Commencing in
2016-17 when Australian Prime Minister and Liberal MP for Cook Scott Morrison was then just the Federal
Treasurer he cut $472.4 million from Aged Care funding over four years, then
followed that up with a $1.2 billion cut over the same time span.
When deteriorating
conditions in nursing homes around the country began to be reported in the
media and the Oakden scandal came to light in 2017, concerned citizens began to call for a royal commission.
The Liberal
Minister for Aged Care and Liberal MP for Hasluck Ken Wyatt was of the opinion that such an inquiry would be “a waste of time and money”.
The Royal Commission
into Aged Care Quality and Safety was established on 8 October 2018
by the Governor-General of the Commonwealth of Australia, His Excellency
General the Honourable Sir Peter Cosgrove AK MC (Retd).
The Commissioners are
required to provide an interim report by 31 October 2019, and a final
report by 30 April 2020…
The Commissioners were appointed to be a Commission of inquiry, and
required and authorised to inquire into the following matters:
a. the quality of aged care services
provided to Australians, the extent to which those services meet the needs of
the people accessing them, the extent of substandard care being provided,
including mistreatment and all forms of abuse, the causes of any systemic
failures, and any actions that should be taken in response;
b. how best to deliver aged care services
to:
i.
people with disabilities residing in aged care facilities, including
younger people; and
ii.
the increasing number of Australians living with dementia, having regard
to the importance of dementia care for the future of aged care services;
c. the future challenges and opportunities
for delivering accessible, affordable and high quality aged care services in
Australia, including:
i.
in the context of changing demographics and preferences, in particular
people's desire to remain living at home as they age; and
ii.
in remote, rural and regional Australia;
d. what the Australian Government, aged
care industry, Australian families and the wider community can do to strengthen
the system of aged care services to ensure that the services provided are of
high quality and safe;
e. how to ensure that aged care services
are person‑centred, including through allowing people to exercise greater
choice, control and independence in relation to their care, and improving
engagement with families and carers on care‑related matters;
f. how best to deliver aged care services
in a sustainable way, including through innovative models of care, increased
use of technology, and investment in the aged care workforce and capital
infrastructure;
g. any matter reasonably incidental to a
matter referred to in paragraphs (a) to (f) or that [the Commissioners] believe
is reasonably relevant to the inquiry.
At this
hearing the Commissioner Tracy stated
in part:
The
terms direct our attention to the interface between health, aged care and
disability services in urban, regional and rural areas. These issues
necessarily arise because of Australia’s changing demography. We are also
required to look at young people with disabilities residing in aged care
facilities and do our best to deliver aged care services to the increasing
number of Australians living with dementia. Part of our task is to examine
substandard care and the causes of any systemic failures that have, in the
past, affected the quality or safety of aged care services. We will consider
any actions which should be taken in response to such shortcomings in order to
avoid any repetition. This will necessarily involve us in looking at past 25
events. There have been a number of inquiries which have considered matters
that, in certain respects, fall within our terms of reference. We are not
required by the Letters Patent to inquire into matters which we are satisfied
that have been, is being or will be 30 sufficiently and appropriately dealt
with by another inquiry or investigation or a criminal or civil proceeding. As
a general rule, we do not intend to re-examine matters which have been
specifically examined in previous inquiries. We do, however, expect to examine
the changes and developments which have followed previous inquiries, as well as
the extent to which there has been implementation of recommendations from those
inquiries. Where we have different views, they will be made known.
According to ABC
News on 18 January 2018: Out of almost 2,000 Australian aged care
providers invited to shed light on the sector ahead of the royal commission,
only 83 have been forthcoming with information, the Adelaide inquiry was told.
The
Guardian on
18 January reported: Counsel assisting Peter Gray said the
commission had received more than 300 public submissions since Christmas Eve
and 81% concerned provision of care in residential facilities, with staff
ratios and substandard care the most common themes. The
federal health department has also passed on 5,000 submissions it received
before the commission’s terms of reference were set.
Interested members of the public can still make submissions as the Royal
Commission will continue to accept submissions until at least the end of June
2019.
Details on how to make a submission can be found here.
