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Commonwealth HomeSupport ProgrammeOrientation
New England Sector SupportTeam 2015
Welcome to the Commonwealth HomeSupport Programme
CHSP is the entry level tierof the Australian
Government’s End-to-endAged Care System
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Programme Objectives
• Improved access• Reduced red tape• Maximise independence• Investment in entry level support
–reducing need for higher levelcare
What is being introduced?
• Central client record• My Aged Care Regional Assessment
Service (RAS)• National Screening and Assessment Form• Web-based portals – clients assessors
and providers• Service provider management of
information about the services theyprovide
• Enhanced service finders – includinginformation about non-Commonwealthfunded services
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Commonwealth Home SupportProgramme (CHSP)
CHSP will help older people to maximize theirindependence by:• Delivering high quality, timely, entry-level
support services• Taking into account each person’s individual
goals, preferences and choices• Having a strong emphasis on restorative
approaches• Supporting care relationships between clients
and carers
Entry-level
support provided at a low intensity on ashort-term or ongoing basis,
or higher intensity services delivered ona short-term or episodic basis.
CHSP consolidates 4 programs
• HACC• Planned Respite from NRCP• Day Therapy Centres• Assistance with Care and Housing for
the Aged
Access
• My Aged Care will support thescreening and assessment of clientsand become the key entry point toAustralia’s Aged Care system,
• Regional Assessment Service (RAS)will see a consistent approach toassessment services
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My Aged Care Client Interactions
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My Aged Care – Client Service Pathways
My Aged Care Video – click link
https://www.youtube.com/watch?v=066KAyMbEac
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Case Study – Introducing Alexi
https://www.youtube.com/watch?v=GqbIGa2gJdA
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What is the RAS?
The RAS is a national assessment workforce,operating at a regional level in all states andterritories (except Victoria and WesternAustralia).RAS will be responsible for conducting face-to-face assessments of older people seekingentry-level support at home, provided underthe CHSP.
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National Screening and Assessment Form
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Screening and Assessment
Three components:• Screening conducted over the phone by
My Aged Care• Home support assessment – by the
RAS• Comprehensive Assessment by ACAT
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Regional Assessment Service - Video
https://www.youtube.com/watch?v=Gt6wSZMerPc
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Referral - video
https://www.youtube.com/watch?v=vi1ZMkX66wY
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Assessment - video
https://www.youtube.com/watch?v=MTwhw8uXSdM
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Acceptance of Referrals- video
https://www.youtube.com/watch?v=sPF8jPHEkhE
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Organise services - video
https://www.youtube.com/watch?v=L04S0UKlFyc
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Regional Assessment Services
The RAS will consider client goals, strengths andmotivations as part of a reablement approach toassessment. It will also provide a linking servicecapability to assist vulnerable clients. Theassessment process will be supported by a clientrecord that reduces the number of times clientsand their families have to tell their story.
What isReablement/Wellness/Restorative?
A key element in the Commonwealth HomeSupport Programme (CHSP) is the focus onwellness, reablement and restorative careIt means building on older people’s strengths,capacity and goals to help them remainindependent in their daily living tasks and tolive safely at home.
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What isReablement/Wellness/Restorative?
It is a transition from a model that may havefostered dependence to one that activelypromotes independence. This is a cultureshift from ‘doing for’ clients to ‘doing with’.For some providers, this represents asignificant change from the way entry levelservices have previously been delivered.
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Sub-Activities
There are five sub-activities under the CHSP:• Community and Home Support• Care Relationships and Carer Support• Assistance with Care and Housing• Service System Development• Regional Assessment Services
Each sub-activity has its own objectives, eligibilitycriteria, target population and outputs or servicetypes as defined in the CHSP Programme Manual2015.
Community and Home Support
Objective: To provide entry-level supportservices to assist frail, older people to liveindependently at home and in thecommunityTarget Group: Frail, older people aged65 years and over (or 50 years and overfor Aboriginal and Torres Strait Islanderpeoples) who need assistance with dailyliving to remain living independently athome and in the community
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Service types funded
MealsOther Food ServicesTransportDomestic AssistancePersonal CareHome MaintenanceHome ModificationsSocial Support-IndividualSocial Support-Group (formerly Centre-BasedDay Care)NursingAllied Health and Therapy ServicesGoods, Equipment and Assistive TechnologySpecialised Support Services 28
Client Scenario: Mabel
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Care Relationships and Carer Support
Objective: To support and maintaincare relationships between carersand clients, through providing goodquality respite care for frail, olderpeople so that regular carers cantake a break.
