Community Transition Support
Supporting safe transitions from hospital to community life, with CPNs and PBS specialists ready to step in at the right place and time.
The Cost of Delayed Discharges
42%
of autistic people are readmitted to hospital due to gaps in post-discharge support.
1 in 3
people with a learning disability experience preventable hospital readmission.
60%
of people with mental health needs are discharged from hospital without a personalised care plan.
By offering crisis support across diverse care settings, we work to create sustainable outcomes and avoid costly, restrictive interventions.
Support Through Every Stage of the Transition
Our multidisciplinary team works with children, young people, and adults experiencing complex mental health challenges.
We support:
Discharge from
hospital or inpatient services
Step down from
secure or specialist placements
People whose previous placements have broken down
A Safe Step into Community Life
Safety, wellbeing, and personal choice are central to our support. Each transition is carefully planned with structured functional and risk assessments that uphold people’s human rights. We use multimedia tools such as video avatars and social stories to help people understand, choose and embrace their journey forward.
Led by Community Psychiatric Nurses and Multidisciplinary Team
At the heart of every successful transition is a team that works together.
Our services are led by Community Psychiatric Nurses (CPNs) who play a key role in clinical oversight, mental health assessment, and providing proper support. Working alongside our CPNs is a multidisciplinary team, including:
Registered Mental Health Nurses (RMNs)
Occupational Therapists
Social Workers and Clinical Leads
Specialist Healthcare Assistants
Behaviour Specialists
Proven, People-Focused Outcomes
Why Nurseline Community Services is a trusted provider for bespoke community transition support:
Safe transitions from hospitals, CAMHS units, or secure placements
Wraparound support from CPNs and Multidisciplinary professionals
Coordinated approach with local services, families, and Professionals
Home environments tailored to the person’s unique needs
Consistent team presence to build trust and reduce escalation
Rated GOOD by the CQC
Transitions Built on Trust and Care
Meet Lisa – a brave woman who reclaimed her life after decades in hospital care.
For nearly 30 years, Lisa lived in institutional settings, facing complex mental health challenges that made everyday decisions feel out of reach.
Now, she lives in her own home. She’s found comfort in her garden, a place that brings her peace. With consistent, person-centred support, Lisa is starting to make choices for herself – at her pace, in her own way.
Gareth
Goundrill
