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Discharge Support and Liaison

We help you receive the right care, in the right place at the right time.

The Discharge Support and Liaison team are an experienced team of clinicians who work with the treating teams, patients, families and services in planning returning to home post a presentation to the South West Healthcare Emergency Department or an inpatient hospital stay.

A member of the team will be able to assist with discharge planning in collaboration with the medical and other allied health teams. They will be involved in referrals, information sharing and communication if determined that the patient’s previous home environment is no longer suitable for their current needs to return to immediately from hospital and will collaborate to determine the next steps to moving to a more suitable discharge destination short or long term.

Patient may be referred to the following subacute pathways at South West Healthcare:

  • Transition Care Program (home based or bed based).
  • Home with Supports (E.g. Care co-ordination: PAC/Complex Care)
  • Inpatient Rehabilitation (Rehabilitation or GEM (Geriatric Evaluation and Management))
  • GEM @ Home
  • RITH (Rehabilitation In The Home)

 

Health Professionals

A referral form can be found on the refer a patient page, to be completed and returned.

Page last updated: 14 May 2024

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