Hospital to home: discharge planning into SIL and supported accommodation

Coming home from hospital is a vulnerable moment for anyone — and for NDIS participants, a poorly planned discharge can mean readmission, lost skills or unsafe living arrangements. Here’s the checklist we work through with hospital teams every week.

Before discharge

• Confirm the destination. Home with supports? Short-term accommodation (STA)? Medium-term accommodation (MTA) while a long-term home is arranged? Each has a different funding pathway.
• Check the plan. Does current funding cover the supports needed on day one — personal care, nursing, equipment? If not, the hospital team can support an urgent plan review.
• Meet the workers. Wherever possible we introduce the support team before discharge, so the first face at home is a familiar one.

The first two weeks

The highest-risk window. We front-load support in week one — including clinical handover from the ward to our nurses for medication, wound care or catheter management — then review the roster with the participant and family at day 14, stepping support up or down based on what’s actually happening at home.

For discharge planners

We accept short-notice referrals and run same-week capacity checks across Melbourne, Sydney and Perth. Send a referral or call 1300 395 852 and ask for our intake team — we’ll tell you honestly and quickly whether we can support safely.