Before your start, please advise your consent to publish response
1. We would like your permission to publish your online survey responses to the discussion paper. Please indicate your publishing preference:
Please select one item
(Required)
Ticked
Publish response (include both my name and organisation's name)
Publish response, but keep my name private (include my organisation's name)
Publish response anonymously (remove both my name and organisation's name)
Do not publish response
Before you start, please tell us about yourself
2. What is your name?
Name
(Required)
Carolanne Barkla
4. What is your organisation’s name?
Organisation
(Required)
Aged Rights Advocacy Service (ARAS)
5. What stakeholder category do you most identify with?
Please select all that apply
(Required)
Consumer
Carer or other consumer representative
Ticked
Consumer advocacy organisation
Consumer peak body
Carer peak body
Approved provider of residential aged care
Approved provider of flexible aged care
Approved provider of home care
Aged care provider peak body
Provider of private aged care or seniors accommodation
Aged Care Assessment Team/Service
Aged care worker
Health professional
Workforce association or union
Primary Health Network
State and territory government
Local council
Commonwealth agency
Lender or investor/financier
Other
Please select all that apply
people from Aboriginal and Torres Strait Islander communities
people from culturally and linguistically diverse backgrounds
veterans
people who live in rural or remote areas
people who are financially or socially disadvantaged
people who are homeless or at risk of becoming homeless
people who are care-leavers
parents separated from their children by forced adoption or removal
lesbian, gay, bisexual, transgender and intersex people
people with disabilities
people with dementia
Ticked
other group
Prefer not to answer
Not applicable
If 'other group', please specify:
We support all special needs groups
6. Where does your organisation operate (if applicable)? Otherwise, where do you live?
Please select all that apply
(Required)
New South Wales
Australian Capital Territory
Victoria
Queensland
Ticked
South Australia
Western Australia
Northern Territory
Tasmania
All states and territories in Australia
Please select all that apply
(Required)
Ticked
In a remote area
Ticked
In a rural area
Ticked
In a regional area
Ticked
In a metropolitan area or major city
Model 2: Assign residential aged care places to consumers - Overall model
19. Overall, what are your views on this proposed model?
Model 2 views
Aged Rights Advocacy Service (ARAS) supports model two as this model is based on human rights principles such as respect, dignity, autonomy, equality and puts older people at the centre of access and decision making by freeing the service market to provide supply that meets their individual needs in the location suitable for them.
ARAS also acknowledges that there are areas, in particular regional, rural and remote areas which may need additional supports to ensure that their is a market or supply available however ARAS believes that gaps in market areas should not be a barrier to proceeding with model two and potential gaps providing a market should be addressed via other mechanisms rather than continuing with the current ACAR.
ARAS also acknowledges that there are areas, in particular regional, rural and remote areas which may need additional supports to ensure that their is a market or supply available however ARAS believes that gaps in market areas should not be a barrier to proceeding with model two and potential gaps providing a market should be addressed via other mechanisms rather than continuing with the current ACAR.
Model 2: Assign residential aged care places to consumers - Key design considerations (consumers)
20. What are your views on the establishment of a queue to access subsidised residential aged care, if the demand from eligible persons exceeds the available places?
Model 2 views on queue
On the information within the paper there does not appear to be a 'real queue' for residential aged care based on the current occupancy rates provided however should a queue develop then any queue for residential aged care will need to be carefully managed in particular with the acute health sector given the level of acuity of older people living in residential aged care. This will mean that their will need to be potentially more flexible and accurate real time assessment of care and service needs to ensure that older people are not left languishing in hospital and losing opportunity for re -ablement. With level 4 packages and older people also being supported for longer in their own home their will also need to be a nuanced queuing system that ensures transition to residential aged care from home care that does not necessarily prioritise someone awaiting a place within the acute health system.
We would also not want to see a perverse outcome that older people enter hospital in order to secure a place to aged care.
Perhaps by fixing the supply of home care supply and related processes such as ACAT assessment (assessing to what is available and not necessarily to what is required - such as including residential care) and also people getting onto the queue 'just in case'.
We would also not want to see a perverse outcome that older people enter hospital in order to secure a place to aged care.
Perhaps by fixing the supply of home care supply and related processes such as ACAT assessment (assessing to what is available and not necessarily to what is required - such as including residential care) and also people getting onto the queue 'just in case'.
21. What are your views on using date of approval and urgency of need as factors in determining a person’s priority (noting these are the factors used in home care)?
Model 2 views on date of approval and urgency
ARAS believes a more granular approach will need to take into account the urgency of need based on a more nuanced risk assessment involving the older person and representatives that takes into account the totality of the circumstances including but not limited to:
Older persons accommodation circumstances
current services such as from home care package level, acute care, disability care, respite care, hospital in the home;
Carers circumstances
Outcome for the older person on their health and wellbeing if unable to access appropriate residential support in a timely manner.
Older persons accommodation circumstances
current services such as from home care package level, acute care, disability care, respite care, hospital in the home;
Carers circumstances
Outcome for the older person on their health and wellbeing if unable to access appropriate residential support in a timely manner.
22. What other factors should also be included in the criteria for prioritising a person in the residential aged care queue?
Model 2 other prioritisation factors
Serious risk and imminent harm (noting dignity of risk) and outcome if the older person is unable to access residential aged care
23. What are your views on the validity period of the assigned place for residential aged care?
Model 2 validity period of place
General views
43. Do you have any other overall comments you wish to provide?
General comments