2013–14
CONCISE FACTS & FIGURES
in AGED CARE
This product contains a range of key aged care facts and figures, produced by Aged Care Policy and
Reform Group, which are updated as at 21 October 2014.
TABLE OF CONTENTS
1. PLACES, SERVICES & PROVIDERS ………………………………………….... 3
1.1 Operational aged care places (30 June 2014) …………………...................................................... 3
1.2 Operational aged care ratios (30 June 2014) ……………………………………………………………. 4
Main points on 30 June 2014 Stocktake ……………………………………….……………...… 5
1.3 Operational providers and services (30 June 2014) .……….………………………………….….. 6
1.4 Operational aged care places 2010–2014 ……………..….……………………………………... 7
1.5 Operational aged care ratios 2010–2014 …………………….……………………………..…… 8
1.6 Ownership of all operational aged care places (organisation type) (30 June 2014) ………..…….… 9
1.7 Distribution of all operational aged care places & 70+ population by remoteness (30 June 2014). 10
1.8 2012–13 Aged Care Approvals Round - Summary of new places, ZRIL & grants …………….. 11
2. RESIDENTS and CARE RECIPIENTS …………………………………………... 12
2.1
2.2
2.3
2.4
2.5
2.6
2.7
People in aged care places 2010–2014 …………………..……………………………………… 12
ABS projected number of older Australians in future years …………………..…………............ 13
Percentage of people in aged care born in non-English speaking countries (2010–2014) ….......... 14
People in aged care (30 June 2014) ……………………………………………………………… 15
Percentage of people in aged care with preferred language other than English (2010–2014) ……. 17
Occupancy in aged care by programme type (2009–10 to 2013–14) ……………………………….. 18
Number of HACC clients aged 65 years and older (2013–14) ……………………………………... 19
1
2.8 National Respite for Carers Programme – number of primary carers assisted (2013–14) ……… 20
2.9 Number of ACAP assessments completed (2012–13) ……………………………..………..………. 21
3. WORKFORCE ……………………….…………………………………………..… 22
3.1 Aged care workforce, all PAYG employees & direct care workers (30 March 2012) …..………… 22
3.2 Percentage of direct care employees in the aged care workforce (30 March 2012) ……..…..…….. 23
4. EXPENDITURE …………………………………………………………….….…… 24
4.1 Average accommodation bond agreed with new residents (2009–10 to 2013–14) ………..………. 24
4.2 Estimated Australian Government funding (2014–15 to 2017–18) …………………….………….... 25
2
1.
PLACES, SERVICES & PROVIDERS
1.1 Total number of all operational aged care places (30 June 2014)
State/
territory
NSW
Vic
Qld
WA
SA
Tas
ACT
NT
Australia
Residential
care (a)
66,780
49,921
34,208
16,238
18,077
4,880
2,073
657
192,834
Home care
low (b)
Home care
high (c)
17,307
13,062
9,710
4,863
4,427
1,334
691
871
52,265
3,826
2,977
3,107
2,921
846
343
487
182
14,689
Total home Total residential +
home care
care (a)
21,133
87,913
16,039
65,960
12,817
47,025
24,022
7,784
5,273
23,350
1,677
6,557
1,178
3,251
1,053
1,710
66,954
259,788
Transition
care
Grand total
1,378
89,291
1,000
66,960
733
47,758
346
24,368
347
23,697
109
6,666
58
3,309
29
1,739
4,000
263,788
Source: 30 June 2014 Stocktake of Australian Government Subsidised Aged Care Places.
(a) Includes places in Multi-purpose services (MPS), National Aboriginal & Torres Strait Islander Flexible Aged Care
Programme & Innovative Care.
(b) Includes Home care places level 1 and level 2 and home care places in MPS, National Aboriginal & Torres Strait
Islander Flexible Aged Care Programme & Innovative Care.
(c) Includes Home care places level 3 and level 4 only.
