Chapter One

[1]        Department of Health, 2015‑16 Report on the Operation of the Aged Care Act 1997, 2016, p. 6.

[2]        Australian Government, 2015 Intergenerational Report, March 2015, pp vii–viii.

[3]        Productivity Commission, Caring for Older Australians, Report No. 53, v.2, 2011, p. 2.

[4]        Productivity Commission, Caring for Older Australians, Report No. 53, v.1, 2011, p. xxvi.

[5]        Dr Deirdre Marie Anne Fetherstonhaugh, Director, Australian Centre for Evidence Based Aged Care, La Trobe University, Committee Hansard, 28 April 2016, p. 26.

[6]        Department of Health, 2015‑16 Report on the Operation of the Aged Care Act 1997, 2016, pp. xiii-xiv.

[7]        Australian Institute of Health and Welfare, Diversity in aged care, accessed 31 May 2017.

[8]        Australian Institute of Health and Welfare, Diversity in aged care, accessed 24 May 2017.

[9]        30 per cent of people in New South Wales and Victoria; 35 per cent in Queensland, 23 per cent in South Australia and 17 per cent in Western Australia. Australian Institute of Health and Welfare, Diversity in aged care, accessed 24 May 2017.

[10]      This reflects these jurisdictions' overall remoteness status, with no areas classified as Major cities. Australian Institute of Health and Welfare, Diversity in aged care, accessed 24 May 2017.

[11]      Mr Rohan Marks, Director, Community Services, MacDonnell Regional Council, Committee Hansard, 26 October 2016, p. 1.

[12]      Australian Institute of Health and Welfare, Diversity in aged care, (accessed 24 May 2017).

[13]      Australian National Audit Office, Indigenous Aged Care, ANAO Report No. 53 of 2016­17, p 23.

[14]      Australian Institute of Health and Welfare, Indigenous people in aged care (accessed 23 December 2015).

[15]      Australian Bureau of Statistics, Who are Australia's Older People?, Reflecting a Nation: Stories from the 2011 Census, 2012, (accessed 22 December 2015).

[16]      Australian Bureau of Statistics, Who are Australia's Older People?, Reflecting a Nation: Stories from the 2011 Census, 2012, (accessed 22 December 2015).

[17]      Australian Institute of Health and Welfare, Projections of Immigrants, People from culturally and linguistically diverse backgrounds, 1996–2026, Australia, Department of Health and Aged Care, May 2001, p. xviii, (accessed 22 December 2015).

[18]      Productivity Commission, Caring for Older Australians, Inquiry Report No. 53, 28 June 2011, Vol 2 p. 246, (accessed 21 December 2015).

[19]      Australian Institute of Health and Welfare, Cultural and linguistic diversity measures in aged care, Working Paper, 2014, p. 8, (accessed 22 December 2015).

[20]      Productivity Commission, Caring for Older Australians, Inquiry Report No. 53, 28 June 2011, Vol 2 p. 247, (accessed 21 December 2015).

[21]      GLBTI Retirement Association Incorporated and Curtin Health Innovation Research Institute, Best practice guidelines, Accommodating older gay, lesbian, bisexual, trans and intersex (GLBTI) people, p. 2, (accessed 21 December 2015).

[22]      National Institute of Labour Studies, Flinders University, 2016 National Aged Care Workforce Census and Survey – The Aged Care Workforce, 2016, Department of Health, 2017, p. 53.

[23]      National Institute of Labour Studies, Flinders University, 2016 National Aged Care Workforce Census and Survey – The Aged Care Workforce, 2016, Department of Health, 2017, p. 119.

[24]      The Department of Health defines the aged care workforce as 'the formal workforce of the providers and services that offer Australian Government subsidised aged care through Home Support, Home Care Packages, residential aged care, veterans' home care and flexible care'. See: Department of Health, Submission 293, p. 5.

[25]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, pp. xvii; 160      .

[26]      Previous reports were published in 2003, 2007 and 2012.

[27]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health.

[28]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, p. 160.

[29]      The National Institute of Labour Studies defines the direct care workforce to include 'Nurse Practitioners (NP), Registered Nurses (RN), Enrolled Nurses (EN), Personal Care Attendants (PCA)/Community Care Workers (CCW), Allied Health Professionals (AHP) and Allied Health Assistants (AHA)'. See National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, p. 158.

[30]      See, for example: Australian Medical Association, Committee Hansard, 3 November 2016,
p. 17; Palliative Care Nurses Australia, Committee Hansard, 3 November 2016, p. 27; Alzheimer's Australia, Committee Hansard, 3 November 2016, p. 28; NSW Nurses and Midwives' Association, Committee Hansard, 3 November 2016, p. 48.

[31]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, Table 3.2, p. 13.

[32]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, Tables 5.2, 5.3, p. 70.

[33]      See for example: Volunteering Tasmania, Committee Hansard, 31 October 2016, pp. 3-4, 6; Volunteering SA and NT Inc, Committee Hansard, 7 March 2017, p.34; Carers Australia, Submission 269, p. 3; Volunteering Victoria, Submission 272, p. 3; Australian Association of Gerontology, Submission 217, p.2.

[34]      See: Services for Australian and Remote Allied Health, Submission 238, p. 4-5.

[35]      See for example: Exercise and Sports Science Australia, Submission 35, p. [1]; Allied Health Professions Australia, Submission 208, p. 1; Occupational Therapy Australia, Submission 282; Services for Australian and Remote Allied Health, Submission 238, p. 4-5.

[36]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, p. 160.

[37]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, p. 160.

[38]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, p. 158.

[39]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, p. 160.

[40]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, p. 160.

[41]      Department of Health, Submission 293, p. 10.

[42]      Department of Health, Submission 293, p. 7.

[43]      In 2014-15, the Australian Government's contribution to total revenue for aged care providers was: 65 per cent for residential aged care, 92 per cent for home care and 95 per cent for home support. See: Department of Health, Submission 293, p. 10.

[44]      Australian Institute of Health and Welfare, Aged Care, (accessed 11 May 2017).

[45]      Department of Health, Submission 293, p. 10.

[46]      Department of Health, 2015‑16 Report on the Operation of the Aged Care Act 1997, 2016, p. xiii.

[47]      In 2013-14, not-for-profit organisations accounted for 52 per cent of residential care, 69 per cent of home care and 74 per cent of home support aged care providers. See: Aged Care Financing Authority, Report on the Funding and Financing of the Aged Care Industry, July 2015, p. xi.

[48]      Commonwealth of Australia, budget Measures: Budget Paper No. 2 2017-18, p. 123.

[49]      The Hon Ken Wyatt AM, Minister for Aged Care, Media Release, 26 May 2017, (accessed 29 May 2015).

[50]      Council of Australian Governments, National Health Reform Agreement, (accessed 12 May 2017).

[51]      See: Department of Health, Commonwealth HACC Program, (accessed 12 May 2017).

[52]      See, for example: Queensland Government, Submission 227, p. 2.

[53]      Queensland Health, Submission 227, p. 2.

[54]      Local Government Association of the Northern Territory, Submission 241, p. 1.

[55]      Local Government Association of the Northern Territory, Submission 241, p. 1.

[56]      Local Government Association of the Northern Territory, Committee Hansard, 25 October 2016, p. 18.

[57]      Municipal Association of Victoria, Submission 268, p. 1.

[58]      See, for example: Australian Services Union, Submission 255, p. 8; Municipal Association of Victoria, Submission 268, p. 3.

[59]      Since 2004, successive Australian governments have introduced a range of measures to develop the aged care workforce. Some of the major initiatives include the Living Longer, Living Better initiative, Aged Care Workforce Fund and the National Aged Care Workforce Strategy.

