I am leaving hospital or changing services
Prepare questions about the plan, communication needs, follow-up and who to contact when something is missing.
Prepare for the transitionPublic interest · free access · built in the open
Practical help
when care changes.
When a worker changes or someone leaves hospital, it can be hard to know what happens next. These tools help you ask who has accepted the next action and how to follow it up.
A free toolkit for understanding your options, asking for support and keeping care actions visible. For people with disability, people with mental health support needs, chosen supporters, workers and professionals.
Use a practical checklist, prepare what to ask, find an official source or connect with a human service. No account or AI is needed.
Free to use. Australian support routes, with police guidance currently limited to WA and Victoria. Check each source's location and scope.
Use this today
What needs attention?
An action is getting lost
Write down the person's wishes, the unfinished action, who has accepted it and when the result will be checked.
Use the continuity worksheetI need someone to help me be heard
Find disability advocacy, service navigation or the right route for a concern about NDIS supports.
Find a human support routePolice or a legal refusal is involved
Start with the source guide. Choose your location and check the official source and any deadline.
Find the relevant legal sourceI disagree with an NDIS access or funding decision
Find the NDIA decision-review route and check which decisions can be reviewed. This is different from a complaint about a provider.
Check the decision-review routeA service said no, or nobody has replied
Ask for the reason, check who can accept the next action and choose another human route if you are still stuck.
Find a way forwardNeed help finding disability services in Australia? Call Disability Gateway on 1800 643 787. Ask what service fits your situation.
How this can support you: practical information and preparation tools are available now. Care Continuity does not receive cases, arrange care or monitor your worksheet. Contact the service you choose directly. The separate Alex workflow demonstration below uses made-up people and events.
What you can check
Sources and review record
The guide contains 9 source cards linked to 8 official sources, alongside 8 draft learning modules. Original documents, published papers, review findings and correction records are available to read. The practical toolkit adds a reusable continuity worksheet and routes to human support.
Source cards were editorially checked on 23 October 2026 and remain due for review by 22 November. A scoped monitoring check on 25 October found no material correction needed. This is a source check, not professional accreditation or proof of improved care outcomes.
People, supporters and professionals
Find resources for your role
The person's own wishes and communication needs belong at the centre. Use these resources yourself or with someone you choose.
I need support
Prepare what matters to you, what you want to ask and what help you need to take the next step.
Find support and advocacyI am family or a chosen supporter
Help record the person's wishes and agreed next steps. Check what the person wants shared and respect lawful decision-making authority.
Prepare a continuity recordI work in care
Use the checklist to make unfinished actions and accepted handovers visible. Include the time and support workers need.
Use the handover checklistI work in health or emergency services
Use the official inclusive-care resources and transition questions with your service's approved clinical processes.
Open transition resourcesI work in law or make decisions
Check jurisdiction, original sources, the person's participation, missing information and the route to challenge an error.
Inspect the source guidanceI teach, research or lead a service
Use the draft lessons for discussion and inspect the published review and pilot requirements. Lessons are not accredited training.
Read learning and review materialRead or search the source material
Start with experience-informed checks, then search the complete extracted ID/ABI white paper and its 33 crosswalks, browse headings or open original documents and the template archive.
Ask and explore Read the white paper
Historical proposals and dated corrections remain separate from current guidance. No account, subscription or AI is needed to read.
New releases and connected projects · 24 October 2026
QIP and Rails for Consequence have new published companions. QI is still under review and is not public. The disability white paper remains v3. Read the papers, versions and limits.
Meet Future You (Pain Card) is our separate financial-learning project. Try the English money-learning beta with made-up amounts, or use the official money-information links on its project page. Independent human review remains pending; draft exercise translations remain private.
The independent review and paid-testing pack is ready. Reviewers, funding and sessions are not yet confirmed. Read the full transparency update.
Optional demonstration
Keep the task open until it is checked.
This example is made up. The buttons change this example only. They do not send a message or arrange care. Reloading the page starts again.
Made-up exampleNeeds action
Check Alex has support after leaving hospital
Alex is leaving hospital. Alex wants information that is easy to understand and a trusted person involved. The team taking over must check the plan with Alex.
- Person doing this task
- Example worker A
- Another worker who can help
- Example worker B
- Task due
- 26 October 2026 · 12:00
- Record of what happened
- Not recorded
The task stays open until someone checks what happened.
