The Southern Cross Care (WA) Transitional Care Program (TCP) is a short-term 12-week service designed to improve client outcomes post-hospitalisation, by reducing hospital readmissions and enhancing quality of life through accelerated recovery.
The primary goal of the TCP program is to facilitate a successful transition from the hospital to home, focusing on optimising functional independence and delaying the need for long-term care.
TCP utilises a variety of strategies and healthcare professionals, including nurses, therapists, and home-based care services, to help clients regain as much independence as possible. This may include personalised care plans, therapy support, nursing care and equipment for mobility support tailored to the specific needs of the individual. Each plan is goal-oriented and focuses on each client’s aims and goals, which are used to maintain or improve mobility.
To qualify for our TCP program, clients must be referred to the program by a hospital social worker following an acute episode requiring hospitalisation. Clients will also need an ACAT assessment and are required to attend their first appointment within four weeks of referral.