AGED CARE REFORM SECTOR CONSULTATIVE COMMITTEES UPDATE SEPTEMBER 2013 Secretariat - Aged Care Reform Ms Pat Sparrow, Director Aged Care Reform, COTA Australia psparrow@cota.org.au 03 9909 7910 General Secretariat Ms Lee Thomas, Federal Secretary, ANMF fedsec@anmf.org.au 02 6232 6533 Page 1 of 28 About the National Aged Care Alliance 3 Consultative Arrangements Currently in Place 4 Consultative Arrangements to be Agreed and Established 4 Ageing Expert Advisory Group (AEAG) Briefing Paper 5 Background Discussion Issues Next Steps AEAG Membership Listing Specified Care and Services (SCS) Reference Group Briefing Paper Background Discussion Issues Next Steps SCS Membership Listing SCS Costing Sub-Group Membership Listing 6 7 8 9 Home Care CDC Packages Advisory Group Briefing Paper 10 Background Discussion Issues Next Steps Home Care CDC Packages Membership Listing 11 Gateway Advisory Group Briefing Paper Background Discussion Issues Next Steps Gateway Membership Listing Assessment Sub-Group Membership Listing Carer Support Sub-Group Membership Listing 12 Home Support Program (HSP) Advisory Group Briefing Paper Background Discussion Issues Next Steps Home Support Program Membership Listing HSP HACC Service Group 2 Sub-group Membership Listing HSP Respite Sub-Group HSP SG5 – Home Maintenance and Modifications Sub-Group HSP Meals Review Sub-group HSP SG7 – Community Transport Review Sub-Group 16 Quality Indicators Reference Group Briefing Paper Background Discussion Issues Next Steps Quality Indicators Membership Listing 23 13 14 15 17 18 19 20 21 22 24 Page 2 of 28 ABOUT THE NATIONAL AGED CARE ALLIANCE The National Aged Care Alliance (the Alliance) is an independent, representative body of 40 peak organisations in aged care including consumer groups, providers, unions and health professionals, working together for a more positive future. The Alliance is in its 13th year of operation. Its vision is that: Every older Australian is able to live with dignity and independence in a place of their choosing with a choice of appropriate and affordable support and care services as and when they need them.1 The Alliance meets quarterly to develop positions on issues important to aged care and older Australians. It seeks to reach consensus but highlights key differences when this is not possible. The Alliance has a strong track record in developing such positions including: Leading the Way: Our Vision for Support and Care of Older Australians 2011 Aged Care Reform Series – Assessment and Entitlement; Financing Aged Care in Australia; Palliative Care; Wellness; Quality of Care; Workforce Blueprint for Aged Care Reform A range of submissions to various reviews The ongoing work of the Alliance is led by its sponsor members. Historically the sponsors underwrote the Alliance and provided operational funding. Over time they have evolved to take on a management and oversight role and often provide in-kind support to advance the work of the Alliance. The Alliance’s sponsors are: • • • • • • • • Aged and Community Services Australia Alzheimer’s Australia Australian Association of Gerontology Australian Nursing and Midwifery Federation Catholic Health Australia COTA Australia Health Services Union Leading Age Services Australia UnitingCare Australia The sponsors coordinate the Alliance through the Secretariat and monitor the Alliance’s work against its agreed outcomes. The Alliance operates under a formal Terms of Reference and follows set processes for signing off all of its advice. 1 Leading the Way: Our Vision for Support and Care of Older Australians, National Aged Care Alliance, September 2009 Page 3 of 28 Since the announcement of the then Government’s Living Longer Living Better Reform Package (LLLB), the Alliance has been providing independent advice on implementation, including advocating for changes and improvements to the reform package. Funding was provided to COTA with the agreement of all sponsors (as the Alliance is not an incorporated body) and used to establish an Aged Care Reform (ACR) Secretariat to support this work. The ACR Secretariat reports to the Alliance Secretariat on process and logistical matters and to the sponsors for content and approval. The ACR Secretariat co-ordinates the overall consultation process, in particular the development of advisory papers which offer strategic sector analysis on the various reform initiatives. The aged care reform work has largely been advanced through a series of advisory groups whose work is outlined in this briefing pack. Advisory Group membership, agreed between the Alliance and Government, includes both Alliance members and other bodies, such as the Australian Medical Association and National Seniors Australia. The advisory groups: are consultative; have strong sector engagement and investment; provide independent advice directly to the Minister as well as to the Department of Health and Ageing (DoHA); and have developed consensus positions across the sector. Alliance members are long term committed and informed participants in the sector, and possess the undoubted capacity to assist the government to develop and implement meaningful policy outcomes for the benefit of all Australians. The Alliance looks forward to working with the Coalition to continue implementation of key areas of the Healthy Living Better Ageing package. CONSULTATIVE ARRANGEMENTS CURRENTLY IN PLACE Ageing Expert Advisory Group Specified Care and Services Reference Group Specified Care and Services Costing