Hospital discharge support
Supporting a safe transition from hospital to home.
Registered NDIS providerNDIS participants welcome
People Support Possibilities
Leaving hospital can be challenging, particularly for individuals with disability, complex health conditions or increased support needs.
Simaru True Care provides coordinated hospital discharge and transition support to help participants return home with appropriate care arrangements.
Our clinically led approach brings nursing expertise into discharge planning, care coordination and post-hospital support.
We work collaboratively with hospital discharge teams, treating clinicians, support coordinators, participants and families to promote continuity of care.
Our hospital discharge services include
Pre-discharge planning
Liaison with hospital teams and relevant healthcare professionals.
Clinical needs assessment
Review of nursing requirements, functional limitations and health-related risks.
Care planning
Development of individualised nursing and support arrangements.
Medication support
Assistance with medication routines and implementation of discharge instructions.
Wound and post-acute care
Nursing support for wound management and recovery needs within clinical scope.
Personal care
Assistance with daily living activities following discharge.
Support worker coordination
Arranging appropriate staff and care schedules.
Post-discharge monitoring
Identification and escalation of emerging health concerns.
Our clinical approach
Our nursing team helps bridge the gap between hospital-based treatment and ongoing care at home.
We prioritise clear communication, clinical risk management, appropriate care planning and timely escalation of concerns.
Our aim is to reduce avoidable gaps in care and support a safe, coordinated transition.