3
1.2 Total operational aged care ratios (places per 1,000 people aged 70 years and over)
(30 June 2014)
State/
territory
Residential
care (a)
Home care
low (b)
Home care
high (c)
Total home Total residential Transition
care
care (a) plus home care
Grand total
(planning ratio)
NSW
84.5
21.9
4.8
26.7
111.2
1.7
112.9
Vic
84.1
22.0
5.0
27.0
111.1
1.7
112.8
Qld
78.8
22.4
7.2
29.5
108.3
1.7
110.0
WA
74.4
22.3
13.4
35.7
110.0
1.6
111.6
SA
91.5
22.4
4.3
26.7
118.2
1.8
120.0
Tas
80.0
21.9
5.6
27.5
107.5
1.8
109.2
ACT
70.6
23.5
16.6
40.1
110.7
2.0
112.7
NT
76.4
101.3
21.2
122.5
198.9
3.4
202.2
Australia
82.6
22.4
6.3
28.7
111.3
1.7
113.0
Source: 30 June 2014 Stocktake of Australian Government Subsidised Aged Care Places.
(a) Includes places in MPS, National Aboriginal & Torres Strait Islander Flexible Aged Care Programme and Innovative Care.
(b) Includes Home care places level 1 and level 2 and home care places in MPS, National Aboriginal & Torres Strait Islander
Flexible Aged Care Programme and Innovative Care.
(c) Includes Home care places level 3 and level 4 only.
Note: The national operational planning target ratios are 80.0 for residential care and 45.0 for home care (total of 125.0)
places per 1,000 people aged 70 years and over to be met by 2021–22.
4
Main points on 30 June 2014 Stocktake of Australian Government Subsidised
Aged Care Places

192,834 operational residential care places (of which 189,283 were non-flexible places) (a)

66,954 operational home care places (b) (of which 66,149 places were Level 1 to 4 under the Home
Care Packages Programme)

259,788 operational residential and home care places (b). In addition there are 4,000 operational
transition care places
 82.6 operational residential care places per 1,000 people aged 70 years and over. (84.5 in 2013.)
 28.7 operational home care places per 1,000 people aged 70 years and over. (27.2 in 2013.)

111.3 is the operational planning ratio (residential + home care ratio). (111.7 in 2013.)
(a) Flexible places include residential care places in Multi-purpose services (MPS), National Aboriginal and
Torres Strait Islander Flexible Aged Care Programme services and Innovative Care services.
(b) Includes flexible places in MPS, National Aboriginal and Torres Strait Islander Flexible Aged Care
Programme services and Innovative Care services.
Note: The national operational planning target ratios are 80.0 for residential care and 45.0 for home care (total
of 125.0) places per 1,000 people aged 70 years and over to be met by 2021–22.
5
1.3 Number of operational providers and services (30 June 2014)
Care type
Residential care (non-flexible) (a)
Number of all
providers
Number of all
Number of all
Number of all
providers in
services in rural/
services
rural/ remote(c)
remote(c)
1,016
483
2,688
1,024
504
294
2,212
940
1,277
634
4,900
1,964
24
24
147
147
Innovative care
8
4
9
4
Transition care
10
9
87
43
National Aboriginal & Torres Strait Islander
Flexible Aged Care Programme
30
26
30
26
1,328
678
5,173
2,184
Home care (non-flexible) (a)
Residential care & home care (a)(b)
Multi-purpose services (MPS)
Grand total (all care types) (b)
Source: 30 June 2014 Stocktake of Australian Government Subsidised Aged Care Places.
(a)
(b)
(c)
Excludes Multi-purpose services (MPS), Innovative Care & National Aboriginal & Torres Strait Islander
Flexible Aged Care Programme services.
The number of operational providers is a unique total.
Rural/remote is defined here as all ABS Remoteness Areas excluding Major Cities.
6
1.4 All operational Australian Government subsidised aged
care places 2010–2014 (30 June)
Care type
Residential care
Home care(a)
Total residential &
home care
Transition care
Grand total
2010
2011
2012
2013
2014
182,936
185,559
187,941
189,761
192,834
51,530
58,471
60,949
61,087
66,954
234,466
244,030
248,890
250,848
259,788
2,698
3,349
4,000
4,000
4,000
237,164
247,379
252,890
254,848
263,788
Source: 30 June 2010 to 30 June 2014 Stocktakes of Australian Government Subsidised Aged
Care Places.
(a) From 2010 to 2013 data includes CACP, EACH & EACH Dementia packages and all
flexible community care places in Multi-purpose services (MPS), Innovative Care and under
the National Aboriginal & Torres Strait Islander Flexible Aged Care Programme. On
1 August 2013 the Home Care Packages Programme replaced the former community
packaged care programmes –Community Aged Care Packages (CACP), Extended Aged
Care at Home (EACH) packages and EACH Dementia packages. The 2014 figure also
includes all flexible home care places included in flexible services prior to 2014.
