Empower Lives with Heart

NDIS Hospital Discharge

Leave Hospital Safely With Every Support Ready From Day One

Rapid NDIS discharge support across Sydney, the Central Coast and the Hunter, coordination, care and housing, organised fast.

NDIS Hospital Discharge Support in cabin

NDIS registered
Hospital to home

15 min

Free intro call
No paperwork to start

Why Us

Hospital to Home, Without the Gaps

AFCR-Landing_Page-SIL

Rapid Mobilisation

Discharge shouldn’t stall waiting for supports. We start planning the day you call.

Psychology-led

One Team, Every Support

Coordination, care, high intensity supports, therapy and housing under one roof fewer handoffs, fewer gaps.

all ages

Psychology-Led Care

Leaving hospital is emotional, not just logistical, our psychology-led team plans for both.

Support for Children, Adults and Older Adults

We Speak Hospital

We work directly with discharge planners and social workers, in the language wards use.

THE PSYCHOLOGY-LED DIFFERENCE

A Discharge Built Around the Person, Not Just the Bed

Hospitals need beds; families need certainty; participants need a life to come home to. Founded by a registered psychologist, Affective Care plans discharges around all three with the person’s wellbeing leading every decision.

We assess quickly; needs, risks, home suitability and what the treating team advises.

We build the discharge package; supports, equipment, housing and therapy with the discharge planner, family and NDIA.

We’re there on day one and after adjusting supports as real life at home shows what’s working and what needs to change.

NDIS Hospital Discharge Support hapy faces
WHO WE Support

Discharge Support for Every Situation

Whether you’re leaving a rehab unit, a mental health admission or an acute ward, discharge support is shaped around what happens next for you, not just what happened in hospital.

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Acquired Brain Injury

Structured transitions from brain injury units, supports, therapy and routines rebuilt for life after rehab.

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Spinal Cord Injury

Home setup, equipment and personal care rosters including high intensity supports ready before you leave the ward.

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Stroke Recovery
Continuity between hospital rehab and community therapy, so progress doesn’t stall at the front door.
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Psychosocial Discharge

Psychosocial discharge planning after an inpatient admission, steady supports that reduce the risk of readmission.

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Physical Disability
Post-surgery or post-injury transitions with mobility, home modifications and daily supports lined up in advance.
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Complex Medical Needs

High intensity daily supports, tube feeding, wound care, catheter management delivered by trained workers at home.

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No Safe Home to Go To
When home isn’t suitable or doesn’t exist, we arrange interim accommodation (STA/MTA) and longer-term SIL options.
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New to the NDIS
Not yet a participant? We help families navigate NDIS access from the hospital bed, alongside the hospital team.
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Long-Stay Patients

Medically ready but stuck in hospital waiting on supports? That’s exactly the delay we exist to break.

BUILT ON TRUST & PROFESSIONAL STANDARDS

A Team Hospitals Can Rely On

RD
Rita Dagher
Registered Psychologist • CEO
Rita founded Affective Care to make major life transitions safer and more human.
National_Disability_Insurance_Scheme
NDIS Certified_col
Ahpra and National Boards
Australian Counselling Association (ACA)
Occupational Therapy Australia
Australian Physiotherapy Association (APA)
NSW Education Standards Authority
speech_pathology

NDIS registered provider audited against the NDIS Practice Standards, including high intensity supports.

Registered for Assist-Life Stage/Transition, Support Coordination, Daily Tasks/Shared Living and more.

Experienced with Sydney hospital discharge teams and social workers (verify referral relationships).

Multilingual, culturally inclusive team; English, Arabic and Mandarin.

What Families Say

Discharges That Went Right

What We Help With

Everything a Safe Discharge Needs

One provider, the whole discharge package, organised in parallel, not one piece at a time, so nothing holds up the day you leave.

Discharge Coordination

Support coordination including Specialist Level 3 for complex, high-risk discharges driving the whole transition.

Interim & Long-Term Home

Short and medium term accommodation (STA/MTA) when home isn’t ready, and SIL options for the long term.

Personal & Complex Care

Personal care through to high intensity supports tube feeding, wound care, catheter management up to 24/7.

Therapy Continuity

Psychology, OT, speech pathology and behaviour support picking up where the inpatient program left off.

Equipment & Home Setup

Assistive technology, equipment and home modification coordination arranged before discharge, not after.

Family Support

Clear communication with family and carers throughout you’ll always know what’s organised and what’s next.

Complex Discharges
Extra Capability for High-Risk Transitions
Where We Work

Hospitals We Support Discharges From

Hospital names are descriptive of where participants discharge from, not affiliations.

Western & SW Sydney
Inner West & North
Coast & Hunter

Your Hospital Not Listed? Ask Us

These are hospitals we commonly work with; we support NDIS discharges from any public or private hospital in our regions.

