Victorian HACC Transition
Aged care reform and the CHSP
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Aged care reform
Australians are living longer and healthier lives, so it is important that
as people age, they can make choices about their care
• Consumers’ expectations are also changing, with consumers wanting
more say and control as to how services are delivered.
• Broader reform agenda to move to a less regulated, more consumer-
driven and market based aged care system.
2015 Victoria
2050 Victoria
> 893,000 older people
> 2.1 million older people
Source: Victoria in Future, 2015
Aged Care reform - Overview
• National Health Reform
• HACC transfer to Commonwealth for all states/territories except Vic and WA
• CHSP commences nationally – 1 July 2015
• Transition of Vic HACC for older people to the CHSP – 1 July 2016
• NDIS roll-out in Victoria - July 2016 to 2019
• Increasing Choice
• Stage 1: February 2017 - Home Care Package funding follows the consumer
• Stage 2: 2018 – intention to integrate Home Care Packages and the CHSP
COMMONWEALTH HOME SUPPORT
PROGRAMME (CHSP)
Commonwealth Home Support Programme (CHSP)
Commenced on 1 July 2015
• Brings together a range of programs to establish the entry tier of the
aged care system:
• Commonwealth HACC program (in all States except Vic and WA)
• Assistance with Care & Housing for the Aged program
• Planned respite from the National Respite for Carers program
• Day Therapy Centres program
• The CHSP will help frail, older people living in the community to
maximise their independence.
• The CHSP represents $1.6 billion in funding for 2015-16.
CHSP Framework
• Key documents:
─ CHSP programme manual
─ CHSP programme guidelines
─ Living well at home: CHSP good practice guide
─ CHSP Client contribution framework
─ Guide to the CHSP Client contribution framework.
Key elements of the CHSP
Many similarities to the Victorian HACC program:
• Consistent assessment arrangements.
• Focus on wellness and reablement.
• Recognition for special needs groups.
• Targeted sector support – volunteers, development officers.
• No need to become an ‘approved provider’ under the Aged Care Act.
• Payments in advance (no need to invoice).
• Grant Agreement (Terms and Conditions).
• Opportunities for growth funding.
Benefits of the CHSP
What does the CHSP
mean for clients?
What does the CHSP
mean for providers?
•
Entry and a holistic, goal orientated
assessment based through My Aged
Care
•
Stability of funding for providers
•
Access to a wide range of entry level
support services
•
Targeted sector support and
development activities
•
Continuity of care and support
•
Reduced red tape for providers through
streamlined funding arrangements
•
Delivery of services and support with a
strong focus on wellness, reablement
and restorative care
•
Streamlined and improved reporting
through the DSS Data Exchange
CHSP – Special Needs Groups
The CHSP recognises the following special needs groups, which
align with those identified under the Aged Care Act 1997:
• People from Aboriginal and Torres Strait Islander communities
• People from culturally and linguistically diverse backgrounds
• People who live in rural and remote areas
• People who are financially or socially disadvantaged
• Veterans
• People who are homeless, or at risk of becoming homeless
• People who are lesbian, gay, bisexual, transgender and intersex
• People who are care leavers
• Parents separated from children by forced adoption or removal.
