged once their medical conditions have stabilized. If re-assessment is required, a new referral, preferably a named referral (see consultant list), should be faxed to the RAH Outpatients Referrals Hub on (08) 7074 6247.
Appointment location – Outpatients
Royal Adelaide Hospital (RAH) — Wednesday afternoons and Friday afternoons
RAH Level 5 East Outpatients 1 Port Road, Adelaide SA 5000 Please view the Outpatient map (go to level 5 map)
Sefton Park Primary Health Care Services — Tuesday mornings
221 Main North Road Sefton Park 5083
Appointment enquiries: (08) 7074 2701
Review / change of appointments: (08) 7074 2701
Clinical Pharmacology Department/ MACS Team Level 8, RAH, 1 Port Road, Adelaide SA 5000 Telephone: (08) 7074 2701 Fax: (08) 8429 6070
Multidisciplinary team members
Professor Sepehr Shakib (Director of Clinical Pharmacology)
Dr Rami Tadros (Clinical Pharmacologist, General Physician)>
Dr Nicholas Farinola (Clinical Pharmacologist, General Physician, Hospital at Home Consultant)
Use of the information and data contained within this site or these pages is at your sole risk.
If you rely on the information on this site you are responsible for ensuring by independent verification its accuracy, currency or completeness.
This site includes links to other websites operated by community, business and government.
These linked websites will have their own terms and conditions of use and you should familiarise yourself with these.
All linked websites are linked 'as is' and the Government of South Australia:
does not sponsor, endorse or necessarily approve of any material on websites linked from or to this Site;
does not make any warranties or representations regarding the quality, accuracy, merchantability or fitness for purpose of any material on websites linked from or to this Site;
does not make any warranties or representations that material on other websites to which this site is linked does not infringe the intellectual property rights of any person anywhere in the world; and
does not authorise the infringement of any intellectual property rights contained in material in other websites by linking this site to those other websites.
If you use automatic language translation services in connection with this site you do so at your own risk.
The information and data on this site is subject to change without notice. The Government of South Australia may revise this disclaimer at any time by updating this posting.
The Government of South Australia, its agents, instrumentalities, officers and employees:
make no representations, express or implied, as to the accuracy of the information and data contained on this site
make no representations, express or implied, as to the accuracy or usefulness of any translation of the information on this site or any linked website into another language
make no representations as to the availability of the site and the availability of websites linked from or to the site
accept no liability however arising for any loss resulting from the use of the site and any information and data or reliance placed on it (including translated information and data)
make no representations, either expressed or implied, as to the suitability of the said information and data for any particular purpose
accepts no liability for any interference with or damage to a user's computer, software or data occurring in connection with or relating to this Site or its use or any website linked to this site
do not represent or warrant that applications or payments initiated through this site will in fact be received or made to the intended recipient. Users are advised to confirm the application or payment by other means.