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Target Group
Frail, older clients aged 65 years and over(or 50 years and over for Aboriginal andTorres Strait Islander peoples) will be therecipients of planned respite services
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Service Types Funded
Flexible Respite:In-home day respiteIn-home overnight respiteCommunity access – individual respiteHost family day respiteHost family overnight respiteMobile respiteOther planned respite.Centre-based respite:Centre based day respiteResidential day respiteCommunity access-group respiteCottage respite (Overnight community)
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Client Scenario: Ronald
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Assistance with Care and Housing
Objective: To support vulnerable clients toremain in the community throughaccessing appropriate, sustainable andaffordable housing and linking them whereappropriate, to community care and othersupport services
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Target Group
People aged 50 years and overwho are on a low income and arehomeless or at risk ofhomelessness as a result ofexperiencing housing stress or nothaving secure accommodation
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Client scenario: Pete
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Service System Development
Objective: To support the development ofthe community aged care service systemin a way that meets the aims of theCommonwealth Home SupportProgramme and broader aged caresystem
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Target Group
Grant recipients funded underthe Commonwealth HomeSupport Programme and theirclient base
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Participants/clients/recipients/target group
• In certain circumstances, CHSP services may beprovided to people who do not meet the target groupcriteria and who need assistance with daily living toremain living independently at home and in thecommunity, where this is specifically agreed betweenDSS and the grant recipient.
Special Needs Groups
The CHSP will recognise people with culturalor other special needs with appropriateservices which reflect the diversity of thepopulation.The CHSP recognises the following specialneeds groups, which align with thoserecognised under the Aged Care Act 1997and by other aged care programmes:
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Special Needs Groups
• People from Aboriginal and Torres Strait Islandercommunities
• People from culturally and linguistically diversebackgrounds
• 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 identify as lesbian, gay men,
bisexual, transgender and intersex• People who are care leavers• Parents separated from children by forced
adoption or removal41
Special Needs Groups
The CHSP will:• Ensure that all clients have equity of access
to services and that support is accessible,appropriate and free from discrimination
• Ensure that services are delivered in a waythat is culturally safe and appropriate forolder people from diverse backgrounds
• Support access to translation and interpretingservices
• Consider equity of access for special needsgroups in the allocation of new funding
• Ensure that the inability to pay for servicesdoes not exclude anyone from receivingservices.
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TIS National
• Immediate phone interpreting (24/7)• ATIS voice automated immediate phone
interpreting• Pre-booked phone interpreting• On-site interpreting
https://www.tisnational.gov.au/
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People with dementia
The Australian Government considers the provisionof appropriate care and support of people withdementia, their families and carers to be corebusiness for all providers of aged care, given itsprevalence amongst older people.The Australian Government funds a range ofadvisory services, education and training, supportprogrammes and other services for people withdementia, their families and carers. CHSP clientsmay access these supports if appropriate to theirneeds.
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Carers
Carers are integral to ensuring the quality of lifeand independence of older people. In recognitionof the vital role that carers play in supportingolder people to remain living at home and in thecommunity, the CHSP will support the carerelationship through contributing funding towardsa range of respite services. These are providedunder the Care Relationships and Carer SupportSub-Activity (planned respite).
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Carers
The CHSP is complemented by access toemergency respite services provided underCommonwealth Respite and CarelinkCentres, the National Carer CounsellingProgram and Carer Information SupportService. Work is currently underway by theCommonwealth to develop options for futurecarer services in the context of, and inalignment with, the aged care and disabilityreforms, to work toward a more integratedresponse for carer services.
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Commonwealth Respite and CarelinkCentre: 1800 052 222
National Carer Counselling Program:1800 242 636
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Flexibility Provisions
• Grant recipients must deliver 100 percent of their agreed outputs; OR
• Grant recipients can deliver no lessthan 80 per cent of agreed outputs;AND
• Grant recipients may deliver additionalneeded services within the same Sub-Programme with the remaining 20 percent, provided they can demonstratethey are delivering value for money.
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Client Fees
• Moving to a nationally consistentapproach over time
• Improving sustainability of CHSP(moving to > 15% of grant)
• Providing appropriate safeguards forfinancially disadvantaged
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Funding for the activity
One-off FundingOne-off Funding
IndexationIndexation
Growth fundingGrowth funding
CapitalCapital
Social and CommunityServices (SACS)
Supplementation Funding
Social and CommunityServices (SACS)
Supplementation Funding
Funding for the activity
Growth fundingInformation on any current CHSP fundingprocesses, including growth funding, will beavailable at:• The Department of Social Services’ Grants
website• The Australian Government’s Grants
website
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Funding for the activity
IndexationEach year, DSS may pay an additionalamount of funding to take account ofconsumer price indexation increases, andwill advise the service provider in writing ofthe amount and timing of the additionalpayment.