Sub-group Home Care CDC Advisory Group Gateway Advisory Group Carer Support Centre Sub-group Business Design Sub-group Home Support Program Advisory Group Respite Sub-group Service Group 2 Sub-group Meals Services Review Sub-group Home Maintenance and Modifications Review Sub-group Community Transport Review Sub-group Assessment Working Group (joint sub-group for Gateway Advisory Group and Home Support Program Advisory Group) Quality Indicators (Residential Care) Advisory Group Page 4 of 28 CONSULTATIVE ARRANGEMENTS PLANNED AND STILL TO BE ESTABLISHED Residential Care CDC Community Care Quality Indicators Interface Issues (particularly with Disability Care Australia) National Aged Care Advocacy Program Community Visitors Scheme Health Care Initiatives Page 5 of 28 AGEING EXPERT ADVISORY GROUP (AEAG) Briefing Paper Background The AEAG’s role is to provide an overview of the overall reform agenda including identifying gaps and issues. The AEAG provides the key interface between the aged care sector and the Aged Care Reform Implementation Council (ACRIC), providing a stakeholder perspective on the success and progress of reform implementation. The AEAG replaced the previous Ministerial Ageing Consultative Committee and continues to have a diverse range of providers, consumers, workers and professionals represented on it. Discussion/Issues The AEAG has highlighted the issues with the proposed fees and charges regime and was pleased that, as a result of the legislative process, monitoring of the impacts was strengthened. The Alliance is establishing a working group to provide advice and information on the impact of the fees and charges. There are ongoing concerns with interface issues between aged care programs (for example packaged care and home support) and particularly with Disability Care Australia. To scope and address these issues THE ALLIANCE and DoHA have agreed to hold a workshop with representatives from both the ageing and disability sectors and departments. Issues will be identified and consultative arrangements put in place to develop solutions as a result. The legislative process acknowledged sector concerns about the impact of the LLLB reforms in rural, remote and regional Australia. A process for monitoring these impacts is required. Information. There is an urgent need to develop communication materials, particularly for consumers, that outline what they can expect from the changes to aged care. Consumers are aware that changes are occurring and want to know what they are and how they will be affected. Next Steps The AEAG will next meet via telephone on 28 October 2013 and will next meet face to face in Canberra on 14 November 2013. Either meeting would provide an ideal opportunity for the Minister to meet and discuss the reforms overall. Page 6 of 28 AGEING EXPERT ADVISORY GROUP Organisation Representative Email Phone Australian Association of Gerontology (AAG) Julie Byles Julie.Byles@newcastle.edu.au 02 4913 8643 Mobile Aboriginal and Torres Strait Islander Reference Group Aged and Community Services Australia (ACSA) Graham Aitken John Kelly graham.aitken@ahcp.org.au jkelly@agedcare.org.au 08 8346 9155 02 6282 7827 0420 205 574 0419 445 238 Association of Independent Retirees (AIR) Robert Curley curley@wix.com.au 02 9541 2317 0419 424 875 Alzheimer’s Australia Glenn Rees glenn@alzheimers.org.au 02 6278 8901 0419 303 407 Australian Nursing and Midwifery Federation (ANMF) Lee Thomas (Chair) fedsec@anf.org.au 02 6232 6533 0419 576 590 Catholic Health Australia Richard Gray richardg@cha.org.au 02 6260 6980 0417 483 469 COTA Australia Ian Yates IYates@cotasa.org.au 08 8232 0422 0418 835 439 Federation of Ethnic Communities Council Aust (FECCA) Bruce Shaw bruce@fecca.org.au 02 6282 5755 0438 628 182 Leading Age Services Australia (LASA) Kay Richards kayr@lasa.asn.au 02 6230 1676 0438 270 454 LGBTI Alliance Dr Catherine Barrett C.Barrett@latrobe.edu.au 03 9479 8702 - Health Services Union (HSU) Tim Jacobsen tim@hacsutas.net.au 1300 880 032 - ACR Secretariat Pat Sparrow psparrow@cota.org.au 03 9909 7910 0410 492 235 National Seniors Australia Marie Skinner m.skinner@nationalseniors.com.au 07 3233 9108 0457 815 292 The Aged Care Guild Gary Barnier gary.barnier@domainprincipal.com.au UnitingCare Australia Steve Tuelan steulan@unitingcarenswact.org.au United Voice Melissa Coad melissa.coad@unitedvoice.com.au - 02 9376 1400 - 0400 292 121 - ACR Secretariat Pat Sparrow, Director Aged Care Reform Department of Health and Ageing Carolyn Smith First Assistant Secretary | Ageing and Aged Care Division Page 7 of 28 Rachel Balmanno, Assistant Secretary | Transition Branch Page 8 of 28 SPECIFIED CARE AND SERVICES (SCS) REFERENCE GROUP Briefing Paper Background The Living Longer, Living Better reforms remove the distinction between low and high level residential care from 1 July 2014. Service delivery in residential care is governed by the legislated Specified Care & Services Schedule (the Schedule). Explanation and interpretation of the Schedule is incorporated in the DoHA produced Residential Care Manual. The reforms also introduce the ability for residential care providers to make an additional charge for services provided over and above what is required in the Schedule. Discussion/Issues The current Schedule outlines what must be provided to all residents differentiating some services, particularly those that are care related, on the basis of low and high care needs. An Advisory Group was established to undertake a review of