A collaboration between the Aged Care Sector, Public Hospitals and the Community, to improve care and options for Older People
What is the Transition Care Program?
The Transition Care Program (TCP) provides care and restorative services for a short term period for older people who have been in hospital. By offering low level therapy and support it allows people to be discharged quicker and continue their recovery out of the hospital system, while appropriate long term care is arranged. TCP services can be provided either in your own home or in a bed based service.
A case manager will assist you in managing your care. They will meet with you and your family / carer to discuss, plan and manage your care. In consultation, the case manager will develop a care plan that describes your needs and outlines the services to be delivered such as:
- Personal care
The period of time that you will need to be on the program will be discussed with you at admission and through your time on the program to discharge.
The Transition Care Program is NOT a long term arrangement.
Will I need to pay?
Yes, you will have to pay the normal daily care fee for aged care client services. However, alternative arrangements can be investigated in cases of financial need.
Who should I talk to if I want more information about the TCP?
You can ask either the nursing or allied health staff looking after you on the ward for more information about the program. They will ensure somebody who knows about the program can provide you with more information.
All major metropolitan public hospitals and selected country hospitals are participating in this program.
More detailed information is also available in the TCP Client Information Pack.
What will happen?
If you agree to participate and a place is available, the hospital will contact the TCP and our TCP Team along with the Aged Care Assessment Service (ACAS) will visit you.
Our TCP Team and ACAS will assess what your immediate needs are, discuss with you and your family / carer a plan of care and determine if the program can provide an appropriate option of care for you.
If you are agreeable, we will arrange for you to be discharged / transferred as soon as you are medically stable and your GP has been notified.
Your rights and responsibilities will be discussed with you and your family / carer by your case manager.
For further information please contact the TCP team on (03) 5368 1100 or email firstname.lastname@example.org with your enquiry.