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Transition Care Program
Episode 628th May 2024 • Your Aged Care Compass • Coral Wilkinson & Michelle Brown
00:00:00 00:14:50

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If an older person has lost some function or independence after a hospital admission, they may be approved for the Transition Care Program (TCP). This is a program of up to 12 weeks of clinician-led support to help the older person regain their strength and wellbeing and safely transition back to living at home.

TCP is approved while the older person is still in hospital, not after they have been discharged. TCP can be delivered in a number of settings, with the aim that it is completed in the older person’s own home. 

Michelle discusses who approves for TCP and how the process works. Then she gives a real scenario, our dad’s use of TCP when he was twice discharged from hospital after having two of his four strokes. 

 In this episode: 

  • What is TCP?
  • Who is eligible for TCP (and who isn’t)?
  • Who can make a referral for TCP?
  • Where TCP can be delivered
  • How long the program runs for
  • Clinical and non-clinical support under TCP
  • Pausing or continuing other in-home support services
  • Getting approved for TCP takes time

Resources Mentioned 

Related Episodes 

Connect with Coral Wilkinson: 


More about Your Aged Care Compass podcast: 

Are you supporting an older loved one at home and ready to give up because it’s just too hard? Your Aged Care Compass is aimed at anyone who is caring for an older loved one who still lives at home and is wondering what support is available to them.

We're Coral and Michelle, the sisters behind our business, See Me Aged Care Navigators.

Coral is a registered nurse with over 30 years’ experience in both health and aged care. A former assessor with the aged care assessment team, an advocate and author, there’s not much Coral doesn’t know about Australia’s aged care system.

Michelle is a former pharmacist with over 30 years in the public health and private sectors of pharmacy. Michelle is now client care manager for our business. 

Our story started as one of supporting our parents to remain in their own home, to be as independent as possible and remain connected to their community. We reached a point however, of needing extra support and we achieved this because we know Australia’s aged care system so well, we knew what programs could assist us and our parents.

This podcast, Your Aged Care Compass, brings together not only our personal experience in supporting our own ageing parents but also our vast professional experience in supporting other families to keep their loved ones at home. 

We will help you makes sense of Australia’s aged care system, from your first contact with My Aged Care through to the different funding streams and assessment workforces, management options for home care packages and extra funding that people might be eligible for.

There's so much more. Topics relating to dementia and legal and financial considerations will be covered, as well as real life stories of where it went wrong for people and how we guided them to get it right.


Your Aged Care Compass will guide you clearly and compassionately to the right support at the right time for your ageing parents and loved ones. 

Like what you hear? Please leave us a Rating and Review. We’d love you to share this podcast with any friends or family who have older loved ones.




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