Report on Government Services 2017
Volume F, Chapter 14
Aged care services
This chapter focuses on government funded care and support services for older people and their carers, which are provided at home, in the community and in residential care facilities.
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- Chapter 14 Attachment tables (XLSX - 1249 Kb)
- Key Facts
- Indicator Framework
- Indicator Results
- Indigenous Data
Total government expenditure reported on aged care services in 2015-16 was $16.8 billion. This comprised expenditure of $11.5 billion on residential care services, $4.3 billion on home care and support services and $1.1 billion on other services, such as flexible care and assessments.
At June 2016, there were 79 819 operational places (including flexible places) in Home Care levels 1–4 and 199 449 operational places (including flexible places) in residential care services. During 2015-16, there were 62 919 older clients of Home Care levels 1–2, 28 512 older clients of Home care levels 3–4 (equivalent to about 86 500, if clients are counted once across the Home care levels) and 286 604 older HACC clients in Victoria and WA. Commonwealth Home Support Program client and activity data were not provided for this report due to under-reporting and a new data capturing system. There were also 227 819 older clients who received permanent care and 55 146 who received respite care in a residential aged care facility during that period.
The aged care system aims to promote the wellbeing and independence of older people (and their carers), by enabling them to stay in their own homes or by assisting them in residential care. Governments seek to achieve this aim by subsidising aged care services that are:
- accessible — including, timely and affordable
- planned effectively — targeted to areas of need and integrated with other services
- appropriate to meet the needs of the recipients and their carers — with an emphasis on ageing in place and restorative approaches
- person-centred, taking into account individual goals, preferences and choices
- high quality.
Governments aim for aged care services to meet these objectives in an equitable and efficient manner.
The performance indicator framework provides information on equity, efficiency and effectiveness, and distinguishes the outputs and outcomes of government aged care services. The performance indicator framework shows which data are complete and comparable in the 2017 Report.
An overview of the Aged care services performance indicator results are presented. Information to assist the interpretation of these data can be found in the indicator interpretation boxes in the Aged care services chapter and attachment tables.
Equity — Access indicators
Use by different groups
Proportion of service clients who are Aboriginal and Torres Strait Islander Australians, compared with the proportion of the aged care target population who are Aboriginal and Torres Strait Islander Australians (%)
|Aged care target population, June 2016||3.0||0.8||4.1||3.9||2.0||4.5||1.7||42.9||3.0|
|Residential aged care, 30 June 2016||0.7||0.2||1.5||1.8||0.5||0.6||0.5||38.9||0.9|
|Home care levels 1–2, 30 June 2016||3.8||4.1||5.6||6.7||2.5||2.4||7.8||67.0||5.3|
|Home care levels 3–4, 30 June 2016||1.6||1.8||2.5||2.4||1.5||1.2||0.3||27.8||2.1|
|Transition care, 2015-16||0.8||0.1||1.9||1.7||0.6||1.3||1.7||21.1||1.1|
Effectiveness — Access indicators
Elapsed times for aged care services
Proportion of people entering residential aged care services who did so within 3 months of ACAT approval, 2015‑16
Hospital patient days used by aged care type patients
Proportion of all hospital patient days used by patients who are waiting for residential aged care, 2014‑15
Effectiveness — Appropriateness indicators
Operational aged care places
Total operational aged care places per 1000 people aged 70 years or over and Aboriginal and Torres Strait Islander Australians aged 50–69 years (excluding transition care), 30 June 2016
Effectiveness — Quality indicators
Compliance with service standards for residential care
Proportion of all re‑accredited residential aged care services that have been granted a re‑accreditation approval for a period of three years, as at 30 June 2016
Compliance with service standards for home care and support
Proportion of Australian Government home care and support service providers reviewed that achieved all expected outcomes for each of the three standards, 30 June 2016 (%)
|Standard 1 — Effective management||94.2||98.5||92.7||100.0||90.7||96.8||96.3||83.6||94.1|
|Standard 2 — Appropriate access and service delivery||95.9||99.0||97.9||100.0||89.9||100.0||100.0||90.2||96.6|
|Standard 3 — Service user rights and responsibilities||99.2||100.0||99.2||100.0||98.4||100.0||100.0||93.4||99.1|
Number of complaints received by the Aged Care Complaints Commissioner per 1000 care recipients, 2015‑16
Cost per output unit
Australian Government expenditure on aged care assessments, per assessment, 2014‑15
Expenditure per head of aged care target population
Governments’ real expenditure on residential services per person aged 65 years or over and Aboriginal and Torres Strait Islander Australians aged 50–64 years, 2015‑16
|$||3 061.92||3 307.72||2 889.79||2 635.86||3 520.95||2 881.33||2 517.36||1 362.05||3 061.20|
Social participation in the community
Proportion of older people aged 65 years or over who did not leave home or did not leave home as often as they would like, 2015 (%)
|With profound or severe disability||48.0 ± 6.6||43.3 ± 7.1||43.7 ± 7.5||40.2 ± 9.8||52.9 ± 8.3||47.7 ± 13.6||40.0 ± 9.0||47.1 ± 16.5||45.6 ± 3.3|
|Without disability||6.6 ± 1.9||7.7 ± 1.8||5.3 ± 1.8||6.1 ± 2.3||7.3 ± 2.0||3.3* ± 2.5||3.6* ± 2.8||np||6.5 ± 0.8|
Maintenance of individual functioning
Improvement in Transition Care Program (TCP) client’s level of functioning, reflected in the movement from the average Modified Barthel Index (MBI) score on entry to the average MBI score on exit, 2015‑16 (number)
|Average MBI on entry||79||64||72||58||69||65||85||84||71|
|Average MBI on exit||91||72||83||66||86||82||93||94||81|
These data and caveats for these data are available in chapter 14 and attachment 14A.
Some percentages reported in these tables include 95 per cent confidence intervals (for example, 80 per cent ± 2.7 per cent).
* Indicates the estimate or proportion has a relative standard error between 25 per cent and 50 per cent and should therefore be used with caution.
np Not published.
Performance indicator data for Aboriginal and Torres Strait Islander people in this chapter are available in the attachment tables listed below. Contextual data and further supporting information can be found in the chapter.
|Table number||Table title|
|Table 14A.18||Representation of Aboriginal and Torres Strait Islander Australians in the aged care target population and in older aged care recipients|
|Table 14A.28||Elapsed times for aged care services, by Indigenous status|
|Table 14A.32||Hospital patient days used by those eligible and waiting for residential aged care|