Transitional Care Program
Supporting older people after a hospital stay
Available as:
🔹 Community-based transition care (fixed-term support at home)
🔹 Hospital-based transition care
The Transition Care Program (TCP) provides short-term care and support services for older people, and in some cases younger people, following a hospital stay.
TCP helps people continue their recovery in a more appropriate setting closer to home by providing maintenance-level therapy, care, and support. The program aims to improve independence, optimise daily functioning, and assist people in planning for their longer-term care needs.
Testimonial
“It has helped me regain my independence”
- C. Guyatt
Testimonial
“By referral to the hospital, I was able to be admitted after the operations, and receive all the care and attention that I needed”
- E. Perry
Benefits of Transition Care
Supports recovery after hospital discharge
Promotes independence and confidence
Reduces the need for extended hospital stays
Provides personalised care and support
Assists with planning ongoing care arrangements
Helping you recover, regain confidence, and return to everyday life after hospital.
Transition care may be delivered in:
Community-based settings such as your own home
Hospital-based settings
Residential aged care facilities providing bed-based transition care
The location of care will depend on your individual needs and recovery goals.
Services may include
Case management
Nursing care
Personal care and support
Domestic assistance and housekeeping
Meal assistance
Allied health and maintenance therapy
Coordination of appointments and transport
Support with regaining independence and daily living skills
To receive Transition Care Program services, you must be assessed and approved by the Aged Care Assessment Service (ACAS/ACAT) while you are still in hospital.
The assessment will determine:
Your eligibility for the program
The type of support you require
Whether care is best provided in your home or in a residential setting
Delivers better outcomes for our rural community