Practical support for safer transitions

NDIS Hospital Discharge Support

Accommodation and disability-support coordination for eligible participants who are preparing to leave hospital and need a safe, planned next step.

NDIS participant, hospital social worker and support coordinator planning a safe discharge

From hospital to the right support setting

A delayed or poorly coordinated discharge can create stress for participants, families and clinical teams. Eden Ability works with the participant and their support network to understand accommodation, accessibility and day-to-day support requirements before a transition is agreed.

1

Referral coordination

One point of contact for participants, nominees, social workers, support coordinators and relevant clinicians.

2

Accommodation review

We consider availability, accessibility, location, staffing and the intended longer-term housing pathway.

3

Transition planning

Clear responsibilities, support information and move-in arrangements are agreed before discharge where possible.

Who can contact us

  • NDIS participants and nominees
  • Hospital social workers and discharge planners
  • Support coordinators and recovery coaches
  • Allied health and clinical teams
  • Family members and informal supports, with participant consent

Important information

Eden Ability is not an emergency medical service and cannot replace clinical care, crisis accommodation or emergency response. If someone is in immediate danger or needs urgent medical assistance, call 000.

Accommodation and supports depend on suitability, vacancy, participant consent, funding and the information available to the referral team.

View the discharge checklist

Information we need for an initial review

Current situation

Hospital, expected discharge date, current risks and why the present setting cannot continue.

Disability support

Daily living assistance, mobility, communication, behaviours, overnight support and equipment needs.

Funding and housing

Relevant NDIS funding, support coordination contacts and the planned medium- or long-term housing pathway.

How the referral moves forward

Initial contact

Call, email or send an enquiry with the participant’s consent and essential referral details.

Multidisciplinary review

We clarify support, accommodation, clinical and transition information with the relevant people.

Agreed next step

If we have a suitable option, the team develops a practical transition plan and confirms responsibilities.

Frequently asked questions

Can Eden Ability accept an urgent hospital referral?

We can review urgent enquiries, but acceptance depends on complete information, participant consent, suitability, vacancy, staffing and funding. Contact us early and clearly state the required date.

Does Eden Ability provide Medium Term Accommodation?

We can discuss MTA and other temporary accommodation pathways where they are appropriate. A confirmed longer-term housing plan and suitable funding are important parts of an MTA referral.

Can clinicians share reports directly?

Yes, with appropriate participant consent and secure information-sharing arrangements. Contact our team before sending sensitive documents so we can confirm the right process.

Need to discuss a discharge pathway?

Call 1300 228 856 or visit Shop G2/669 Gardeners Rd, Mascot NSW 2020.