Transition Care Program (TCP)

Service overview

TCP provides a package of care that support older frail clients to make the transition from hospital to home or into residential care following an acute episode.

TCP admits clients with a Commonwealth ACAS approval from an inpatient stay. St Vincent’s TCP has both home based and bed based places.

Team members

Geriatricians
Nurses
Physiotherapists
Occupational Therapists
Social Workers
Other Allied Health disciplines can be accessed as required

Service delivery

Some services are provided 7 days per week mostly face to face but also by phone.
Program duration can be up to 12 weeks
The client may receive multi-disciplinary input including nursing AH, GP and Geriatrician input.

Eligibility criteria

Patient resides in the City of Yarra, City of Boroondara or City of Darebin.

Referral process

Internal SVHM referrals are to made via the Electronic Patient Journey Board

External referrals can be made via fax to North East Metro- St Vincent’s ACAS on 9231 8588 for the approval.

There is a referral form for internal and external Public and Private hospitals.

Contact details

St Vincent’s TCP Phone: 9231 8573