The Commonwealth's response to the aged care crisis over many years has been to roll out successive "funding boosts."
The sector needs a complete overhaul, not a $10bn payday. Where is the federal government's commitment to a new Aged Care Act? #auspol#agedcarerc
It's been two months since the #agedcarerc's final report.
The totality of the Morrison govt's response to the report has been an initial announcement of a circa $452m "funding boost," and now this leaked preview of the budget, with a further $10bn "funding boost". #auspol
Enough with the "funding boosts."
Where is the response to the #agedcarerc recommendations of:
- A new Aged Care Act
- Staffing minimums
- Overhaul of the regulator
- minimum training requirements
- regulation of personal care workers
- requirement of RN on site #auspol
A reminder of the state of aged care:
- only 1.3% of Australian aged care providers have staffing levels that are considered "best practice"
- an estimated 7 out of 10 residents are malnourished
- an estimated 50 sexual assaults take place in aged care each week #auspol
For the older people living in aged care today, the announcement of a "funding boost" means absolutely nothing.
What older people in care desperately need is STAFF - in adequate numbers, adequately trained - who are available to help them when they need it. #auspol#agedcarerc
Presently, aged care providers do not have to demonstrate that taxpayer funding is spent on care - and often, it isn't. It's kept as profit.
If Morrison's $10bn does not come with a proviso that the money MUST be spent on care, we may as well throw it down the drain. #auspol
And while the Morrison government no doubt hopes that the figure of $10bn over 5 years sounds impressive, it really isn't. The Grattan Institute estimates that $7bn per year is needed to deliver world class care to older Australians. #auspol#agedcarerc
But the major issue here is that the sum total of the Morrison government’s response is a budgetary one.
Where is its response to the RC’s proposed fundamental overhaul of the aged care system? When can we expect to see its substantive policy response? #auspol#agedcarerc
Why have a RC if the main response at the end of it is a budgetary one?
Aged care is besieged with endemic problems - understaffing, care failures, neglect, abuse, chemical and physical restraint, under-regulation, profiteering - which will not be solved by money alone #auspol
To address the aged care crisis, we need actual leadership from our “leaders”.
An acknowledgment that the system in its current form is an abject failure.
Commitment to complete overhaul and reform.
If Morrison doesn’t have the appetite for that, then why call the RC? #auspol
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So the minister who had NO PLAN to prevent outbreaks in aged care, made PPE training voluntary, put no policy in place regarding hospital transfers, and didn't even know the numbers of deaths, is now pointing fingers.
- Put no national plan in place for COVID in aged care
- Couldn't even say whether he'd briefed Cabinet about the Royal Commission's interim report
- Did not know the number of aged care deaths in Senate hearings - not once, but TWICE
- Implemented no meaningful changes after the fatal outbreaks at Newmarch House and Dorothy Henderson Lodge
- Failed to consider how the existing failures in aged care would exacerbate the threat posed by COVID outbreaks
- Failed to provide expert infection control to facilities
Yesterday, Morrison referred to the Australian Health Sector Emergency Response Plan for Novel Coronavirus (COVID-19) as part of the government's "comprehensive plan" for aged care.
The phrase "aged care" only occurs in this document 20 times. Here they are: #auspol#agedcarerc
1. Aged care lumped into a list of groups that may require special strategies.
2. Aged care mentioned as an area that might be "stretched to capacity" in the case of wide spread.
I'm having a read through of the CDNA National Guidelines, touted by Brendan Murphy today at the #agedcarerc as a "comprehensive national plan" for COVID in aged care.
First of all, these are clearly guidelines, not a plan; they say so repeatedly.
Secondly, the entire document itself is only 44 pages long. If you subtract the posters at the end from the WHO on hand washing and coughing and sneezing, it is 39 pages long.
Minus appendices, it is 20 pages long. "Comprehensive"? Hardly. #auspol#agedcarerc
The onus to manage COVID is placed squarely on providers:
"The primary responsibility of managing COVID outbreaks lies with the RCF...All RCF should have access to infection control expertise, whether in-house or not, and outbreak management plans in place." #auspol#agedcarerc
Aged Care Minister Colbeck said he was "shocked" by the neglect revealed in the #agedcarerc Interim Report.
He insisted providers were "doing well across the board" in May, and made no federal COVID aged care plan.
At what point does naiveté become incompetence? #auspol
Remember, Colbeck is part of the government that CALLED the #agedcarerc due to systemic neglect - yet he had the gall to claim he was "shocked" by the findings of its interim report.
If he were across his portfolio, NOTHING in that report should have shocked him. #auspol
Colbeck has made no inroads in the three areas of "urgent action" identified by @RoyalAged:
- young ppl w/ disabilities trapped in aged care
- over-reliance on chemical and physical restraint
- 100k+ older Australians languishing on the home care waitlist #auspol#agedcarerc
The destructive effects of aged care privatisation in Australia: thread.
Commonwealth funding of aged care is tipped to reach $21.7bn+ in this financial year.
This is 80% of the sector's funding. The remaining 20% is contributed by consumers through RADs and daily fees. #auspol
Thanks to the reforms ushered in via the 1997 Aged Care Act, this $21.7+ billion of Commonwealth funding is not earmarked for care. It is up to providers' discretion how they spend it.
So long as they meet the accreditation requirements, they can retain unspent monies as profit.
This has effectively incentivised for-profit providers to reduce expenditure on care and retain taxpayer funding to bolster their bottom line.
Providers have replaced nurses with less expensive carers, most of whom have a 6-wk Tafe certificate and earn $23/hr.