Transition Care

The Transition Care Program (TCP) is a Commonwealth-State initiative that provides short-term restorative care for older people after a hospital stay.

The aim is to help them regain independence and give them more time to make a decision about their longer-term living options.

The average length of stay in transition care is seven weeks, but clients may stay for up to 12 weeks if they need extra time. Services include nursing and personal care, low intensity physiotherapy and occupational therapy, as well as social work support, nursing and personal care.

The program is led by GPs with geriatrician support. Each week, they meet with a multi-disciplinary team, including allied health practitioners and nursing staff, to discuss clients’ progress toward optimal health and independence.

Amana Living’s transition care places are currently spread across three service locations at Mosman Park, Bull Creek and Cottesloe.

Transition Care Bull Creek opened in January 2016 as part of the new dementia services centre.

Transition Care Cottesloe has been temporarily recommissioned from 4 July 2016 for a period of four months. This is in response to a request from the WA Health Department for Amana Living to offer additional transition care beds over the winter, to provide hospital patients with additional options on discharge and assist with patient flow. We have recommissioned 13 beds, which are for frail-aged clients, similar to our clientele at Mosman Park. The Cottesloe beds are fully funded by the State Government.

 

When an older person is in hospital for an extended period, the hospital treating team may recommend transition care for them before returning home or moving into residential care.

The hospital team will arrange an assessment by an Aged Care Assessment Team and coordinate a referral to the transition care service.

Our liaison nurse then works with the hospital transition care coordinators to ensure a smooth move from hospital to Amana Living. The nurse will visit the patient in hospital, confirm that our service is suited to their needs, and assist with the transfer.

What is transition care?

The Transition Care Program (TCP) is a Commonwealth initiative that provides short-term restorative care for older people after a hospital stay. The aim is to help them regain independence and give them more time to make a decision about their longer-term living options. Services include nursing and personal care, low intensity physiotherapy and occupational therapy, as well as social work support, nursing and personal care.

How much does transition care cost?

There is a daily care fee set by the Government at 85% of the basic daily rate of the single pension. 

How do I find out if I’m eligible for transition care?

When an older person is in hospital for an extended period, the hospital treating team may recommend transition care for them before returning home or moving into residential care. The hospital team will arrange an assessment by an Aged Care Assessment Team and coordinate a referral to the transition care service. Our liaison nurse then visits the patient in hospital to confirm that our service is suited to their needs, and assist with the transfer.

Why would I request an Amana Living transition care centre?

Amana Living offers a mix of dementia-specific, older adult mental health (OAMH), and frail-aged transition care places. Our sites have experienced clinical teams, including dementia and OAMH specialists, and excellent facilities. These include ensuite accommodation, well-equipped therapy rooms and large lounge/dining areas. The custom-designed facility at Mosman Park also provides a mini-apartment, giving clients the chance to test their capacity to live independently before moving out of transition care.

Where are Amana Living’s transition care centres located?

Amana Living’s transition care places are currently spread across two service locations at Mosman Park and Bull Creek. Transition Care Bull Creek opened in January 2016 as part of the new dementia services centre. Our Kinross dementia ‘hub’, currently under development, will also offer transition care.

Can I talk to someone about Amana Living transition care?

We welcome phone enquiries. Contact us on 1300 26 26 26 and chat to our friendly staff.

Locations