What is the Transition Care Program (TCP)?
The Transition Care Program assists individuals in transitioning from the hospital into their homes after receiving medical care. This government program provides support during the transition process. The TCP delivers these services through the TCP, including;therapy, rehabilitation, and assistance with activities of daily living such as mobility, medication, and personal care. The program aims to encourage individuals to be as independent as possible and avoid the need for long-term residential care.
About the Transition Care Program
Transition care provides short-term care for older people to help them recover after a hospital stay, including:
- social work
- nursing support
- personal care
- allied health care.
Purpose of TCP
- Provide support after hospital discharge
- Help older adults regain strength, mobility, and confidence
- Avoid premature entry into residential aged care
- Give time to make decisions about long-term care needs
Services Include for Transition Care Program:
- Nursing care
- Personal care (assistance with bathing, dressing, etc.)
- Physiotherapy and occupational therapy
- Social work support
- Case management
- Medical support
How Does the Transition Care Program Work?
The Transition Care Program is provided up to 12 weeks after discharge from the hospital. The program can be provided either in the patients home or in residential care, depending on the patients needs and preferences.
Services provided under the TCP can include:
1. Nursing care- This is used to monitor the individuals health.
2. Physiotherapy and other rehabilitation therapies to improve mobility and physical function.
3. Occupational therapy to assist with daily life.
4. Personal care assistance, such as dressing, bathing, and food preparation.
Advance Care Agency is an NDIS provider, that strives to make these services available to participants as part of their individualised recovery plan, all supported by a professional and compassionate staff.
Who is Eligible for the Transition Care Program?
The Transition Care program supports patients who have recently been discharged from the hospital and require additional assistance with their recovery. However, one needs to undergo some assessment, such as an ACAT or ACAS. The care teams determine whether the Transition Care Program best fits their recovery needs.
For NDIS participants, the Transition Care Program is particularly relevant, as it supports the goals outlined in their NDIS plan. NDIS participants may think that they already receive services such as physiotherapy, nursing and rehabilitation services that are provided under the Transition Care Program. Advance Care Agency supports you so that you can receive all the care and services that you are entitled to under your NDIS plan.
- Older people (typically 65+)
- Recently discharged from the hospital, but still need some care
- Assessed as eligible by an Aged Care Assessment Team (ACAT in Australia)
Key Features:
- Duration: Up to 12 weeks, with a possible extension of an additional 6 weeks if needed
- Settings: Delivered in a person’s own home, a residential (aged-care) facility, or a combination
- Eligibility: Must be a hospital inpatient deemed “ready” for discharge and likely to benefit from short-term restorative care
How the NDIS Enabling the Transition Care Program
The National Disability Insurance Scheme (NDIS) ensures the provision of suitable services for people with disabilities during the transition from hospital to home. NDIS payments provide financial assistance to cover rehabilitation, therapy, and personal care services. These are beneficial elements a part of the Transition Care Program.
At Advance Care Agency, we are experts in delivering high-quality NDIS services. We work together with our clients to provide extended support for their Transition Care Program through their NDIS plan, with the aim of bringing together rehabilitation and recovery services. In case you need therapy, personal care, or nursing care. We are here to help you recover your independence and live confidently in your home environment.
What Services are Included in the Transition Care Program?
The Transition Care Program offers a comprehensive range of services to help individuals regain their independence and recover well after hospitalisation. Some of the most significant services are:
Nursing Pain: Ongoing medical care, including assessment of health status and drug management.
Rehabilitation Services, covered under Base and Special Package accounts, comprise physical and occupational therapies designed to improve an individual’s physical strength and mobility.
Personal Care Assistance Vital: Assistance with basic daily living activities such as dressing, cooking, cleaning and personal hygiene.
Allied Health Assistance: Provided by allied health professionals such as speech therapists, dietitians or other specialised care as required by the person’s needs.
In line with the Advance Care Agency’s commitment to national care, we integrate these services into individualised plans for NDIS participants’ recovery. Our focus is on delivering an all-encompassing approach to recovery that provides you with the support you need at every stage.
Cost of the Transition Care Program
The Australian government typically finances the Transition Care Program for eligible individuals, particularly those aged 65 and older or those eligible for My Aged Care services. For NDIS members the program fee can be funded through their NDIS plan, subject to the services outlined within their strategy and in line with their own recovery goals.
Here at Advance Care Agency, we assist NDIS participants in gaining access to and utilising their funding to ensure that their Transition Care Program is fully covered. Our staff are committed to guiding you through the process and helping you optimise your NDIS plan.
Therefore, enabling you to access rehabilitation and support services without entering further financial hardship.
How can the Advance Care Agency help?
As an NDIS provider, Advance Care Agency is committed to providing bespoke Transitions Care services tailored to your recovery needs. Our nurses, physiotherapists, occupational therapists and care support staff are all adequately trained and on standby to provide you with care and support as you regain independence and improve your quality of life.
Services under the NDIS can be seamlessly integrated into the Transition Care Program, ensuring all support requirements are met during your recovery process. Ranging from mobility to daily activities or even rehabilitation, Advance Care Agency is on hand to provide outstanding care specifically designed to suit your needs.
Conclusion
A Transition Care Program is a crucial scheme to aid patients with rehabilitation and support after hospitalisation, enabling them to return to independent living and avoid the need for long-term residential care. For NDIS participants, the program can be fully integrated into their NDIS plan to ensure they receive the comprehensive care they need during their recovery.
At Advance Care Agency, we strive to deliver an exceptional level of care and support to participants in the NDIS Transition Care Program. Reach out to us if you or a loved one ever needs help after hospital discharge; we can help you regain independence, keeping life maximised in your own home.
