Transition Care Program (TCP)

The Transition Care Program is short-term government-funded support for older Australians leaving hospital. It helps you recover safely at home with services such as nursing, personal care and low-intensity therapy, with the goal of improving independence and reducing the need for early residential aged care.

You may be eligible if you are an older person who is medically ready to leave hospital but still need short-term support to recover safely. Eligibility is usually assessed by the hospital care team in conjunction with My Aged Care before discharge.

Transition care generally lasts up to 12 weeks, depending on your recovery goals and support needs. In some situations, it may be extended for a short additional period if clinically appropriate and approved as part of your discharge and care plan.

Kanda’s transition care services can include in-home nursing, personal care, domestic assistance, meal support, respite and recovery-focused care coordination. Support is tailored to help you regain confidence, mobility and independence after a hospital stay.

Yes. The primary goal of transition care is to support your recovery at home so you can safely regain independence. It is specifically designed to help delay or avoid the need for residential aged care wherever possible.

No. Transition care is a short-term recovery service following hospital discharge, while Support at Home provides longer-term ongoing care. Transition care focuses on restoring independence, whereas longer-term funding supports ongoing daily living and clinical needs.

Transition care is usually arranged before you leave hospital. Speak with your discharge planner, social worker or treating team, who can organise the assessment and referral. Kanda can then help coordinate your in-home support and recovery plan.

Yes. Kanda provides in-home transition care support so clients can recover in the comfort of their own home. Services may include nursing, personal support, domestic help and care coordination tailored to post-hospital recovery needs.

After transition care ends, Kanda can help you move into ongoing support if needed, including Support at Home or private in-home care services. This helps ensure continuity of care and ongoing support for independence and wellbeing.

Transition care is designed to begin as soon as possible after discharge to avoid gaps in support. In many cases, services can commence within 24 to 48 hours, depending on the hospital referral process and care requirements.