[60]      Department of Health, Stocktake and analysis of Commonwealth-funded aged care workforce activities, (accessed 12 May 2017).

[61]      Following announcements in the 2015-16 Budget the Aged Care Workforce Development Fund was redesigned to bring in 40.2 million dollars of savings over four years.

[62]      Department of Health, Submission 293, p. 23.

[63]      Aged Care Financing Authority, Annual Report on the Funding and Financing of the Aged Care Sector, July 2016, pp. 52-3.

[64]      See, for example: DutchCare, Submission 179, pp. 3 and 8.

[65]      Local Government Association of the Northern Territory, Submission 241, pp. 4‑5.

[66]      See, for example: Leading Age Services Australia, Submission 222, p. 17; JewishCare Victoria, Submission 109, p. 6; Presbyterian National Aged Care Network, Submission 190, p. 7; DutchCare, Submission 179, p. 8; Baptist Care Australia, Submission 219, p. 9.

[67]      See, for example: Brightwater Care Group, Submission 213, p. 7; Palliative Care Nurses Australia, Submission 188, p. 9; Palliative Care Australia, Submission 139, pp. 2-3; Alzheimer's Australia, Submission 180, p. 3.

[68]      See, for example: LGANT, Submission 241, p. 4; Yass Valley Aged Care, Submission 59, p. 9.

[69]      See, for example: Health Workers' Union, Submission 248, p. 77.

[70]      See, for example: Aged Care Guild, Submission 290, p. 7.

[71]      For example, the NSW Nursing and Midwives' Association expressed concern that the removal of the high/low care distinction 'will provide a window of opportunity for some aged care providers to reduce their overheads by removing RNs from their workforce'. See: NSW Nurses and Midwives' Association, Submission 134, pp. 30-31.

[72]      NSW Nurses and Midwives' Association, Submission 134, pp. 30-31.

[73]      See, for example: Combined Pensioners and Superannuants Association of NSW, Submission 295, p. 5; Health Services Union, Committee Hansard, 28 April 2016, p.8.

[74]      See, for example: COTA Australia, Submission 283, p. 1; Aged and Community Services Australia, Submission 229, p. 13; Leading Aged Care Services, Submission 222, p.15; Salvation Army Aged Care Plus, Submission 183, p. 8; Benevolent Society, Submission 240, p. 3; Catholic Health Australia, Committee Hansard, 3 November 2016, pp. 20, 21.

[75]      National Aged Care Alliance, Submission 77, p. 2.

[76]      COTA Australia, Submission 283, p. 1.

[77]      Department of Health, Submission 293, p. 10.

[78]      Department of Health, Submission 293, p. 22.

[79]      Department of Health, Submission 293, p. 24.

[80]      Commonwealth of Australia, Budget Measures: Budget Paper No. 2 2017-18, p. 123.

[81]      Department of Health, Strengthening Aged Care – developing an aged care workforce strategy, (accessed 25 May 2017).

[82]      Department of Health, Strengthening Aged Care – developing an aged care workforce strategy, (accessed 25 May 2017).

[83]      Commonwealth of Australia, budget Measures: Budget Paper No. 2 2017-18, p. 123.

[84]      Commonwealth of Australia, budget Measures: Budget Paper No. 2 2017-18, p. 145.

[85]      Department of Health, Strengthening Aged Care – developing an aged care workforce strategy, (accessed 25 May 2017).

Chapter 2 - Changing pressures on the aged care workforce

[1]        Mr Trevor Lovelle, Chief Executive Officer, Aged and Community Services Australia, Western Australia, Committee Hansard, 27 September 2016, p. 1.

[2]        Professor Sara Charlesworth, Submission 290, p. 7.

[3]        Professor Sara Charlesworth, Submission 290, p. 7; UnitingCare Australia, Submission 256, p. 17.

[4]        See, for example: Healthy Ageing Research Group, La Trobe University, Submission 237, p.3; Professor Sara Charlesworth, Submission 290, p. 7.

[5]        The National Aged Care Data Clearinghouse coordinates data collection from various agencies and departments: Australian Institute of Health and Welfare, National Aged Care Data Clearinghouse, accessed 4 May 2017.

[6]        Professor Sara Charlesworth, Submission 290, pp. 7-9.

[7]        Professor Sara Charlesworth, Submission 290, pp. 7-9. The ABS' aged care workforce data is spread across a range of categories as defined by the Australian and New Zealand Standard Industrial Classification (ANZSIC) and Australian and New Zealand Classification of Occupations (ANZSCO). See: Australian Bureau of Statistics (ABS), Submission 221, p. 1.

[8]        Professor Sara Charlesworth, Submission 290, p. 7.

[9]        Dr Adrian Webster, Head of the Expenditure and Workforce Unit, Australian Institute of Health and Welfare, Committee Hansard, 3 November 2016, p. 57.

[10]      Australian Bureau of Statistics, Submission 221, p. 3.

[11]      Department of Health, Strengthening Aged Care – developing and aged care workforce strategy, (accessed 25 May 2017). See also: Productivity Commission, Caring for Older Australians, Report No. 53, v.2, 2011, p. 354.

[12]      See for example: Aged and Community Services Tasmania, Committee Hansard, 31 October 2016, p. 8; and Primary Health Tasmania, Committee Hansard, 31 October 2016, p. 42.

[13]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, p. 54.

[14]      National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, p. 54.

[15]      63 per cent of residential facilities and 42 per cent of home care and home support outlets experienced skills shortages in 2016. Note, however, skills shortages in both sectors have reduced since 2012 (76 per cent of residential facilities and 49 per cent of home care and home support outlets reported shortages in 2012). See: National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, pp. 54, 119, 164.

[16]      80 per cent of residential facilities, and 72 per cent of home care and home support outlets reported 'no suitable applicants' as the cause for shortages in their facility or outlet, and 38 per, and 39 per cent of each sector respectively reported 'geographical location' as the cause for shortages. See: National Institute of Labour Studies, Flinders University, The Aged Care Workforce, 2016, 2017, Department of Health, pp. 55, 120.

[17]      See, for example: RDA Illawarra, Committee Hansard, 6 March 2017, p. 2; Leading Age Services Australia, Committee Hansard, 3 November 2016, p. 4; Hall and Prior Health and Aged Care Group, Committee Hansard, 28 September 2016, p. 22.

[18]      Healthy Ageing Research Group, La Trobe University, Submission 237, p. 6.

[19]      Carers Australia, Submission 269, pp. 10-11.

[20]      See, for example: Alzheimer's Australia, Submission 180, p. 2; The Bethanie Group Inc, Committee Hansard, 28 September 2016, p. 2.   

[21]      See: Alzheimer's Australia, Submission 180, p. 4.

[22]      See: Australian Psychological Society, Submission 142, p. [1].

[23]      See: Healthy Ageing Research Group, La Trobe University, Submission 237, p. 25.

[24]      See: Australian Association of Social Workers, Submission 236, p. 4.

[25]      See: Palliative Care Australia, Submission 139, pp. 1-2.

[26]      See: Australian Federation of AIDS Organisations and National Association of People with HIV Australia, Submission 106, pp. 3-4; People Living with HIV Community Forum WA, Submission 294, pp. 3, 5.

[27]      In 2015 an estimated 342 800 Australians had dementia. In the same year, 10 per cent of Australians aged over 65, and 31 per cent aged over 85 had dementia. See: Australian Institute of Health and Welfare (AIHW), 'Dementia', (accessed
9 May 2017).

[28]      Submission 180, p. 4. See also, Alzheimer's Australia, Committee Hansard, 3 November 2016, p. 28.

