Assessment & Care Planning
- Comprehensive Nursing Assessments
- Post Hospital Discharge Reviews
- Nursing Care Plans
- Care Coordination
- Clinical Liaison with GPs, Specialists and Allied Health
Now accepting new referrals in Canberra
RN-Led Community Nursing for NDIS, Support at Home Package (Brokerage) & DVA (Brokerage) Clients in Canberra
Helping people stay safe, stable and independent at home, and avoid unnecessary hospital visits.
Everwell Community Nursing provides Registered Nurse-led support for NDIS, Support at Home Package (Brokerage), and DVA (Brokerage) clients with complex health needs. We work alongside families, support coordinators and providers to deliver proactive care in the community.
Registered Nurse led
NDIS, Support at Home (Brokerage) & DVA (Brokerage)
Canberra based
Clinical oversight
at home, not in hospital
Proactive nursing to catch issues early and keep participants stable.
Why Everwell Exists
Filling the gap between disability supports and healthcare.
Many NDIS, Support at Home Package (Brokerage) and DVA (Brokerage) clients end up in hospital because small health issues are missed early. Support workers are often managing complex medical needs without clinical oversight. Hospital discharge plans can fail without the right community support.
Everwell bridges that gap with proactive, registered-nurse-led care at home.
Reduce avoidable hospital visits
Provide clinical oversight at home
Support safe hospital discharge
Help participants stay stable long-term
Services Available
Registered Nurse-led care, tailored to you.
Available for NDIS, Support at Home Package (Brokerage), and DVA (Brokerage) clients across Canberra. 23 clinical supports, all overseen by a Registered Nurse.
Medication & Clinical Support
- Medication Management
- Medication Administration
- Vital Signs Monitoring
- Diabetes Monitoring
- Chronic Disease Management
Wound, Continence & Complex Care
- Wound Assessment and Management
- Pressure Injury Prevention and Management
- Continence Assessments
- Catheter Care (IDC & SPC)
- Bowel Care
- Stoma Care
- PEG Feeding and Enteral Nutrition
- Complex Nursing Supports
- Palliative Nursing Support
Education & Capacity Building
- Clinical Health Education
- Support Worker Clinical Training
Community & Daily Support
- Community and Social Support
- Support with Daily Personal Activities
Don't see what you're looking for? Give us a call on 0450 270 547 and we'll talk it through.
Who We Help
Three pathways, one standard of care.
We work with people across Canberra whose health needs go beyond support work alone, no matter how their care is funded.
NDIS Participants
Self-managed and plan-managed participants with complex or chronic health needs.
DVA Clients (Brokerage)
Veterans on DVA brokerage arrangements, working alongside DVA-approved providers.
Support at Home Package (Brokerage)
Older Australians on a Support at Home Package (Brokerage), with nursing tailored to your package and provider.
Common needs we support
- Have complex or chronic health needs
- Need extra support after hospital discharge
- Live in SIL or supported accommodation
- Need help managing medications or health conditions
- Want to stay safe and independent at home
Our Approach
A simple, steady rhythm of care.
Three clear steps built around the participant, focused on prevention, clarity, and lasting independence.
01
Understand
We listen and learn about the participant's health needs, goals and supports.
02
Stabilise
We provide proactive nursing support to reduce risks and prevent escalation.
03
Support Independence
We work with the support team to keep participants safe and thriving at home.
Why Everwell
Why families & coordinators choose Everwell.
A local team built for the quiet, consistent work of keeping participants stable and well.
- RN-led care, not just support work
- Focus on prevention, not crisis response
- Clear communication with support teams
- Reliable, compassionate and person-centred
- Local Canberra provider
RN-led
Every plan is overseen by a Registered Nurse from day one.
Kind Words
Trusted by coordinators, providers & families.
Real feedback from the people we work alongside every week.
“Everwell's nurse spotted a pressure injury early and worked with our team to manage it at home, and our participant avoided a hospital stay entirely.”
Sarah M.
Support Coordinator · Canberra NDIS provider
“Calm, practical and genuinely kind. They took time to understand my son's routine and the support workers feel more confident with his medications now.”
Paula T.
Parent · Family of NDIS participant
“Communication is what sets Everwell apart. Clear handovers, quick responses, and their clinical notes make my job so much easier.”
James W.
Plan Manager · ACT plan management team
Referrals Welcome
A participant on your mind? We're ready to help.
We accept self-managed and plan-managed participants. Support coordinators, plan managers, providers and families are welcome to contact us to discuss participant needs.
- Self-managed participants
- Plan-managed participants
- Support coordinators welcome
- Providers & families welcome
Quick next step
Send us a referral or have a brief chat. We'll respond within one business day.
We support NDIS participants (self-managed and plan-managed), older Australians on a Support at Home Package (Brokerage), and DVA clients through brokerage arrangements. NDIS services are usually claimed under Improved Daily Living (Capacity Building) or Core Supports; Support at Home and DVA funding is coordinated with your provider or DVA contact. We'll confirm the right line items before we start.
We cover all of Canberra and the surrounding ACT region, including north, south, inner and Woden/Tuggeranong. For participants just outside the ACT, please call us and we'll let you know if we can help.
We usually respond to referrals within one business day. A Registered Nurse will make contact to discuss needs, and in most cases we can complete an initial assessment within 3–5 business days. Urgent post-hospital discharges can often be prioritised.
Yes. We regularly provide clinical oversight, training and ongoing nursing support for participants in SIL settings, and we work closely with house managers and support workers to keep everyone on the same page.
Anyone involved in the participant's care, including participants themselves, family members, support coordinators, plan managers, other providers, or hospital discharge teams. Use the contact form or call us directly on 0450 270 547.
We'll call you within one business day to understand the participant's needs, confirm funding, and arrange an initial visit. From there, a Registered Nurse builds a tailored plan and we begin proactive support, with regular communication back to your team.
Contact
Replies within 1 hour during business hours
Let's talk about how we can help.
Whether you're a participant, family member, coordinator or provider, we'd love to hear from you.