Post-Hospital / Discharge Support

Transitioning home from a hospital stay requires immediate clinical coordination, continuous monitoring, and tailored support to ensure a smooth recovery and avoid preventable readmissions.

At Makhills Health, we provide comprehensive Post-Hospital and Discharge Support services throughout Greater Perth. Managed and delivered by experienced Registered Nurses, our clinical care team supports NDIS participants with expert post-acute care, complex wound management, and structured recovery plans in the comfort of home.

4-Step Discharge Transition Framework

To maintain clinical oversight, promote early recovery, and comply with NDIS Quality and Safeguards standards, Makhills Health follows a structured care protocol

Pre-Discharge Assessment & Intake

A Registered Nurse coordinates directly with hospital discharge teams to review clinical requirements and build a safe home transition plan.

Immediate Home Setup & Care Initiation

On discharge day, our nursing team conducts a comprehensive in-home safety evaluation, verifies medications, and initiates treatment schedules.

Routine Post-Acute Clinical Visits

Qualified nurses provide regular home visits for wound management, vital tracking, medication administration, and functional reviews.

GP Liaison & Care Plan Review

Ongoing sharing of recovery progress with your GP, medical specialists, and NDIS support coordinator to update your long-term care plan.

Comprehensive Post-Discharge Services We Provide

We offer a broad range of post-acute clinical services tailored to your NDIS Community Nursing plan:

Support AreaSpecialised Care Provided
Post-Surgical Wound CareAdvanced dressing changes, surgical site monitoring, drain management, and infection prevention.
Medication Reconciliation & AdminReviewing discharge prescriptions, setting up Webster packs, and oversight of complex medication routines.
Vital Signs & Recovery TrackingContinuous logging of baseline vitals, pain scores, and physical signs to track recovery milestones.
Catheter & Stoma CarePost-discharge maintenance, hygiene support, and management of enteral tubes or urinary catheters.
Mobility & Safety AssessmentsHome environment evaluations to reduce fall risks and coordinate with occupational therapists.
Clinical Escalation ManagementEarly identification of recovery complications to facilitate prompt doctor reviews and prevent hospital readmissions.



Why Choose Makhills Health 

  • Registered Nurse Leadership: All post-acute care plans, wound management routines, and clinical schedules are managed directly by qualified Registered Nurses.

  • NDIS Community Nursing Coverage: Access structured discharge care funded under NDIS Community Nursing and High Intensity support categories.

  • Reduced Hospital Readmissions: Proactive clinical logging and early complication identification minimize emergency room visits and preventable readmissions.

  • Integrated Care Coordination: Direct communication and alignment with hospital staff, GPs, allied health teams, and NDIS support coordinators.

Frequently Asked Questions

Is post-hospital discharge care funded under my NDIS plan?

Yes. Clinical nursing services, wound care, medication assistance, and post-acute monitoring fall under NDIS Community Nursing and High Intensity Daily Personal Activities when related to your disability needs.

We can coordinate with hospital social workers and discharge planners prior to your release to ensure nursing support begins immediately upon your arrival home.

Ready to Get Started

Speak directly with our Perth care team to discuss your goals, arrange a free consultation, or submit a fast-track NDIS referral.