Group 3

Discharge planning toolkit

Resources for connecting people to the NDIS and finding a suitable place to live

The Summer Foundation has worked closely with hospital discharge staff, people with disability and families to understand the issues around accessing comprehensive disability support.

This toolkit provides targeted information for hospital discharge staff, and staff in acute and rehabilitation hospital settings, relating to the discharge of people aged under 65 years who have acquired a disability.

The toolkit includes the following features:

  • Resources for team members working with younger people with disability and complex support needs
  • Resources to pass on to people with disability and their families, to inform decision making, improve discharge outcomes and facilitate greater access to the community
  • Resources in a range of formats, including checklists, fact sheets, templates, hints and tips, video stories and quick links
  • Separate sections that reflect the different stages of a resident’s connection to the NDIS and beyond

Disability Sector and NDIS Overview

For patients

What is the NDIS and is it for me?

What are advocates and how can they help me? 

Guardians and administrators: What can they do and who decides if I need one?

Moving in to residential aged care? Here’s how the NDIS can support you

How do I choose someone to support me to make NDIS decisions?

Superannuation: How do I know if I can access it early?

What is a Power of Attorney and how can they support me?


For staff

Getting the language right: A guide to writing reports, letters, forms and assessments for the NDIS

NDIS at a glance: Useful links and resources

Further reading on NDIS

Hospital discharge – Context

Hospital discharge – Working together 

ACAT: The value of working collaboratively

Kirsty’s story

Hospital discharge – Lessons for health services

Michael’s hospital discharge experience 

ACAT: Exploring options for a younger person with disability

Discharge planning – from hospital to home

NDIS Access

For patients

How to fill out the NDIS Access Request Form

Case study: Financial considerations for people with acquired disability

Financial considerations of moving in to residential aged care

How to get the best out of NDIS – Access stage

For staff

NDIS access: Useful links and resources 

The NDIS: A new landscape for people who acquire a disability

Hospital discharge – Making sense of a new world

Hospital discharge – Looking to the future 

Danny’s story – with his brother Michael 

Goal Setting and Planning

For patients

What can I get in an NDIS plan?

What do I take to my NDIS planning meeting?

Support coordinators: Who are they and how can they support me?

For staff

Hospital discharge – Where will I live 

Hospital discharge – NDIS Planning

Individual people need individual responses

Holding out hope

Chris’ experiences with the health system

Achieving goals – from hospital to home

I’m a person before a disability – Karen’s story

An NDIS journey 

NDIS Plan Implementation

For patients

Plan management 

For staff

NDIS implementation: Useful links and resources

NDIS planning: Useful links and resources 

Hospital discharge – Implementing the plan

Matthew’s story

Life after discharge – from hospital to home 

Making the most of this toolkit:

  • The NDIS is currently evolving, and so is the broader disability services landscape. As such, the information in this toolkit is likely to change. For the latest resources, check back on this website, or sign up to our mailing list to make sure you receive the most up-to-date information as soon as it’s available.
  • The term ‘participant’ is used by the NDIS to refer to an individual who is currently registered to access the NDIS. In the residential aged care setting, these individuals are commonly described as ‘residents’. Where the resources in this toolkit refer to a ‘participant’, they refer to a resident of your facility who is already registered with the NDIS, or is likely to be eligible to access the NDIS.
  • The ‘hints and tips’ provided in the resources are based on our own experiences of working with people with disability who have high and complex support needs. There is no effective one-size-fits-all approach to supporting people with disability. All advice should be considered in context of the individual, their goals, and their financial and social circumstances.
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