the Schedule to determine any changes required as a result of the removal of the low/high care distinction. The review focussed on meeting the assessed needs of individual residents as the minimum level of service provision. In addition the review highlighted gaps in the Schedule and some additional items have been recommended. Not all Advisory Group members supported all of the recommended items. The review was undertaken on the assumption that additional funding (user pays, Government or other sources) would be made available to meet any increased costs of delivering the services outlined in the Schedule. The findings of the review are captured in a Pre –Costing Progress Report (attached) and available for download from www.naca.asn.au/publications/ The report was provided to the Minister for Mental Health and Ageing, as well as to DoHA, on 19 July 2013. The report indicates where recommended changes are likely to result in an increased cost predominantly because the service has to be provided to an increased number of people. Next Steps DoHA is in the process of appointing an independent consultant to undertake a costing review of the schedule recommended in the Pre Costing Progress Report. The Advisory Group has provided guidance on how the costing should occur including that the entire schedule needs to be costed, not just the elements which have been identified as having a cost implication. This is crucial to understanding the cost of delivering quality residential care. A costing study sub-group has been established and its membership has been supplemented with independent financial advisers to provide expertise to the ongoing considerations. The Aged Care Financing Authority (ACFA) will receive the costing study and make recommendations to the Minister. The Advisory Group will review its recommendations based on the outcomes of the costing study and ACFA recommendations. Given the distinction between low and high level residential care is set to be removed from 1 July 2014 the work must be completed this calendar year to enable funding decisions to be made, give time for any necessary review of the Schedule recommendations and allow time for orderly implementation. Page 9 of 28 SPECIFIED CARE & SERVICES REFERENCE GROUP Organisation Representative Email Phone Mobile Type ACSA Paul Turner Kaele Stokes/Maree McCabe Sarah Jones Lee Thomas Glenise Berry Tracey McDonald Peter Squire Jo Root Penni Michael Kay Richards Don McDonald Jan Erven 02 4993 3100 03 9816 5738 03 9816 5724 02 6228 0861 02 6232 6533 07 3240 2515 02 9736 2280 02 9832 5406 02 6282 3436 03 9728 5299 02 6230 1676 03 9587-0185 02 4223 8389 0409 744 641 0407 203 118 0418 543 600 0458 011 447 0419 576 590 0408767 561 0408 954 801 0407 254 963 0430 395 048 0421 662 866 0438 270 454 0417 379 303 0401 711 344 0422 001 509 Provider Alzheimer’s Victoria Aust Medicare Local Alliance ANMF ANZSGM Australian College of Nursing Catholic Health Australia COTA Australia FECCA LASA National Seniors Australia Occupational Therapy Aust paul.turner@nccca.com.au mmccabe@alzvic.asn.au Kstokes@alzvic.asn.au sjones@amlalliance.com.au fedsec@anf.org.au Glenise_berry@health.qld.gov.au tracey.mcdonald@acu.edu.au psquire@oloc.com.au jroot@cota.org.au mms@dutchcare.com.au kayr@lasa.asn.au dcmcd@optusnet.com.au Jan.Erven@sesiahs.health.nsw.gov.au The Aged Care Guild UnitingCare Australia United Voice Stewart Brown & Co Bentley’s Ross Johnston Pat Riley Amanda McCormack Grant Corderoy Heath Shonhan rjohnston@regis.com.au Pat.Riley@uacvt.org.au Amanda.McCormack@unitedvoice.org.au Grant.corderoy@stewartbrown.com.au hshonhan@bris.bentleys.com.au 03 8573 0469 03 9276 5705 02 8204 3010 02 9412 3033 07 3222 9777 0419 346 006 0411 179 750 - Consumer Prof Assoc Union Prof Assoc Prof Assoc Provider Consumer Consumer Provider Consumer Prof Assoc Provider Provider Union Financial Expert Financial Expert ACR Secretariat Pat Sparrow, Director Aged Care Reform (Chair) Nina Bowes, Policy Officer Department of Health and Ageing Russell de Burgh Assistant Secretary| Policy and Evaluation Branch Depart of Veterans Affairs Christine McPaul Assistant Secretary | Community, Aged Care & Transport Page 10 of 28 Page 11 of 28 SPECIFIED CARE & SERVICES COSTING sub-group Organisation Representative Email Phone Mobile ANMF Lee Thomas fedsec@anf.org.au 02 6232-6533 0419 576 590 LASA Kay Richards kayr@lasa.asn.au 02 6230-1676 0438 270 454 COTA Australia Jo Root jroot@cota.org.au 02 6282-3436 0430 395 048 Australian College of Nursing Tracey McDonald Tracey.mcdonald@acu.edu.au (02) 9736-2280 0408 954 801 Stewart Brown & Co Grant Corderoy Grant.corderoy@stewartbrown.com.au 02 9412 3033 0411 179 750 Bentley’s Heath Shonhan hshonhan@bris.bentleys.com.au 07 3222 9777 Financial Expert Financial Expert ACR Secretariat Pat Sparrow, Director Aged Care Reform (Chair) Nina Bowes, Policy Officer Department of Health and Ageing Russell de Burgh Assistant Secretary | Policy and Evaluation Branch Angus Algie Acting Director | Quality Policy Section Oriana Rojas Departmental Officer | Quality Policy Section Page 12 of 28 HOME CARE CDC PACKAGES ADVISORY GROUP Briefing Paper Background The Commonwealth Home Care Program came into effect on 1 August 2013 replacing the previous packaged care (CACP, EACH and EACH-D) program with Home Care Levels 1 – 4 packages. All packages allocated in the 2012/13 Aged Care Approvals Round (ACAR) are required to be delivered as consumer directed care (CDC) packages, which includes an individualised