[29]      Access Economics, Making choices, Future dementia care: projections, problems and preferences, 2009, p. vi.

[30]      Alzheimer's Australia, Committee Hansard, 3 November 2016, p. 28.

[31]      Alzheimer's Australia, Committee Hansard, 3 November 2016, p. 28.

[32]      The National Framework for Action on Dementia 2015-2019 was developed by Commonwealth, State and Territory governments to 'create a strategic, collaborative and cost effective response to dementia across Australia'. See: Department of Health, National Framework for Action on Dementia 2015-2019 (accessed 9 May 2017).

[33]      Alzheimer's Australia, Submission 180, p. 3.

[34]      See, for example: Australian Medical Association, Committee Hansard, 3 November 2016,
p. 15; Palliative Care Nurses Australia, Committee Hansard, 3 November 2016, p. 27.

[35]      Ms Joanne Christie, The Bethanie Group Inc, Committee Hansard, 28 September 2016, p. 4.

[36]      Mr Stephen Midson, Palms Aged Care, Committee Hansard, 23 February 2017, p. 4.

[37]      Submission 139, pp. 1-2.

[38]      See, for example: Alzheimer's Australia, Committee Hansard, 3 November 2016, p. 28; NSW Nurses and Midwives' Association, Submission 134, p. 21; Audiology Australia, Submission 171, p. 2; Vision Australia, Submission 184, p. 6; Australian College of Nursing, Submission 285, p.12.

[39]      Palliative Care Nurses Australia Inc., Submission 188, p. 3.

[40]      Alzheimer's Australia, Committee Hansard, 3 November 2016, p. 28.

[41]      Ms Patricia Sparrow, Aged and Community Services Australia, Committee Hansard, 3 November 2016, p. 2.

[42]      See, for example: St Ives Home Care, Committee Hansard, 27 September 2016, p. 18; BaptistCare, Committee Hansard, 27 September 2016, pp. 26-27.

[43]      Ms Liza De Ronchi, St Ives Home Care, Committee Hansard, 27 September 2016, p. 18.

[44]      St Ives Home Care, Committee Hansard, 27 September 2016, p. 18.

[45]      The first phase of reforms included the introduction of the Commonwealth Home Support Programme (CHSP) and Home Care Packages Program (HCPP). Further changes in 2016 enabled the allocation of Home Care Packages to consumers, who can direct government funding to a provider of their choice. See: Department of Health, Submission 293, pp. 7-8.

[46]      See: Productivity Commission, Caring for Older Australians, 2011, http://www.pc.gov.au/inquiries/completed/aged-care/report (accessed 10 May 2017).

[47]      Department of Social Services, What is Consumer Directed Care?, https://agedcare.health.gov.au/sites/g/files/net1426/f/documents/04_2015/what_is_consumer_directed_care_0_0.pdf (accessed 10 May 2017).

[48]      Department of Health, Submission 293, p. 8.

[49]      Department of Health, Submission 293, p. 7.

[50]      Combined Pensioners & Superannuants Association of NSW, Submission 295, p. 16.

[51]      Aged Care Crisis Inc., Submission 302, Appendix B, p. 3.

[52]      Volunteering Tasmania, Submission 56, [p. 3].

[53]      Aged and Community Services Australia, Submission 229, p. 9.

[54]      Mr Graham Kraak, Queensland Health, Committee Hansard, 23 February 2017, p. 12.

[55]      Professor Sara Charlesworth, Submission 290, p. 3.

[56]      See, for example: Local Government Association of the Northern Territory, Committee Hansard, 25 October 2016, pp. 16, 18, 19.

[57]      See, for example: Congress of Aboriginal and Torres Strait Islander Nurses and Midwives, Committee Hansard, 3 November 2016, pp. 47; Indigenous Allied Health Australia, Committee Hansard, 3 November 2016, p. 46-47; Northern Regional Aboriginal and Torres Strait Islander Corporation, p. 18, 22; Ngaanyatjarra Health Service, Committee Hansard, 26 October 2016, p. 8; Central Desert Regional Council, Committee Hansard, 26 October 2016, p. 15.

[58]      See, for example: Congress of Aboriginal and Torres Strait Islander Nurses and Midwives, Committee Hansard, 3 November 2016, p. 47; Indigenous Allied Health Australia, Committee Hansard, 3 November 2016, p. 46-47.

[59]      See, for example: Congress of Aboriginal and Torres Strait Islander Nurses and Midwives, Committee Hansard, 3 November 2016, p. 42.

[60]      See for example: Mr Rohan Marks, Director, Community Services, MacDonnell Regional Council, Committee Hansard, 26 October 2016, p. 3.

[61]      See, for example: Western Desert Nganampa Walytja Palyantjaku Aboriginal Corp, Committee Hansard, 7 March 2017, p. 8; Central Dessert Regional Council, Committee Hansard, 26 October 2016, p. 15.

[62]      Department of Health, Committee Hansard, 3 November 2016, p. 30.

[63]      See for example: Volunteering Victoria, Submission 272, p. 1; and Volunteering SA & NT Inc, Committee Hansard, 7 March 2017, p. 37. 

[64]      Mrs Evelyn O'Loughlin, Volunteering SA & NT Inc, Committee Hansard, 7 March 2017, p. 34.

[65]      National Institute of Labour Studies, Flinders University, Committee Hansard, 7 March 2017, Table 4.21, p. 64.

[66]      Carers Australia argues that to compensate for the decline in informal carers, older Australians will 'have a greater reliance on the formal care sector'. See: Carers Australia, Submission 269, p.4.

[67]      Deloitte Access Economics, The economic value of informal care in Australia in 2015, p. iii.

[68]      See for example, Volunteering SA & NT Inc, Committee Hansard, 7 March 2017, p. 36.

[69]      Mrs Evelyn O'Loughlin, Volunteering SA & NT Inc, Committee Hansard, 7 March 2017, p. 37.

[70]      Mr Donald Coventry, Volunteering Tasmania, Committee Hansard, 31 October 2016, p. 3.    

[71]      See, for example: RDA Illawarra, Committee Hansard, 6 March 2017, p. 1.

[72]      See, for example: Australian College of Nursing, Submission 285, p. 9; National Seniors, Submission 278, p. 6.

[73]      New South Wales Nurses and Midwives' Associaton, Submission 134, p. 9.

[74]      Ms Lee Thomas, Federal Secretary, Australian Nursing and Midwifery Federation, Committee Hansard, 31 October 2016, p. 10.

[75]      The term 'de-professionalisation' was used by Queensland Health in its submission to describe the overall lowering of the skill level of the aged care workforce. See: Queensland Health, Submission 227, p. 3.

[76]      Mr Graham Kraak, Queensland Health, Committee Hansard, 23 February 2017, p. 14.

[77]      See, for example: Palliative Care Nurses Australia, Committee Hansard, 3 November 2016, p. 27; Alzheimer's Australia, Committee Hansard, 3 November 2016, p. 28; NSW Nurses and Midwives' Association, Committee Hansard, 3 November 2016, p. 48.

[78]      Australian College of Nursing, Submission 285, p. 11.

[79]      See, for example: Australian Medical Association (AMA), Submission 210; Royal Australian College of General Practitioners (RACGP), Submission 281; Australian Association of Gerontology, Submission 217.

[80]      RACGP, Submission 281, p. 8.

[81]      Australian Medical Association, Submission 210, p. 2.

[82]      Australian Medical Association, Committee Hansard, 3 November 2016, p. 15; Anglicare Australia, Committee Hansard, 3 November 2016, p. 21; Australian College of Nursing, Committee Hansard, 3 November 2016, p. 53.

