Mobile Healthcare Support for Older adults
Transition Care Program
The Transition Care Program (TCP) is a specialised program that provides short-term care and support to older adults who are transitioning from hospital to home or other care arrangements. The TCP is designed to help individuals who require additional care and rehabilitation after a hospital stay but do not yet require long-term residential aged care.
Hub & Spoke Health is excited to add Transition Care Program to its list of services.
What is the goal of Transition Care Program?
Healthcare Support for Older Adults
Transition Care Program Services
Rehabilitation Services
This may include physiotherapy, occupational therapy, exercise physiology, art therapy, music therapy and other therapies aimed at improving the patient’s physical and functional abilities, such as mobility, strength, and independence. These services are tailored to the specific needs and goals of each patient and are aimed at maximising their recovery and restoring their ability to perform daily activities.
Home Modifications and Equipment
TCP may assess and provide home modifications or assistive equipment to ensure a safe and supportive environment for patients when they return home.
What about exercise physiology?
The TCP team works closely with the patient, their family, and other healthcare providers to develop and implement a personalised care plan, and to coordinate care services to ensure continuity of care.
Melbourne Home Care for Older Adults
What Are The Benefits of Transition Care Program?
Transition Care Program focuses on continuity of care. By ensuring a smooth transition from acute care settings to more independent living, the program helps individuals regain their functional independence and confidence. It addresses not only medical needs but also extends its support to encompass psychological and social aspects, enhancing the overall quality of life during the recovery process.
Hub & Spoke Health
From Hospital to Home: Embrace change with Transition Care Program
The length of stay in the TCP varies depending on the needs of the individual, but typically ranges from a few weeks to a few months. The program is funded by the Australian Government and is available to eligible individuals who meet the criteria for transitional care services.
Overall, the Transition Care Program plays a crucial role in supporting older adults in their recovery and rehabilitation journey after a hospital stay, and facilitating their safe transition back to their community or home.
Hub & Spoke Health is proud to be able to help patients transition through care into the program which fits their needs.
NDIS & Support at Home
Navigating funding systems like the NDIS or Support at Home can be overwhelming — but we’re here to help.
Hub & Spoke Health is a registered provider under both programs. We understand the reporting, compliance, and communication these schemes require — and we’ve supported hundreds of participants and older adults to get the care they need at home.
We work closely with support coordinators, plan managers, care advisors and families to ensure services are goal-aligned, compliant, and tailored to each person’s needs.
Whether it’s physiotherapy, art therapy, dietetics or beyond — we help make the process simple.
Call 1800 166 167 or Make a Referral to get started.
Our mobile Allied Health services
Mobile healthcare allows you to receive tailored allied health support at home, rather than travelling to a provider. Across Australia, you can schedule a visit and receive care in the environment that matters most, your everyday space. When you book a mobile appointment with Hub & Spoke, our practitioner delivers personalised care designed around your needs, your goals, and your home set-up.
Our Hub & Spoke practitioners will bring their equipment with them so you get the full benefit of a clinic visit without leaving your home. The biggest benefit of assessing you at home is we get to understand your home environment. As a result, we can make instant changes to anything that could be contributing to your aches and pains, or restrictions in movement.
Our initial consultations run for 1-hour and follow-up appointments for 30-45 minutes, potentially reducing the number of visits you’ll need and providing value for money.
We’ll bring our experience and equipment to your home to provide the best evidence-based physiotherapy to support you in moving and living better.
We deeply understand fitness, exercise prescription, dosage, anatomy, physiology and most importantly, we prevent you from re-injuring yourself.
Art Therapy uses the creative process of art to enhance the emotional and physical well-being of children and adults. It can be delivered in the comfort of your own home, and we bring all art supplies with us.
Music therapy is a clinical and evidence-based use of music interventions to address the physical, emotional, cognitive, and social needs of individuals. It can be delivered in the comfort of your own home. Our music therapists bring an array of instruments with them to cater to any therapeutic musical preferences.
Our skilled therapists can help you regain independence and reach your goals. Whether you’re suffering from a physical injury or mental health condition, we’re here to help.
There are times in life when you need a little more—someone who has additional training and experience to support you (or your patient), or they need post-hospital care. Whether that’s cancer care, paediatric physio, transition care program, hospital in the home or aged care physio.
We come to you across Melbourne & Surrounds
We provide home visits to most regions within metropolitan Melbourne, including the CBD.