budget. From 1 July 2015 all existing packages will also have to be delivered as CDC packages. The advisory group was established to develop advice for the 2012/13 ACAR so that providers had enough information on which to apply for the CDC packages (available for download from www.naca.asn.au/publications). The group then provided advice for the development of the guidelines. The Home Care CDC Policy Elements and Guideline Development Advisory Paper (attached) is also available from: http://www.naca.asn.au/Publications/Home%20Care%20CDC%20Advisory%20Paper.pdf Discussion/Issues DoHA finalised the packaged care guidelines in time for the roll out of the CDC packages from 1 August 2013. Overall the guidelines have been well received however some issues have been identified including: Purchase of food is excluded. the Alliance understands the intent of this was to ensure that packaged care funding isn’t used as a general income supplement. This has had an unintended consequence of some providers cancelling contracts with delivered meals services. On The Alliance’s prompting DoHA issued a clarification which is on the LLLB website. the Alliance’s advice to DoHA was to continue the position from the former guidelines through into the new guidelines. Further clarification or a rewrite which reverts to the previous position will be needed. Leave arrangements have been standardised across packages. There is some concern, particularly from Carers Australia, that an unintended consequence could be a reduction of the overall amount of respite a person can receive. Further examination of this is required. An integrated approach is needed to develop and provide information for stakeholders, including service providers and consumers, which will be critical to the success of the new program. This needs to be a priority task with dedicated resources made available. Provision of a grant to individual service providers to make the change over to CDC delivery by 1 July 2015 would support this significant policy shift. This would be similar to the funding provided to Home and Community Care (HACC) organisations when that program changed as a result of moving to Commonwealth control. Next Steps The Alliance Advisory Group will continue to identify implementation issues as well as proposing ways to address them. The Group is providing advice on the scope for the evaluation of the changes to the packaged care program, including the CDC packages. Page 13 of 28 HOME CARE CDC PACKAGES ADVISORY GROUP Organisation Representative Email Phone Mobile Type AAG Tony Coles tcoles@aag.asn.au 03 9939 8512 0449 783 726 Prof Assoc ACH Group Jane Mussared j.mussared@ach.org.au 08 8159 3600 0408 814 483 Provider ACSA Lisa Ralphs lisar@agedservices.asn.au 02 8754 0400 0419 017 091 Industry Peak Alzheimer’s Australia Glen Rees glenn@alzheimers.org.au 02 6278 8901 0419 303 407 Consumer ANMF Yvonne Chaperon yvonne@anf.org.au 03 9602 8500 Anglicare Ann Butcher abutcher@stlaurence.org.au 03 5282 1405 Attendant Care Industry Assoc Barbara Merran bmerran@scch.com.au 02 8831 3421 Provider Carers Australia Anne Muldowney Anne.muldowney@carersvictoria.org.au 03 9396 9500 Carer COTA Australia Ian Yates IYates@cotasa.org.au 08 8232 0422 0418 835 439 Consumer FECCA Thomas Camporeale Thomas.Camporeale@coasit.org.au 02 6282 5755 0438 628 182 Consumer LASA Judy Gregurke judyg@vic.lasa.asn.au 03 9805 0400 Provider LGBTI Health Alliance Gavi Ansara gavi.ansara@lgbtihealth.org.au 02 8568 1110 Consumer National Seniors Australia Marie Skinner m.skinner@nationalseniors.com.au 07 3233 9108 0401 063 365 Janice Herbert jesh3941@gmail.com 02 6686 8538 0427 281 703 United Voice Amanda McCormack Amanda.McCormack@unitedvoice.org.au 02 8204 3010 Uniting Care Ageing NSW & ACT Pauline Armour parmour@unitingcarenswact.org.au 02 9376 1524 Union 0408 991 026 Provider Consumer Union 0408 286 782 Provider ACR Secretariat Pat Sparrow, Director Aged Care Reform (Chair) Nina Bowes, Policy Officer Department of Health and Ageing Ben Vincent Assistant Secretary | Aged Care Programs Branch David Braggett A/g Assistant Secretary | Aged Care Programs Branch Page 14 of 28 GATEWAY ADVISORY GROUP Briefing Paper Background The My Aged Care (MAC) Gateway, incorporating a website and National Contact Centre, was designed to provide a single centralised entry point for information, assessment, monitoring and referral to the aged care sector. The Gateway’s functionality is progressively being implemented since its basic information-only service went live on 1 July 2013. Future phases will introduce a nationally consistent assessment framework and tool, centralised client record, linking services for vulnerable clients and quality indicators for aged care services to enable informed consumer choice. The Advisory Group provided overview advice - The Gateway Service Delivery Model Advisory Paper (attached) – to the Minister and DoHA in March 2013. The paper may also be downloaded from: http://www.naca.asn.au/Publications/Gateway%20Advisory%20Paper.pdf In addition Carer Support Centres (CRCs) are being established to complement the MAC Gateway role for carers. They are due to be operational from 1 July 2014. Discussion/Issues Currently the MAC Gateway has information about Commonwealth Government approved and funded service providers. Information about private or other community organisations is not available on the site which means consumers don’t see the full range of services available. The data on the