AGED CARE REFORMS INTERFACE CHSP HCP Janice Poynton

AGED CARE REFORMS - INTERFACE CHSP & HCP Janice Poynton August 2017

Aged Care Reforms: what is changing? 2018: WA HACC program transitions CHSP 2012 2015 2018 2016: Victorian HACC program transitioned CHSP 2022

2015: consolidation to form CHSP Day Therapy Centres Program Assistance with Care & Housing for the Aged program Commonwealth HACC Program Commonwealth Home Support Program Planned respite - National Respite for Carers Program

Wellness, Reablement & Restorative Care – Commonwealth Home Support Program

February 2017: Increasing Choice reforms • Funding for a home care package follows the consumer • A national system for prioritising access to packages • Simplified approved provider arrangements

COMMONWEALTH HOME SUPPORT PROGRAM / HOME CARE PACKAGE INTERFACE - Access & interactions

Commonwealth Home Support Program / Home Care Package interface General Principles: • CHSP services must not be provided to people who are already receiving other government-subsidised services that are similar to service types funded through the CHSP. • Any exceptions to these arrangements must not unfairly disadvantage other members of the CHSP target population.

Commonwealth Home Support Program / Home Care Package interface • My Aged Care is responsible for assessing and referring clients on home care packages to CHSP services where appropriate. • All home care package clients must be assessed by My Aged Care (through a RAS) to receive these additional CHSP services.

Commonwealth Home Support Program / Home Care Package interface Circumstance 1 Circumstance 2 Circumstance 3 • Where the HCP client’s budget is already fully allocated, a Level 1 or 2 HCP client can access additional, short-term or episodic Allied Health and Therapy services or Nursing services from the CHSP. • Where the HCP client’s budget is already fully allocated, and a carer requires it, a HCP client can access additional planned respite services under the CHSP. • In an emergency (such as when a carer is not able to maintain their caring role), where a HCP client’s budget is already fully allocated, additional services under the broader CHSP can be obtained on an emergency or short term basis. These instances should be time limited, monitored and reviewed.

Commonwealth Home Support Program / Home Care Package interface • CHSP providers should only supply additional CHSP services to home care package clients where they have capacity to do so without disadvantaging other current or potential CHSP clients - that is: CHSP services should prioritise people who need CHSP support but do not have access to other support services over people who are already in receipt of a home care package.

Commonwealth Home Support Program / Home Care Package interface • Where a new client has been assessed and approved as eligible for a HCP but is waiting to receive that Package, the client will be able to receive services under the CHSP as an interim arrangement, but only to an entry-level of support consistent with the CHSP, not at the level of support of the Package they are eligible for.

Commonwealth Home Support Program / other programs interface Co. S: Staged approach to transition Health System: NOT to replace or fund STRC to liaise NDIS: 65 yrs > if eligible Residential care: Full cost recovery Short-term restorative Care: Palliative Care: GP or hospital to coordinate CHSP Veterans: Eligible & NO duplication

PLANNING FOR THE FUTURE Aligning with the Roadmap

Understanding our environment GOVERNMENT: • Increased focus on competition & market-based policy • Increased emphasis on user pays SOCIETY: • Increased expectations of service provision • Continued desire to stay in the home MARKET: • Increased competition, new entrants • Recruitment & retention issues; increasing part time positions • Changing nature of service provision – shorter duration

MORE REFORMS………. . 2020: Integrated Care at Home Program

Roadmap: Planning for the Future D 1: Consumers empowered D 9: Single regulatory framework D 2: Single assessment process D 8: Flexible workforce D 3: Access D 7: Sustainable aged care sector D 4: Dementia as core business D 6: Single provider registration system D 5: Market based & consumer driven

Integrated care at home program: - Discussion Paper July 2017 • Predominantly individualised funding that follows the consumer • Additional government assistance where there is insufficient market response • Block funding (grants to providers) where considered most appropriate / efficient • A single assessment process for eligibility, care needs and funding levels • Integrated fee arrangements

Now to June 2018: CHSP: RAS: q New funding conditions to focus: q New funding conditions focus: • Understanding strengths & goals • Independence & wellness • Increased choice • Effectiveness of assessment for regional & remote • Independence & wellness q Revised reporting • Reflecting outcomes q Outcomes of Legislated Review due August 2017

July 2018 – June 2020: • Transition from HACC to CHSP in Western Australia (July 2018) • Single Aged Care Quality Framework • Eight Standards: – 1. Consumer dignity, autonomy and choice – 2. Ongoing assessment and planning with consumers – 3. Delivering personal care and clinical care – 4. Delivering lifestyle services and supports – 5. Service environment – 6. Feedback and complaints – 7. Human resources – 8. Organisational governance July 2018

Plan for change…. . What will be needed moving forward in the new world?

STRENGTHS; WEAKNESSES; OPPORTUNITIES; AND THREATS Your business sustainability

NFP Benchmark Survey Report - Pitcher Partners Accountants / Russell Kennedy Lawyers • The survey highlights that many NFP organisations rely strongly on Government assistance – economically dependent • There is a belief that there is a need for these organisation to develop alternate means of financing and social enterprise • Organisations need to ensure that they can maintain solvency. Need to set aside monies for existing commitments; short term operations; and flexible enough to respond to changes in funding streams • Necessary to consider the management of various tax status benefits to ensure no compliance issues arise

CHSP Client Contribution Framework No mandatory fees schedule – target of 15% of grant revenue by June 2018

Strategies to consider Aged Care Approved Provider Pros Cons rkforce Skilled flexible wo ent Increased employm opportunities / greater Increased income sustainability needs of Ability to meet the of er mb nu r ate gre community cess Administrative pro rkforce / Skilled flexible wo s hip ers rtn pa Competition NDIS Approved provider Third Party Verification

Aged care system will be…….