The Transition Care Program provides short-term (12 week) goal oriented support and care to older people at the interface of acute, subacute, residential aged care and the community.
Peninsula Health currently operates 85 Transition Care places within the community (Home-based service delivery)
- Home based: 85 beds in community.
The TCP at Peninsula Health sits within the Rehabilitation, Ageing, Pain and Palliative Care Services (RAPPS) cluster and provides a comprehensive range of multidisciplinary services across Frankston and the Mornington Peninsula.
The TCP aims to minimise the number of older people experiencing inappropriate, extended lengths of stay in hospital or being prematurely admitted to residential care.
The TCP supports a person-centred and collaborative approach to achieve the best possible outcome for the person. This means involving them in discussions, planning and decision-making.
Our Team of experienced clinicians work collaboratively and creatively with TCP clients in their own homes offering case management, nursing, personal care and low-intensity therapy, this enables older people to have more time to complete their restorative process. They can also finalise and access their long-term care arrangements.
Patients who are in hospital can receive TCP services following an assessment by the Aged Care Assessment Service (ACAS). This assessment will determine the person’s initial eligibility. The treating team of the client will complete a referral to the TCP. Once completed, a member of our team will contact the person, their treating team or representative to discuss the program in more depth.
The TCP is a joint Commonwealth and state/territory government funded program.
For all enquiries about the TCP Community program and to discuss prospective referrals please contact TCP Community intake on 0466 508 517
Please email all referrals to phtcpreferrals@phcn.vic.gov.au