website is going through a process of validation, with service providers recently being given log-in details so they can update their details directly. There is significant concern within the sector about the accuracy of the data. The Advisory Group is working with DoHA and the contractors to address this as a priority. The development of the Carer Support Centres (CSCs) remains a significant piece of work. A Sub-group has been established to guide this work. The Alliance was concerned that the work on assessment (as part of the Gateway and in the Home Support Program) was disconnected. To address this an assessment advisory group has been formed which brings together, and works across, the assessment elements related to the Gateway, HACC Service Group 2 Review and the Carer Support Centres. This will support a system wide approach and enable the roles and relationships between the centralised assessment and referral mechanisms and service providers to be defined. The policy and intent of the Gateway seems to be advancing faster than the development of the technology which will enable it to fulfil its functions and interface with aged care providers and professionals (such as GPs and individual therapists). This is particularly relevant for the development of the client record. Next Steps The Advisory Group will continue its role by monitoring the implementation of the MAC Gateway and advising on the development of the linking service, client record, CSCs and assessment function. Page 15 of 28 GATEWAY REFERENCE GROUP Organisation Representative Email Phone Mobile Type ACSA Peta Braendler community@agedcommunity.asn.au 08 8338 7077 0409 098 913 Provider Alzheimer’s Australia Glenn Rees glenn.rees@alzheimers.org.au 02 6278 8901 0419 303 407 Consumer AMA Dr Richard Kidd Richardkidd@me.com.au 07 3266 8488 0411191 433 Prof Assoc AMLA Jeff Cheverton Jeff.Cheverton@mnbl.com.au 07 3630 7352 0437 544 366 Prof Assoc Anglicare Australia Amaya Munneke Amaya.munneke@benetas.com.au Glenise Berry Glenise.berry@health.qld.gov.au 0419 335 476 0408 767 561 Provider ANZSGM 03 8823 7959 07 3240 2515 Australian College of Nursing Tracey McDonald 02 9739 2280 0408 954 801 Prof Assoc FECCA Voula Messimeri AM 03 9388 9998 0414 532 529 Consumer Carers Australia Anne Muldowney Tracey.mcdonald@acu.edu.au cc: Katherine.Imeson@rcna.org voulamk@agws.com.au cc: bruce.shaw@fecca.org.au Anne.muldowney@carersvictoria.org.au 03 9396 9500 0425 743 015 Consumer Catholic Health Australia Lanna Ramsay Lanna.Ramsay@ozcare.org.au 07 3728 9155 0419 021 660 Provider COTA Australia Ian Yates (Chair) IYates@cotasa.org.au 08 8232 0422 0418 835 439 Consumer Diversional Therapy Judy Nolan Judynolan3@gmail.com 07 5555 4888 0412 915 321 Prof Assoc DoHA Clinical Reference Group Dr Eddy Strivens edstrivens@me.com 07 4226 7423 0419 380 593 DoHA LASA Kay Richards kayr@lasas.asn.au 02 62301676 0438 270 454 Provider National Seniors Australia National Rural Health Alliance David Carvosso Pauline Wardle davcar@iinet.net.au Nt.communitycare@frontierservices.org 08 9368 4645 08 8921 4971 0409 889 334 0439 335 790 Consumer Rural and Remote Occupational Therapy Australia Jan Erven Jan.Erven@sesiahs.health.nsw.gov.au 02 4223 8389 0401 711 344 Prof Assoc UnitingCare Australia Fonda Voukelatos Fonda.voukelatos@ucco.org.au 03 9239 2619 0412 468 422 Provider Prof Assoc ACR Secretariat Pat Sparrow, Director Aged Care Reform Nina Bowes, Policy Officer Department of Health and Ageing Craig Harris Assistant Secretary | Access Reform Branch Carolyn Brown Director | Gateway Program Office Page 16 of 28 ASSESSMENT SUB-GROUP Organisation Representative Email Phone Mobile ACSA Lisa Ralphs lisar@agedservices.asn.au 02 8754-0400 0419 017 091 Alzheimer’s Australia Samantha Blake Samantha.blake@alzheimers.org.au 08 6271 1007 0457 343 490 Carers Australia Anne Muldowney Anne.muldowney@carersvictoria.org.au 039396-9500 0425 743 015 Australian Medicare Locals Alliance Jeff Cheverton Jeff.Cheverton@mnbml.com.au 07 3630 7352 0437 544 366 ANMF Lee Thomas fedsec@anf.org.au 02 6232-6533 0419 576 590 Catholic Health Australia Lana Ramsay (Chair) Lanna.Ramsay@ozcare.org.au 07 3728 9155 0419 021 660 FECCA Nikki Efremidis nikkie@agws.com.au 03 9388 9998 LASA Paul Johnson Paul.johnson@qld.lasa.asn.au 07 3725 5555 0418 737 848 ACR Secretariat Pat Sparrow/Nina Bowes psparrow@cota.org.au 03 9909 7910 0410 492 235 National Rural Health Alliance Pauline Wardle nt.communitycare@frontierservices.org 08 8921-4971 0439 335 790 Occupational Therapy Australia Jan Ervan Jan.erven@sesiahs.health.nsw.gov.au 02 4223-8389 0401 711 344 Palliative Care Australia National Aboriginal Community Controlled Health Organisations (NACCHO) NSW Dept of Family and Community Services Yvonne Luxford Yvonne@palliativecare.org.au 02 6163-8407 0402 537 211 Noeleen Tunny NoeleenT@vaccho.com.au 03 9411 9438 Steve Gal Steven.gal@facs.nsw.gov.au 02 9377 6183 0411 250 141 Department of Health Victoria Jeannine Jacobsen jeannine.jacobson@health.vic.gov.au 03 9096-8545 0409 174 155 Office for the Ageing SA Health Alice McDonald Alice.mcdonald@sa.gov.au City of Holdfast Bay SA Monica Du Plessis mduplessis@holdfast.sa.gov.au 08 8229 9821 0419 800 347 ACR Secretariat Pat Sparrow, Director Aged Care Reform Nina Bowes, Policy Officer Department of Health and Ageing Michelle Roffey Director | Assessment Reform Section Susan Hunt Senior Nurse Advisor | Office for Aged Care Quality and Compliance, Eliza Hazlett Director, Policy Section | Transition Branch