Commmittee welcomes the Commonwealth's allocation of 400 extra nursing
places at universities in the 2004-05 Budget. However, the Committee recommends
that the Commonwealth further increase the number of undergraduate nursing
places at Australian universities to 1000 as recommended by the Hogan Review.
2.98 That the Commonwealth work with aged care providers to
ensure that their shared responsibility to assist enrolled nurses to complete
medication management training meets the target as recommended by the Hogan
2.99 That the Commonwealth implement a strategy which
allocates an appropriate number of undergraduate nursing places on the basis
that recruitment for those places occurs from the current residential and
community care workforce in both rural and urban settings proportionally.
2.100 That the Commonwealth investigate the effectiveness of
incentives for staff to work in aged care settings in rural and remote areas.
the Commonwealth, as a matter of priority, expand the National Aged Care
Workforce Strategy to encompass the full aged care workforce, including medical
and allied health professionals, and all areas of the aged care sector, in
particular the community care sector.
2.102 That the Department of Health and Ageing and the
Department of Education, Science and Training, as part of the National Aged
Workforce Strategy, ensure the inclusion of quality aged care curricula in
the Commonwealth consider implementing mechanisms to ensure that the
conditional adjustment payment aimed at restoring wage parity for nurses,
personal carers and other staff in the aged care workforce is used to meet this
Accreditation Agency, Accreditation Standards and complaints resolution
the Agency ensure that the training of quality assessors delivers consistency
in Agency assessments of aged care facilities.
the Agency publish data on the accuracy of assessors' decisions in conducting
assessments against Agency benchmarks and that this data be provided in the
Agency's annual report and on its website.
the Agency further develop and improve information provided to residents and
their families about the accreditation process, including those from CALD
backgrounds and Indigenous people, and more actively involve residents and their
families in the accreditation process.
the Agency develop a rating system that allows residents and their families to
make informed comparisons between different aged care facilities. The Committee
notes that work is being done on a web-based prototype; however it considers
that the rating system should not be limited to a 'star rating' but should
include easily understood descriptions of a range of attributes, such as type
and range of services provided; physical features of homes; staffing
arrangements; costs of care; and current accreditation status.
the Agency ensure that all facilities be subject to a minimum of one annual
random or targeted spot check and at least one site visit with notification
over its accredited period.
the Agency, in consultation with the aged care sector and consumers, develop a
benchmark of care which ensures that the level and skills mix of staffing at
each residential aged care facility is sufficient to deliver the care required
considering the needs of the residents. The benchmark of care that is developed
needs to be flexible so as to accommodate the changing needs of residents.
the Commonwealth, in consultation with industry stakeholders and consumers,
review the Accreditation Standards to define in more precise terms each of the
Expected Outcomes and that this review:
- address the health and personal care needs of residents, especially
nutrition and oral and dental care; and
- include specific consideration of the cultural aspects of care provision,
including the specific needs of CALD and Indigenous residents.
the Agency make greater use of interpreters during accreditation visits to aged
care facilities, especially those facilities that cater for specific or
predominant numbers of CALD or Indigenous residents; and that assessors be
trained in cultural competency as part of their formal training courses.
3.154 That the Commonwealth review the operations of the
Aged Care Complaints Resolution Scheme to ensure that the Scheme:
- is accessible and responsive to complainants;
- provides for a relaxation of the strict eligibility
criteria for accepting complaints;
- registers all complaints as a complaint, with the
complaints being categorised by their degree of severity, such as moderate
level of complaint, complaints where mediation is required or where more
significant levels of intervention are required; and
- provides that the mediation process is responsive and open and that
sufficient support for complainants is provided in this process.
the Commonwealth examine the feasibility of introducing whistleblower
legislation to provide protection for people, especially staff of aged care
facilities, disclosing allegations of inadequate standards of care or other
deficiencies in aged care facilities.
the Commissioner for Complaints conduct an investigation into the nature and
extent of retribution and intimidation of residents in aged care facilities and
their families, including the need for a national strategy to address this
3.187 That the Agency's role in promoting 'best practice'
continue and that it:
- develop a standard evidence-based approach to defining
'best practice' in aged care; and
- provide regular aggregated information to the industry
on methods for achieving 'best practice' in the provision of aged care
The Committee further recommends that the Agency consider ceasing its
direct role in providing direct staff training given the potential conflict of
interest that this entails.
the Agency, in consultation with industry stakeholders and consumers, review
the information required to be provided in the document Application for Accreditation and consider the feasibility of other
options such as reporting by exception, with a view to reducing superfluous and
time consuming reporting.
Committee welcomes the Commonwealth's initiatives in promoting IT in the aged
care sector and recommends that the implementation of these initiatives, as
well as increasing the take-up rate, should be a matter of priority.
people in residential aged care
Committee is strongly of the view that the accommodation of young people in
aged care facilities is unacceptable in most instances. The Committee therefore
recommends that all jurisdications work cooperatively to:
- assess the suitablity of the location of each young person currently
living in aged care facilities;
- provide alternative accommodation for young people who are currently
accommodated in aged care facilities; and
- ensure that no further young people are moved into aged care facilities in
the future because of the lack of accommodation options.
Committee notes that the Council of Australian Governments has agreed that
Senior Officals are to consider ways to improve Australia's health care system,
including helping young people with disabilities in nursing homes, and to
report back to COAG in December 2005 on a plan of action to progress these
reforms. The Committee recommends that the Senior Officials clarify the roles
and responsibilites of all jursidictions in relation to young people in aged
care facilities so as to ensure that:
- age-appropriate accommodation options are made available; and
- funding is available for the provision of adequate services to those
transferring out of aged care facilities.