7
1.5 Total operational aged care ratios (places per 1,000 people
aged 70 years and over) 2010–2014 (30 June) (a)
Care type
2010
2011
2012
2013
2014
Residential care
86.8
85.8
84.4
84.5
82.6
Home care(b)
24.5
27.0
27.4
27.2
28.7
111.3
112.8
111.8
111.7
111.3
1.3
1.5
1.8
1.8
1.7
112.5
114.3
113.6
113.5
113.0
Total residential &
home care
(planning ratio)
Transition care
Grand total
Source: 30 June 2010 to 30 June 2014 Stocktakes of Australian Government Subsidised
Aged Care Places.
(a) The national operational planning target ratios are 80.0 for residential care and 45.0 for
home care (total of 125.0) places per 1,000 people aged 70 years and over to be met by
2021–22.
(b) From 2010 to 2013 data includes CACP, EACH & EACH Dementia packages and all
flexible community care places in Multi-purpose services (MPS), Innovative Care & under
the National Aboriginal & Torres Strait Islander Flexible Aged Care Programme. On
1 August 2013 the Home Care Packages Programme replaced the former community
packaged care programmes –Community Aged Care Packages (CACP), Extended Aged
Care at Home (EACH) packages and EACH Dementia packages. The 2014 figure also
includes all flexible home care places included in flexible services prior to 2014.
8
1.6 Ownership of all operational aged care places by provider
organisation type (30 June 2014) (per cent) (a)
Provider organisation
type
Residential care
Home care
Total
Not-for-profit
57%
81%
63%
For-profit
37%
10%
30%
7%
9%
7%
100%
100%
100%
State & local gov.
Total
Source: 30 June 2014 Stocktake of Australian Government Subsidised Aged Care Places.
(a) Includes flexible places in Multi-purpose services (MPS), Innovative Care & National
Aboriginal & Torres Strait Islander Flexible Aged Care Programme services but
excludes the 4,000 Transition Care places.
Notes: The Transition Care places are operated by state & territory governments.
Percentages have been rounded and may not add to 100%.
9
1.7 Distribution of all operational aged care places and Australia
70+ population by remoteness (30 June 2014) (per cent)(a)
Major cities
68.4
68.8
Total
residential +
home care
68.5
Inner regional
21.4
20.5
21.2
22.4
Outer regional
8.8
8.1
8.6
9.9
Remote
0.9
1.2
1.0
1.0
Very remote
0.5
1.4
0.7
0.4
100%
100%
100%
100%
ABS remoteness
classification
Total
Residential
care
Home care
(b)
Australia 70+
population
66.2
Source: 30 June 2014 Stocktake of Australian Government Subsidised Aged Care Places &
customised Australian population projections prepared for DSS by the ABS, according to
assumptions set by DSS.
(a) Includes all operational flexible places in Multi-purpose services (MPS), Innovative Care and
National Aboriginal & Torres Strait Islander Flexible Aged Care Programme services but excludes
the 4,000 Transition Care places.
(b) Places are based on the physical address of the services and may not correspond to where the
care is delivered.
Note: Percentages have been rounded and may not add to 100%.
10
1.8 2012–13 Aged Care Approvals Round – Summary of new aged care places, ZRIL &
grants allocations (announced 5 July 2013)
State/
territory
Number of
residential
places
Number of home care packages(a)
level
1
level
2
level
3
level
4
Total
Estimated
annual
recurrent
funding ($m)
Zero real
Interest
loans
($m)
Capital
grants
($m)
NSW
2,302
485
1,075
375
210
2,145
145.9
36.7
2.2
Vic
2,235
350
854
272
150
1,626
142.3
27.4
23.6
Qld
2,011
245
780
210
65
1,300
129.8
40.4
12.7
WA
811
30
30
10
10
80
50.6
25.0
2.8
SA
185
135
200
100
71
506
21.7
17.2
3.2
Tas
51
50
50
35
15
150
5.9
9.7
6.5
ACT
180
–
–
–
–
–
8.0
–
–
–
8
8
8
4
28
1.1
–
–
$505.3m
$156.4m
$51.0m
NT
Total
7,775
1,303
2,997
1,010
525
5,835
– Nil
(a) These places were counted as allocated (not operational) in the 30 June 2013 Stocktake of Australian Government
Subsidised Aged Care Places. On 1 August 2013 the Home Care Packages Programme replaced the former
community packaged care programmes – Community Aged Care Packages (CACP), Extended Aged Care at Home
(EACH) packages and EACH Dementia packages.
