Clarence Estate - Transition Care Packages
After time spent in a hospital, many people are anxious about returning home. This programme will assist you to return home and regain your independence following an admission to hospital. The flexible Transition Care Packages provide short-term support and active management to assist you in the transition from hospital to home. The programme is goal orientated and specifically designed to allow you to complete your restorative process, optimise your functional capacity and finalise your long term arrangements.
Eligibility for Service
Transition Care Packages are available only to people who are currently in hospital and are medically and psychologically stable and ready for discharge. To receive a package the Aged Care Assessment Team (ACAT) must assess you and determined that you would require at least low level permanent care. The ACAT must also have determined that you would benefit from a period of transition care.
The services provided
Transition Care Packages are designed to be flexible and vary depending on your individual circumstances. Some of the services that may be provided, depending on your requirements, include:
- Specialised nursing services
- Personal care assistance
- Personalised therapy programme
- Home/domestic assistance
- Social support
- Laundry services
- Meal assistance
- Transport
- Shopping assistance
- Gardening
- Home maintenance
Who pays for the package?
This is jointly funded initiative of the State and Federal Governments.
If you receive a package you will be asked to make a contribution, and the amount will vary depending on your circumstances. However, the daily rate will not exceed 17.5% of the basic daily rate of the single pension. This fee may be waived in certain situations.
The length of the package depends on individual circumstances, but is limited to 12 weeks (84 days). There is a possible extension to a maximum of 18 weeks (126 days) but Aged Care Assessment Team (ACAT) approval is required for this to occur.
How to apply for a package
A referral for Transition Care can be made by directly contacting the Transition Care Service Coordinator. A highly skilled staff member from Clarence Estate will then conduct an assessment of you and your home.
After this is completed and you are well enough to be managed by your General Practitioner, you will be discharged from the hospital and the service will commence.
The Transition Care staff will ensure that you are actively involved in all decisions about your care and have all the information you need to make informed choices. At all times you will be respected as an individual.
What if you already receive assistance from HACC, CACP or EACH?
You can still receive a Transition Care Package. If you already receive a HACC (Home and Community Care) CACP (Community Aged Care Package) or EACH (Extended Aged Care At-Home) package, they will be put on hold whilst you are receiving Transition Care. At the completion of your Transition Care Package, arrangements will be made for your previous packages to restart, if required.
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