The Committee supports every endeavour to reach a positive outcome.
4.169 That the Senior Officials' report to the Council of
Australian Governments include:
- support for a range of accommodation options based on
- ways in which the successful accommodation and care
solutions already in place can be extended to other jurisdictions;
- identification of barriers to the successful establishment of
accommodation options and provision of adequate support services by all levels
of government; and
- identify a timeframe for the establishment of alternative accommodation
options and the transfer of young people out of aged care facilities.
the Commonwealth and State and Territory Governments work cooperatively to
ensure that any barriers to accessing funds available under the Innovative Pool
are removed so that the desired objective of this initiative in providing
alternative accommodation options for young people in aged care facilities is
Committee recognises that in rare instances, a young person may choose to
remain in an aged care facility. In such circumstances, the Committee
recommends that the Commonwealth and the States and Territories work
cooperatively to reach agreement on:
- an assessment tool to address the complex care needs of young people in
aged care facilities;
- mechanisms, including a funding formula, to provide rehabilitation and
other disability-specific health and support services, including specialised
- ways to ensure that the workforce in aged care facilities caring for young
people has adequate training to meet their complex care needs.
the Department of Health and Ageing collect data on young people in aged care
facilities by disability type.
the Commonwealth and State and Territory Governments give priority to the
efforts of the Working Party established in November 2004 to examine succession
planning for ageing carers of children with disabilities and appropriate
support for respite for carers.
for aged care residents with special needs
the supplementary funding for aged care for residents with dementia be provided
for by additional funding and not funding from within the current budget.
5.62 The Committee recognises that the Australian
Health Ministers have jointly agreed to the development of a National Framework
for Action on Dementia and that the Commonwealth has recognised dementia's
significance with a $320.6 million package of
support over five years. The Committee recommends that all jurisdications work
together with providers and consumers to expedite the finalisation and
implementation of the Framework to assist all dementia sufferers.
the Commonwealth undertake a review of the additional costs of providing care
for those with dementia and those needing palliative care to ensure that the
new funding supplement will be sufficient to provide adequate care.
the Commonwealth establish a funding supplement for residents in residential
aged care who have additional needs arising from mental illness.
the Commonwealth investigate the provision of psychogeriatric services and the
effectiveness of psychogeriatric care units.
the Commonwealth provide targeted funding for the education of the aged care
workforce caring for people with mental illness.
the Commonwealth establish a funding supplement for residents in residential
aged care who have additional needs arising from homelessness.
the Commonwealth respond to the growing needs of people ageing with
disabilities by consulting with the States and Territories and stakeholders to
identify ways to improve access by people ageing with a disability to
appropriate aged care services including service provision in supported
while welcoming the increases in Commonwealth and State and Territory funding
for the Home and Community Care Program over recent years, the Commonwealth and
State and Territory Governments increase funding for HACC services to ensure
more comprehensive levels of care can be provided to existing clients and to
ensure sufficient growth in funding to match growth in demand.
the Commonwealth review the indexation arrangements for the Home and Community
Care Program to reflect the real costs of providing care.
the Commonwealth and States and Territories substantially increase funding for
identified special needs groups within the HACC target population including
people from culturally and linguistically diverse backgrounds; Aboriginal and
Torres Strait Islander people; people with dementia; financially disadvantaged
people; and people living in remote or isolated areas.
the HACC guidelines be amended to recognise homeless people or people at risk
of homelessness as a special needs group.
the Commonwealth introduce a funding supplement to reflect the additional costs
of proving community care services in regional, rural and remote areas.
while welcoming the increases in Commonwealth funding for Community Aged Care Packages and Extended
Aged Care at Home packages over recent years, the Commonwealth increase funding
for these programs to meet demand for these programs and to provide viable
alternatives to residential aged care.
the Commonwealth provide a clearly defined timetable for implementing all
aspects of A New Strategy for Community
Care: The Way Forward.
in supporting the approach in The Way Forward for implementing a more
streamlined and coordinated community care system, the Commonwealth address the
need for improved service linkages between aged care and disability services.
the Commonwealth and State and Territory Governments assess the appropriateness
of the compulsory competitive tendering
process for future programs as part of the implementation of The Way Forward strategy.
The Way Forward implementation strategy
recognise the central role of carers in the community care system.
while welcoming the increases in Commonwealth funding for carer-specific
programs over recent years, the Commonwealth increase funding for these
programs through the National Respite for Carers Program and the Carer
Information and Support Program.
the Commonwealth and the States and Territories improve coordination in the
development and implementation of transitional care programs, and that the
development of programs include input from the community sector and health
the results of innovative pilot programs funded by the Commonwealth and the
States and Territories be widely disseminated and that mechanisms be developed
to coordinate information about these pilots across jurisdictions so that
innovative models of transitional care can be more readily developed based on
the Commonwealth, in conjunction with the States and Territories, develop a
national framework for geriatric assessment and discharge planning and the
provision of post-acute and convalescent services and facilities, including
community services; and that discharge planning be coordinated across a range
of medical, allied health and community care professions and involve the
patient, their family and carers in the development of these plans.
common assessment procedures for patients be implemented across the various
health sectors so that medical records and diagnostic results can be easily
transferred across these sectors.
Navigation: Previous Page | Contents | Next Page