[83]      See, for example: Dietitians Association of Australia, Submission 83.

[84]      See, for example: Speech Pathology Australia, Allied Health Professions Australia, Australian Psychological Society, Dietitians Association of Australia, Committee Hansard, 28 April 2016, pp. 39-50.

[85]      See, for example: Guide Dogs Australia, Blind Citizens Australia, Vision 2020 Australia, Audiology Australia, Committee Hansard, pp. 39-50, 51-56.

[86]      See, for example: National Institute of Labour Studies, Flinders University, Committee Hansard, 7 March 2017, p. 42; Aged and Community Services Australia, Submission 229, 11; Australian Institute of Health and Welfare, Committee Hansard, 3 November 2016, p. 56. The Department of Health has predicted that by 2019-20 the number of aged and disability carers will increase by 18.5 per cent, and the number nurse support and personal care workers will grow by 15.1 per cent. See: Department of Health, Submission 293, p. 50.

[87]      Presbyterian National Aged Care Network, Submission 206, p. 5.

[88]      Yass Valley Aged Care Ltd, Committee Hansard, 6 March 2017, p. 32.

[89]      Aged and Community Services Australia, Submission 229, p. 11.

[90]      National Disability Services, Submission 277, p. 5.

[91]      Aged and Community Services Australia, Submission 229, p. 11.

[92]      Mr Graham Kraak, Queensland Health, Committee Hansard, 23 February 2017, p. 12.

[93]      See, for example: The Salvation Army Aged Care Plus, Submission 183, p. 4; Presbyterian National Aged Care Network, Submission 190, p. 3; Corporation of the City of Port Augusta, Committee Hansard, 7 March 2017, p. 1; Scope Home Access, Committee Hansard, 7 March 2017, p. 12.

[94]      Mrs Anne O'Reilly, Port Augusta City Council, Committee Hansard, 7 March 2017, p. 1.

[95]      Ms Anne Reeve, Scope Home Access, Committee Hansard, 6 March 2017, p. 12.

[96]      Yass Valley Aged Care, Committee Hansard, 6 March 2017, p. 32.

Chapter 3 - Attracting, training, and retaining aged care workers

[1]        Professor Graeme Samuel, Alzheimer's Australia, Committee Hansard, 3 November 2016, p. 29.

[2]        See, for example: Mrs Anne O'Reilly, Corporation of the City of Port Augusta, Committee Hansard, 7 March 2017, p. 5; Occupational Therapy Australia, Committee Hansard, 25 October 2016, p. 1; Mr Graham Kraak, Queensland Health, Committee Hansard, 23 February 2017, p. 11.

[3]        See, for example: Mr Tim Jacobson, Health Services Union, Committee Hansard, 28 April 2016, p. 9.

[4]        See, for example: Queensland Heath, Committee Hansard, 23 February 2017, p. 11; Northern Regional Aboriginal and Torres Strait Islander Corp., Committee Hansard, 23 February 2017, p. 19; Palms Aged Care, Committee Hansard, 23 February 2017, p. 2; MacDonnell Regional Council, Committee Hansard, 26 October 2016, p. 2; Southern Cross Care for Facility Pearl Supported Care, Committee Hansard, 25 October 2016, p. 10.

[5]        See, for example: MacDonnell Regional Council, Committee Hansard, 26 October 2016, p. 2; Southern Cross Care for Facility Pearl Supported Care, Committee Hansard, 25 October 2016, p. 10; Occupational Therapy Australia, Committee Hansard, 25 October 2016, p. 12; Anglicare Australia, Committee Hansard, 3 November 2016, p. 21; NSW Nurses and Midwives' Association, Committee Hansard, 3 November 2016, p. 54.

[6]        Aged and Community Services Australia, Submission 229, p. 2.

[7]        Professor Melanie Birks, James Cook University, Committee Hansard, 23 February 2017, p. 46.

[8]        See, for example: Professor Melanie Birks, James Cook University, Committee Hansard, 23 February 2017, p. 46; Healthy Ageing Research Group, La Trobe University, Submission 237, p. 8.

[9]        Healthy Ageing Research Group, Submission 237, p. 8.

[10]      See, for example: Dementia Training Study Centres, Submission 76, p. 3.

[11]      Benetas, Submission 78, p. [2].

[12]      Aged Care Illawarra Workforce Action Group, Submission 148, p. [2].

[13]      Services for Australian Rural and Remote Allied Health, Committee Hansard, 3 November 2016, p. 13.

[14]      See for example, Benetas, Submission 78, p. [2]; Aged Care Illawarra Workforce Action Group, Submission 148, p. [2].

[15]      At a regional level ACIWAG has been working to 'enhance community awareness about the Aged Care sector and improve its visibility in the community' through the Illawarra Regional Workforce Planning Strategy for the Aged Care Sector. The strategy involves a wide range of promotional activities, including production of promotional material, conducting career expos, promoting government programs and using social media platforms to advance the aged care sector. See: Aged Care Illawarra Workforce Action Group, Submission 148, p. [2].

[16]      Illawarra Forum, Submission 212, p. [7].

[17]      See, for example, Dr Richard Curtin, Public Policy Consultant and Visiting Fellow, Australian National University, Submission 168, p. 11; Dr Michael Bauer, Australian Centre for Evidence Based Aged Care, La Trobe University, Committee Hansard, 28 April 2016, p. 28.

[18]      See, for example: Dr Richard Curtain, Submission 168, Attachment one, p. 11; Department of Health, Submission 293, p. 51.

[19]      Jewish Care Victoria, Submission 109, p. 4.

[20]      Healthy Ageing Research Group, La Trobe University, Submission 237, p. 10.

[21]      See, for example: Name withheld, Submission 10, p. 2; Name withheld, Submission 66, p. 2.

[22]      See, for example: Ms Marilyn Murray, Submission 39; Name withheld, Submission 224, p. 3.

[23]      See, for example: Name withheld, Submission 81, p. 1; Name withheld, Submission 161, p. 2; Name withheld, Submission 257, p. 1.

[24]      See, for example: Presbyterian National Aged Care Network, Submission 190, p. 4; Healthy Ageing Research Group, La Trobe University, Submission 237, p. 10; Mr Tim Jacobson, Health Services Union, Committee Hansard, 28 April 2016, p. 9; Doctor Jodi Oakman, La Trobe University, Committee Hansard, 28 April 2016, p. 14.

[25]      Queensland Nurses' Union, Submission 215, p. 4.

[26]      Australian Nursing and Midwifery Federation, Submission 225, p. 22.

[27]      Mrs Sonya Peck, Australian Nursing and Midwifery Federation, Committee Hansard, 31 October 2016, p. 11.

[28]      Mr Tim Jacobson, National Assistant Secretary, Health Services Union, Committee Hansard, 28 April 2016, p. 9.

[29]      Healthy Ageing Research Group, La Trobe University, Submission 237, p. 10.

[30]      Health Workers Union, Submission 248, pp. 46-47.

[31]      Health Workers Union, Submission 248, pp. 46.

[32]      NSW Nurses and Midwives Association, Submission 134, p. 19.

[33]      Ms Jude Clarke, United Voice, Committee Hansard, 27 September 2016, p. 50.

[34]      Professor Yvonne Wells, Healthy Ageing Research Group, Committee Hansard, 28 April 2016, p. 13.

[35]      See, for example: Mrs Hazel Gordon, Wattle Hill Lodge Inc, Committee Hansard, 28 September 2016, p. 30.

[36]      See, for example: Mrs Hazel Gordon, Wattle Hill Lodge Inc, Committee Hansard, 28 September 2016, p. 30.

