2015 WA HACC Community Consultations

Great Southern Region

Welcome & Overview

Overview for today

The HACC Planning Process

Group discussion and feedback

Break

Regional planning and data

Group discussion and feedback

Summary

HACC Program Planning

Three year planning cycle

WA HACC Program Plan (Triennial Plan)

Outlines strategic objectives

Every third year

Outlines: Need/evidence

Reforms

Strategic direction

Evaluation/Research projects

Program Planning

Annual Supplement

Each year

Outlines planned funding

Includes: Budget, Expenditure, Funding

Any amendments to Triennial Plan

Program Reporting

HACC Business Report

Reports actual activity and funds against

planned activity and funds

Produced annually

Submitted to the Commonwealth

Government

Great Southern Region

Service Groups

Planned

Funding $

(PYE)

Planned

Outputs

Units (PYE)

Actual

Funding $

Actual

Outputs

Units (PYE)

Unit

Price $

% Actual

Funding/Plan

Funding

(PYE)

% Actual

Outputs/Plan

Outputs

(PYE)

Service Group 1

Domestic assistance $1,542,988 39,388 $1,653,482 36,496 107.2% 92.7%

Personal care $724,400 13,799 $792,896 14,556 109.5% 105.5%

Social support $1,303,869 35,337 $1,373,641 26,703 105.4% 75.6%

Home maintenance $571,700 14,019 $644,648 12,975 112.8% 92.6%

Respite care $336,134 7,492 $349,580 2,458 104.0% 32.8%

Other food services $27,671 800 $28,778 270 104.0% 33.8%

Total: $4,506,761 110,835 $4,843,025 93,458 $51.82 107.5% 84.3%

Program Reporting

Government Funding Arrangements

Offer of funding from the Commonwealth

Government

Is matched by the State Government 40:60

In 2014/15 total funding was $288m

Approx $21.6m more than 2013/14

Government Funding Arrangements

The base funding for continued service

delivery in 2014/15 was $264.1m

The cost indexation to maintain current

service delivery was $9.2m

Therefore in 2014/15 real growth allocation

was $12.4m

Regional Funding Allocations

An Equity Model is used and is based on

Existing regional allocations

Client numbers/ New clients

Adjustment for distance and isolation

Identified priorities/unmet need

Planned reforms

Regional Priority Setting

1. Needs analysis using data sources:

WA HACC MDS

Other HACC Program information

ABS statistics

Information about other related programs

Regional Priority Setting

2. Consultation: two types of consultation

Major Consultation

Every 3 yrs

Data presentation and discussion in each region

Minor Consultation

Other years

Regional forums/Network meetings

RAS

Input from service providers via ongoing feedback

with Project officer

Priority Setting – In Summary

Setting of regional priorities

Needs analysis Consultation

Strategic Direction State and National Reforms

Funding Allocations

Breakdown of regional dollar allocations

according to service group priorities

Where specific gaps are identified, growth

may be targeted:

Geographically – to sub-region, LGA level

Target groups – Dementia, CALD, etc.

Specific times – after hrs, weekends,

holiday periods

Funding Allocations

Priorities and targets are advised through:

Growth Funding Application (GFA) package

Triennial Plan / Annual Supplement

Growth Funding Process

Service providers apply for funding against

the regional priorities/targets

Project officers review applications and

make recommendations to Senior HACC

Officials

A State Government approval process is

carried out followed by a Commonwealth

Government noting process

Timelines for 2015/16 Planning Cycle

15/16 Growth

Funding

Released December 2015

Growth Funding

Processes August/Sept 2015

GFA Released Late May 2015 Regional

Allocations Set May 2015

Priorities Set May 2015

Consultation Late Feb to Early

May 2015

Needs Analysis Jan/Feb 2015

Group Discussion

Consider any potential or current gaps in

service delivery

Focusing on:

1. Access to HACC Services

After hours

Weekends / Public holidays

Christmas / New Year break

2. Reach of services and any regional or

location gaps

Group Discussion

3. Impact of CDC and other Aged Care

Reforms

Introduction of level 1,2,3 & 4 packages

Large allocations of packages in ACAR

Package care and HACC

4. Sector Support via CommunityWest

Current sector support

Future sector support needs

2015 WA HACC Community Consultations

Great Southern Region

Population

WA = 2,557,230

Aged 65+ = 341,960

Under 65 = 2,215,269

Great Southern = 67,655

Aged 65+ = 11,225

Under 65 = 56,430

Great Southern as proportion of WA = 2.65%

Aged 65+ = 3.28%

Under 65 = 2.55%

(Source: ABS Estimated Resident Populations for WA 2014)

Population

(Source: ABS Estimated Resident Populations for WA 2014)

