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After Hospital Care Services in Australia
Supporting Your Recovery, One Step at a TimeTransitioning from hospital to home can be a delicate time. At Ambition Health Group, we understand the need for trusted, compassionate after hospital care services that help you recover safely, maintain your independence, and reduce the risk of readmission.
Whether you or a loved one needs short-term care after surgery, illness, or injury, our post-acute care services provide professional, personalised support — right where you need it most. Supporting your recovery journey with compassionate care. Our experienced healthcare professionals are here to ensure a smooth transition from hospital to home.
What Is After Hospital Care (Transition Care)?
Also known as transition care or post-acute care, this service is designed to bridge the gap between hospital discharge and full recovery at home or in a care facility. It supports people who are medically stable but still need care and assistance to regain independence. Transition care is a specialized short-term care program designed to help patients recover after a hospital stay. It provides a comprehensive package of services tailored to individual needs, ensuring a smooth transition from hospital to home or other care settings.
This care is time-limited and focuses on restoring function, improving quality of life, and avoiding unnecessary return to hospital. Our transition care services include nursing support, personal care assistance, and allied health services such as physiotherapy, occupational therapy, and speech therapy.
Why After Hospital Care is Important
Reduces Readmissions
Proper transition care can reduce hospital readmission rates by up to 30%, ensuring patients continue to recover safely at home.
Improves Recovery
Patients receiving transition care typically experience faster recovery times and better health outcomes than those without support.
Enhances Independence
Focused rehabilitation and support helps patients regain independence and confidence in managing their health conditions.
What’s Included in Our After Hospital Care Packages?
Medication Management
Ensuring proper medication administration and monitoring for your safety.
Mobility Support
Assistance with safe movement and exercises to improve mobility.
Occupational Therapy
Comprehensive assessments and interventions to improve daily functioning and mobility.
Home Safety Modifications
Assessment and implementation of home adaptations to create a safer living environment.
Gentle, Professional Care After Hospital Discharge
Are you taking care of someone after surgery? Well, even though your love and care are enough for them to feel comfortable, sometimes you need an extra hand. Therefore, Ambition Health Group provides nursing care after hospital discharge. We understand that staying at hospitals, going through surgeries and eating endless tablets is never fun. Yet, you must be careful while recovering at home after surgery. That’s where we step in with our compassionate and seamless hospital aftercare services.
Our professional assistance and nursing care after your hospital discharge can ensure a hassle-free transition, help with daily chores and give you a companion to share your hospital stories. We aim to make the patients and their loved ones’ lives easier with patient care after surgery. Our services can help you with personalized care plans, 24/7 assistance, qualified nurses or caregivers and a peaceful mind.
So, contact us today and let us help you recover from your hospital stay and surgery in the comfort of your home.
Where is the Care Provided?
Home-Based Care
Transition care can be provided in the comfort of your own home, allowing you to recover in familiar surroundings while receiving professional healthcare support.
- Regular nursing visits
- Personal care assistance
- Home safety assessment
- Medication management
Residential Care
For those requiring more intensive support, transition care can be provided in a residential setting with 24/7 professional care and specialized facilities.
- 24/7 nursing care
- Specialized rehabilitation facilities
- Structured therapy programs
- Social activities and support
Your Recovery, Our Priority After Hospital Discharge
Coming home after major surgery was overwhelming, but Ambition Health Group made the transition smooth and stress-free. Their team took the time to understand my needs, created a personalised care plan, and were always there when I needed support. I truly felt cared for — not just as a patient, but as a person.
After-Hospital Home Care Client
What is Post Acute Care (Transition Care) Program?
Post Acute Care (PAC) is a specialized program designed to bridge the gap between hospital discharge and returning to independent living. It provides short-term, goal-oriented care to help patients recover from acute illnesses, injuries, or surgeries.
Our Post Acute Care program focuses on helping patients regain their independence and improve their quality of life through a combination of medical care, rehabilitation services, and personal support.
- Comprehensive assessment by healthcare professionals
- Personalized care plans tailored to individual needs
- Regular monitoring and adjustment of care as recovery progresses
- Coordination with primary healthcare providers
Key Components of Our Transition Care Program
Medical Management
Ongoing monitoring of health conditions, medication management, and coordination with healthcare providers to ensure optimal recovery.
- Medication review and management
- Vital signs monitoring
- Wound care and dressing changes
Rehabilitation Services
Specialized therapy services to help restore function, improve mobility, and enhance independence in daily activities.
- Physical therapy
- Occupational therapy
- Speech therapy
Personal Support
Assistance with daily activities and personal care to support recovery and maintain dignity and independence.