[37]      JewishCare Victoria, Submission 109, p. 4.

[38]      Quality Aged Care Action Group Incorporated (QACAG Inc), Submission 182, p. 4.

[39]      Doctor Linda Isherwood, National Institute of Labour Studies, Flinders University, Committee Hansard, 7 March 2017, p. 46.

[40]      NSW Nurses and Midwives' Association, Submission 134, p. 20.

[41]      Ms Brenda Oganyo, United Voice, Committee Hansard, 27 September 2016, p. 51.

[42]      NSW Nurses and Midwives' Association, Submission 134, p. 20.

[43]      Mr Graham Kraak, Queensland Health, Committee Hansard, 23 February 2017, p. 13.

[44]      Ms Jennifer Davis, James Cook University, Committee Hansard, 23 February 2017, p. 48.

[45]      Australian Council of Trade Unions, Submission 254, p. 4.

[46]      Ms Catherine Rule, Acting Deputy Secretary, Department of Health, Proof Committee Hansard, 13 June 2017, p. 3.

[47]      Australian Nursing and Midwifery Federation, Submission 225, p. 19.

[48]      See, for example: Catholic Care Wollongong, Committee Hansard, 6 March 2017, p. 9.

[49]      See, for example: Healthy Ageing Research Group, La Trobe University, Submission 237, p. 7; Australian Council of Trade Unions, Submission 254, p. 3; Queensland Nurses' Union, Submission 215, p. 9.

[50]      See, for example: Quality Aged Care Action Group, Submission 182, p. 4; Australian Nursing and Midwifery Federation, Submission 225, p. 18; Mr Tim Jacobson, Health Services Union, Committee Hansard, 28 April 2016, p. 7; Professor Sara Charlesworth, RMIT University, Committee Hansard, 28 April 2016, p. 19; Professor Melanie Birks, James Cook University, Committee Hansard, 23 February 2017, p. 49.

[51]      Doctor Ann Harrington, School of Nursing and Midwifery, Committee Hansard, 7 March 2017, p. 43. See also, WA Primary Health Alliance, Committee Hansard, 28 September 2016, p. 12. The Australian Nursing and Midwifery Federation also submitted that the wage difference between a full time registered nurse level 1 in the public sector compared to residential aged care is 200 dollars, or 15 per cent per week calculated on a base rate. See: Australian Nursing and Midwifery Federation, Submission 225, p. 19.

[52]      Australian Nursing and Midwifery Federation, Submission 225, p. 18.

[53]      Mr Brett Holmes, NSW Nurses and Midwives' Association, Committee Hansard, 3 November 2016, p. 54. See also: Mrs Anne O'Reilly, Corporation of the City of Port Augusta, Committee Hansard, 7 March 2017, p. 2.

[54]      Mr Robert Moore, Assistant State Secretary, Health Services Union Tasmania Branch, Committee Hansard, 31 October 2016, p. 19.

[55]      Professor Sara Charlesworth, Submission 290, p. 4.

[56]      United Voice, Submission 247, pp. 15-16.

[57]      Mr Robert Moore, Assistant State Secretary, Health Services Union Tasmania Branch, Committee Hansard, 31 October 2016, p. 23.

[58]      Professor Sara Charlesworth, Submission 290, p. 4.

[59]      Ms Jaci Armstrong, Guide Dogs Australia, Committee Hansard, 28 April 2016, p. 53.

[60]      Dr Beres Wenck, Royal Australian College of General Practitioners, Committee Hansard, 28 April 2016, pp. 34-35.

[61]      Australian Nursing and Midwifery Federation, Submission 225, pp. 19, 21; Australian College of Nursing, Submission 285, p. 16.

[62]      Leading Aged Services Australia, Submission 222, p. 8.

[63]      Australian Nursing and Midwifery Federation, Submission 225, p. 21.

[64]      IRT Group, Committee Hansard, 6 March 2017, p. 21; Australian Council of Trade Unions, Submission 254, p. 4.

[65]      See, for example: Palms Aged Care, Committee Hansard, 23 February 2017, p. 2; Palm Island Aboriginal Shire Council, Committee Hansard, 23 February 2017, p. 25; Australian Council of Trade Unions, Submission 254, p. 3.

[66]      See, for example: Ms Joanne Christie, The Bethanie Group Inc, Committee Hansard, 28 September 2016, p. 1.

[67]      Mr Graeme Prior, Hall and Prior Health and Aged Care Group, Committee Hansard, 28 September 2016, p. 25.

[68]      Mr Graeme Prior, Hall and Prior Health and Aged Care Group, Committee Hansard, 28 September 2016, p. 25.

[69]      Mrs Margaret Antonucci, Juniper, Committee Hansard, 27 September 2016, p. 9.

[70]      Mrs Raelene Siford, Executive Manager Residential, Juniper, Proof Committee Hansard, 9 June 2017, p. 2.

[71]      See, for example: Jewish Care Victoria, Submission 109, p. 4.

[72]      Ms Catherine Rule, Acting Deputy Secretary, Department of Health, Proof Committee Hansard, 13 June 2017, p. 1.

[73]      See, for example: Name withheld, Submission 117, p. 1; Name withheld, Submission 260, p. 1; Name withheld, Submission 66, p. 1; Australian Council of Trade Unions, Submission 254, p. 3; Australian Nursing and Midwifery Federation, Submission 225, p. 23; Australian Medical Association, Committee Hansard, 3 November 2016, p. 13; Combined Pensioners & Superannuants Association of NSW Inc, Submission 295, p. 15.

[74]      Australian Council of Trade Unions, Submission 254, p. 3.

[75]      Australian Nursing and Midwifery Federation, Submission 225, p. 23.

[76]      Health Workers Union, Submission 248, p. 43.

[77]      See for example, Health Workers Union, Submission 248, p. 43; Queensland Nurses' Union, Submission 215, p. 12.

[78]      See, for example: Resthaven, Submission 140, p. 6; HammondCare, Submission 209, p. 4; JewishCare Victoria, Submission 109, p. 4.

[79]      Leading Aged Services Australia, Submission 222, p. 10.

[80]      JewishCare Victoria, Submission 109, p. 4.

[81]      The removal of the distinction between high and low care from the Aged Care Act 1997 in July 2014 rendered the NSW requirement under the Public Health Act 2010 to have a RN in 'high care' facilities at all times inoperable, as it applied to 'high care' facilities as defined by the Aged Care Act. See: NSW Nurses and Midwives' Association, Submission 134, p. 30; Ms Jan Barham MLC, Submission 245, p. [4].

[82]      NSW Legislative Council, General Purpose Standing Committee No. 3, Registered nurses in New South Wales nursing homes, recommendation 7, pp. 77-78.

[83]      NSW Legislative Council, General Purpose Standing Committee No. 3, Registered nurses in New South Wales nursing homes, pp. 69-70.

[84]      Ms Jan Barham MLC, Submission 245, pp. [3] and [5].

[85]      Ms Jennifer Davis, James Cook University, Committee Hansard, 23 February 2017, p. 49.

[86]      NSW Nurses and Midwives' Association, Submission 134, p. 7.

[87]      Mr Robert Moore, Assistant State Secretary, Health Services Union Tasmania Branch, Committee Hansard, 31 October 2016, p. 18.

[88]      Ms Amy Laffan, Assistant Secretary, Department of Health, Proof Committee Hansard, 13 June 2017, p. 1.

[89]      Australian Law Reform Commission, Elder Abuse – A National Legal Response, ALRC Report 131, May 2017, p. 11.

