Despite the new Aged Care Act being in place for more than 100 days, serious concerns remain for older Australians accessing the Support at Home program.

The Older Persons Advocacy Network( OPAN) reports that its members supported almost 18,000 cases in the past quarter alone, highlighting ongoing and unresolved issues. Urgent action is needed if Support at Home is to achieve its core goal— enabling older people to live safely and independently in their own homes and communities.

Key concerns include lengthy assessment and reassessment wait times, rising costs for essential services, and the absence of cottage respite. OPAN CEO Craig Gear said delays and uncertainty are placing unnecessary strain on older people.

“ Greater funding is needed to reduce assessment wait times, which show no sign of easing,” Mr Gear said.

He also called for assessors to have the authority to override algorithmbased decisions when clinical judgement indicates a person’ s care needs have been underestimated.

“ The uncertainty and confusion older people are experiencing is unfair and detrimental to their wellbeing,” he said.

Advocates report that many older people are cutting back on services due to increased costs. OPAN is urging greater price transparency from providers, particularly for services such as transport in rural areas. While the department and Aged Care Quality and Safety Commission have begun regulatory action where pricing has not been clearly displayed, concerns remain. Some older people are also receiving invoices months after services have been delivered, making it difficult to manage budgets. Providers are required to issue monthly statements within 30 days.

The financial hardship application process is another area of concern, with many describing it as complex and intimidating. OPAN has indicated it is willing to work with government to simplify the process.

Mr Gear also called for the immediate reinstatement of cottage respite, previously available under the former Act.

“ The unavailability of cottage respite under Support at Home could lead to unnecessary hospitalisations and premature entry into residential care,” he said.

While the program includes a Statement of Rights emphasising dignity and respect, Mr Gear said community expectations are not being met. Demand

for advocacy support has increased significantly since the changes took effect, reflecting broader concerns also raised during the CHSP Senate Inquiry.

OPAN encourages older Australians who need assistance to contact the Aged Care Advocacy Line on 1800 700 600 for advice and support.