Aged Care Insite Issue 109 | Oct-Nov 2018 | Page 4

news Royal Commission scope announced P rime Minister Scott Morrison has released the terms of reference for the Royal Commission into Aged Care. Among the directives are that it should cover the challenges and opportunities for providing accessible, affordable and high quality aged care, and delivering care to people living with dementia. Morrison also named its commissioners. He recommended the Governor General appoint former judge of the Supreme Court of Western Australia, honourable justice Joseph McGrath, and ex-chief executive of Medicare Lynelle Briggs. The latter also served as Australian Public Service Commissioner for five years. “Both these individuals have had an enormous volume of experience, an exemplary record of Australian public service throughout their careers, in their respective fields,” Morrison told reporters. The government received more than 5000 submissions after putting out a request to hear from industry and the public. Per its terms of reference, the aged care royal commission will cover: • Quality and safety, including the extent of substandard care • How to best deliver care services to people with disabilities residing in aged care facilities, including younger people • How to best deliver care to the increasing number of Australians living with dementia • The future challenges and opportunities for delivering accessible, affordable and high quality aged care services, including people’s desire to remain living at home Jump in complaints A ustralia’s current aged care complaints body has seen a 23 per cent increase in the number of issues raised. The Aged Care Complaints Commissioner’s 2017–18 Annual Report was recently tabled in Parliament by Minister for Senior Australians and Aged Care, Ken Wyatt. Concerned Australians put forward a record 5,779 complaints. And the Commissioner referred over 1,000 cases to the Australian Aged Care Quality Agency – a rise of 130 per cent over the previous year. Wyatt partly put the figures down to an increase in awareness about the Commissioner’s capacity, as well as growing concern about aged care issues. “While significantly more people are using the national service, the data shows that most of their complaints are being managed effectively, with 73 per cent resolved within 30 days and 93 per cent resolved within 90 days,” he added. 2 agedcareinsite.com.au as they age, and aged care in rural, regional and remote Australia • What the Government, the aged care sector, Australian families and the wider community can do to strengthen care services to ensure quality and safety • How to allow people greater choice, control and independence and how to improve engagement with families and carers, and • How to best deliver sustainable aged care services through innovative care and investment in the aged care workforce and infrastructure, as well as • Any matters that the commissioners believe is relevant to their inquiry. To be based in Adelaide, the royal commissioners will provide an interim report by 31 October 2019 and a final report by 30 April 2020. When questioned by reporters, Morrison clarified that more time will be given for the interim report if needed. Morrison reassured the industry that while they go about their work, the government will get on with its policing and reform program. ■ The most common issues raised in complaints about residential aged care were medication administration and management (706) and personal and oral hygiene (473). For the first time, staffing numbers and ratios made up one of the top three issues in residential care complaints, with 452 issues raised. Commissioner Rae Lamb said complaints to the body have increased by around 47 per cent since 2015–16. “We have seen particularly marked growth in the number of people coming to us with complaints about care delivered in their homes,” Lamb said. “These now account for around one in four complaints.” In her foreword, Lamb reinforced her recent push for aged care providers to be more open about complaints and how they respond to them. She said the Commissioner is this year focused on getting that message to the boards that govern aged care services. “I have met with several of the boards of big aged care service providers. “So far at least one organisation has told us it is planning to publish more complaints information on its website as a result of the challenge. Others are still considering it. “I hope that this will catch on and others will follow.” In January next year, the Complaints Commissioner and the Quality Agency will join to form part of the new Aged Care Quality and Safety Commission. Wyatt said he was confident the new body will better target sub-standard care. “Any concerns about quality of care will be managed by the one agency, making it easier for everyone to know who they can contact, and further enhancing the complaints policing and resolution process,” he said. ■