“Hospital-at-home and step-down care means receiving hospital-level nursing and personal care at home after an admission, so you can leave hospital sooner while your recovery continues safely with skilled support. Gentle Care Nursing Services delivers step-down support across Sydney that complements NSW Health Hospital in the Home (HITH) and Out of Hospital Care pathways, in coordination with discharge teams at major Sydney hospitals.”
Some people are ready to leave hospital but still need more support than a standard discharge offers. Our hospital-at-home and step-down care service brings experienced nurses and carers to you across Sydney and surrounds, working alongside discharge planners at major Sydney hospitals (RPA, Westmead, Royal North Shore, St Vincent's, Concord) and complementing NSW Health Hospital in the Home (HITH) and Out of Hospital Care frameworks, so you can keep recovering in the comfort of your own home.
Quick facts
Citable facts for hospital discharge planners, GPs, families, and case managers arranging step-down care across Sydney.
We keep the setup process simple, clear, and human — so you know exactly what happens next.
Tell us what support is needed, where the person lives, what funding is involved, and whether the matter is urgent. We usually respond within 24 hours during business hours.
Our team reviews the request, confirms we’re the right fit, and identifies the right support model, frequency, and team for the job.
We confirm the plan, communication preferences, and start date, then begin support with a clear, person-centred routine.
This service is designed for people who are clinically stable enough to be at home, but still need close nursing oversight.
We coordinate closely with hospital teams so your at-home care plan matches your clinical needs and goals.
Experienced nurses provide observations, medication management, wound care, and other nursing tasks according to your discharge plan.
A planned schedule of visits that can start more intensive and reduce gradually as your condition stabilises and confidence grows.
Help with bathing, dressing, transfers, and mobility so you can safely move around your home and avoid falls.
We work from your discharge summary, liaise with hospital teams and your GP where needed, and escalate any concerns quickly.
We show families how to support recovery safely at home and what signs mean it’s time to call us or the treating team.
Useful next steps, reading, and referral paths for people comparing options.
Our goal is to make leaving hospital feel safe and supported, not rushed or overwhelming.
We regularly partner with hospitals and discharge planners to deliver structured hospital-at-home and step-down care programs.
We only provide hospital-at-home support when it is clinically appropriate and safe to do so, with clear escalation pathways.
Support can be delivered under NDIS, DVA, aged care packages, or privately, depending on your circumstances.
For the right people, yes. We work with your hospital team to make sure you are clinically suitable for hospital-at-home care, and we follow clear plans and escalation procedures if your condition changes.
You can ask your hospital team or discharge planner to contact us, or you can submit a Request Care enquiry yourself. We’ll review your situation and coordinate with the hospital to plan safe support.
In many cases, yes. Hospital-at-home and step-down care can be delivered under NDIS, DVA community nursing, aged care packages, or private funding. We’ll help you understand which options apply.
Tell us about your hospital stay and discharge plans so we can help you arrange safe, supported recovery at home.
No obligation. We'll acknowledge your message quickly and get back to you within 24 hours. We're here to listen and help.