HACC in Victoria & National Reform
Jane Herington PSM
Director, Ageing and Aged Care, Department of Health Victoria
HACC in Victoria & National Reform
National Disability Insurance Scheme (DisabilityCare Australia) agreement between the Victorian and Commonwealth Government
included an agreement to broader revision of roles and
responsibilities for people 65 and over and people aged under 65
(and indigenous people over/under 50)
 The Agreement will affect the HACC Program in Victoria, which is
currently funded by both the Victorian and Commonwealth
the program will be split, with funding and management of
services for
people over 65 transferring to the Commonwealth
The Heads of Agreement state that: “the Commonwealth and Victoria
will work together to retain the benefits of Victoria’s current Home and
Community Care service system.”
 Transition being overseen by a CW/State Steering Group
 Commonwealth PM&C, Treasury, DoHA
 Victorian P&C, DTF, DH
 First meeting to discuss terms of reference and timelines for
transition plan – June 2013
 Transition plan agreed (and approved by Victorian Cabinet) earlymid 2014 – key milestones, funding and activities agreed
 Transition implementation activities over 2014-2015
 identification of agency splits – funding for over/under 65
y.o clients
 agreement around other funding types – FSR, SSR and
 integration/interface with C’w Home Support Program
 C’w funding agreements for service delivery agencies commence 1
July 2015
 C’w Home Support Program intended to commence 1 July 2015
Impacts 2013-15
 What will be the impact in the short term?
no immediate impact on HACC clients or service
seeking undertakings about current service delivery
arrangements (“stable state”)
transition plan will document milestones to enable
agencies to make decisions and to plan for change
 What will happen over the next 2 years to 30 June 2015?
HACC will continue to be funded jointly by the
Commonwealth and Victorian Governments and
managed by the Victorian Department of Health
decisions about growth funds and indexation each
year will continue to be taken by both Governments
in the context of their respective Budgets
growth consultations for 2013-14 to commence next
two weeks
DH will continue to pursue the directions in Victoria’s
Key elements of Steering Group considerations
 “The CW and Victoria will work collaboratively to ensure
successful communication and implementation of the
transition of HACC and related services for older people in
Victoria from 1 July 2015.”
 “The CW and Victoria will work together to retain the benefits
of Victoria’s current HACC service system.”
Commonwealth/State discussions to include:
 The unique arrangements for HACC in Victoria
 How Victorian HACC will inform development of
Commonwealth Home Support Program
 introduced from July 2015 in all states
 future integration/interface issues with Victorian HACC
 Financial arrangements, including
split of funds over/under 65
budget neutrality (neither govt better or worse off as a result)
pricing issues
relationship with related programs and NDIS
Victoria’s view of the benefits of the Victorian HACC
 significant role and involvement of local government in
 local government role in positive ageing, planning for agefriendly
communities and community support services
 Partnership approach to developing and managing service system
 Local area planning and population based resource allocation
 Framework and structure of assessment (inc. care planning, care
 Range of services available, including investment in community
nursing and allied health
Victoria has spent more on home nursing and allied health than any other
The benefits of the Victorian HACC service
system (cont.)
Focus on HACC as locally connected prevention and support
Policy directions, including wellness and reablement; diversity
Sector wide service development
 eg. statewide training; ASM industry consultants; access and
equity for CALD and ATSI; wound care management; regional
planning and projects
Relationships between health services, community health and
community aged care to provide more integrated services for older
Service coordination encouraging electronic referral protocols and
networked services working together around the client
Investment in infrastructure
 eg. local government buildings, transport
Community Chef, workforce, funding for minor
Towards a Victorian position
Maintain stable and planned platform
Continuation of base funding to existing providers
exc. underperformance/closure and new types of services
Schedule F to NHA included undertaking to ‘not substantially alter
service delivery mechanisms for period of 3 years, and “there is no
requirement for services to be delivered under competitive tender
Growth funds continue to be directed into key services and
sectors, on equitably planned basis
note recent C’w advertising of growth in other jurisdictions
Continued investment in community nursing and allied health
– consideration being given to retention by State
Retention of current network of HACC Assessment Services
interacting with national Gateway service, and maintaining face to
face assessment where appropriate
Towards a Victorian position (cont.)
 Recognise role of ACAS in both health services and aged
care services, and build on existing links with HAS
 Embedding ASM approach to reablement objectives –
building on Victoria’s participation in NAF trial
 Consultative planning (C’w, State, Local Govt, service
 Seek C’w to endorse evidence-based approach to resource
 recognising existing service networks, demand pressures and
rates of older population growth, and allowing for population
 Develop mechanism for continued sector wide service
development initiatives
 Discuss C’w approach to program management
What does this mean?
 Discussions with C’w will continue
 Significant work to be undertaken by DH/DoHA, reporting to
Steering Committee
 Bilateral discussions re design of Commonwealth Home
Support Program – proposing C’w/State workshop
 Context is a national approach to delivery of CHSP and need
to rationalise very different (prior) approaches in different
 C’w response to our propositions yet to be tested
Next steps
 Further engagement
peak bodies stakeholder group meeting 25 July
CarersVic, VHA, AMA, GPV, PCP Network
- development of position paper for endorsement
 Joint communication with DoHA to the sector
 Regional forums
 Suggested DoHA meeting with local government
 Transition Team established
- Calvin Graham, Deb Warren, Sarah Wilson
 Transition information will be posted at:

Jane`s presentation is here.