Aged Care Insite Issue 103 | Oct-Nov 2017 | Page 14

industry & policy Reform review: sector reacts The aged care sector’s peak bodies and representatives respond to David Tune’s review of the government’s aged care reforms. By Dallas Bastian T he recommendations laid out in the recently tabled Legislated Review of Aged Care 2017 must be carefully considered and promptly acted upon by government, the sector’s peak bodies and representatives have said. Led by David Tune, former secretary of finance and current chair of the Aged Care Sector Committee, the review examined the Living Longer Living Better aged care reforms that stemmed from recommendations made by the Productivity Commission in its 2011 report, Caring for Older Australians. The resulting report includes 38 recommendations for future aged care provision. The government said it will consider all recommendations but has already ruled out two. They include recommendation 13, which holds that the government include the full value of the owner’s home in the means test for residential care when there is no protected person in that home; and recommendation 15, which suggests that the government abolish the annual and lifetime caps on income- tested care fees in home care and means-tested care fees in residential care. Aged & Community Services Australia (ACSA) was disappointed to see this move. Chief executive Pat Sparrow said by ruling out these two financing options, the government is limiting its own ability, as well as that of providers, to respond to the changing needs of Australia’s rapidly ageing population. Chief executive of Leading Age Services Australia (LASA) Sean Rooney also expressed the peak body’s disappointment about the government’s decision to rule out some recommendations without due consideration. He said: “While LASA understands the sensitivities of any potential changes to consumer contributions 12 agedcareinsite.com.au for age services, the government’s approach to ruling out any consideration of changes to lifetime caps and means tests involving the family home shuts down much needed discussion on how to fund the system now and into the future.” Marking the release of the report, the government announced initiatives in home care services and the My Aged Care system. These included making available an additional 6000 home care packages, and a $20 million investment in the My Aged Care information system to improve public access, with a focus on rural, regional and remote clients. HOME CARE PACKAGES COTA Australia’s chief executive, Ian Yates, said that improving access to home care packages by increasing the number of packages and rebalancing the mix of lower and higher packages, including moving resources from residential to home care, is a good move. “The government has made a good start by rebalancing current package levels to create more high care packages but needs to act quickly on a more comprehensive solution. “Obviously, what is needed is an increase in the number of packages so no one, whether with high or low needs, misses out. Now we know the extent of the problem, older Australians will expect the government will focus on fixing it as soon as possible.” LASA’s Rooney said while the additional home care packages will ease the frustrations of many older Australians who are unable to access appropriate services, the increase will not keep pace with demand and a long-term solution must be found. COTA also highlighted the recommendation to consider transferring future funds from residential care to home care, including a temporary release of unused or vacant residential care funding into home care packages. “This measure should receive early consideration, as there is no overall shortage of residential care,” Yates said. “However, it must be accompanied by placing residential care entitlements in the hands of consumers and families.”