[90]      Miss Stacey Kafkakis, Gratis Recruitment, Committee Hansard, 7 March 2017, p. 14.

[91]      NSW Nurses and Midwives' Association, Submission 134, p. 25.

[92]      Ms Krystal Laurentsch, Aged Care Representative, Regional Clinical Commissioning Committee, WA Primary Health Alliance, Committee Hansard, 28 September 2016, p. 10.

[93]      The same report found that over 'one-third of RTOs offered the Certificate III in Aged Care in less than 15 weeks'. Australian Skills Quality Authority, Training for aged and community care in Australia, p. xi.

[94]      Australian Centre for Evidence Based Aged Care, Submission 174, p. [1].

[95]      Corporation of the City of Port Augusta, Committee Hansard, 7 March 2017, p. 1; Wami Kata Old Folks Home Inc, Committee Hansard, 7 March 2017, p. 2; Gratis Recruitment, Committee Hansard, 7 March 2017, p. 14; Resthaven Inc, Committee Hansard, 7 March 2017, p. 14.

[96]      Jewish Care Victoria Inc., Submission 109, p. 4.

[97]      The Salvation Army Australia (Aged Care Plus) Submission 183, p. 6.

[98]      Mrs Linda Jackson, Manager of People and Risk, Hall and Prior Health and Aged Care Group, Committee Hansard, 28 September 2016, p. 21; see also: Mrs Deanna Maunsell, Manager, Aged and Disability, Catholic Care Wollongong, Committee Hansard, 6 March 2017, p. 11; Ms Jenny Semple, Chief Executive Officer, Southern Migrant and Refugee Centre, Committee Hansard, 28 April 2016, p. 58.

[99]      Mrs Deanna Maunsell, Manager, Aged and Disability, Catholic Care Wollongong, Committee Hansard, 6 March 2017, p. 11.

[100]    Australian Skills Quality Authority, Training for aged and community care in Australia.

[101]    Australian Skills and Quality Authority, Opening statement and report, 2016, p.3 (tabled 28 April 2016).

[102]    Ms Bronwen Griffiths, Australian Skills and Quality Authority, Committee Hansard, 28 April 2016, p. 72.

[103]    Mr Christopher Robinson, Australian Skills and Quality Authority, Committee Hansard, 28 April 2016, p. 70.

[104]    The latest iteration of the national training standards was agreed to by the Council of Australian Governments (COAG) on 26 September 2014 – the Standards for Registered Training Organisations (RTOs) 2015. See: Australian Skills and Quality Authority, Standards for Registered Training Organisations (RTOs) 2015, (accessed 23 May 2017).

[105]    Australian Skills and Quality Authority, Standards for Registered Training Organisations (RTOs) 2015.

[106]    Australian Skills Quality Authority, Training for aged and community care in Australia, p. ix.

[107]    Department of Education and Training, About the Skills Sector, (accessed 18 May 2017).

[108]    Department of Education and Training, Australian Industry and Skills Committee (accessed 18 May 2017).

[109]    See: Australian Skills Quality Authority, About ASQA, https://www.asqa.gov.au/about (accessed 18 May 2015).

[110]    Australian Human Rights Commission, Submission 243, p. 4; Catholic Health Australia, Submission 211, p. 3.

[111]    See, for example: HammondCare, Submission 209, pp. 10-11; Southern Migrant Resource Centre, Submission 38, p. 3.

[112]    Australian College of Nursing, Submission 285, p. 16.

[113]    Australian Nursing and Midwifery Federation, Submission 225, p. 26.

[114]    See recommendations 6 and 11. Education and Employment References Committee, Final Report – Recommendations, Getting our money's worth: the operation, regulation and funding of private vocational education and training (VET) providers in Australia, October 2015.

[115]    See: Coalition Senators' Minority Report, Getting our money's worth: the operation, regulation and funding of private vocational education and training (VET) providers in Australia, October 2015. See also: Department of Employment, VET FEE-HELP REFORMS, https://www.education.gov.au/vet-fee-help-reforms (accessed 24 May 2017).

[116]    Australian Nursing and Midwifery Federation, Submission 225, p. 22.

[117]    See, for example: RDA Illawarra, Committee Hansard, 6 March 2017, p. 6; Catholic Care Wollongong, Committee Hansard, 6 March 2017, p. 11; and Yass Valley Aged Care Ltd, Committee Hansard, 6 March 2017, p. 33.

[118]    Australian Centre for Evidence Based Aged Care, Submission 174, p. [1].

[119]    Southern Cross Care for Facility Pearl Supported Care, Committee Hansard, 6 March 2017, p. 11.

[120]    Australian Nursing and Midwifery Federation, Submission 225, p. 23. The ANMF estimated that around 30 per cent of assistants in nursing and personal care workers do not have formal aged care qualifications.

[121]    Mrs Anne O'Reilly, Corporation of the City of Port Augusta, Committee Hansard, 7 March 2017, p. 4.

[122]    NSW Nursing and Midwifery Association, Submission 134, p. 23. See also: Association of Private Nursing Services, Submission 189, p. 4; Australian Nursing and Midwifery Federation, Submission 225, p. 22.

[123]    Mr Cameron O'Reilly, Aged Care Guild, Committee Hansard, 3 November 2016, p. 5.

[124]    Ngaanyatjarra Health Service, Committee Hansard, 26 October 2016, p. 7. See also: St Ives Home Care, Committee Hansard, 27 September 2016, pp. 19 and 21.

[125]    Mrs Anne O'Reilly, Corporation of the City of Port Augusta, Committee Hansard, 7 March 2017, p. 4.

[126]    Ms Liza Michelle De Ronchi, St Ives Home Care, Committee Hansard, 27 September 2016, pp. 19 and 21.

[127]    Australian Law Reform Commission, Elder Abuse – A National Legal Response, ALRC Report 131, May 2017, p. 11.

[128]    See, for example: Ms Emma Patton, Leading Age Services Australia, Committee Hansard, 3 November 2016, p. 5. New South Wales, South Australia and Queensland have established Codes of Conduct for unregistered health practitioners.

[129]    Mr Trevor Lovelle, Aged and Community Services Australia, Committee Hansard, 27 September 2016, p. 2. See also: Leading Age Services Australia, Committee Hansard, 3 November 2016, p. 5.

[130]    See: Council of Australian Government Health Council, A National Code of Conduct for health care workers, 2015.

[131]    Aged Care Guild, Submission 220, p. [8].

[132]    Australian Law Reform Commission, Elder Abuse – A National Legal Response, ALRC Report 131, May 2017, pp. 10-11.

[133]    Community Affairs References Committee, Violence, abuse and neglect against people with disability in institutional and residential settings, including the gender and age related dimensions, and the particular situation of Aboriginal and Torres Strait Islander people with disability, and culturally and linguistically diverse people with disability, November 2015.

[134]    See recommendations three, four and five.

[135]    Dr Dierdre Fetherstonhaugh, Australian Centre for Evidence Based Aged Care, La Trobe University, Committee Hansard, 28 April 2016, p. 27.

[136]    Australian Medical Association, Submission 210, p. 5; NSW Nursing and Midwives' Association, Submission 134, p. 8; Royal Australian College of General Practitioners, Submission 281, p. 10; Allied Health Professions Australia, Submission 208, p. 4.

[137]    Australian Medical Association, Submission 210, p. 5.

[138]    Dr Jo-Anne Rayner, Australian Centre for Evidence Based Aged Care, La Trobe University, Committee Hansard, 28 April 2016, p. 28.

[139]    Ms Belinda Mackinnon, TAFE NSW, Committee Hansard, 6 March 2017, p. 16.