- Personal hygiene assistance
- Meal preparation and nutrition
- Mobility and transfer assistance
Transition Care Program Benefits
Reduced Hospital Readmissions
Comprehensive care and monitoring help prevent complications and reduce the likelihood of hospital readmission.
Faster Recovery at Home
Patients often recover more quickly and comfortably in familiar surroundings with appropriate support.
Improved Quality of Life
Focused rehabilitation and support help patients regain independence and confidence in managing their health.
Family Support and Education
Education and guidance for family members to support the recovery process and long-term health management.
Eligibility for Transition Care
To be eligible for our transition care program, you must meet the following criteria:
- Be an older person who has completed a hospital stay
- Have been assessed by an Aged Care Assessment Team (ACAT) while in hospital
- Would benefit from short-term therapy and support to help recovery
- Need more time to make decisions about long-term care arrangements
- Have goals that are aligned with improving independence and quality of life
Referrals are usually made directly from the hospital or your care team.
Patient Journey with Ambition Health Group
Our Patient Care Journey
At Ambition Health Group, we provide a comprehensive care journey for patients transitioning from hospital to home, ensuring continuity of care and optimal recovery outcomes.
Referral Assessment Care Planning Intervention Completion
After Hospital Care Packages & Fees
Basic Care
Essential care services for basic recovery needs
- ✅ Daily Health Checks
- ✅ Medication Reminders
- ✅ Light Housekeeping
- ✅ Professional Care
Most Popular
Comprehensive Care
Complete care solution for optimal recovery
- ✅ All Basic Care Features
- ✅ 24/7 Care Available
- ✅ Rehabilitation Support
- ✅ Wound Care
Premium Care
Luxury care with additional specialized services
- ✅ All Comprehensive Features
- ✅ Dedicated Care Manager
- ✅ Specialized Therapy
- ✅ Premium Amenities
After Hospital Care Facilities for Elderly
Specialized Care Environments
Our network of after hospital care facilities provides specialized environments designed specifically for elderly patients recovering from hospital stays. These facilities combine medical care, rehabilitation services, and comfortable accommodations to support optimal recovery.
Each facility is staffed by experienced healthcare professionals who understand the unique needs of elderly patients and are committed to providing compassionate, person-centered care.
- 24/7 Nursing Care
- Medical Monitoring
- Rehabilitation Services
- Nutritional Support
Your Local After Hospital Carer Is Just A Call Away
Our comprehensive after hospital care in Australia services are designed to support your recovery journey following discharge. We understand that the transition from hospital to home can be challenging, which is why our specialized care team is here to provide the support you need.
We offer a range of services including wound care, medication management, mobility assistance, and specialized nursing care to ensure your continued recovery and prevent hospital readmission.
- Skilled Nursing Care
- Medication Management
- Wound Care
- Vital Signs Monitoring
12
Weeks of initial care available for most patients
6
Weeks of extension possible after reassessment
18
Weeks maximum total duration of transition care
Care Duration Options Tailored to Your Recovery Journey
Short-Term Care
Intensive recovery support for 2-4 weeks following hospital discharge, focusing on immediate rehabilitation needs.
- Daily nursing visits
- Intensive therapy sessions
- Medication management
Medium-Term Care
Extended support for 1-3 months, balancing recovery with gradual return to independence and normal activities.
- Weekly nursing visits
- Regular therapy sessions
- Home adaptation support
Long-Term Care
Ongoing support for 3+ months for those with complex needs requiring sustained care and assistance.
- Scheduled care visits
- Maintenance therapy
- Long-term planning
What are the Additional Benefits With Ambition Health Group?
Multidisciplinary Team
Access to a team of healthcare professionals including nurses, physiotherapists, occupational therapists, and social workers.
Personalized Care Plans
Customized care plans developed based on individual needs, goals, and medical requirements.
Government Subsidized
Services partially funded by the Australian Government to make care more affordable.
Caregiver Support
Education and support for family members and caregivers to assist with ongoing care.
Community Connections
Assistance with connecting to community services and long-term care options if needed.
24/7 Support Line
Access to round-the-clock telephone support for urgent care questions and concerns.
How To Choose the Right After After-Hospital Care Facility?
Selecting the right after hospital care facility is a crucial decision that can significantly impact recovery outcomes. Our care coordinators work closely with patients, families, and healthcare providers to identify the most appropriate facility based on individual needs and preferences.