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Funding for the activity
CapitalCHSP funding cannot be used for the acquisition ofcapital infrastructure.However, the Department may consider funding forminor capital works in exceptional circumstances.This includes minor building modifications toimprove client safety (such as the installation of awheelchair ramp), refurbishment or replacement ofessential equipment for CHSP service deliverywhich is not already classed as an asset
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Funding for the activity
One-off FundingDSS may approve one-off funding forgrant recipients. Where funding has beenapproved this will be reflected in the grantrecipient’s Grant Agreement.
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Funding for the activity
Social and Community Services (SACS)Supplementation FundingIn accordance with the 2012 Fair Work Australia equalremuneration order for employees in the social andcommunity services and crisis accommodationclassification (Schedule B and C) within the Social,Community, Home Care and Disability Services IndustryAward 2010 (SACS Modern Award), the department willprovide supplementation to grant recipients employingSACS workers delivering relevant CHSP services.
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Grandfathering arrangements for pre-1July 2015
CHSP funding may be used to support clients whoaccessed HACC, NRCP, DTC and ACHA clients priorto 1 July 2015 and who are being grandfathered as aresult of not meeting the CHSP eligibilityrequirements in their own right or until the servicesare no longer required. .These clients may retain access to these services orequivalent CHSP services until other suitableservices become available, or until the service is nolonger required. This is necessary to ensure thiscohort of clients has access to services until moreappropriate support can be accessed.
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Interactions with disability services
Services which are considered to be within thescope of the CHSP may be accessed by existingHACC, NRCP, DTC and ACHA clients withdisabilities, while the National DisabilityInsurance Scheme is progressivelyimplemented. CHSP grant recipients will berequired to make reasonable provisions to caterto the specific needs of clients with disabilities toenable them to access services that are withinscope, such as providing services that areresponsive to the client’s specific needs.
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Interactions with other aged careprogrammes
The CHSP forms the entry tier of the AustralianGovernment’s aged care system and iscomplemented by a range of other programmesdesigned to support people whose care needsexceed what can be delivered by the CHSP.As a general principle, the CHSP is designed todeliver support to people who are not already inreceipt of higher level services such as HomeCare Packages.
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Specialist requirements (e.g.Legislative requirements)
• Comply with all relevant state, territory andCommonwealth laws and regulations
• Comply with DSS Policies as specified atDoing Business with DSS
• Ensure that workers (paid and voluntary)are suitably qualified or are undertakingtraining appropriate to the service theydeliver.
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Activity Performance and Reporting
• Financial reporting
• Programme reporting
• Quality
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Activity Performance and Reporting
DSS’s Performance Indicators focus onthree key questions:
1) Are we achieving what we expected?
2) How well is it being done?
3) How much is being done?
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Financial Reporting
The activity will be managed to ensure theefficient and effective use of public monies. Thiswill be consistent with best value in social servicesprinciples; the DSS grant agreement and will aimto maintain viable services and act to preventfraud upon the Commonwealth.Acquittal documents must be provided to DSS asoutlined in the Grant Agreement.Funding must only be used for the purposes forwhich it was provided.
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Home Care
• HCS apply• Visits
mandated• 3 yearly
CHSP
• HCS apply• QR included
in agreements• 3 yearly
NATSIFLEXI
• 2 QualityStandardsapply, 9 E0s
• 2 yearly
Quality Agency areas of responsibility
QualityReview
ResidentialCare
AccreditationStandards
MORE REFORMS
2016-17 – Restorative Care Program
Merging Transition Care Program into new expandedshort-term restorative care program
New program not only targeting people leavinghospital
New planning ratios of aged care places per 1,000people aged 70+:
Residential care – 78 (drop from 80) Home care – 45 Restorative care – 2 Places will be allocated via competitive processWebinar and discussion paper
February 2017
Home Care Packages funding transfers to the consumer (IncreasingChoice Budget measure)
No more allocated HCPs to approved providers
Consumers will choose provider, who then claims funding fromgovernment
Packages will be portable to another provider, including in anotherlocation
Cashed out model not part of Stage 1
Policy aim - increased competition leading to enhanced quality &innovation
Discussion Paper & Webinar – CHSP implications
Still to come…………..
2015 – Roadmap- Aged Care Sector Committee – vision for next 5-10 year
2015? – Carer Gateway (Integrated Plan for CarerSupport Services)- Very little detail
2016 – 2018 Full rollout of NDIS- Need to plan now for loss of block funding for CCSPand disability programs
August 2017- Final report on Review of LLLB Reforms
……….
July 2017 – Sector Support??- Decision about sector support into thefuture
July 2018- Amalgamation of CHSP and HCP into asingle program – Integrated Care at HomeProgram- Blue sky thinking ………….opportunity
Keeping up to date
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Thank you