[140]    Mr Campbell McGlynn, IRT Group, Committee Hansard, 6 March 2017, p. 17. The committee also had a site visit at IRT College, where it had the opportunity to learn about and see in practice some of the College's training initiatives.

Chapter 4 - Diversity in aged care

[1]        Section 11.3 of the Aged Care Act 1997.

[2]        Dr Maree Bernoth, Submission 249, p. 3.

[3]        Department of Social Services, Residential and Flexible Care Program, National Aboriginal and Torres Strait Islander Flexible Aged Care Program (NATSIFACP), Guidelines Overview, October 2015, p. 7, accessed 15 February 2016. The program currently funds 29 aged care services, with the majority located in remote or very remote locations. The program is administered outside of the Aged Care Act 1997.

[4]        Department of Health and Ageing, National Aboriginal and Torres Strait Islander Flexible Aged Care Program, Quality Framework, 2011, accessed 15 February 2016.

[5]        Department of Health and Ageing, National Aboriginal and Torres Strait Islander Flexible Aged Care Program, Quality Framework, 2011, p. 22.

[6]        Miss Krys Fischer, Care Coordinator, Northern Regional Aboriginal and Torres Strait Islander Corporation, Committee Hansard, 23 February 2017, p. 22.

[7]        Miss Krys Fischer, Care Coordinator, Northern Regional Aboriginal and Torres Strait Islander Corporation, Committee Hansard, 23 February 2017, pp. 22-23.

[8]        Australian National Audit Office, Indigenous Aged Care, ANAO Report No. 53 of 2016­17, pp.27-28.

[9]        Ms Katie Snell, Manager, Aged and Disability Services, Central Desert Regional Council, Committee Hansard, 26 October 2016, p. 16.

[10]      Ms Sarah Brown, Chief Executive Officer, Western Desert Nganampa Walytja Palyantjaku Tjutaku Aboriginal Corporation, Committee Hansard, 7 March 2017, pp. 7-8.

[11]      Ms Sarah Brown, Chief Executive Officer, Western Desert Nganampa Walytja Palyantjaku Tjutaku Aboriginal Corporation, Committee Hansard, 7 March 2017, pp. 8; Mr Rohan Marks, Director, Community Services, MacDonnell Regional Council, Committee Hansard, 26 October 2016, p. 3; Ms Katie Snell, Manager, Aged and Disability Services, Central Desert Regional Council, Committee Hansard, 26 October 2016.

[12]      Mr Rohan Marks, Director, Community Services, MacDonnell Regional Council, Committee Hansard, 26 October 2016, p. 2.

[13]      Australian National Audit Office, Indigenous Aged Care, ANAO Report No. 53 of 2016­17, p. 29.

[14]      Australian National Audit Office, Indigenous Aged Care, ANAO Report No. 53 of 2016­17, p. 35.

[15]      National Foundation for Australian Women, Submission 105, p. 22; Mrs Deanna Maunsell, Manager, Ageing and Disability, Catholic Healthcare Wollongong, Committee Hansard, 6 March 2017, p. 14.

[16]      Ms Rachel Balmanno, First Assistant Secretary, Department of Health, Committee Hansard, 3 November 2016, p. 65.

[17]      Australian National Audit Office, Indigenous Aged Care, ANAO Report No. 53 of 2016­17, p. 37.

[18]      National Institute of Labour Studies, Flinders University, 2016 National Aged Care Workforce Census and Survey – The Aged Care Workforce, 2016, Department of Health, 2017, p. 19.

[19]      National Institute of Labour Studies, Flinders University, 2016 National Aged Care Workforce Census and Survey – The Aged Care Workforce, 2016, Department of Health, 2017, p. 19.

[20]      National Institute of Labour Studies, Flinders University, 2016 National Aged Care Workforce Census and Survey – The Aged Care Workforce, 2016, Department of Health, 2017, p. 19.

[21]      Health Outcomes International, Stocktake And Analysis Of Commonwealth Funded Aged Care Workforce Activities: Final Report, Department of Social Services, 2015, [p. 50].

[22]      Ms Kelly Chatfield, Manager, Aboriginal Business Development, Australian Unity, Committee Hansard, 6 March 2017, p. 39.

[23]      Leading Age Services Australia, Submission 222, p. 16.

[24]      Ms Annie Farthing, Member, Services for Australian Rural and Remote Allied Health, Committee Hansard, 3 November 2016, p. 17.

[25]      Ms Donna Murray, Chief Executive Officer, Indigenous Allied Health Australia, Committee Hansard, 3 November 2016, p. 40.

[26]      Ms Kelly Chatfield, Manager, Aboriginal Business Development, Australian Unity, Committee Hansard, 6 March 2017, p. 37.

[27]      Ms Gerardine Marie Malone, Director, Professional Services, CRANAplus, Committee Hansard, 7 March 2017, p. 37.

[28]      Under this program, up to 80 traineeships are offered annually in business management for Aboriginal and Torres Strait Islander people in aged and primary health care facilities.

[29]      Under this program, Northern Territory based Registered Training Organisations were funded to deliver culturally appropriate, skills-based aged care training on-site in 59 communities across the Northern Territory and two communities in Western Australia.

[30]      The Panel provides expert assistance and advice to providers across care delivery, quality delivery, governance, business management, financial management and project management to eligible aged care services.

[31]      Department of Health, Submission 293, p. 31.

[32]      Australian National Audit Office, Indigenous Aged Care, ANAO Report No. 53 of 2016­17, p. 9.

[33]      Department of Health and Ageing, National Ageing and Aged Care Strategy for People from Culturally and Linguistically Diverse (CALD) Backgrounds, 2012, p. 3, accessed 15 February 2016.

[34]      Department of Health and Ageing, National Ageing and Aged Care Strategy for People from Culturally and Linguistically Diverse (CALD) Backgrounds, 2012, pp 12–17, (accessed 23 December 2015).

[35]      Department of Health, Submission 293, p. 29.

[36]      Department of Health, Ageing and Aged Care, People from diverse backgrounds webpage, https://www.dss.gov.au/our-responsibilities/ageing-and-aged-care/older-people-their-families-and-carers/people-from-diverse-backgrounds (accessed 16 December 2015).

[37]      Department of Health, Submission 293, p. 29.

[38]      Department of Social Services, People from diverse backgrounds, accessed 15 February 2016.

[39]      Australian Government, Budget measures: budget paper no. 2: 2014–15, 2014, p. 190, (accessed 3 December 2015).

[40]      Mr Christopher Lacey, General Manager, Multicultural Communities Council of Illawarra, Committee Hansard, 6 March 2017, p. 10.

[41]      Mr Christopher Lacey, General Manager, Multicultural Communities Council of Illawarra, Committee Hansard, 6 March 2017, p. 10.

[42]      Mrs Marion Lau, Deputy Chairperson, Ethnic Communities' Council of Victoria, Committee Hansard, 28 April 2016, p. 57.

[43]      Mrs Marion Lau, Deputy Chairperson, Ethnic Communities' Council of Victoria, Committee Hansard, 28 April 2016, p. 57.

[44]      Ms Ljubica Petrov, Manager, Centre for Cultural Diversity in Ageing, Committee Hansard, 28 April 2016, p. 62.

[45]      Ms Ljubica Petrov, Manager, Centre for Cultural Diversity in Ageing, Committee Hansard, 28 April 2016, p. 62.

[46]      FECCA, Submission 205, p. 2.

[47]      FECCA, Submission 205, p. 2.

[48]      See for example: National Foundation for Australian Women, Submission 105; Resthaven Incorporated, Submission 140; Alzheimer's Australia, Submission 180; Brightwater Care Group, Submission 213; Aged Care Guild, Submission 220; Aged & Community Services Australia, Submission 229.

