Western Australia Services
The information on the Rare Awareness Rare Education (RARE) Portal is intended for educational purposes only and does not replace professional advice.
Rare diseases typically display a high level of symptom complexity and variability. Individuals diagnosed with the same rare disease may be impacted differently and each person’s experience is unique. Please seek support from qualified healthcare professionals to learn more about the most suitable care and support options for you.
An estimated 2 million Australians live with a rare disease, and it is prominently cited that there are more than 7,000 different rare diseases.1 There is no cure for many rare diseases, therefore, quality of life and extending life expectancy are vital. More information about rare diseases.
While there is large variation among rare diseases, people living with a rare disease face common challenges. These include the struggle for a timely and accurate diagnosis, limited care and support options and a lack of research into rare diseases, despite recognised gaps in knowledge. People living with a rare disease and their families also experience financial impacts, either due to out-of-pocket costs associated with care and support, or due to loss of income associated with taking on a carer role.1 Australians living with a rare disease need integrated care and support services.
This page contains information about the relevant resources and services available in Western Australia (WA). Information about services available at the national level as well as in the other states and territories can be found on the individual State and National Services pages.
If you are aware of any additional information that may benefit stakeholders with an interest in this page or another page on the Rare Awareness Rare Education (RARE) Portal, or if you notice any broken links or misleading information, please let us know via the Contribute page.
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Policy | Diagnostics | Genetic Counselling | Specialist Clinical Care | Digital Health | Education | Disability Support | Mental Health | Other Support for Families/Carers | School Education Support | Transition Services | Palliative Care Services | References
Launched in 2020 by the Australian Government, the National Strategic Action Plan for Rare Diseases (the Action Plan) is the first nationally coordinated effort to address rare diseases in Australia. Due to the great complexity, significant unmet need, and critical urgency associated with rare diseases, systemic reform is required. The Action Plan represents the views of the rare disease sector and outlines a comprehensive, collaborative and evidence-based approach to achieving the best possible health and wellbeing outcomes for Australians living with a rare disease.
There are also specific policies and reports that serve as frameworks for healthcare and support services in WA; some of which are listed below.
- WA Health Clinical Services Framework 2014–2024
- WA Aboriginal Health and Wellbeing Framework 2015–2030
- WA Health Digital Strategy 2020–2030
- Disability Health Framework 2015-2025
- WA State Priorities Mental Health, Alcohol and Other Drugs 2020 – 2024
- WA Carers Strategy
- WA Department of Education: Disability Access and Inclusion Plan 2018–2023
- WA End-of-Life and Palliative Care Strategy 2018-2028
- Aboriginal End-of-Life and Palliative Care Framework
- WA Paediatric Strategy for End-of-Life and Palliative Care 2021-2028
Early diagnosis enables the best clinical care, treatment options, access to services, peer support, increased reproductive confidence and access to participation in clinical trials. Yet diagnostic delay and misdiagnosis are common in rare diseases. Thirty per cent of Australian adults living with a rare disease are impacted by a diagnostic delay of more than five years, while almost half have received at least one misdiagnosis. Both diagnostic delay and misdiagnosis can negatively impact the level of care and support received by individuals. This has physical, psychological, emotional and financial costs for the person and family living with a rare disease.1
Screening and diagnostic programs play an essential role in the diagnosis of rare diseases. Prenatal and newborn screening programs (NBS) are vital in enabling early detection of diseases and, in some cases, early intervention that may lead to better prognosis and outcomes. Below is a list of diagnostic resources and services available in WA.
- Australian Government: Newborn blood screening conditions screened in Australia by state/territory
- WA Department of Health: Newborn Baby’s Screening Test
- WA Department of Health: Information on genetic testing
- WA Department of Health: Genetic Services of WA
- Western Australian Register of Developmental Anomalies (WARDA)
- Genetic Services of WA: Referral guidelines for Clinicians
- Human Genetics Society of Australasia (HGSA) – Clinical genetic services in WA
- NSW Centre for Genetics Education: Genetic Services in Western Australia
Approximately 80 per cent of rare diseases are of genetic origin.1 Genetic rare diseases result from a disease-causing mutation or change in an individual’s DNA, which may be detected through genetic testing. Certain genetic rare diseases are inheritable—the mutation can be passed on from parents to their children. Some individuals may not have a rare disease but may be carriers of a genetic mutation that can cause a rare disease in their children. In such cases, it is important to seek genetic counselling to understand the inheritance patterns and risks of genetic rare diseases in families. Genetic counsellors are qualified allied health professionals who provide information and support regarding genetic conditions and testing. Genetic counsellors help individuals and families understand their diagnosis and associated risks and develop a plan for their future. Genetic counselling is an essential part of genetic testing and carrier genetic screening. Individuals diagnosed with a particular genetic rare disease, or those who suspect a history of genetic rare disease in their family, may seek genetic counselling from a certified and registered genetic counsellor through a referral from their medical practitioner.
