There are now 108,000 older Australians on the
waiting list for Home Care Packages.
On this list
are individuals who have:
*
not yet been approved for home care;
*
been previously assessed and approved, but who have not yet been assigned a
home care package; or
* are receiving care at an interim level
awaiting assignment of a home care package at their approved level.
Waiting time
is calculated from the date of a home care package approval and this is not a
an ideal situation, given package approval times range from est. 27 to 98 days
and the time taken to approve high level home care packages is now than twelve
months - with actual delivery dates occurring at least 12 months later on average.
Labor’s Shadow
Minister for Ageing and Mental Health issued a statement which pointed out that
“With
the waiting list growing by almost 4,000 older Australians in just three
months, the 3,500 new home care packages a year committed in the Budget won’t
come close to keeping pace with demand”.
With more
than half the applications for permanent entry into residential aged care taking
more than 3 and up to 8 months to be met, this is not going to be a go-to first
option in any solution for this lengthy home care waiting list - even if enough older people could be persuaded to give up the last of their independnce and autonomy.
By June 2017
New South Wales had the largest number of persons on the home care waiting
lis at 30,685.
Given the
high number of residents over 60 years of age in regional areas like the the
Northern Rivers, this waiting list gives pause for thought.
Then there is
this side effect of the waiting list and home care start dates identified by Leading
Age Care Services Australia (LAGSA):
Consumers with unmet
needs and unspent funds
LASA has undertaken an extensive review of the
disparity that exists in the current release of HCP assignments, noting that
there are substantial numbers of consumers on HCPs with either unmet needs or unspent
funds . This bimodal distribution of home care package assignments reflects a
mismatch between consumer package assignment and a consumer’s current care
needs. The mismatch appears to be a function of the extended lapse of time that
exists between approval assessments and package assignments. Until this dynamic
is sufficiently addressed by Government, LASA expects that providers will be
faced with a unique set challenges in 2018 when providing care to HCP
consumers. This is likely to increase the need for regular care plan reviews in
the context of unmet needs and unspent funds. This dynamic could be considered
more closely within the context of developing a single assessment workforce.
Thus far Australian Minister for Aged Care and Liberal MP for Hasluck Ken
Wyatt is offering no insight into federal government thinking on this
issue.
Sources:
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