Hospital discharge commitment

Our Commitment to You

Nobody should stay in hospital because supports weren’t ready and nobody should go home to an unsafe gap. Our commitment: honest timelines, relentless follow-through, and a person at the centre of every decision, not a bed number.

Funding in recovery coaching

Home, Interim Housing or Supported Living We Plan for Your Path

Discharge isn’t one-size-fits-all. We build the option that’s actually safe:

  • Straight home with supports, equipment and therapy in place
  • Interim stay (STA/MTA), a safe bridge while home or housing is prepared
  • Supported Independent Living, when home no longer works
discharge support hills hospital

How Discharge Support Is Funded

  • Discharge supports draw on several NDIS budgets, Core for daily care, Capacity Building for coordination and therapy, we map yours.
  • Interim housing uses Short Term Accommodation or Medium Term Accommodation funding while a longer-term home is arranged.
  • Plan doesn’t cover what discharge needs? We’ll help you and the hospital team request the right changes through NDIA processes.
How it works

From Ward to Welcome Home

Call from the ward, the waiting room, or home, we take it from there.

1

Call Us Early

The earlier we’re in, the smoother it goes. We’ll assess needs and liaise with the hospital team same-week.

2

Build the Package

Supports, housing, equipment and therapy organised in parallel honest timelines shared with everyone.

3

Land Safely

Supports start on discharge day then we review in the first weeks and adjust as home life settles in.

Discharge Planners & Social Workers; Refer Here

We know a delayed discharge costs everyone the patient most of all. Send the referral and we’ll respond within one business day with what we can mobilise and honest timeframes for the rest.

We accept complex, high intensity and psychosocial discharges, including participants without safe housing.

discharge planner and support worker
discharge planner and support workers
Interim housing hills hospital
For Hospital Teams & Planners

A Provider Who Answers the Phone and Delivers

NDIS-registered across the support types discharges actually need coordination, daily personal activities, high intensity, accommodation and therapeutic supports with one contact point for your whole referral.

  • Response within one business day, with clear capacity answers
  • Complex, high intensity and psychosocial discharges accepted
  • Interim housing pathways (STA/MTA) for patients without a safe home
For Participants & Families

Stuck Waiting, or Scared of Going Home Unsupported?

You don’t have to organise a discharge alone. Call us, we’ll explain what can be arranged, work alongside the The Hills Private team, and keep you and your family informed at every step.

  • One call starts everything we coordinate with the treating team for you
  • Help with NDIS access if you’re not yet a participant
  • Support in English, Arabic and Mandarin
We're ready when you are

Don’t Wait for Discharge Day

The best discharges are planned early. One call today means supports, housing and therapy ready when the ward says you’re ready.

Rapid response — call today

FAQ

Hospital Discharge Questions, Answered

We plan your exit from hospital so everything is ready on day one: supports, equipment, therapy and a safe place to go. We work alongside the hospital’s discharge planner and social worker, map your NDIS funding, and organise the pieces in parallel so nothing holds up your discharge.

Commonly: Westmead, Liverpool, Sydney Southwest Private, Royal Rehabilitation Centre (Ryde), St John of God Burwood, The Hills Private, Brisbane Waters Private (Woy Woy) and Hunter Brain Injury Service (Newcastle) and we support NDIS discharges from any hospital in our regions. We’re independent of all hospitals listed.

We start planning the day you call and can often mobilise care workers and coordination within days. Honest caveat: some elements NDIA plan changes, equipment orders, housing have their own approval timeframes. We move everything we control fast and give you straight answers on the rest.

That’s one of the most common reasons discharges stall and something we specifically solve. Short Term or Medium Term Accommodation (STA/MTA) can bridge the gap while home is modified or a longer-term option like Supported Independent Living is arranged.

Yes. Hospital stays are often when disability support needs first become clear. We help you and your family understand NDIS access, gather the evidence the application needs, and work with the hospital team, so the process starts from the bed, not after you’re home.

Yes, we’re registered for high intensity daily personal activities (tube feeding, wound care, catheter management and more) and provide Specialist Support Coordination (Level 3) for high-risk transitions, including psychosocial discharges after mental health admissions.

Your NDIS plan has different pieces draw on different budgets: Core funding for daily care, Capacity Building for coordination and therapy, and dedicated STA/MTA funding for interim accommodation. We’ll map your plan and tell you exactly what’s covered before anything starts.

Ongoing psychosocial supports and therapy are exactly what we set up and please know discharge support isn’t a crisis service. If you’re in crisis or at immediate risk, call 000, or Lifeline on 13 11 14 (24/7). For everything else, call us on 1300 615 193.

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More Ways We Can Help

Discharge is the beginning, not the end. Our Support Coordination keeps your plan working long after you’re home, Supported Independent Living offers a permanent housing path, and our psychology, OT and speech teams continue the therapy your recovery started; see our Discharge guide for the full picture.

NDIS Hospital Discharge Support — Refer or Enquire

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