- Human Genetics Society of Australasia (HGSA) – Clinical genetic services in WA
- Human Genetics Society of Australasia (HGSA) – Search for a Registered Genetic Counsellor in WA
Specialist Clinical Care
Rare diseases are often complex, serious, chronic and progressive conditions. Treatment of a rare disease often involves multidisciplinary teams, including a variety of clinical, nursing and allied health specialists. The National Health Services Directory is a national directory of health services, including a list of hospitals, specialty clinics and healthcare professionals that can be searched by state or territory. Additional information about rare disease specialty clinics may be available on specific rare disease pages on this RARE Portal.
Further information about the available health services in WA can be found below:
- WA Health: Services search
- WA Government: Public health services
- WA Government: WA Country Health Service
- WA Government: Metropolitan Health Services for Aboriginal people
- South West Aboriginal Medical Service (SWAMS): Services for chronic conditions
- WA Government Child and Adolescent Health Service
- Clinical Centre of Expertise for Rare and Undiagnosed Diseases (Rare Care Centre) at Perth Children’s Hospital – provides holistic care and support through a dedicated statewide cross sector care coordination service for children and adolescents with a rare or undiagnosed disease.
Digital health services, including virtual clinics, telehealth (telemedicine) services and electronic prescriptions, are key components of modern health care and social support. These services are arguably more pertinent in a rare disease context, where conditions are often complex and chronic, and expertise is scarce and geographically dispersed. My Health Record is an existing tool that can be used to improve the coordination of care and planning for people with chronic and complex conditions, like those living with a rare disease.2
- My Health Record – a safe and secure place to store key health information that is available to individuals and healthcare providers whenever it’s needed, including in an emergency
There are also additional resources on digital health provided by WA Government.
- Healthy WA: Telehealth – delivering virtual care closer to home
- Healthy WA: Telehealth appointments at home
- WA Country Health Service: Telehealth
- WA Children and Adolescent Health Service (CAHS): Telehealth
- Healthy WA: Electronic prescriptions for medication
- WA Department of Health: Electronic Prescribing Systems (for healthcare professionals)
Education about healthcare and rare diseases is vital in enabling and empowering individuals to become active participants in their rare disease journey. Having access to educational resources can equip individuals with the tools and knowledge to advocate for their health. Raising awareness of preventative measures is also essential.
Additional education resources can be found by searching the National or the other State and Territory Services pages. The Healthcare Professional and Researcher pages also have specific resources targeted at these two stakeholder groups.
- WA Health
- WA Health: Aboriginal Health
- WA Health: Language (interpreter) services
- Health Consumers’ Council of WA
- Aboriginal Health Council of Western Australia (AHCWA)
- WA Health: Office of Population Health Genomics
- Telethon Kids Institute – research on childhood’s diseases, conditions and issues
People living with a rare disease, including families and carers, often have complex support needs that extend beyond health to disability, social/welfare, mental health, education, employment and housing.1 Integrated rare disease care and support systems are required to identify and meet these complex needs.
A rare disease diagnosis typically leads to impossible choices based on incomplete knowledge and unclear pathways. It can be difficult for people living with a rare disease to navigate the health, disability and other systems.1 Below is a list of Australian and WA Government services that provide support for people living with disability. There are also links to some external disability support services for those living in WA.
- WA Department of Communities: Disability Services
- ConcessionsWA: People with Disability
- Community Aids and Equipment Program (CAEP) – provision of equipment and home modifications to people with long-term disability
- National Disability Insurance Scheme (NDIS) in WA
- Disability Gateway – search for government services or help in WA
- My Aged Care – search for an aged-care provider in WA
Living with a rare disease can pose significant psychological challenges for individuals, their families and carers.2 Feelings of isolation, uncertainty, and despair about a rare disease diagnosis and prognosis are common. It is important to recognise the mental health challenges of living with a rare disease, and to integrate mental health, and social and emotional wellbeing into rare disease care and support for the whole family.1
Below are mental health resources that provide support to Australians, including those living with a rare disease in WA. Additional mental health resources are listed at the National Services page. These resources provide general information only and do not provide advice or recommendations on mental health and wellbeing. We encourage people living with a rare disease to consult with health professionals when accessing mental health and wellbeing resources.
