Referrers
For Hospital Discharge Teams
A transition-focused route for teams discharging older adults who need rehab, home physiotherapy, remedial massage, nursing support, or a clearer next-step pathway.
Referrer route
These pages explain the referral process in a way that is clearer for each professional audience, rather than sending everyone through one generic page.
Care settings
Clinics GRPCare, governance and continuity
Audience
High-priority situations
- Functional decline after admission or surgery
- Need for home-based rehab to reduce readmission risk
- Discharge where mobility, falls, or nursing follow-up is unresolved
Referral detail
Useful referral detail
- Expected discharge timing and destination
- Current mobility, equipment, and support situation
- Any urgent follow-up need in the first days after discharge
Communication
Next-step expectations
- Intake triages the best service and setting quickly
- Home versus clinic delivery is matched to recovery fit
- Communication can support safe transition planning
Next step
Use one referral route and let intake resolve the right pathway
The aim is to reduce ambiguity for referrers and make the next step easier to act on.