1
Assessment
Comprehensive evaluation of medical needs, functional abilities, and recovery goals
2
Facility Matching
Identification of facilities that meet specific care requirements and preferences
3
Coordination
Seamless transition from hospital to selected facility, including transfer of medical information
4
Ongoing Support
Regular monitoring and adjustment of care plan as recovery progresses
After Hospital Care at Home
Our home-based after hospital care in Australia service allows you to recover in the comfort and familiarity of your own home while receiving professional healthcare support. Our experienced care team will work with you to create a personalized care plan that addresses your specific recovery needs and helps you regain independence as quickly as possible.
Skilled Nursing
Professional nursing care including wound care and health monitoring
Medication Support
Assistance with medication management and administration
Rehabilitation
In-home therapy services to improve mobility and function
Home Adaptation
Assessment and recommendations for home safety modifications
Our Other Support Services Include
🛒 Shopping Assistance
🕹️ Day Options Program
🛠️ Home Modifications
💊 Medication Management
🤝 Social Support
🍽️ Meal Preparation
🐶 Pet Care
🌿 Gardening & General Home Maintenance
Get the Care You Need – Book Your After-Hospital Care Now
Recovering at home after surgery or a medical procedure can be challenging. Our compassionate, trained staff provides expert after-hospital care, helping you with everything from personal assistance to meal preparation. Let us support you as you heal in the comfort of your own home.
Request After-Hospital Care Speak with a Care Specialist
What Our Care Patient Say About Us
David T.,
Melbourne
Truly a Lifesaver After Surgery
Coming home after my hip replacement was nerve-wracking, but Ambition Health Group made everything so easy. From medication reminders to physio support — they handled it all. I wouldn’t have managed without their care.
Priya R.,
Daughter of client
Kind, Professional, and Always On Time
The nurses from Ambition were not only skilled but incredibly compassionate. They treated my mum with such dignity during her recovery. We felt supported every single day.
Margaret L.,
Adelaide
A Seamless Recovery Journey
I wasn’t sure what to expect after being discharged, but the care team created a plan tailored to my needs. Their follow-ups gave me peace of mind, and I regained my independence quicker than expected.
Sam W.,
Brisbane
Genuinely Cared for My Dad
Dad needed short-term support after a stroke, and Ambition Health Group stepped in right away. They coordinated OT visits, mobility aids, and nursing checks — all with empathy and professionalism.
Elaine P.,
Perth
Home Care That Felt Like Family
The caregiver from Ambition Health Group didn’t just help with daily tasks — she made me laugh, listened to my stories, and made me feel human again after weeks in the hospital. She was a blessing.
Julie K.,
Carer & spouse
Support When We Needed It Most
My husband’s transition home from hospital was smooth thanks to Ambition’s team. They kept in touch with our GP, handled all his care needs, and made sure I, as his carer, got support too.
After Hospital Care Questions Answered
Yes — if you’ve recently been discharged from hospital and need short-term support to recover safely at home or in a care setting, you may be eligible. Transition care is often available for people aged 65 and over (or 50+ for Aboriginal and Torres Strait Islander peoples) and is typically arranged through hospital referrals. Our team can also guide you through eligibility if you’re unsure.
We support a wide range of people including:
- Older Australians recovering from surgery or illness
- Patients managing chronic conditions or mobility issues
- Individuals needing support while transitioning from hospital to home
- Family members or carers seeking professional assistance during recovery
Our post-hospital care includes:
- Personalised care plans
- In-home nursing or personal care
- Medication management
- Physiotherapy or occupational therapy
- Assistance with meals, mobility, hygiene, and transport
- Emotional support and companionship
No problem — you can still access transition care. We coordinate care seamlessly with:
- Home Care Package providers
- Commonwealth Home Support Programme (CHSP) services
- Residential aged care homes
Your comfort and wellbeing come first. If your needs change or the care arrangement isn’t quite right, we’ll reassess your plan and work with you (and your family or GP) to make the necessary adjustments — whether that means extending care, modifying support, or referring to long-term services.
Fees vary based on your care needs, location, and any government funding you’re eligible for. Many of our clients receive subsidies through CHSP or Home Care Packages. We’ll provide transparent pricing upfront and help you understand all available options.
After hospital care is generally available for up to 12 weeks, depending on your recovery progress and eligibility. It’s designed to support your independence during the most critical recovery period — helping avoid hospital readmissions or long-term reliance on care.
We offer both home-based and bed-based after hospital care services. Most clients prefer to recover in the comfort of their own home with support from our visiting nurses, carers, and allied health professionals. If more structured care is needed, we can connect you with nearby partner facilities.
Get Your Free Care Assessment Today
Our expert care team will evaluate your needs and create a personalized care plan to support your recovery journey. No obligation, just professional guidance.
- Comprehensive needs assessment
- Personalized care recommendations
- Clear pricing information
- No obligation consultation