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Transition Care


Golf Links Road Rehabilitation Centre
Building 6
125 Golf Links Road
Frankston, VIC 3199

Phone: 9788 1803
Fax: 9784 2395
Referrals: phtcpreferrals@phcn.vic.gov.au

About Transition Care

Transition Care provides short-term support and active management for older people after a stay in hospital or rehabilitation. Transition Care Program is offered in both a residential based setting and a home based setting. Transition Care is an initiative of the Commonwealth Department of Health and Ageing and the Victorian Department of Human Services

 It is goal oriented, time-limited and targets people over 65 years of age at the conclusion of a hospital episode who require more time and support in a non hospital environment to complete their restorative process, optimise their functional capacity and finalise and access their longer term care arrangements     

 Depending on persons assessed level of need, Transition Care will offer eligible people several of or all of the following;

  • Nursing support
  • Low intensity therapy or rehabilitation (such as Physiotherapy, Occupational Therapy, Speech Therapy, Dietetics and Social Work) to maintain physical and cognitive functioning and to facilitate improved capacity in activities of daily living
  • Personal care and domestic assistance
  • Medical support such as GP oversight (on the residential program only)
  • Case management including establishing community supports and services and where required, identification of residential care options.

 The services provided as part of the Transition Care Program are designed to meet a client’s daily care needs and provide additional therapeutic care in order that a client can maintain and improve their physical, cognitive and psycho-social functioning thereby improving the person’s capacity for independent living.

Please see the TCP information pack link at the bottom of this page, for further information on the Transition Care Program.

Transition Care Residential (TCR)

Peninsula Health presently has 46 beds on the Residential Transition Care Program in 2 different locations on the Mornington Peninsula, one in Frankston and one in Mornington.

Transition Care Home (TCH)

The home based program has 15 places for patients who want to remain at home.


TCP Information Pack

Commonwealth Department of Health and Ageing

Victorian Department of Human Services

Transition Care Program at Benetas Corowa Court Orientation Guide for Clients and Families

Transition Care Program at Home Orientation Guide for Clients and Families

Transition Care Program at Regis Shelton Manor Orientation Guide for Clients and Families