Victorian HACC Transition

Aged care reform and the CHSP__________________________

Aged care reform

Australians are living longer and healthier lives, so it is important that as people age, they can make choices about their care

• Consumers’ expectations are also changing, with consumers wanting more say and control as to how services are delivered.

• Broader reform agenda to move to a less regulated, more consumer-driven and market based aged care system.

2015 Victoria 2050 Victoria

> 893,000 older people > 2.1 million older people

Source: Victoria in Future, 2015

Aged Care reform - Overview

• National Health Reform

• HACC transfer to Commonwealth for all states/territories except Vic and WA

• CHSP commences nationally – 1 July 2015

• Transition of Vic HACC for older people to the CHSP – 1 July 2016

• NDIS roll-out in Victoria - July 2016 to 2019

• Increasing Choice

• Stage 1: February 2017 - Home Care Package funding follows the consumer

• Stage 2: 2018 – intention to integrate Home Care Packages and the CHSP

COMMONWEALTH HOME SUPPORT PROGRAMME (CHSP)

Commonwealth Home Support Programme (CHSP)

Commenced on 1 July 2015• Brings together a range of programs to establish the entry tier of the

aged care system:

• Commonwealth HACC program (in all States except Vic and WA)

• Assistance with Care & Housing for the Aged program

• Planned respite from the National Respite for Carers program

• Day Therapy Centres program

• The CHSP will help frail, older people living in the community to maximise their independence.

• The CHSP represents $1.6 billion in funding for 2015-16.

CHSP Framework

• Key documents:

─ CHSP programme manual

─ CHSP programme guidelines

─ Living well at home: CHSP good practice guide

─ CHSP Client contribution framework

─ Guide to the CHSP Client contribution framework.

Key elements of the CHSP

Many similarities to the Victorian HACC program:• Consistent assessment arrangements.

• Focus on wellness and reablement.

• Recognition for special needs groups.

• Targeted sector support – volunteers, development officers.

• No need to become an ‘approved provider’ under the Aged Care Act.

• Payments in advance (no need to invoice).

• Grant Agreement (Terms and Conditions).

• Opportunities for growth funding.

Benefits of the CHSP

What does the CHSP mean for clients?

What does the CHSP mean for providers?

• Entry and a holistic, goal orientated assessment based through My Aged Care

• Stability of funding for providers  

• Access to a wide range of entry level support services

• Targeted sector support and development activities

• Continuity of care and support • Reduced red tape for providers through streamlined funding arrangements

• Delivery of services and support with a strong focus on wellness, reablement and restorative care

• Streamlined and improved reporting through the DSS Data Exchange 

CHSP – Special Needs Groups

The CHSP recognises the following special needs groups, which align with those identified under the Aged Care Act 1997: • People from Aboriginal and Torres Strait Islander communities

• People from culturally and linguistically diverse backgrounds

• People who live in rural and remote areas

• People who are financially or socially disadvantaged

• Veterans

• People who are homeless, or at risk of becoming homeless

• People who are lesbian, gay, bisexual, transgender and intersex

• People who are care leavers

• Parents separated from children by forced adoption or removal.

Commonwealth Home Support Programme (CHSP)

Assistance with Care and Housing

Care Relationships and Carer Support

Community and Home Support

Domestic Assistance

Meals

Social Support - Individual

Personal Care

Transport

Social Support -

Group

Other Food Services

Home Modifications

Home Maintenance

Nursing

Goods, Equipment

and Assistive Technology

Specialised Support Services

Allied Health and Therapy

Services

Centre-based

Respite

Assistance with Care

and Housing

Cottage Respite

Flexible Respite

Physiotherapy

Psychologist

Diversional Therapy

Exercise Physiologist

ATSI Health Worker

Occupational Therapy

Dietitian or Nutritionist

Ongoing Allied Health and

Therapy Services

Speech Pathology

Restorative Care Services

Social Work

Other Allied Health and

Therapy Services

Podiatry

Service Catalogue

Support and mobility aids

Other goods and equipment

Self-care aids

Car modification

Reading aids

Communication aids

Medical care aids

Major Home Maintenance and Repairs

Minor Home Maintenance and Repairs

Garden Maintenance

Food Preparation in

the Home

Food Advice, Lessons,

Training, Food Safety

Direct (driver is volunteer or

worker)

Indirect (through

vouchers or subsidies)

Telephone/Web Contact

Accompanied Activities, e.g.

