Re: @Senator_Patrick’s calls for a Royal Commission into Australia’s COVID response:

We’ve just had a $120m+ 3 yr RC into #agedcare. Morrison is yet to front a presser & answer questions about its recs. Reform-wise, the govt has cherry-picked easy fixes w/ no scrutiny #auspol
The thing about RCs and inquiries is they’ve got to produce systemic change. Otherwise they’re expensive fact-finding missions that tell us what we already know.

Look at all 17 major inquiries into aged care preceding the RC. All identified the same issues and made similar recs.
What’s the Morrison govt’s score card in implementing major reforms after its own RCs?

Abysmal.

Banking RC? More than half Hayne’s recommendations abandoned or not implemented. Aged care RC? Major recs like on-site nurses 24/7 rejected. Not even a presser from the PM. #auspol
Clearly the fed govt has major questions to answer re: its COVID response, not least in relation to the appalling failures of planning for the already-foundering aged care sector, the bungled aged care vax rollout and boosters.

Its aged care response has been an omnishambles.
But we also shouldn’t accept the promise of a RC as some sort of laudable redress of serious governmental failures.

Morrison used the #agedcarerc as a stalling tactic to avoid any meaningful policy reform in aged care for 3 years. ‘Wait for the findings,’ etc. #auspol
There is no point in having yet another RC when the recent past is strewn with the wreckage of RCs that have yet to deliver the major reforms they promised.

RCs are meaningless unless the govt of the day is committed to implementing reforms. #auspol
If Morrison hasn’t been held accountable for failing to implement the recs of the banking and aged care RCs, why would an RC into our COVID response be any different?

If the PM can get away with not even holding a presser to answer qs after a RC, why have another one? #auspol
By all means, have another RC. But the fundamental issue of holding the government accountable afterwards remains. #auspol

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More from @the_shb

Apr 18, 2021
If the Commonwealth's central response to the Aged Care Royal Commission is $10bn to the sector over the next five years, the RC has been for nought.

Giving providers billions without increased regulation and transparency will fix nothing. #auspol smh.com.au/politics/feder…
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
Read 11 tweets
Oct 27, 2020
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.

THE TEMERITY. #auspol #agedcarerc
smh.com.au/politics/feder…
In case anyone needs a reminder, Colbeck:

- 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
Read 8 tweets
Aug 15, 2020
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. Image
2. Aged care mentioned as an area that might be "stretched to capacity" in the case of wide spread. Image
Read 17 tweets
Aug 12, 2020
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.

#auspol #agedcarerc Image
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 ImageImage
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
Read 20 tweets
Aug 10, 2020
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
Read 10 tweets
Jul 29, 2020
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.
Read 15 tweets

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