REDHS Services

Transition Care Program (TCP)

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 at home, while appropriate long term care is arranged.

All TCP at REDHS is on the acute ward (not within the residential care setting).

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:

  • Physiotherapy
  • Occupational Therapy
  • Nursing
  • Personal Care
  • Social Work

Who is eligible for TCP?

A person must get an assessment with an Aged Care Assessment Team (ACAT). They may be eligible if they’re an older person and:

  • a patient in a public or private hospital (this includes people receiving hospital-in-the-home)
  • have been told that they’re ready to leave hospital
  • would benefit from receiving services for a short period of time.

For more information on this service please visit the My Aged Care website.

Contact Us
For further information contact the Acute Services Manager, District Nursing Manager & TCP Coordinator on
(03) 5484 4469.