Transition care is a short term service for our older patients who have been in hospital and who now need extra time or additional therapy to improve their physical ability before going home or a supportive place while arrangements are made for them to go into residential care for the first time.

The Transition Care - Residential program provides patients with a private room in the Parkville Hostel for a period of up to 12 weeks.

It is important to remember that transition care is not a hospital or a rehabilitation program. You need to be well enough to stay in the program. Hospital staff work with you and your family to provide the best care and the safest care possible and support your transition back home, or to residential care.

This program is helpful if you need a bit more time in care, or low intensity therapy before going home or if you have complex discharge planning needs.

If you and your family are making arrangements to go into residential care for the first time, staff in the Transition care program can provide support and care to make the transition as easy as possible.

A range of healthcare and support services are available. Services are tailored to your needs and may include:

  • social work
  • chaplaincy
  • occupational therapy
  • medical and nursing care
  • physiotherapy
  • podiatry

Who can use our services

There are Government requirements for entry to the Transition Care - Residential program. For you to be eligible, you must:

  • have completed your hospital stay
  • be medically well enough to attend the program
  • be assessed and approved by the Aged Care Assessment Service (ACAS) that you will benefit from the program
  • have agreed to participate in the program

If you are eligible for entry to the program, our hospital social worker will place your name on the Transition Care - Residential waiting list.

As soon as a room becomes available, the hospital will move you to Parkville Hostel.

How to access this service

We welcome phone enquiries from individuals, family members and carers.

What to bring

Every time you come to hospital

Every time you come to hospital for a test, day procedure, surgery or treatment, you should bring:

  • Medicare card
  • Health Care card (if you have one)
  • Concession card (if you have one)
  • Adverse drug alert card (if you have one)
  • Medications you are currently taking, including any that you have bought without a prescription
  • X-ray films, scans, ultrasounds or any other test results you have which are related to your procedure
  • Private health insurance card (if you want to use it)
  • Aids (glasses, hearing aid, walking frame)
For residential aged care

Ask your family or carers to bring:

  • Activities that you enjoy such as newspapers, crosswords and headphones
  • Clothes, shoes and toiletries to be used while you are in hospital, as it is nice to have familiar items around you

In a medical emergency, call 000. If you are feeling unwell, see your local GP or go to your local hospital Emergency department for help.