Shopping

Visiting

Linen services

Unaccompanied Shopping

(delivered to home)

General House Cleaning

At Home

At Centre

Assistance with self-care

Assistance with client self-

administration of medicine

Social Support - Group

Home modifications

Nursing

Hearing Services

Other Support Services

Vision Services

Client Advocacy

Dementia Advisory Services

Continence Advisory Services

Assessment - Referrals

Advocacy – Financial, Legal

Overnight Community

Respite

Centre Based Day Respite

Community Access - Group

Residential Day Respite

Host Family Overnight

Respite

Mobile Respite

In-home Overnight

Respite

Other planned Respite

Host Family Day Respite

Community Access -

Individual Respite

In-home Day Respite

Service Level

Programme Level

Service Type Level

Service Sub-type Level

As at 20 July 2015

Example

only

CHSP - Community & Home Support

Covers the majority of Victorian HACC services

• Provides entry-level support to assist older people to live independently at home and in the community.

- Domestic assistance - Personal care

- Allied health & therapy services - Social support (individual)

- Goods, equipment & assistive tech - Social support (group)

- Home maintenance - Other food services

- Home modifications - Nursing

- Transport - Meals

CHSP – Care Relationships & Carer Support

Merges 12 respite services into three

• Recognises the integral role carers play in ensuring quality of life and independence for older people.

• Caters for some grandfathering of young clients (existing only), until more appropriate services become available.

- Flexible respite (e.g., in home day/overnight respite, host home day/overnight respite, mobile respite)

- Centre-based respite (e.g., residential day respite, centre-based day respite)

- Cottage respite (e.g., overnight community)

CHSP – Assistance with Care & Housing

Includes former ACHA services

- Assessment – referrals etc.- Advocacy – financial, legal etc.

• Supports vulnerable clients to remain in the community through accessing housing and supports.

• Target group is people aged 50 years and over, who are on a low income and are homeless or at risk of homelessness.

CHSP – Service System Development

Similar to activities funded as HACC Service System Resourcing• Supports the development of the community aged care service

system in a way that meets the aims of the programme and broader aged care system.

• Covers a range of activities that are designed to support, develop and build the capacity of the service system and the sector.

• This service type does not include provision of direct service delivery to clients or advocacy.

WHAT THE TRANSITION MEANS FOR YOU

Transition of Victorian HACC services

No change before 1 July 2016 - business as usual

• From 1 July 2016 - change in level of government that funds services as HACC services are split based on age:

─ Commonwealth: services for older people.

─ Victorian State Government: services for younger people, until such time as they transition to the NDIS.

• Existing HACC service providers will be offered the same funding they currently receive - no competitive tendering.

• Ongoing services and projects that support and strengthen service provision in the HACC sector will be funded.

What the transition means for clients

Services continue to be delivered after 1 July 2016

• You will still provide community care services to consumers.

• The people you help will still get care from you, no matter what their age.

• Special needs groups will remain including:

─ CALD communities

─ People living in remote or isolated areas

─ Aboriginal and Torres Strait Islander people.

• Changes are about who funds services, not who can access services.

Further information

• CHSP programme documentation on the DSS website www.dss.gov.au/CHSP

─ CHSP programme manual

─ CHSP latest news and fact sheets.

• Check out the webinars available on the DSS website.

• Sign up for the Home Care Today newsletter.

THANK YOU