How does this relate to AI?
AI could help locate source passages, highlight inconsistent accounts and identify missing evidence. Those capabilities need separate validation against original records and qualified review. This public demo makes no model calls, scores nobody and has no case-upload facility.
Proposed safeguards
Access, funding and privacy
Access without a price tier
No subscription, paid priority, advertising, referral commission or sale of personal data in this pilot. Paid professionals can use a free service without acquiring the right to commercialise it.
People help govern
The proposed operating model gives people with disability meaningful governing authority, alongside worker knowledge and independent expertise. A governing body has not yet been appointed.
Funding under public scrutiny
We propose public funding and conflict registers, declared conditions, independent review and protected continuity arrangements. A constitution, licence and stewardship agreement still need legal review.
Transparency without exposure
Publish the methods, limits, decisions and evaluated results. Keep personal records private and accessible only through appropriate authority. This site accepts no case records or personal stories.
Can these commitments prevent every misuse?
No. Publicity, software settings and signatures cannot eliminate capture, copied commercial versions, false records or harmful decisions. Legal protections, independent oversight, correction rights and a sustainable response service are still required. No approved software licence or registered charity structure has yet been established. Publishing code alone is not a commercial-use restriction.
Project record
Development, costs and outstanding work
Decisions, costs, limitations and corrections belong in view from the beginning. Read the transparency journal →
Development stagePractical toolkit, public source guide, optional AI and draft lessons. Guide version 0.7.
Last recorded update25 October 2026
Organisational partnersNone confirmed. No endorsement claimed.
Funding commitmentsNone recorded. No public donations collected.
Operating costsPublishing uses Micro.blog Premium at the provider-listed $10/month for the account; the whole service is not yet costed.
Technical checksHandover, closure and privacy-boundary checks; independent assessment pending.
Evidence of benefitNo clinical, legal, safety or financial benefit has been established.
Ownership and licensingRights review and legal safeguards pending. Public viewing does not establish a general redistribution licence.
Project trackingNo project-added analytics, ads or tracking cookies. Toolkit notes stay in your browser unless you download or print them. Hosting providers may keep request/security logs under their terms.
Development and correction record
- 25 October 2026: scenario walkthroughs found gaps after a refusal, an unanswered action and an unsupported guide question. Added explicit next steps, national legal and NDIS decision-review routes, a blank print sheet and request wording that keeps all entered questions. These are simulated walkthroughs, not participant validation.
- 25 October 2026: made practical guidance the main entrance; added a printable continuity worksheet and verified human support routes. The fictional workflow is labelled separately. Replaced the unrelated About text with the project purpose and evidence.
- 23 October 2026: added a simple information page, larger controls and text, clearer demo language and an accessibility statement. Testing with people with disability remains to be done.
- 23 October 2026: added six audience routes and a dated transparency journal with RSS.
- 23 October 2026: kept private case materials separate from the public tools and fictional workflow example.
- 23 October 2026: published free-access requirements and distinguished operating commitments from legal protections still to establish.
- 23 October 2026: included unchanged dates, accepted handovers, acknowledgement checks and reopening in the demonstration.
- No independent evaluation has been completed. The record must be updated when decisions or claims change.
The public prototype passed 16 automated workflow, link and privacy-boundary checks. Independent assessment remains pending.
Review and testing still needed
A proposed pilot needs a host and funding
We seek a willing host and paid co-design with people with disability and workers, supported by legal, clinical and evaluation expertise. The first stage would use fictional or properly authorised retrospective material, with an explicit decision before any live operation.
For people and workers
Test accessibility, whether the workflow respects choice, and whether it reduces lost actions without creating more unpaid work or surveillance.
For organisations and evaluators
Assess authority, independence, actual response capacity, sustainable funding and errors. Declare existing products, funders and conflicts before proposing stewardship.
A project contact email is available in the footer for enquiries and corrections. A pilot application process has not been established. No sign-up, case-intake or donation form operates here. This page can be shared for scrutiny; organisations named elsewhere in private research are not partners or endorsers.
Independent standards to work against
The pilot should be evaluated against relevant rights, supported-decision-making, care and AI-assurance requirements. These references do not endorse this project.