Central GS Population % Under 65 % 65+

Katanning 5,090 85.9% 14.1%

Kojonup 2,475 84.9% 15.1%

Gnowangerup 1,480 91.9% 8.1%

Broome Hill/Tambellup 1,370 89.4% 10.6%

Woodanilling 505 95.1% 4.9%

Kent 665 88.7% 11.3%

TOTAL 11,585 87.4% 12.6%

Population

(Source: ABS Estimated Resident Populations for WA 2014)

Lower GS Population % Under 65 % 65+

Albany 39,005 82.1% 17.9%

Denmark 6,375 78.7% 21.3%

Plantagenet 5,480 83.8% 16.2%

Ravensthorpe 2,590 90.2% 9.8%

Cranbrook 1,370 85.8% 14.2%

Jerramungup 1,250 91.6% 8.4%

TOTAL 56,070 87.3% 17.4%

Population Growth

GS projected population growth

~1.2% per year over next 3 years

~4.0% per year over next 3 years (65+)

=~500 people per year (65+)

More than 50% of this is in the greater

Albany area

(Source: ABS Population Projections for WA 2014-17)

HACC Client Numbers

Great Southern

Total Clients = 3,311 (2013/14)

Carers = 895 with 21.3% (n=191) receiving

a service

Net increase of 67 clients from 2012/13

Net decrease of 38 carers receiving a

service from 2012/13

(Source: UWA WA HACC MDS Annual Report 12/13, 13/14)

HACC Client Numbers

(Source: UWA WA HACC MDS Annual Report 2013-14)

Central GS HACC

Clients % Under 65 % 65+

Katanning 189 18.5% 81.5%

Kojanup 91 13.2% 86.8%

Gnowangerup 37 29.7% 70.3%

Broome Hill/Tambellup 39 15.4% 84.6%

Woodanilling/Kent 5 20.0% 80.0%

TOTAL 361 18.0% 82.0%

HACC Client Numbers

(Source: UWA WA HACC MDS Annual Report 2013-14)

Lower GS HACC

Clients % Under 65 % 65+

Albany 2,046 17.4% 82.6%

Denmark 369 11.7% 88.3%

Plantagenet 334 13.2% 86.8%

Ravensthorpe 88 8.0% 92.0%

Cranbrook 85 14.1% 85.9%

Jerramungup 19 5.3% 94.7%

TOTAL 2,941 15.8% 84.2%

HACC Client Numbers

2,480 2,551

2,903 2,912

3,244 3,311

724 712 845 860 913 895

-

500

1,000

1,500

2,000

2,500

3,000

3,500

2008-09 2009-10 2010-11 2011-12 2012-13 2013-14

No

. C

lien

ts

Great Southern Client Numbers

Clients Carers

(Source: UWA WA HACC MDS Annual Reports 08-14)

HACC Client Numbers

Great Southern

Client turnover = 1,364 in 2013/14

41.1% turnover

Client turnover = 1,243 in 2012/13

38.3% turnover

Client turnover = 1,155 in 2011/12

39.6% turnover

(Source: UWA WA HACC MDS Annual Reports 10/11, 11/12, 13/14)

Demographics Age

2013/14:

Great Southern WA

Age Group No. of Clients Percentage Percentage

Under 50 yrs 205 6.2% 9.0%

50-64 yrs 334 10.1% 11.5%

65-74 yrs 630 19.0% 18.5%

75-89 yrs 1,790 54.1% 52.0%

90+ yrs 352 10.6% 8.9%

(Source: UWA WA HACC MDS Annual Report 13/14, ABS Estimated Resident Populations for WA 2014)

Demographics: Aboriginal & Torres Strait Islanders (ATSI)

1.6% Clients in GS (n=52)

GS has least Aboriginal clients of any HACC

region in WA

Aboriginal HACC Clients in GS are older

than any other HACC Region (44.2% are

65+ yrs vs. WA State average of 29.7% in

65+ group)

Highest proportion in Lower GS

(Source: UWA WA HACC MDS Annual Report 2013-14)

Demographics: Culturally & Linguistically Diverse Backgrounds (CALD)

Non-English Speaking Country of Birth

GS = 8.1%

WA = 18.3%

Primary Language Spoken at Home

GS WA

English 98.6% 92.0%

Aboriginal Languages 0.1% 1.0%

All other languages 1.4% 6.9%

(Source: UWA WA HACC MDS Annual Report 2013-14)

Carers

27.0% of GS clients have a carer

WA average is 27.6%

21.3% of carers in GS are receiving HACC

support

WA average is 17.6%

(Source: UWA WA HACC MDS Annual Report 2013-14)

Client Coverage by Service Type

(Source: UWA WA HACC MDS Annual Report 2013-14)

11.4

%

41.7

%

16.2

%

26.7

%

5.9

% 17.3

%

45.0

%

5.9

%

5.2

%

62.0

%

15.2

%

13.6

%

17.2

%

11.0

%

44.6

%

5.4

%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Clien

ts (

%)