Catherine Reid Director | Carer Support Office Page 17 of 28 CARER SUPPORT SUB-GROUP Organisation Alzheimer’s Australia Representative Samantha Blake Email Samantha.blake@alzheimers.org.au Phone 02 6254 4233 Mobile 0414 336 375 ACSA Peta Braendler community@agedcommunity.asn.au 08 8338 7111 0409 098 913 Aust Medicare Local Alliance Sarah Jones sjones@amlalliance.com.au 02 6228 0861 0458 011 447 Anglicare Australia Christina Morka cmorka@bsl.org.au 03 9483 1375 0407 682 815 Carers Australia Sue Elderton selderton@carersaustralia.com.au 02 6122-9923 0409 601 406 FECCA Yvonne Santalucia Yvonne.Santalucia@sswahs.nsw.gov.au 02 9828 6608 0439 309 673 Occupational Therapy Australia Jan Erven Jan.Erven@sesiahs.health.nsw.gov.au 02 4223 8389 0401 711 344 National Rural Health Alliance Wendy Downs wendy@ruralhealth.org.au 02 6285 4660 0412 477 253 National Seniors Australia Vera Somerwil veronicasomerwil@bigpond.com 07 3271 2772 0407 646 081 Catholic Health Australia Richard Gray richardg@cha.org.au 02 6203 2777 0417 483 469 UnitingCare Australia Wendy Middleton wendy@nat.unitingcare.org.au 02 6249 6717 0421 618 013 FAHCSIA Tasmanian Department of Health and Human Services SA Department for Communities and Social Inclusion University of NSW Social Policy and Research Centre Palliative Care Karen Wilson Karen.wilson@fahcsia.gov.au 02 61460114 Fiona Jordan-Coad fiona.jordan@dhhs.tas.gov.au 03 6233 3836 Lynette Pugh Lynette.pugh@dcsi.sa.gov.au 08 8132 6002 Dr Trish Hill p.hill@unsw.edu.au 02 9385 5293 Yvonne Luxford Yvonne@palliativecare.org.au 02 6163-8407 0402 537 211 ACR Secretariat Pat Sparrow, Director Aged Care Reform (Chair) Nina Bowes, Policy Officer Department of Health and Ageing Catherine Reid Director | Carer Support Office Page 18 of 28 HOME SUPPORT PROGRAM (HSP) ADVISORY GROUP Briefing Paper Background The HSP is scheduled to commence operation from 1 July 2015. The Program will combine the existing Home and Community Care (HACC) Program, National Respite for Carers Program (NRCP), Assistance for Care and Housing for the Aged (ACHA) and the Day Therapy Centre (DTC) Program. Five reviews were commissioned under the Living Longer Living Better reform package. The reviews were designed to collect information about some of the existing service types to inform design and policy decisions for the new combined program. These reviews include Respite Services; Service Group 2 (Assessment, Counselling, Advocacy, Client Management, and Case Management); Meals and other Food Services; Community Transport; and Service Group 5 (Home Modifications, Home Maintenance, Goods and Equipment (inc. Assistive technologies) and Formal Linen Services). The primary HSP Advisory Group is supported by five sub-groups providing focus and support to each of the Government’s reviews. The Advisory Group has just finalised its HSP Design Advisory Paper (attached) which can also be downloaded from www.naca.asn.au/publications.html Discussion/Issues It is planned that the new HSP program guidelines be published one year prior to the Program commencing (1 July 2014) to enable transition discussions to occur with various service providers. It will be particularly important to consider a segmented implementation plan appreciating that there is great variation in the services ranging from those provided by small community volunteer based organisations through to larger providers. The Respite review has concluded and its paper - Provision of Respite in the Commonwealth Home Support Program – Discussion Paper is attached. The paper can also be downloaded from www.naca.asn.au/publications.html . Funding for existing respite services has only been assured to 30 June 2014. A decision on future funding is required as soon as possible to provide surety to the sector. The Service Group 2 and Meals reviews have completed their public consultations. The reviews of Service Group 5 and Transport are scheduled to consult with providers and service users in October 2013. There is significant misunderstanding and concern within the sector about the long term future of services currently funded under the HACC Program. The Advisory Group has stressed the importance of communication with all of the HACC funded services to explain the process and ensure constructive involvement and co-operation in establishing the new Program. The Alliance is not aware that any steps have been taken to address this issue. Next Steps The reviews will be completed by December 2013, with subsequent discussions with sector about the design of the HSP occurring by March 2013. The Advisory Group will support the consultation process and review its advice based on the outcomes of the broader discussions. Page 19 of 28 HOME SUPPORT PROGRAM ADVISORY GROUP Organisation ACSA Representative Carole Bain Alzheimer’s Australia Glenn Rees/Samantha Blake Carers Australia Catholic Health Australia COTA Australia FECCA Health Services Union LGBTI LASA National Seniors Australia Occupational Therapy Australia UnitingCare Australia National Presbyterian Aged Care Network Aged and Community Care Officials Rep Municipal Association of Victoria NSW Home Modifications and Maintenance State Council Australian Community Transport Association (ACTA) Department of Family and Community Services Ageing, Disability and Home Care National Aboriginal and Torres Strait Islander Aged Care Reference Group Australian Meals on Wheels Phone 08 9242 0367 Mobile 0419 937 535 02 6254 4233 0419 303 407 Sue Elderton Tina Magennis Ian