Transition care: Accessing care after hospital

It is important to be aware of all of the care available when required. There is temporary and ongoing care for people but also transition care for periods when higher care is required in situations like post-surgery or acute illness.

What is a Transition Care Package?

The Transition Care Package or TCP provides a higher level of support than a regular Home and Community Care package and is accessed in times when a person needs more care due to a recent hospital stay.

How do I access a TCP?

It is important to note that in order to access a TCP, the person must be assessed while they are still in hospital. The assessment is carried out by an ACAT or ACAS assessor (see What is an ACAT Assessment), in hospital to ask a range of questions about the person’s health and day-to-day management.
During the visit they can also advise on the kinds of services and support available and whether the person will be eligible, based on needs, not based on the ability to pay for the services.

Do I have to be at home to access a TCP?

You do not have to be at home to access a TCP but you do have to be in a bed-based setting, that is in a nursing care facility, in the person’s own home or in a combination of both if a person moves from one to the other.

What services are available through the TCP?

There are a range of services and support available through the TCP including.
  • Case management.
  • allied health care including assistance from a physiotherapist, dietician, podiatrist and social worker
  • nursing support
  • personal care and hygiene services.
If you would like more information about aged care, or access to services, you can contact our team of experts today on 03 8785 0999.