Transcript Aged Care and Community Care Reforms in NSW – 2015

Commonwealth Aged Care Reforms
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Contents
• Drivers for Commonwealth Aged Care Reforms
• My Aged Care – from 1 July 2015
• Commonwealth Home and Community Care
(HACC) Transition to Commonwealth Home
Support Programme (CHSP)
Drivers for Commonwealth
Aged Care reforms
Increased number
of people living
with chronic
diseases
Increased
demands from
people with
complex needs
Growing and
ageing population
Increasing
demands on
aged care
system &
workforce
Increasingly
fragmented,
complex system
Expansion in
separately funded
home support
programs
Rising consumer
expectations
Societal changes
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Commonwealth objectives
Australian Government vision is that by 2022 Australia’s
aged care system will:
 Be sustainable and affordable, long into the future
 Provide diverse and rewarding career options
 Encourage aged care businesses to invest and grow
 Offer greater choice, with control in the hands of consumers
 Support people to stay at home, and part of their communities,
for as long as possible
NSW Health is working with the Commonwealth to implement Aged Care reforms,
organising aged and community care services for older people that better meet
their changing needs
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Timeline of HACC/CCSP transition
> 65years
• HACC program
ceased
• Commonwealth
HACC Program
65+ commenced
1 Jul 2012
2012
Contracts for
Commonwealth HACC
devolved to LHD’s
• Transition of Commonwealth
HACC Program to CHSP
• Full functionality rollout of
My Aged Care Gateway
1 Jul 2015
CHSP contracts end
New CHSP
Contracts
1 Jul 2013
2013
HACC/CHSP
$80M
approx.
30 Jun 2017
1 Nov 2015
2014
2016
2015
2017
2018
30 Jun 2018
1 Jul 2012
• HACC Program ceased;
NSW CCSP <65 commenced
• NSW CCSP contracts
devolved to LHDs
< 65years
1 Jan 2014
Hunter Pilot site
transition to NDIS
commences
30 Jun 2016
• NSW CCSP
funding extended
by AHDC
• Hunter Pilot site
transition complete
and their NSW
CCSP funding
ceases
NSW CCSP
transition to NDIS
complete
1 Jul 2018
NDIS
Full implementation
CSSP/NDIS
$20M
approx.
My Aged Care Gateway
MyAgedCare
http://www.myagedcare.gov.au/
National Contact Centre
• 1800 200 422
• 8am-8pm (Monday to Friday)
• 10am-2pm (Saturdays)
What is My Aged Care?
• My Aged Care is a national gateway commencing from 1
July 2015. It will provide a single entry point for access to
Commonwealth funded aged care services
• My Aged Care has 3 online portals: for clients and carers,
assessors and service providers
• My Aged Care aims to:
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Provide a standardised national approach from screening
through to comprehensive aged care assessments
Centralise all registration and screening
Introduce and maintain a central Client Record
Simplify and streamline client assessment
Match and refer clients for appropriate services
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My Aged Care benefits for clients
Identifiable entry point
providing timely and
reliable information on
aged care
A central client record,
accessible by
assessors, service
providers and clients
My Aged Care
Website
My Aged Care
Contact Centre
Client Record
National Screening &
Assessment Form
Action/
Support Plan
Simplified and
standardised aged care
needs assessment
Regional Assessment
Services (RAS)
ACATs
National Screening &
Assessment Form
Action/
Support Plan
Support to locate and
access appropriate
services
Service Finders
Electronic Referrals
My Aged Care impacts for NSW Health
What will change for NSW Health front-line staff?
 New clients referred through My Aged Care
 Different referral pathways
 Maintenance of the central Client Record
 Determine My Aged Care or existing referral
pathways for clients
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My Aged Care
Assessment & Service Referral Pathways
Inbound Referral
ASSESSMENT
MATCH & REFER TO SERVICES
Regional
Assessment
Service (RAS) –
Home Support
Assessment
Home Support Program
My Aged Care
Contact Centre
• Basic level / Low intensity
home support services
• Wellness / reablement
focus
Residential Aged Care
• Permanent placement
• Respite placement
(low/high)
• Complex multiple needs
- Registration
- Screening
Aged Care
Assessment
Team (ACAT) –
Comprehensive
Assessment
Home Care Packages
Complex multiple care needs
• Levels 1 and 2
• Levels 3 and 4
Transitional Aged Care
Service
Planning &
Delivery
Assessment and Referral Pathways
(RAS and ACATs)
• A single referral pathway through My Aged Care by 31
December 2015:
 Regional Assessment Services (RAS) to commence 1 July 2015
 ACAT referral and assessment services to transition between 1
July 2015 - 31 December 2015
• Some LHD referral pathways will remain unchanged i.e.
Compacks, post-acute nursing, CCSP
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National Screening and
Assessment Form (NSAF)
• Holistic
• Restorative philosophy underpins assessment
• Assessment building on information collected at
screening, with appropriate questions at each level
of assessment
• Previously collected information displayed so clients
do not have to repeat their story
• Built in algorithms will assist to identify client needs,
goals & preferences in a support plan
NSAF
Commonwealth Home Support
Programme (CHSP)
• The Commonwealth Home Support Programme (CHSP)
will bring together the following programs:
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HACC
National Respite for Carers Program
Day Therapy Centres Program
Assistance with Care and Housing for the Aged Program
• Introduction of a nationally-consistent fees policy
• Underpinned by a restorative care approach (wellness
and reablement) and consumer directed care
• Sector support and development – with operational
guidance from NSW Health
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HACC transition to CHSP
Community and Home Support
Objective
•
To provide entry-level support services to assist older
people to live independently at home and in the community
Target Group
•
Frail, older people aged 65 years and over (or 50 years and
over for Aboriginal and Torres Strait Islander people) who
need assistance with daily living to remain living
independently at home and in the community
Service types
funded
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Meals
Other food services
Transport
Domestic assistance
Personal care
Home maintenance
Home modifications
Social support – individual
Social support – group (formerly
Centre-Based Day Care)
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Nursing
Allied Health and
Therapy Services
Goods, Equipment
and Assistive
technology
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CHSP impacts for NSW Health
What will change for NSW Health front-line staff?
 Referrals for your service will now come through My Aged Care
electronically
 Service provision will continue, except for case management,
assessment, and care coordination services
 Regional Assessment Services (RAS) will now provide short
term case management, assessment and care coordination
services.
What will continue for LHDs?
 Continued delivery of services under CHSP
 Funding continuity until 30 June 2017
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Further Information - DSS
My Aged Care
Website: www.dss.gov.au/myagedcare
Email: [email protected]
Commonwealth Home
Support Programme
Website: www.dss.gov.au/chsp
Email: [email protected]
Home Care Packages
Website: www.dss.gov.au/homecarepackages
Email: [email protected]
Quality Indicators- Pilot in
residential care
KPMG – Free call 1800 881 436
Email: [email protected]
General Aged Care
Information
DSS Website: www.dss.gov.au/agedcare
Information: [email protected]
Further Information – NSW Health
• The NSW Ministry of Health (MoH) is working closely with LHDs to
support and prepare for the implementation of My Aged Care and the
transition to the CHSP on 1 July 2015
• A new NSW Health Aged Care website will be updated frequently with
information on the Aged Care changes, impacts for LHDs, FAQs, DSS
fact sheets, tools and resources. Check the ‘What’s New’ tab for
updates: www.health.nsw.gov.au/agedcare
• For information on local implementation and processes in your LHD
contact your HACC Transition Manager or Aged Care Contact
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