Yates Jenni Pickrell Mark McLeay Gavi Ansara Paul Johnson Jan Herbert Jan Ervan Joy Pennock Glenys Webby Paul Sadler (Chair) Janine Jacobson Clare Hargreaves Derryn Wilson Email Carole.bain@silvernchain.org.au glenn.rees@alzheimers.org.au. Samantha.blake@alzheimers.org.au selderton@carersaustralia.com.au tmagennis@chcs.com.au iyates@cota.org.au jennip@mccgc.com.au markm@hsu.net.au gavi.ansara@lgbtihealth.org.au Paul.johnson@qld.lasa.asn.au jesh3941@gmail.com Jan.erven@sesiahs.health.nsw.gov.au representation@otaus.com.au g.webby@bluecare.org.au psadler@pcnsw.org.au jeannine.jacobson@health.vic.gov.au chargreaves@mav.asn.au dwilson@mav.asn.au 02 6122-9923 02 9855 2571 08 8232 0422 07 5527 8011 02 8412 8124 02 8568-1110 07 3725 5555 02 6686 8538 0409 601 406 0439 465 786 0418 835439 0407 151 817 0409 860 459 Anne Reeve areeve@scopeaccess.com.au 02 4228 7630 Helen Battellino helen@easytransport.org.au 02 9449 2211 Megan Makinson Megan.makinson@facs.nsw.gov.au 02 9716 2201 Priscilla McFadzean Priscilla_mcfadzean@health.qld.gov.au 07 4226 4511 0487 819 682 Debra Tape dtape@qmow.org 07 3205 5588 0410 438 504 02 4223 8389 07 3720 5318 02 9690 9333 0418 737 848 0427 281 703 0401 711 344 0434 314 773 0410 563 664 0418 208 232 03 9667 5543 03 9667 5579 0414 294 709 ACR Secretariat Pat Sparrow, Director Aged Care Reform (Chair) Corey Irlam, Principal Policy Officer Department of Health and Ageing Catherine Reid Director | Carer Support Office Page 20 of 28 HSP – HACC SERVICE GROUP 2 SUB-GROUP Organisation Representative Email Phone Mobile Alzheimer’s Australia Samantha Blake samantha.blake@alzheimers.org.au 02 6278-8909 0414 336 375 ATSI Reference Group Priscilla McFadzean priscilla_mcfadzean@health.qld.gov.au 07 4226-4511 0487 819 682 Australian College of Nursing Sue McKechnie suemckechnie@resthaven.asn.au 08 8433 0303 0409 108 142 Blue Care Glenys Webby g.webby@bluecare.org.au 07 3720-5318 0410 563 664 Carers Australia Anne Muldowney Anne.muldowney@carersvictoria.org.au 03 9396-9500 0425 743 015 City of Holdfast Bay Monica Du Plessis mduplessis@holdfast.sa.gov.au 08 8229 9821 0419 800 347 Health Services Union Mark McLeay markm@hsu.net.au 02 8203 6062 0409 860 459 LASA QLD Paul Johnson (Chair) paul.johnson@qld.lasa.asn.au 07 3725-5555 0418 737 848 Older Persons Advocacy Network (OPAN) Fiona May manager@adacas.org.au 02 6242 5060 Representative from the Aged and Community Care Officials (State and Territory Government) Jeanine Jacobsen jeannine.jacobson@health.vic.gov.au 03 9096-8545 0409 174 155 ACR Secretariat Corey Irlam, Principal Policy Officer Nina Bowes, Policy Officer DoHA – Policy Team Eliza Hazlett Sarah McLelland Director, Policy Section | Transition Branch Policy Section I Transition Branch DoHA – Access Reform Branch Michelle Roffey Director | Assessment Reform Section Page 21 of 28 RESPITE SUB-GROUP Organisation Representative Email Phone Mobile ACSA Carole Bain Carole.bain@silvernchain.org.au 08 9242 0367 0419 937 535 Alzheimer’s Australia Glenn Rees/Samantha Blake glenn.rees@alzheimers.org.au. Samantha.blake@alzheimers.org.au 02 6254 4233 0419 303 407 Anglicare Australia Lucy O’Flaherty LOflaherty@glenview.org.au 03 6277 8800 Carers Australia Sue Elderton selderton@carersaustralia.com.au 02 6122-9923 0409 601 406 Catholic Health Australia Tina Magennis tmagennis@chcs.com.au 02 9855 2571 0439 465 786 Department of Family and Community Services Ageing, Disability and Home Care Megan Makinson Megan.makinson@facs.nsw.gov.au 02 9716 2201 Health Services Union Mark McLeay markm@hsu.net.au 02 8412 8124 0409 860 459 ACR Secretariat Pat Sparrow, Director Aged Care Reform Nina Bowes, Policy Officer Department of Health and Ageing Kerry Fischbein Assistant Director | Policy Team | Transition Branch Page 22 of 28 HSP SG5 – HOME MAINTENANCE & MODIFICATIONS SUB-GROUP (inc. Goods and Equipment, Assistive Technologies and Formal Linen Services) Organisation Representative Email Phone Mobile ACSA Michelle Newman (Chair) MichelleN@agedservices.asn.au 02 8754 0400 0414 373 744 Builder (ACT) Scott Rasmussen scott@easierliving.com.au Government of SA Matthew Massy-Westropp Matthew.massy-westropp@dfc.sa.gov.au 08 8192 1244 0401 120 643 LASA John Cornwell johncornwell@homeassistsecure.com 07 3379 8000 0407 770 936 LifeTec Wendy Stevens wendystevens@lifetec.org.au 07 3552 9031 0430 361 787 National Seniors Australia Jan Herbert jesh3941@gmail.com 02 6686-8538 0427 281 703 NSW Home Modifications etc Anne Reeve A.Reeve@scopeaccess.com.au 02 4228 7630 0414 294 709 Occupational Therapy Association Desleigh de Jonge Desleigh.dejonge@gmail.com 0412 661 199 0438 371 688 ACR Secretariat Corey Irlam, Principal Policy Officer Nina Bowes, Policy Officer Department of Health and Ageing Bernadette Walker Director | Policy Section | Transition Branch Cecilia Pattison-Levi Policy Section | Transition Branch Catherine Jones Policy Section | Transition Branch Page 23 of 28 HSP – MEALS REVIEW SUB-GROUP Organisation Representative Email Phone Mobile ACSA Patricia Mitchell (Chair) CommCare@acswa.org.au 08 9244 8233 0402 191 423 COTA Australia Margaret Sugden Margaretsugden1@tpg.com.au 07 3260 5639 0410 453 534 Dietician Association of Australia Sharon Lawrence Sharon.lawrence@hnehealth.nsw.gov.au 02 4931 2000 0427 016 897 Meals on Wheels Debra Tape dtape@qmow.org 07 3205-5588 0410 438 504 Multicultural Communities Council Gold Coast Inc. (FECCA) Sue Graham sueg@mccgc.com.au 07 5527 8011 0419 673 288 Municipal Association of Vic Derryn Wilson dwilson@mav.asn.au 