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Transition Care Program

The Transition Care Program (TCP) is for older people who have been in hospital or rehabilitation. The program aims to improve your independence and confidence, providing you time and opportunity to return to normal activities after a hospital or rehabilitation stay.

Barwon Health offers both residential-based transition care and home-based transition care.

How can the TCP help you? 

While in the program, you can access a range of health and lifestyle services designed to meet your needs. Services are offered as part of an ongoing care plan, giving you and your family time to consider and plan for your long-term care needs; this may include returning home with community support or becoming a resident in an aged care facility.

The average length of stay in the program is five to six weeks. Both the home- based and residential-based programs offer a combined maximum of 12 weeks.

You will be supported by a Care Coordinator during your time in transition care. The role of your Care Coordinator is to work with you and your family to identify what services you require, to meet your goals and assist you and your family with your discharge plans.

Services may include personal and/or nursing care (showering and dressing assistance), medical care, meals, transport to/from appointments, lifestyle activity program, and low-level therapies such as physiotherapy, occupational therapy, speech therapy, podiatry and dietetics.

Where is the Transition Care Program located?

Barwon Health’s residential TCP is provided at residential aged care facilities Alan David Lodge in Charlemont and The Homestead in Wallington. These providers offer accommodation within their accredited facility.

Home-based Transition Care provides a package of services to you within your home.

How do I access the TCP?

Before accessing TCP, the Aged Care Assessment Team (ACAT) will complete an assessment with you to determine if you are eligible. You and your family will also meet with a Care Coordinator to discuss your long term care plan. During this time, a number of agreed goals will be identified with you. These goals will be revisited during your time in transition care. If you agree TCP is right for you, your PaRT member or social worker will be able to provide you with further details.

Fees and charges

The care fee for transition care is calculated on a daily basis for every day the care recipient receives transition care. In line with the Transition Care Program Guidelines 2015, the maximum value of the care fee is 85 per cent of the basic daily rate of single pension for residential-based transition care. For home-based transition care, the maximum value of the care fee is 17.5 per cent of the basic daily rate of the single pension. Transition care fees can be negotiated in special or hardship circumstances.

Last Modified: Friday, 01 March 2019

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Ph. (03) 4215 3214