11
2. RESIDENTS and CARE RECIPIENTS
2.1 Number of people in Australian Government subsidised aged care places
2010–2014 (30 June) (a)
Care type
Residential care
(permanent & respite)
Home care (b)
Total residential & home
care
Transition care
Grand total
2010
2011
2012
2013
2014
166,338
168,998
171,065
173,094
176,816
47,642
50,853
53,975
56,515
59,739
213,980
219,851
225,040
229,609
236,555
2,269
2,869
3,367
3,424
3,339
216,249
222,720
228,407
233,033
239,894
Source: Cognos Core Cross Program Analysis cube and 2014 home care data from DSS Ageing and Aged
Care Data Warehouse sourced from the DHS Payment System.
(a) Excludes residents and care recipients in flexible services in Multi-purpose services (MPS), National
Aboriginal & Torres Strait Islander Flexible Aged Care Program services and Innovative Care.
(b) From 2010 to 2013 data includes CACP, EACH & EACH Dementia packages only. On 1 August 2013
the Home Care Packages Programme replaced the former community packaged care programmes –
Community Aged Care Packages (CACP), Extended Aged Care at Home (EACH) packages and EACH
Dementia packages.
12
2.2 ABS projected number of older Australians in future years (June)
Age group
2014
2024
2034
2044
2054
Number of older Australians (’000)
65 years +
3,451
4,737
6,064
7,140
8,392
70 years +
2,332
3,364
4,552
5,486
6,307
75 years +
1,514
2,194
3,107
3,874
4,476
80 years +
904
1,224
1,887
2,519
2,984
85 years +
455
595
955
1,349
1,662
90 years +
161
229
339
552
754
23,524
27,690
31,665
35,401
39,036
Total population
Per cent of total population
65 years +
14.7
17.1
19.2
20.2
21.5
70 years +
9.9
12.1
14.4
15.5
16.2
75 years +
6.4
7.9
9.8
10.9
11.5
80 years +
3.8
4.4
6.0
7.1
7.6
85 years +
1.9
2.1
3.0
3.8
4.3
90 years +
0.7
0.8
1.1
1.6
1.9
Source: ABS Population Projections, Australia, 2012 to 2100 (Cat. No. 3222.0) series B (2013).
13
2.3 Percentage of residents and consumers in aged care born in
non-English speaking countries in aged care 2010–2014
(30 June) (per cent)
Programmes
2010
2011
2012
2013
2014
16.0
16.5
16.9
17.5
17.9
Home care
22.8
23.1
23.3
23.5
24.0
Total residential & home care
17.5
18.0
18.4
19.0
19.5
Residential care
(permanent & respite)
Source: Cognos Core Cross Program Analysis cube and 2014 home care data from DSS Ageing
and Aged Care Data Warehouse sourced from the DHS Payment System.
Note: Excludes people who did not respond on the Aged Care Client Record (ACCR) to the
question, ‘In which country was the client born?’
14
2.4 Number of people in aged care (30 June 2014)
Residential care
Home care
packages (a)
Transition
care
All HACC
(2013–14) (b)
176,816
59,739
3,339
n.a.
254,929
83,144
23,519
996,127
84.5
82.3
80.3
71.7
Proportion aged 65+
96%
96%
95%
77%
Proportion aged 70+
93%
91%
87%
69%
Proportion aged 80+
77%
66%
59%
42%
Proportion aged 90+
31%
18%
14%
9%
69%
68%
63%
63%
0.8%
3.8%
0.7%
3.0%
18%
24%
21%
20%
People
Number of people
Number of distinct people
who received care any time
during 2013–14
Average age (years)
Proportion female
Proportion indigenous
(self-reported) (c)
Proportion CALD (d)
(permanent &
respite)
15
Source: 2013–14 Home and Community Care Minimum Data Set (unpublished), Cognos Core Cross Program Analysis cube and
home care data from DSS Ageing and Aged Care Data Warehouse sourced from the DHS Payment System.
