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Home care

Hospital-to-Home Transition Care on the Gold Coast, Brisbane & Northern NSW

The first fortnight after discharge decides whether you recover at home or end up back in hospital. Loving Hands Care coordinates hospital-to-home transition care — discharge planning, transport home, nursing, equipment and short-term reablement — so you heal in your own bed with support around you.

  • Discharge planning with hospital teams and case managers
  • Transport home, home safety check and equipment set-up
  • Nursing, wound care and medication support from day one
  • Short-term restorative and reablement support

Servicing Gold Coast, Brisbane, North East NSW.

Nurse settling an older man comfortably into his own bed at home after a hospital stay
Support in place from the day you come home
Day oneSupport in place from the day you come home
Goal-directed Transition Care Program support available
12 weeksGoal-directed Transition Care Program support available
Registered nurse oversight of wounds and medications
NurseRegistered nurse oversight of wounds and medications
Gold Coast, Brisbane and Northern NSW
3 regionsGold Coast, Brisbane and Northern NSW

What's included

Hospital-to-home transition care we provide

A single coordinated plan covering the clinical, practical and confidence-building support needed after a hospital stay.

  • Discharge planning support

    We liaise with hospital discharge teams, social workers and case managers to plan your care before you leave the ward.

  • Transition Care Program support

    Short-term, goal-directed care of up to 12 weeks combining nursing, physiotherapy, occupational therapy, podiatry, speech pathology and personal care.

  • Home safety assessment and setup

    We check the home is safe and fitted with any equipment or modifications needed before discharge — rails, ramps, lighting and clear walkways.

  • Transport home from hospital

    We collect you from the ward, drive you home and help you settle in, rather than leaving family to juggle it.

  • Immediate post-discharge care

    Nursing, wound care, medication support and personal care in the days and weeks straight after discharge.

  • Restorative and reablement support

    Short-term support to rebuild strength, balance, confidence and daily living skills so you regain independence.

  • Equipment hire and coordination

    Hospital beds, pressure-relieving mattresses, mobility aids and bathroom equipment arranged and delivered to the home.

  • GP and family reporting

    Clear reporting on healing, mobility and medications so your GP, specialist and family stay informed and follow-ups happen.

Why it matters

Reducing avoidable readmissions in the first fortnight

Most post-discharge setbacks come from a handful of preventable things: a medication list that changed in hospital and was never reconciled, a wound that was not reviewed, a bathroom that is now unsafe, no food in the house, or simply nobody there on the first night. Our transition plan works through each of those before they become an ambulance call.

A registered nurse reviews your discharge summary, reconciles medications, assesses wounds and sets a review schedule. Support workers cover showering, meals, laundry and transport while your strength returns, and allied health input targets the specific tasks you want back — getting off the toilet unaided, managing stairs, walking to the letterbox.

After the short-term program ends, most clients step down to ongoing in-home care or continue with post-hospital nursing supports under one care plan.

Bedroom set up for recovery at home with an adjustable bed, over-bed table and walking frame

Who it suits

Transition care is a good fit if you

Transition care is short-term by design — weeks, not years — with the clear goal of getting you back to independent living at home.

  • Are being discharged after surgery, a fall, a fracture or an illness
  • Have been approved for the Transition Care Program (TCP)
  • Need wound care, medication support or observations at home
  • Live alone with no one available for the first nights home
  • Need equipment or home modifications before you can go home
  • Have had a recent readmission and want to avoid another

Coming home soon? Call 1800 343 012 with your expected discharge date and our team will speak with the hospital, arrange equipment and have support in place. You can also see the full range on our home care hub or read about nursing and wound care at home.

Getting started

Transition care arranged in four steps

  • 1. Call before discharge

    Tell us the expected discharge date and send the discharge summary or care plan.

  • 2. Home and clinical review

    We assess home safety, equipment needs, wounds and medications with clinical oversight.

  • 3. Home set up

    Equipment delivered, hazards removed, food and medications checked before you arrive.

  • 4. Recover and step down

    Short-term intensive support, then a planned step down to ongoing home care.

Other home care services

Explore other supports we deliver across Gold Coast, Brisbane, North East NSW.

FAQs

Hospital-to-home transition care FAQs

Plan a safe return home from hospital

Call 1800 343 012 and our team will coordinate discharge support, equipment and nursing across the Gold Coast, Brisbane and Northern NSW.