Discharge Follow-up Service

Our Discharge Follow-up service will support hospitals by following up NDIS participants, or those likely to be eligible, with high and complex support needs who are being discharged quickly from hospital.

Due to the evolving COVID-19 pandemic, there is a significant risk that hospitals may be forced to discharge people with disability home earlier from rehabilitation programs and/or to interim discharge destinations that are not sustainable or appropriate long term.

The Summer Foundation will provide a phone outreach service to people aged 18-64 with high and complex disability support needs who are being discharged, or have recently been discharged, from hospital. 

This service will involve Post Discharge Consultants (Summer Foundation employees with clinical backgrounds) calling individuals to discuss the following:

  • A check in to see how individuals and close others are managing post discharge
  • Identification of specific issues or challenges
  • Supporting people to navigate the NDIS and access essential services
  • Provision of flexible funding for people with an urgent need for essential services and supports
  • Provision of information about organisations offering material aid and assistance
  • Supporting individuals to explore housing options
  • Provision of accessible information about COVID-19
  • Provision of consultation to formal support services such as support workers and support coordinators

Referral from hospitals

Hospitals are responsible for ensuring that patients are discharged to suitable housing options with the necessary disability and health support services in place. During the COVID-19 pandemic, the Summer Foundation is providing an additional service to support people leaving hospital with high and complex disability support needs.

Information, consent and referral form

This information, consent and referral form is for all patients referred to the Summer Foundation. If you need a PDF version of this form, please email postdischargefollowup@summerfoundation.org.au

Referral from families/other supports

People with disability, their families or other supports can also directly access the Discharge Follow-up Service. This referral form will need to be completed if you are requesting the service.

A dedicated project team is working to further develop plans for this project. More information will be provided on this page as plans progress.

Download a flyer about this service.

For more information, please contact us on 1300 319 014 or email Dayanna at postdischargefollowup@summerfoundation.org.au