03 9667 5579 0400 697 092 University Department of Rural Health, Tasmania Dr Peter Orpin Peter.Orpin@utas.edu.au 03 6226 7344 0419 508 551 ACR Secretariat Corey Irlam, Principal Policy Officer Nina Bowes, Policy Officer Department of Health and Ageing Eliza Hazlett Megan Costigan Director | Policy Section | Transition Branch Policy Section | Transition Branch Page 24 of 28 HSP – SG7 - COMMUNITY TRANSPORT REVIEW SUB-GROUP Organisation Representative Email Phone Mobile ACSA Pam Pindral ppindral@salisbury.sa.gov.au 08 8406 8371 0401 984 775 ACT Government Debra Burnett Debra.burnett@act.gov.au 02 6205 0872 Australian Community Transport Assoc Helen Battellino (Chair) helen@easytransport.org.au 02 9449-2211 Care Options WA Mike Burns burnsm@careoptions.org.au 08 9550 7888 Community Transport Services Tasmania Stuart Davies stuart@ctst.org.au 03 6231 6974 COTA Australia Fran Thompson fran.thompson7@gmail.com 03 62249218 Municipal Association of Vic Derryn Wilson dwilson@mav.asn.au 03 9667 5555 National Rural Health Alliance Pauline Wardle nt.communitycare@frontierservices.org 08 8953 8984 0439 335 790 Suncoast Transport and Care Association Feda Adra FedaA@comlink.org.au 07 5390 1200 0417 070 959 Transport for NSW Sue Findlay Sue.findlay@transport.nsw.gov.au 02 8836 3185 0412 389 329 0434 923 078 0408675075 ACR Secretariat Corey Irlam, Principal Policy Officer Nina Bowes, Policy Officer Department of Health and Ageing Bernadette Walker Juliette Spurrett A/g Assistant Secretary | HACC Branch Assistant Director | Transition Branch Page 25 of 28 QUALITY INDICATORS (RESIDENTIAL) (QI-RESI) REFERENCE GROUP Briefing Paper Background The development of quality indicators for residential services was announced as part the Living Longer Living Better reform package. The indicators are to be published on the My Aged Care website from 1 July 2014. Quality indicators are implemented by some organisations across the aged care sector however their usage is not widespread and the indicators used by individual organisation are variable. The quality indicators are designed to support system transparency and consumer choice. Discussion/Issues The Quality Indicators Advisory Group believes that quality indicators must be meaningful for consumers and support providers to improve the quality of care, while recognising that these two objectives may not always be complimentary. Discussion to date has focussed on domains for the indicators and ideas about what sorts of indicators consumers would find most meaningful. The Group is mindful of not adding any more red tape to the sector and has therefore tried to identify what data is already collected that would make the indicators easy to administer. The Group has also considered work that has occurred on quality prior to these reforms. Indicators developed as part of a review on the accreditation standards are being considered as part of the Group’s development phase. The Advisory Group believes that consumer surveys should be a key element of quality assessment, particularly as a way of assessing the more subjective indicators. The Group does not believe it is in a position to develop quality indicators but sees its role as providing high level advice on the domains and indicators, the role and form of direct consumer input on quality, and the practicalities of implementation (including an evolutionary approach to engaging providers). The Group has noted that emphasis should be placed on the indicators being accurate and robust as a priority over the 1 July 2014 deadline, with implementation to commence as a voluntary measure. Next Steps It is understood that DoHA is in the final stages of procurement, subject to the incoming Minister’s approval, for professional expertise to undertake the actual development of the indicators. A paper summarising the group’s discussion to date to inform the consultants work will be presented in mid-late September. Page 26 of 28 QUALITY INDICATORS (RESIDENTIAL) REFERENCE GROUP Organisation Representative Email Phone Mobile AAG Ann Peut ampeut@gmx.com.au 02 6247 5242 0435 474 607 ACSA Wendy Porter bwporter@westnet.com.au 08 9397 9586 0428 019 758 Alzheimer’s Australia Glenn Rees (Chair) Glenn.Rees@alzheimers.org.au 02 6278 8901 0419 303 407 ANMF Yvonne Chaperon yvonne@anf.org.au 03 9602 8500 Anglicare Australia Christine Morka cmorka@bsl.org.au 03 9483 1375 Aged Care Standards and Accreditation Lyn Irwin lirwin@accreditation.org.au Australian Physiotherapy Assoc Rik Dawson agewell@bigpond.com Catholic Health Australia Andrew Fleming aafleming@sch.org.au 02 9790 9400 COTA Australia Ian Yates iyates@cota.org.au 08 8232 0422 0418 835 439 FECCA Ljubica Petrov Ljubica@culturaldiversity.com.au 03 8823 7900 0418 343 752 LASA Kay Richards kayr@lasa.asn.au 02 6230 1676 0438 270 454 LGBTI Alliance Dr Catherine Barrett C.Barrett@latrobe.edu.au 03 9285 5297 Lutheran Care Adrian Morgan adrian.morgan@lccqld.org.au 07 3511-4042 Monash University Joseph Ibrahim joseph.ibrahim@med.monash.edu Palliative Care Australia Yvonne Luxford yvonne@palliativecare.org.au 02 6232 4433 0420 537 211 Department of Health VIC Maree Cameron Maree.cameron@health.vic.gov.au 03 9096 8871 0407 104 517 0407 682 815 0403 895 186 0437 822 902 0407 760 087 ACR Secretariat Corey Irlam, Principal Policy Officer Department of Health and Ageing Russell de Burgh Assistant Secretary |Policy and Evaluation Branch Mary-Anne Fisher Director| Quality Policy | Policy & Evaluation Branch Page 27 of 28 Page 28 of 28