87 Station Road Foster, Victoria, 3960 sghosp@sghs.com.au

Transition Care Program

The Transition Care Program (TCP) provides short-term support for older people at the conclusion of their hospital stay. It aims to help those who need some additional time and assistance to recover.

A case manager is assigned to each client to provide information and support whilst they are on the program. Care can be provided either in the person’s own home or in special TCP beds in hospital.

The average duration of transition care is approximately eight weeks, with a maximum of twelve weeks. A daily contribution fee for the program is required by the patient.

The eligibility criteria includes being:

  • over the age of 65 years, or if Aboriginal/Torres Strait Islander, over the age of 50
  • medically stable and ready for discharge from hospital
  • has been deemed suitable via the Aged Care Assessment Services (ACAS) whilst an inpatient
  • would otherwise be eligible for at least low level residential care
  • would benefit from a package of services that includes physiotherapy or occupational therapy, home help, equipment hire, shopping assistance, nursing support or personal care

If you believe someone may be suitable and would benefit from the program, please contact Jaci Lamb the Transition Care Co-ordinator on 5683 9780. This needs to be done as soon as possible to enable an ACAS assessment to be organised before the patient is discharged from hospital.