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 deliveredHow long the program runs forClinical and non-clinical support under TCPPausing or continuing other in-home support servicesGetting approved for TCP takes time  Resources Mentioned Transition Care Programme | Australian Government Department of Health and Aged CareLet's Talk ConsultationRelated Episodes Episode 4: How do I get help at home?Connect with Coral Wilkinson: Instagram  LinkedIn  Follow See Me Aged Care Navigators:See Me ACN websiteFacebook Instagram  More about Your Aged Care Compass podcast: Do you support an older loved one at home and you're ready to give up because it’s just too hard? Your Aged Care Compass is for you.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 the 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. When we eventually needed extra support, we achieved this because we know Australia’s aged care system so well. We knew what programs could assist us and our parents.Your Aged Care Compass podcast brings together not only our personal experience in supporting our parents but also our vast professional experience in supporting other families to keep their loved ones at home. We'll help you makes sense of Australia’s aged care system and bring you topics related to ageing...

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