Service Catalogue
Programme Level
Commonwealth Home Support Programme (CHSP)
Service Level
Community and Home Support
Assistance with Care and Housing
Care Relationships and Carer Support
Service Type Level
Allied Health
and Therapy
Services
Goods,
Equipment
and Assistive
Technology
Home
Maintenance
Other Food
Services
Medical care
aids
Garden
Maintenance
Food
Preparation in
the Home
Reading aids
Major Home
Maintenance
and Repairs
Transport
Social
Support Individual
Domestic
Assistance
Meals
Personal
Care
Social
Support Group
Home
Modifications
Nursing
Specialised
Support
Services
Assistance
with Care
and Housing
Flexible
Respite
Centrebased
Respite
Cottage
Respite
Assistance with
self-care
Social Support
- Group
Home
modifications
Nursing
Continence
Advisory
Services
Assessment Referrals
In-home Day
Respite
Residential Day
Respite
Overnight
Community
Respite
Dementia
Advisory
Services
Advocacy –
Financial, Legal
Host Family
Day Respite
Centre Based
Day Respite
In-home
Overnight
Respite
Community
Access - Group
Service Sub-type Level
Podiatry
Direct (driver is
volunteer or
worker)
Social Work
Speech
Pathology
Dietitian or
Nutritionist
Self-care aids
Support and
mobility aids
ATSI Health
Worker
Other goods
and equipment
Diversional
Therapy
Physiotherapy
Psychologist
Exercise
Physiologist
Car
modification
Communication
aids
Minor Home
Maintenance
and Repairs
Food Advice,
Lessons,
Training, Food
Safety
Indirect
(through
vouchers or
subsidies)
Visiting
Telephone/
Web Contact
Accompanied
Activities, e.g.
Shopping
General House
Cleaning
At Home
At Centre
Linen services
Unaccompanied
Shopping
(delivered to
home)
Assistance with
client selfadministration
of medicine
Vision Services
Hearing
Services
Host Family
Overnight
Respite
Other Support
Services
Mobile Respite
Client
Advocacy
Other planned
Respite
Community
Access Individual
Respite
Occupational
Therapy
Ongoing Allied
Health and
Therapy
Services
Restorative
Care Services
Other Allied
Health and
Therapy
Services
As at 20 July 2015
CHSP - Community & Home Support
Covers the majority of Victorian HACC services
- Domestic assistance
- Personal care
- Allied health & therapy services
- Social support (individual)
- Goods, equipment & assistive tech
- Social support (group)
- Home maintenance
- Other food services
- Home modifications
- Nursing
- Transport
- Meals
• Provides entry-level support to assist older people to live
independently at home and in the community.
CHSP – Care Relationships & Carer Support
Merges 12 respite services into three
- Flexible respite
(e.g., in home day/overnight respite, host home
day/overnight respite, mobile respite)
- Centre-based respite
(e.g., residential day respite, centre-based day
respite)
- Cottage respite
(e.g., overnight community)
• Recognises the integral role carers play in ensuring quality of life and
independence for older people.
• Caters for some grandfathering of young clients (existing only), until
more appropriate services become available.
CHSP – Assistance with Care & Housing
Includes former ACHA services
- Assessment – referrals etc.
- Advocacy – financial, legal etc.
• Supports vulnerable clients to remain in the community through
accessing housing and supports.
• Target group is people aged 50 years and over, who are on a low
income and are homeless or at risk of homelessness.
CHSP – Service System Development
Similar to activities funded as HACC Service System Resourcing
• Supports the development of the community aged care service
system in a way that meets the aims of the programme and broader
aged care system.
• Covers a range of activities that are designed to support, develop and
build the capacity of the service system and the sector.
• This service type does not include provision of direct service delivery
to clients or advocacy.
WHAT THE TRANSITION MEANS FOR YOU
Transition of Victorian HACC services
No change before 1 July 2016 - business as usual
• From 1 July 2016 - change in level of government that funds
services as HACC services are split based on age:
─ Commonwealth: services for older people.
─ Victorian State Government: services for younger people, until such
time as they transition to the NDIS.
• Existing HACC service providers will be offered the same funding
they currently receive - no competitive tendering.
• Ongoing services and projects that support and strengthen
service provision in the HACC sector will be funded.
What the transition means for clients
Services continue to be delivered after 1 July 2016
• You will still provide community care services to consumers.
• The people you help will still get care from you, no matter what
their age.
• Special needs groups will remain including:
─ CALD communities
─ People living in remote or isolated areas
─ Aboriginal and Torres Strait Islander people.
• Changes are about who funds services, not who can access
services.
Further information
• CHSP programme documentation on the DSS website
www.dss.gov.au/CHSP
─ CHSP programme manual
─ CHSP latest news and fact sheets.
• Check out the webinars available on the DSS website.
• Sign up for the Home Care Today newsletter.
THANK YOU