Hospital-to-Home Transition
Hospital Discharge Nursing in Perth
A Registered Nurse at home in the critical first days after hospital — so recovery continues safely and readmission is less likely.
Discharge happening today or tomorrow? Call our nurse intake line so we can prioritise your first visit.
Call 1300 919 663Why the First Week Home Matters Most
Many problems after discharge — medication mix-ups, wound infections, dehydration and falls — show up in the first few days. A Registered Nurse visiting during this window catches them early and keeps the GP and hospital team informed.
Medication changes
New tablets, stopped tablets and changed doses are the most common source of errors after discharge. We reconcile the discharge summary against what is actually in the home.
Surgical wounds
Sterile dressing changes, drain and staple/suture care, and early detection of infection — with photo-documented healing shared with your GP or surgeon (with consent).
Warning signs
Vital signs, pain, fluid intake, breathlessness and confusion are checked each visit so concerns are escalated early to the GP or hospital team.
Follow-up plan
We make sure outpatient appointments, pathology and GP reviews are understood and booked, and that family carers know what to watch for.
Coming Home From a Perth Hospital
Our nurses visit homes across metropolitan Perth from our headquarters at 2232B Albany Hwy, Gosnells, with $0 travel surcharge within 50km.
Fiona Stanley Hospital
Murdoch
Cockburn, Bull Creek, Willetton, Melville
Armadale Kelmscott Memorial Hospital
Mount Nasura
Gosnells, Armadale, Kelmscott, Byford
Bentley Hospital
Bentley
Cannington, Beckenham, Kenwick, Victoria Park
St John of God Murdoch
Murdoch
Southern suburbs & Canning Vale
Royal Perth Hospital
Perth CBD
Inner city, South Perth, Mount Lawley
Sir Charles Gairdner Hospital
Nedlands
Western suburbs, Subiaco, Claremont
Rockingham General Hospital
Cooloongup
Rockingham, Baldivis, Safety Bay
Joondalup Health Campus
Joondalup
Northern suburbs
How a Discharge Referral Works
- 1Family, discharge planner, social worker or GP sends the referral (form or phone).
- 2We acknowledge within 24 hours and confirm consent, address and funding pathway.
- 3A Registered Nurse visits for a full assessment — usually within 24–48 hours.
- 4A written care plan is agreed, and the same dedicated nurse continues the visits.
- 5With consent, updates are shared with the GP, surgeon or hospital team.
Funding options
Private / self-funded — no referral required
Existing Support at Home or Home Care Package provider (we work as an associated provider)
NDIS plan- or self-managed participants
Send a Discharge Referral
For families and health professionals. Acknowledged within 24 hours.
Hospital Discharge Nursing — FAQs
How quickly can a nurse visit after my parent leaves hospital?+
Referrals are acknowledged within 24 hours, and an in-home Registered Nurse assessment is usually arranged within 24–48 hours. If discharge is happening today or tomorrow, call 1300 919 663 directly so we can prioritise scheduling.
Do we need a GP or hospital referral?+
No. Families can contact us directly for private nursing. Discharge planners, social workers and GPs are also welcome to refer using the form on this page. A discharge summary is helpful but not required to get started.
Who pays for nursing after hospital discharge?+
Care can be private (self-funded), delivered through an existing Support at Home or Home Care Package provider as an associated provider, or funded through an NDIS plan for eligible participants. We explain costs in writing before care begins.
Which hospitals do your patients come home from?+
We visit patients across Perth metro returning home from public and private hospitals including Fiona Stanley, Armadale Kelmscott Memorial, Bentley, St John of God Murdoch, Royal Perth, Sir Charles Gairdner, Rockingham General and Joondalup Health Campus.
What does the nurse do on the first visit?+
A full clinical assessment: medication reconciliation against the discharge summary, wound review, vital signs, falls and home-safety check, and a written care plan agreed with the client and family.
Why Families Choose Us
Because they want:
- ✓One person who knows their loved one
- ✓Less confusion and fewer handovers
- ✓Better communication
- ✓Clinical eyes on important health issues
- ✓Confidence that nothing is missed
- ✓Support that actually feels personal
We understand how stressful it can be trying to support an ageing parent.
You want reassurance.
You want clarity.
You want someone who notices changes before they become problems.
Our Core Promise
You Will Never Feel Like Just Another Client
We believe care should feel:
Because older Australians deserve care that actually feels like care.
The Nurse Who Knows You
Helping Australians Stay Safe, Supported, and Independent at Home
One Client. One Nurse Coordinator. One Trusted Relationship.
Registered Nurse Coordinators · Customised Care Plans · Compassionate In-Home Care