- Healthy WA: Mental health resources
- Child and Adolescent Mental Health Services (CAMHS)
- Disability Gateway – Search for mental health and wellbeing services in WA
- Western Australian Association for Mental Health (WAAMH)
- HelpingMinds: Mental Health Support in WA & NT – provides mental health carer support services
- Mind Australia – registered NDIS provider that supports people who are experiencing mental health and wellbeing concerns
Other Support for Families/Carers
Below is a list of other support available to people living with a rare disease in WA, including their families and carers.
- WA Country Health Service: Patient Assisted Travel Scheme (PATS)
- Healthy WA: Interstate Patient Travel Scheme (IPTS)
- Royal Flying Doctor Service in WA – provides 24-hour, 7 days a week aeromedical retrievals as well as primary healthcare services
- Carers WA
- Variety Australia: The children’s charity for children in need (WA) – provides grants, scholarships, programs and events
- Kiind (formerly Kalparrin) – provides practical assistance, emotional support, connection to other families and direction to the most appropriate services and supports to WA families raising children living with disability, developmental delay, autism, genetic, rare, undiagnosed and/or chronic health conditions
School Education Support
Support at school is vital for children living with rare diseases and their families and carers. Children with rare diseases are often absent from school due to being unwell or undergoing treatment. They may also require specific supports to accommodate physical, behavioral, mental and developmental aspects of their condition. Such supports can be provided by improving accessibility with ramps, ensuring specialised equipment is available and the provision of extra support staff.
Families, carers and school staff must work together to ensure children living with a rare disease have access to reasonable adjustments to meet their specific needs. These adjustments must ensure equitable access to the curriculum and school community. The WA Department of Education) has specific resources and information on disability, and learning and support. Information and services specific to WA and relevant to different stages of education can also be found through the Disability Gateway.
- WA Department of Education: Children with special educational needs
- Disability Gateway – search for information and services in WA:
Transition across health services refers to the shift of one’s care from one health service to another. Transition may be necessary to accommodate changes in age, level of need, providers, geography or other factors. The transition from paediatric to adult health services is commonly cited as a challenge for people living with a rare disease.1 Paediatric to adult transition services provide young people living with a rare disease, and their families and carers, with guidance and support to move across health services and prevent feelings of fear, uncertainty and abandonment that may arise during this process.
Below is a list of paediatric to adult transition services available in WA. Please note, not all health services have a formal program for transitions, so it is important to start having these conversations with your child’s medical team as your child approaches 14 to 16 years of age.
- WA Child and Adolescent Health Service: Transition to adult healthcare – provides information and resources for adolescents and their families
- WA Health: Transition readiness checklist for young people
- WA Health: Transition readiness checklist for parents and carers of young people
- Healthy WA: My Health in My Hands – a 3-minute animation aimed at young people residing in WA aged 12 to 18 to provide support as they become more independent with their healthcare
Palliative Care Services
Palliative care encompasses treatment, care and support for people living with a life-limiting or terminal illness. It plays a vital role for individuals and families living with a life-limiting rare disease, including improving quality of life while also providing end-of-life-care.
Palliative care may be required at any age; however, the needs of children and their families often differ from older individuals. Cultural factors of diverse groups, including Aboriginal and Torres Strait Islander people, must also be considered by palliative care services. Palliative care must be person-centred and adaptable to changes in need over time.
- WA Department of Health: Palliative Care
- WA Department of Health: Paediatric and Adolescent Palliative Care Model of Care
- WA Department of Health: Perinatal Palliative Care Model of Care
- WA Department of Health: Guide to specialist palliative care services (for healthcare professionals)
- Palliative Care WA
- WA Paediatric Palliative Care Service
- Commonwealth of Australia. Department of Health. National Strategic Action Plan for Rare Diseases. Canberra;2020. 63 p. Available From: https://www.health.gov.au/sites/default/files/documents/2020/03/national-strategic-action-plan-for-rare-diseases.pdf
- Rare Voices Australia. The evidence base for the National Strategic Action Plan for Rare Diseases – A companion document to the National Strategic Action Plan for Rare Disease. [Internet]. 2020. Available from: https://rarevoices.org.au/wp-content/uploads/2020/09/RVAEvidenceBaseDoH.pdf
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