[49]      National Institute of Labour Studies, Flinders University, 2016 National Aged Care Workforce Census and Survey – The Aged Care Workforce, 2016, Department of Health, 2017, pp. xvi, 10.

[50]      National Institute of Labour Studies, Flinders University, 2016 National Aged Care Workforce Census and Survey – The Aged Care Workforce, 2016, Department of Health, 2017, p. 45.

[51]      Department of Health and Ageing, National Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) Ageing and Aged Care Strategy, 2012, p. 3, accessed 15 February 2016.

[52]      Department of Health and Ageing, National Lesbian, Gay, Bisexual, Transgender and Intersex (LGBTI) Ageing and Aged Care Strategy, 2012, pp 12–17, (accessed 21 December 2015).

[53]      Department of Health, Submission 293, p. 31.

[54]      National LGBTI Health Alliance, 2^nd National Lesbian, Gay, Bisexual, Transgender and Intersex Ageing and Aged Care Roundtable, August 2014, (accessed 21 December 2015).

[55]      National LGBTI Health Alliance, Submission 308, p. [2].

[56]      National LGBTI Health Alliance, Submission 308, p. [3].

[57]      Ms Jan Barham MLC, Submission 245, p. [6].

[58]      National LGBTI Health Alliance, Submission 308, p. [4].

[59]      National Institute of Labour Studies, Flinders University, 2016 National Aged Care Workforce Census and Survey – The Aged Care Workforce, 2016, Department of Health, 2017, p. 55.

[60]      National Institute of Labour Studies, Flinders University, 2016 National Aged Care Workforce Census and Survey – The Aged Care Workforce, 2016, Department of Health, 2017, p. 58.

[61]      Ms Julie Cooper, Executive Officer, Bess Home and Community Care Inc, Committee Hansard, 28 September 2016, p. 1.

[62]      See: Yass Valley Aged Cares, Submission 59; CRANAplus, Submission 1; Rural Health Workforce Australia, Submission 133; Services for Australian Rural and Remote Allied Health (SARRAH), Submission 238; Australian College of Rural and Remote Medicine, Submission 251; National Rural Health Alliance, Submission 296.

[63]      National Institute of Labour Studies, Flinders University, 2016 National Aged Care Workforce Census and Survey – The Aged Care Workforce, 2016, Department of Health, 2017, p. xvii.

[64]      Dr Kate Smith, Research Fellow, University of Western Australia, Proof Committee Hansard, 9 June 2017, p. 32.

[65]      Mr Robert McPhee, Deputy Chief Executive Officer, Kimberley Aboriginal Medical Services, Proof Committee Hansard, 9 June 2017, p. 15.

[66]      Mr Robert McPhee, Deputy Chief Executive Officer, Kimberley Aboriginal Medical Services, Proof Committee Hansard, 9 June 2017, p. 15.

[67]      Aged Care Funding Agency (ACFA), Financial Issues Affecting Rural and Remote Care Providers, February 2016, p. 57.

[68]      Aged and Community Services Australia, Submission 229, p. 2.

[69]      Dr Kate Smith, Research Fellow, University of Western Australia, Proof Committee Hansard, 9 June 2017, pp. 31-32.

[70]      Health Workforce Australia, Submission 133, p. 23.

[71]      Ms Julie Cooper, Executive Officer, Bess Home and Community Care Inc, Committee Hansard, 28 September 2016, p. 9.

[72]      Ms Joanne Christie, Chief, People and Culture, The Bethanie Group Inc, Committee Hansard, 28 September 2016, pp. 1‑2.

[73]      Illawarra Forum, Submission 212, p. 8.

[74]      See for example: Mrs Hazel Gordon, Facility Manager, Wattle Hill Lodge Inc, Committee Hansard, 28 September 2016, p. 28.

[75]      Ms Nicky Sloan, Chief Executive Officer, Illawarra Forum Inc, Committee Hansard, 6 March 2017, p. 2.

[76]      Mr David Muscio, Project Officer, RDA Illawarra, Committee Hansard, 6 March 2017, p. 1.

[77]      Mrs Deanna Maunsell, Manager, Aged and Disability, Catholic Care Wollongong, Committee Hansard, 6 March 2017, p. 9.

[78]      Mrs Anne O'Reilly, Director, Community Services, Corporation of the City of Port Augusta, Committee Hansard, 7 March 2017, p. 1.

[79]      The Hon. Ken Wyatt, MP, Assistant Minister for Health and Aged Care, '$8.5 Million in Additional Funding for Aged Care Services in Regional, Rural and Remote Australia', Media Release, 24 January 2017.

[80]      Department of Social Services, Ageing and Aged Care, Multi-Purpose Services Programme, accessed 16 February 2016.

[81]      National Foundation for Australian Women, Submission 105, p. 22.

[82]      Mrs Anne O'Reilly, Director, Community Services, Corporation of the City of Port Augusta, Committee Hansard, 7 March 2017, p. 1.

[83]      Mrs Anne O'Reilly, Director, Community Services, Corporation of the City of Port Augusta, Committee Hansard, 7 March 2017, p. 1.

[84]      Aged Care Illawarra Workforce Action Group, Submission 148, p. [2].

[85]      Ms Ellis Blaikie, Senior Policy Adviser, Combined Pensioners and Superannuants Association, Committee Hansard, 3 November 2016, p. 39.

[86]      Mrs Deanna Maunsell, Manager, Aged and Disability, Catholic Care Wollongong, Committee Hansard, 6 March 2017, p. 11.

[87]      Mrs Anne O'Reilly, Director, Community Services, Corporation of the City of Port Augusta, Committee Hansard, 7 March 2017, p. 2.

[88]      Ms Sarah Brown, Chief Executive Officer, Western Desert Nganampa Walytja Palyantjaku Tjutaku Aboriginal Corporation, Committee Hansard, 7 March 2017, p. 11.

[89]      Ms Cara Kekkula, Manager, Bess Home and Community Care Inc, Committee Hansard, 28 September 2017, p. 3.

[90]      Mrs Jennifer Grieve, General Manager Health and Care Services WA, Hall and Prior Health and Aged Care Group, Committee Hansard, 28 September 2016, pp. 21‑22.

[91]      Mrs Jennifer Grieve, General Manager Health and Care Services WA, Hall and Prior Health and Aged Care Group, Committee Hansard, 28 September 2016, pp. 22.

[92]      Yass Valley Aged Care, Submission 59, p. 11; Australian College of Rural and Remote Medicine, Submission 251, p. 4.

[93]      Australian College of Rural and Remote Medicine, Submission 251, p. 4.

[94]      Health Outcomes International, Stocktake And Analysis Of Commonwealth Funded Aged Care Workforce Activities: Final Report, Department of Social Services, 2015, [p. 6].

[95]      Health Outcomes International, Stocktake And Analysis Of Commonwealth Funded Aged Care Workforce Activities: Final Report, Department of Social Services, 2015, [p. 6].

[96]      National Foundation for Australian Women, Submission 105, p. 22.

[97]      Mr Robert McPhee, Deputy Chief Executive Officer, Kimberley Aboriginal Medical Services, Proof Committee Hansard, 9 June 2017, p. 7.

APPENDIX 3 - Summary of committee site visits related to the inquiry

[1]        IRT Group, Annual Report 2015-16, p. 25, http://www.irt.org.au/images/PDFs/AGM2016/IRTAnnualReport2016.pdf.

[2]        IRT Group, Annual Report 2015-16, p. 25.

[3]        IRT Group, Annual Report 2015-16, p. 25.