Quality and equity in aged care
23 June 2005
© Commonwealth of Australia 2005
ISBN 0 642 71508 4
View the report as a single document - (PDF 1078KB)
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| Membership of Committee |
(PDF 54KB) |
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| Overview |
(PDF 16KB) |
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| Recommendations |
(PDF 33KB) |
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| Chapter 1- Introduction |
(PDF 14KB) |
Terms of reference
Conduct of the inquiry
Acknowledgements |
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| Chapter 2- Workforce shortages and training |
(PDF 105KB) |
Introduction
The aged care workforce
Issues facing the aged care workforce
Nursing staff
Personal carers
Community care
Medical practitioners and allied health professionals
Commonwealth Government Programs and Initiatives
2004-05 Budget initiatives
National Aged Care Workforce Strategy
State Government initiatives
Impact of Commonwealth Government initiatives and programs
Nurse education and training
Undergraduate education
Articulation between nursing levels
Enrolled nurse medication management training
Wage parity
Community care
Workforce planning and the National Aged Care Workforce Strategy
Conclusion |
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| Chapter 3 - The aged care standards and accreditation agency |
(PDF 169KB) |
Role of the Aged Care Standards and Accreditation Agency
Assessing and monitoring care, health and safety
Views on quality of care
Ensuring adequate standards of care
Improved accreditation processes
Lack of consistency in assessments
Conclusion
'Enhancement' of facilities prior to accreditation visits
Improved consumer focus
JAS-ANZ and the accreditation process
Improved compliance monitoring
Support visits
Spot checks
Conclusion
Improving quality of care
Staffing levels and skills mix
Conclusion
Access to medical and allied health workers
Medication management
Nutrition
Transport needs
Needs of people from culturally and linguistically diverse backgrounds
Needs of Indigenous aged people
Conclusion – how effective are the Accreditation Standards?
Complaints mechanisms
Complaints Resolution Scheme
Concerns with the Complaints Resolution Scheme
Independent complaints agency
Conclusion
Retribution
Conclusion
Promoting education and training
Promoting best practice
Education and training
Conclusion
Reducing excessive documentation
Reporting by exception
IT systems
Resident Classification Scale
Conclusion |
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| Chapter 4 - Young people in residential aged care facilities |
(PDF 188KB) |
Introduction
The number of young people in aged care facilities
Younger people with disabilities in the community
Ageing carers
Living in the community with disabilities
Young people living in an aged care facility
No other options
Lack of independence
Lack of social and emotional support
Lack of support for specific needs
Lack of appropriate rehabilitation and other services
Rehabilitation
Provision of specialised equipment
Risks of living in aged care facilities
Impact on staff
Moving young people out of aged care facilities
Models of accommodation services
An individual approach
Current funding arrangements
Aged Care Act
Residential aged care subsidies
Innovative Pool
Commonwealth State Territory Disability Agreement (CSTDA)
Changes to funding arrangements
Council of Australian Governments
Conclusion |
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| Chapter 5 - Funding for residents with special needs |
(PDF 214KB) |
Funding arrangements
Hogan Review
Government response
Other Commonwealth programs
Responses to current funding arrangements
Areas of unmet need
Specialised facilities for dementia
Mental health support
Homeless people
Ageing with disabilities
Conclusion |
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| Chapter 6 - Community care programs |
(PDF 76KB) |
Community care services
Home and Community Care Program
Funding
Special needs groups
People from culturally and linguistically diverse backgrounds
Aboriginal and Torres Strait Islander people
People with dementia
Homeless people
People living in remote areas
Conclusion
Other community care programs.
Community Aged Care Packages
Extended Aged Care at Home
Views on programs
Adequacy of community care programs
Community care review
Conclusion
Informal care
Supporting carers |
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| Chapter 7 - Transitional care |
(PDF 54KB) |
Introduction
Commonwealth Government initiatives
Transition Care Program
Pathways Home Program
Innovative Pool
Effectiveness of programs
State Government and other initiatives
Issues
Discharge planning
Common assessment processes
Rehabilitation
Lack of residential aged care places
Co-ordinated approach
Conclusion |
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| Appendix 1 |
(PDF 32KB) |
| List of public submissions, tabled documents and other additional information authorised for publication by the Committee |
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| Appendix 2 |
(PDF 25KB) |
| Witnesses who appeared before the Committee at public hearings |
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For further information, contact:
Committee Secretary
Senate Standing Committees on Community Affairs
PO Box 6100
Parliament House
Canberra ACT 2600
Australia