Multi-Funding Hospital Discharge and Clinical Transition, Across Australia
Nursing and attendant care, mobilised fast, across every major funding scheme.
Every day a clinically-ready patient waits for community supports is a bed that can’t be used and a readmission risk that grows. Ambition Health Group provides rapid, multi-funding clinical home care for hospital discharge, with nursing and attendant care mobilised quickly, across NDIS, TAC, DVA, WorkSafe, NIISQ, iCare and aged care. One provider, every funding stream, clinical handover handled.
What is the Hospital Discharge Program?
When an NDIS participant is in hospital, their care plan, accommodation setting, and support needs may change. Transition support ensures individuals move smoothly to suitable accommodation such as supported housing or home environments.
Support services may also include short and long term accommodation options, guidance during the transition period, and ongoing assistance that helps individuals settle comfortably and work towards independent living.
A structured, low-risk transition from ward to home, designed to protect continuity of care and reduce readmission risk.
- Referral
The discharge team or case manager contacts us; we confirm capacity the same business day.
- Clinical Handover
We take a structured handover from the ward covering clinical needs, medications, risks, equipment and goals.
- Rapid Mobilisation
We put the right staff, supports and equipment in place before discharge day.
- Transition Home
Safe transport and first-day-home support, with continuity from ward to home.
- Follow-Up and Risk Mitigation
Structured early follow-up to catch issues early and reduce avoidable readmission.
- Safe Transportations
We ensure your safety throughout your discharge and moving journey. We help you with safe transportation options and ensure your peace of mind in this journey.
NDIS Accommodation & Living Supports
We provide a range of NDIS-funded accommodation and living supports designed to give you the comfort, safety, and independence you deserve.
Supported Independent Living (SIL)
Our SIL services help you live more independently while receiving the day-to-day support you need. From daily tasks to personal care, we ensure you have the right balance of freedom and assistance in a supportive environment.
Specialist Disability Accommodation (SDA)
If you need a temporary living arrangement while waiting for long-term housing or modifications, our MTA services give you a stable and supportive home for up to 90 days, ensuring continuity of care and peace of mind.
Short-Term Accommodation (STA)
Whether it’s for respite care, trying a new living arrangement, or short-term support, our STA services provide a safe and comfortable place for you to stay while your regular carers take a break or until you transition to longer-term living.
Frequently Asked Questions: Hospital Discharge
Which funding schemes do you accept for hospital discharge?
All the major ones, including NDIS, TAC, DVA, WorkSafe/WorkCover, NIISQ, iCare, and aged care (Home Care Package / Support at Home), plus private. We administer the scheme requirements so funding doesn’t delay the discharge.
How quickly can support start after discharge?
For confirmed referrals we mobilise rapidly, often same- or next-business-day. We put staff and equipment in place before discharge day so the patient goes home on time.
Do patients pay for discharge support?
Approved supports are covered by the relevant scheme (NDIS, TAC, DVA, WorkSafe, NIISQ, iCare or aged care). Everyday living costs like groceries and utilities aren’t covered. We confirm what’s funded before anything starts.
What if there's no accommodation arranged at discharge?
We can arrange interim and longer-term options. Where new housing is needed, we offer rapid access to Transitional Housing (MTA, up to 90 days), Supported Independent Living (SIL), and long-term Specialist Disability Accommodation (SDA).
Can you handle complex or high-acuity discharges?
Yes. We provide registered nurses and complex-care staff for high-intensity needs, including ventilator care, tracheostomy, enteral feeding and complex wound management, at home or in supported accommodation.
What does the clinical handover involve?
We take a structured handover from the ward covering clinical needs, medications, risks, equipment and goals, assign a single coordinator, mobilise the right team, and run structured follow-up to reduce readmission risk.
Who do discharge teams contact?
Call our priority discharge line on 1300 668 655 or submit a discharge referral. A coordinator confirms capacity the same business day and owns the handover from there.