This project saw The Plug-in again working alongside the University of Adelaide Nursing School, Adelaide PHN and Central Adelaide Local Health Network with funding from The Hospital Research Foundation.

This project followed on from a project in 2018 where valuable insights from The Plug-in influencers helped us discover that ‘there is something missing in the middle’. Our influencers helped us understand that information and care can break down at important points in the transition from hospital to home, for example when an older patient is discharged from hospital.

In this next stage of research we worked with both health professionals, service providers and community members. Specifically, we aimed to engage with community members aged over 75 years that had recently had an unexpected hospital admission, to help us understand the problem, improve care and help reduce avoidable admissions to hospital.

The overall aim of this project is to reduce multiple avoidable admissions to hospital and help older people remain independent and living well at home.

What was involved

To explore insights and hear about individual experiences we held a series of workshops in late 2019. In these workshops we heard ideas and opinions about what worked well and what could have been done better as participants transitioned from hospital back to their home.

Those selected to take part received a $60 gift card in recognition of their involvement.

Thank you to everyone who shared their experiences, feedback and ideas through this project — your participation is greatly valued and will be used to influence how older people are supported to transition from hospital care into their home with the aim of reducing avoidable hospital admissions.

For further information please contact us on 08 8224 5526 or email