Transition Care Program

Our Services > Community Services

A young woman with brown hair smiling and looking at an elderly woman with white hair, who is looking at her. They are indoors, in a room with bookshelves and framed pictures. The young woman is wearing a black polo shirt with pink accents and a logo, and the elderly woman is wearing a blue sweater.

Primary Health

Aboriginal Health Liaison Officer Carer Support & Respite Disability Liaison Officer Program District Nursing Hospital in the Home (HITH) Ky Care (Home Care) KyConnex Social Program Resources for older community Senior’s Lifestyle Victoria Transition Care Program

Transition Care Program

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 intensity therapy and support it allows people to be discharged quicker and continue their recovery at home, while appropriate long term care is arranged.

TCP services can be provided either in your own home or in a bed based service.

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:

Care Planning

  • Physiotherapy

  • Occupational Therapy

  • Allied Health Services

  • Nursing

  • Personal care

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