Note: Residential and Home care data are for non-flexible services only, i.e. excludes residents and care recipients in Multi-purpose
services (MPS), Innovative Care and indigenous people who access the 30 National Aboriginal & Torres Strait Islander
Flexible Aged Care Programme services.
Data on the number of people as at 30 June 2014 and during 2013–14 is not for public release before 2013–14 RoACA is
published in late November 2014.
(a)
(b)
Includes home care places level 1 to 4 only. It excludes home care places in flexible services in MPS, Innovative Care &
National Aboriginal & Torres Strait Islander Flexible Aged Care Programme services.
775,959 of all the 996,127 Home and Community Care (HACC) clients were aged 65 years and over (50 years and over for
Aboriginal & Torres Strait Islander people) in the Commonwealth HACC Programme (NSW, Qld, SA, Tas, ACT & NT) and the
joint HACC Programme in Vic and WA.
(c)
No data is available on indigenous people in National Aboriginal & Torres Strait Islander Flexible Aged Care Programme
services, MPS or Innovative care so data in this category is incomplete.
(d)
Includes people born overseas in countries other than Main English speaking countries (i.e. the United Kingdom, Ireland, New
Zealand, Canada, United States of America and South Africa).
n.a.: Not available.
16
2.5 Percentage of residents and consumers in aged care with preferred
language other than English 2010–2014 (30 June) (per cent)
Programmes
2010
2011
2012
2013
2014
9.6
9.6
9.6
9.6
9.5
Home care
14.8
14.7
14.3
14.1
n.a.
Total residential & home
care
10.7
10.8
10.7
10.7
n.a.
Residential care
(permanent & respite)
Source: Cognos Core Cross Program Analysis cube and 2014 home care data from DSS Ageing
and Aged Care Data Warehouse sourced from the DHS Payment System.
Notes: Includes people whose preferred language was Australian Indigenous.
Excludes people who did not respond on the Aged Care Client Record (ACCR) to the
question, ‘What language(s) are spoken at home?’
n.a.: Not available–due to missing home care data from DHS new payment system.
17
2.6 Occupancy in aged care by programme type (2009–10 to 2013–14)
(per cent)(a)
Programmes
2009–10
2010–11
2011–12
2012–13
2013–14
Residential care
92.4
93.1
92.8
92.7
93.0
Home care
92.2
91.0
90.3
92.0
88.4
Source: Cognos Occupancy cube and updated figures from the 2013–14 Cognos Residential
Occupancy cube and updated 2013–14 home care data from DSS Ageing and Aged Care
Data Warehouse sourced from the 2013–14 DHS Payment System.
(a) Excludes residents and care recipients in Multi-purpose services (MPS), Innovative Care and
National Aboriginal & Torres Strait Islander Flexible Aged Care Programme places.
Note: On 1 August 2013 the Home Care Packages Programme replaced the former community
packaged care programmes – Community Aged Care Packages (CACP), Extended Aged
Care at Home (EACH) packages and EACH Dementia packages.
18
2.7 Number of Home and Community Care (HACC) clients aged 65 years and older
(2013–14) (a)
NSW
Vic
Qld
WA
SA
Tas
ACT
NT
Australia
229,332
217,745
152,583
57,599
83,370
22,708
10,556
2,066
775,959
Source: 2013–14 Home and Community Care Minimum Data Set (unpublished).
(a): HACC clients aged 65 years and over (50 years and over for Aboriginal & Torres Strait Islander people) in the
Commonwealth HACC Programme (NSW, Qld, SA, Tas, ACT & NT) and the joint HACC Programme in Vic and WA.
19
2.8 National Respite for Carers Programme (NRCP) – number of primary carers assisted
(2013–14)
Carers assisted
Total carers assisted
NSW
Vic
Qld
WA
SA
Tas
ACT
NT
Australia
31,981
23,551
20,678
9,850
8,429
7,258
3,399
1,610
106,756
Note: National Respite for Carers Programme includes carers assisted through Commonwealth Respite and Carelink Centres.
20
2.9 Number of aged care assessments completed under the ACAP (2012–13)(a)
NSW
Vic
Qld
WA
SA
Tas
ACT
NT
Australia
60,996
53,374
30,640
18,097
13,338
4,854
2,089
892
184,280
(a) Data is sourced from the Ageing and Aged Care Data Warehouse from the ACAP Minimum Data Set.