Percentage of Great Southern Clients Receiving Each Service Type

GS WA

Client Coverage by Service Type

(Source: UWA WA HACC MDS Annual Report 2013-14)

33.5

%

0.0

%

15.0

%

17.1

%

0.2

% 10.9

%

5.4

% 16.3

%

18.8

%

24.6

%

1.0

%

8.0

%

13.6

%

1.0

%

9.4

%

8.0

% 1

9.8

%

25.5

%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Clien

ts (

%)

Percentage of Great Southern Clients Receiving Each Service Type

GS WA

Delivery Intensity by Service Type

(Source: UWA WA HACC MDS Annual Report 2013-14)

14.1

3.2

131.5

2.1

5.4

15.2

24.7

11.7

17.3

38.6

40.3

51.2

49.9

8.3

3.6

155.8

2.7

4 8

.7

30.2

14 19.5

16.9

50.7

76.4

41.1

0

20

40

60

80

100

120

140

160

180

Ho

urs

Deliv

ere

d

Average Hours of Assistance Received per Client by Service Type 2013-14

GS WA

Delivery Intensity by Service Type

(Source: UWA WA HACC MDS Annual Report 2013-14)

1.1

73.9

44.9

1.4

103.5

47

0

20

40

60

80

100

120

Equipment Meals Transport

Qu

an

tity

Deliv

ere

d

Average Quantity of Assistance Received per Client by Service Type 2013-14

GS WA

Number of Service Types Received

(Source: UWA WA HACC MDS Annual Report 2013-14)

40

.4

22

.6

15

.6

10

.1

5

3.4

1.4

1

0.3

0.2

41

.6

24

.8

14

.9

8.9

5

2.6

1.3

0.6

0.2

0.2

0

10

20

30

40

50

60

70

80

90

100

1 2 3 4 5 6 7 8 9 10+

No

. C

lien

ts (

%)

No. of Assistance Types

No. of Different Assistance Types Recieved By Clients

GS WA

Contracted Outputs Delivered Outputs Outputs Met

Service Group 1

Domestic assistance 39,389 36,496 92.66%

Other food services 800 270 33.75%

Personal care 13,799 14,556 105.49%

Respite care 7,492 2,458 32.81%

Social support 35,338 26,703 75.56%

SubTotal 96,818 80,463 83.13%

Service Group 2

Assessment 6,569 4,464 67.96%

Client Care Coordination 3,233 1,882 58.21%

SubTotal 9,802 6,346 64.74%

Service Group 3

Nursing (home) 11,134 9,774 87.79%

Nursing (centre) 50 59 118.00%

Allied Health (home) 2,050 5,273 257.22%

Allied Health (centre) 383 38 9.92%

SubTotal 13,617 15,144 111.21%

Regional Contracted Outputs

(Source: HACC MDS 2013-14)

Contracted Outputs Delivered Outputs Outputs Met

Service Group 4

Centre-based day care 91,817 70,699 77.00%

SubTotal 91,817 70,699 77.00%

Service Group 6

Meals at home 38,717 34,761 89.78%

Meals received at

centre/other 10,299 2,074 20.14%

SubTotal 49,016 36,835 75.15%

Service Group 7

Transport 48,236 28,032 58.11%

SubTotal 48,236 28,032 58.11%

Service Group 9

CSIA (care recipient) 1,264 948 75.00%

CSIA (carer) 2,877 2,362 82.10%

SubTotal 4,141 3,310 79.93%

Service Group 10

Home maintenance 14,021 12,975 92.54%

SubTotal 14,021 12,975 92.54%

(Source: WA HACC MDS 2013-14)

Regional Contracted Outputs

Growth Funding 13/14

Service Type Growth Funding Received

Assessment $653,598

Client Care Coordination $49,195

TOTAL GROWTH $702,793

Growth Funding 14/15

Service Type Growth Funding Received

Domestic Assistance $139,161

Personal Care $17,442

Allied Health (Home) $77,563

Home Maintenance $46,051

TOTAL GROWTH $280,217

Other Impacts on the HACC Program

Home Care Packages in EM

High Care = 103 (level 3 & 4)

Low Care = 165 (level 1 & 2)

16 HCP allocated in GS in 2014 ACAR

0 level 1 packages

6 level 2 packages

10 level 3 packages

(Source: DSS)

Unmet Need RAS Feedback

WAAFI “No Support Available” Report

RAS registration of unmet need for the region

Group Discussion

Transport

58% contracted volumes delivered

Lower proportion of clients receiving transport

Those who do receive it are on average getting similar to the WA average

Service Group 1

Domestic Assistance - 93% volumes delivered

Personal Care - 105% volumes delivered

Group Discussion

Allied Health

Higher % receiving AH in GS than WA average

Actual volumes are higher than contracted

Home Maintenance

Actual volumes at 92.5%