The Care Collective aims to improve access to primary health care and coordination of care for those people in the Caboolture hospital catchment living with Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure (CHF), falls and dementia. The concept of the Care Collective offers a new way of connecting services and supports that are already in place and encourages and enables information sharing. The number of emergency department presentations per month has significantly reduced after referral to the Care Collective. On average patients had a 83% reduction in ED attendances. There has been a 56% increase in the proportion of patients with zero or one ED presentation per month and no patients with more than three presentations per month after referral to the Care Collective.