21
3.
WORKFORCE (October 2012 estimates)
 3.1% of the Australian workforce works (as PAYG employees) in aged care (Sept 2014)
 90% of direct care workforce are female (in both residential and community sectors)
 27.2% aged 55+ years (residential, direct care) compared to 17.2% in overall workforce
 Predominantly employed on a part-time, permanent basis 72% residential, 62% community.
3.1 Size of the aged care workforce, all PAYG employees & direct care
workers (30 March 2012)
Employees
Residential
workforce
Community
workforce
Total aged care
workforce
Direct care
147,086 (61%)
93,359 (39%)
240,445 (100%)
55,258 (49%)
56,442 (51%)
111,700 (100%)
72.7%
62.3%
68.3%
27.3%
37.7%
31.7%
202,344 (100%)
149,801 (100%)
352,145 (100%)
Non-direct care
% direct care
% non-direct
of all PAYG
employees
All PAYG employees
Source: Based on data from the 2012 National Aged Care Workforce Census and Survey, conducted by
the National Institute of Labour Studies (NILS).
22
3.2 Percentage of direct care employees in the aged care
workforce (30 March 2012) (per cent)
Employees
Residential care
Community care
Registered nurse (RN)
14.9
8.2
Enrolled nurse (EN)
11.5
3.9
0.2
0.2
Personal care attendant (PCA) /
community care worker (CCW)
68.2
81.4
Allied health professional (AHP)
1.8
4.2
Allied health assistant (AHA)
3.4
2.1
100%
100%
Nurse practitioner (NP)
Total
Source: Based on data from the 2012 National Aged Care Workforce Census and
Survey, conducted by the National Institute of Labour Studies (NILS).
23
4. EXPENDITURE
4.1 Average accommodation bond agreed with new residents by
financial year 2009–10 to 2013–14 ($’000)
Category
2009–10
2010–11
2011–12
2012–13
2013–14
Standard care
216
227
232
244
n.a.
Extra Service
293
321
347
357
n.a.
All care types
$233
$248
$260
$273
n.a.
Not-for-profit
organisations
221
233
236
251
n.a.
For-profit
organisations
256
278
298
309
n.a.
State/ local gov.
owned
165
179
181
192
n.a.
Source: 2012–13 data are based on preliminary results from the 2013 Survey of Aged Care Homes
(SACH) and are subject to further refinement following detailed analysis of the survey results.
Notes: 92 per cent of residential aged care facilities (non-flexible) responded to the 2012–13 SACH.
36 per cent of newly admitted residents in 2012–13 paid a bond.
n.a.: Not available.
4.2 Estimated Australian Government funding ($million)
(2014–15 Budget Figures Including Indexation Pause)
Major category
2014–15
2015–16
2016–17
2017–18
Residential care (a)
10,507.3
11,094.3
11,747.7
12,510.6
Home care (b)
1,363.5
1,539.1
1,736.4
1,942.5
Basic support at home (c)
2,502.6
2,002.3
2,083.1
2,177.1
Flexible and short term aged care(d)
507.4
538.9
567.7
599.8
Information, quality and capacity
building (e)
433.3
458.4
454.6
424.9
$15,314.2
$15,633.0
$16,589.5
$17,654.8
Total aged care
(a) Funding excludes Multi-purpose services (MPS), National Aboriginal & Torres Strait Islander Flexible Aged Care
Programme and Innovative Pool services.
(b) Excludes flexible home care places in MPS, Innovative Pool Services and National Aboriginal & Torres Strait Islander
Flexible Aged Care programme services.
(c) Includes Commonwealth Home and Community Care (HACC) Programme and joint HACC Programme in Vic and WA,
HACC Planning and Development, HACC for Veterans, Veterans Home Care, Day Therapy Centres, Assistance with
Care and Housing for the Aged, National Respite for Carers Programme and DVA Community Nursing.
(d) Includes National Aboriginal and Torres Strait Islander Flexible Aged Care Programme services, MPS, Innovative Pool
Services, Transition Care and continence support.
(e) Includes workforce programmes, capital assistance, aged care assessment and information and support programmes
such as Gateway, Carelink and Community Visitors Scheme.