Begin the conversation early
Participants, families, hospital social workers, occupational therapists and discharge teams can contact our national team. Start with the expected location, broad support needs and proposed timing. A requested discharge date is not a confirmed service start date.
Build the handover around practical needs
Clarify personal care, mobility, medication, nursing, equipment, housing and support hours. Include the participant’s communication preferences and the people authorised to be part of planning.
Agree responsibilities
The hospital, treating practitioners, support coordinator, housing provider and disability support team need a shared understanding of their roles. Clinical instructions and secure transfer of necessary information should be arranged before the first visit.
Confirm readiness before discharge
An agreed transition needs suitable staffing, accessible accommodation where relevant, required equipment, care plans, follow-up and escalation arrangements. Prime 1 Care does not determine hospital discharge or replace the treating team’s clinical decision-making.