APNA Cultiv-8 Nurse Clinics Program EOI

Expression of Interest Application: APNA Cultiv-8 Nurse Clinics Program

Gold Coast Primary Health Network (GCPHN) is seeking expressions of interest (EOI) from general practice teams to participate in APNA's Cultiv-8 Nurse Clinics Program.

To express interest, please complete the form below.

Please ensure you have reviewed and understand the following webpage and guide below before completing the EOI form:

EOI Opening date: 4 August 2025

EOI Closing date: 25 August 2025, 5pm

For more information, please contact: krystall@gcphn.com.au

Practice Details

Name of general practice *

Phone Number *

Lead Nurse Details

Second Representative Details

The lead nurse is the person responsible for leading the Cultiv-8 Nurse Clinics program

The second representative is a support for the lead nurse for the Cultiv-8 Nurse Clinics program

Nurse Full Name *

Second Representative Full Name *

Nurse Email Adress *

Second Representative Email *

Nurse Phone Number *

Second Representative Phone Number *

Cultiv-8 Nurse Clinic questions

1. How does your proposed nurse clinic model align with identified health priorities or population health needs in your local community? Please include relevant data or evidence used to inform this need. *

2. What evidence supports the implementation of your proposed nurse-led model of care? Please outline the rationale, any existing models it draws from, and how it addresses local demand and access for your chosen target population. *

3. Please describe your organisation’s capacity to implement and sustain a nurse clinic, including staffing qualifications, team-based care processes, and organisational commitment to nurse-led models. *

4. What governance structures are currently in place to support the implementation and oversight of a nurse clinic within your organisation? Please provide an overview of any relevant policies, procedures, or quality frameworks. *

Declaration

By submitting this form, I hereby agree:

I have read the GCPHN EOI webpage and my practice is eligible.
I declare that all information provided in this application is true and correct.
I acknowledge and accept that information provided in this application will be stored by GCPHN in various formats including hard copy and/or electronic storage.
I acknowledge, understand and accept that this application does not create a legal or binding committment, arrangement or understanding between GCPHN and the applicant organisation.
I consent to GCPHN using my personal information in line with our Privacy Policy
I agree & consent to:
- Sharing personal information (name, email and/or phone number)provided on this form with APNA as the training provider for the Cultiv-8 Nurse Clinics program

*

Signature *

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Full Name *

Date *