Department of Health and Human Services

Transition Care Program

The Transition Care Program (TCP) is a joint Commonwealth and State/Territory Government funded program that aims to minimise the number of older people experiencing inappropriate extended hospital lengths of stay and/or being prematurely admitted to residential care. The flexible care places used in TCP are legislated by the Aged Care Act 1997 and the Aged Care Principles made under the Act. Additionally, the Transition Care Program Guidelines 2011 govern the provision and operation of the TCP. An outcome of TCP is that inappropriate extended hospital lengths of stay and premature admission to residential aged care are minimised for older people.

The program provides short term-support and active management for older people at the interface of the acute/subacute and aged care (ie community and residential) sector. Therefore, TCP can be provided as a bed based service, either in low or high level residential aged care or as a home based service. All participating health services provide a mix of both and determine the breakdown according to service need.

By offering case management, low intensity therapy, and personal support the TCP allows older people more time and support in a non-hospital environment to complete their restorative process, optimize their functional capacity and finalise and access their long term care arrangements.

Referral and information

Contact your nearest health service for information on how to make a referral and the assessment process.

Metropolitan health service contact details

Rural and Regional health service contact details

TCP information and client agreement