Report on Government Services 2019
Part F, Chapter 14
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 Aged care services and attachment tables (PDF - 3326 Kb)
- Chapter 14 Aged care services (Word - 172 Kb)
- Chapter 14 Attachment tables (XLSX - 959 Kb)
Note: An errata was released with this part reflecting updates to the files above.
Errata
The following real expenditure on aged care services data have changed in table 14A.5:
- Home care and support services: Australian Government (Department of Health) expenditure
- Home care for 2016-17 for all states and territories
- Home support — Commonwealth HACC or Home Support Program for 2012-13 for all states and territories and Australia
- Home support — HACC Program for 2012-13 for Victoria, WA and Australia.
- Total aged care services expenditure
- 2012-13 for all states and territories and Australia
- 2016-17 for all states and territories.
- Key Facts
- Indicator Framework
- Indicator Results
- Indigenous Data
Total government expenditure reported on aged care services in 2017-18 was $18.4 billion. This comprised expenditure of $12.4 billion on residential care services, $5.1 billion on home care and support services and $932.5 million on other services, such as flexible care and assessments.
As at June 2018, there were 207 142 operational places (excluding flexible places) in residential care services, and 91 847 recipients of Home Care Packages Level 1–4.
During 2017-18, there were 81 765 older clients receiving Home Care Packages Level 1‑2, 46 817 older clients receiving Home Care Packages Level 3‑4, 765 416 older clients of the Commonwealth Home Support Program and 64 856 older HACC clients in WA. There were also 234 798 older clients who received permanent care and 60 278 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
- appropriate to meet the needs of clients — person-centred, with an emphasis on integrated care, ageing in place and restorative approaches
- 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 2019 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 (per cent)
| NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
|---|---|---|---|---|---|---|---|---|---|
| Aged care target population, 30 June 2018 | 3.1 | 0.9 | 4.1 | 3.9 | 2.1 | 4.7 | 1.8 | 43.1 | 3.0 |
| ACAT assessments, 2017-18 | 2.5 | 0.7 | 2.2 | 1.9 | 1.4 | 1.5 | 1.3 | 34.2 | 1.9 |
| Residential aged care, 30 June 2018 | 0.9 | 0.2 | 1.5 | 1.8 | 0.5 | 0.9 | 0.4 | 36.0 | 1.0 |
| Home care levels 1–2, 30 June 2018 | 4.4 | 3.0 | 3.6 | 3.3 | 2.6 | 2.9 | 5.5 | 68.4 | 4.2 |
| Home care levels 3–4, 30 June 2018 | 3.7 | 2.0 | 3.1 | 3.1 | 2.5 | 2.6 | 2.8 | 33.8 | 3.2 |
| Transition care, 30 June 2018 | 0.9 | 0.6 | 3.4 | 0.9 | 0.6 | 1.1 | – | 8.0 | 1.3 |
Effectiveness — Access indicators
Unmet need
Proportion of all hospital patient days (for overnight separations only) that were for aged care type, 2016‑17
| NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
|---|---|---|---|---|---|---|---|---|---|
| % | 9.9 | 0.6 | 19.6 | 19.3 | 22.6 | 10.3 | 12.4 | 10.2 | 11.4 |
Effectiveness — Quality indicators
Compliance with service standards
Proportion of all re-accredited residential aged care facilities that have been granted a re-accreditation approval for a period of three years, as at 30 June 2018
| NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
|---|---|---|---|---|---|---|---|---|---|
| % | 95.3 | 99.2 | 96.2 | 97.0 | 96.7 | 98.6 | 88.5 | 91.7 | 96.9 |
Proportion of Australian Government home care and support service providers reviewed that achieved all expected outcomes for each of the three standards, 30 June 2018 (per cent)
| NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
|---|---|---|---|---|---|---|---|---|---|
| Standard 1 — Effective management | 95.5 | 96.3 | 92.2 | 91.7 | 79.3 | 92.0 | 84.6 | 81.8 | 92.3 |
| Standard 2 — Appropriate access and service delivery | 95.5 | 96.9 | 97.7 | 100.0 | 82.8 | 92.0 | 92.3 | 81.8 | 94.5 |
| Standard 3 — Service user rights and responsibilities | 99.1 | 99.0 | 96.9 | 100.0 | 93.1 | 100.0 | 100.0 | 81.8 | 97.3 |
Client and carer satisfaction
Proportion of people aged 65 years or over and living in households/their carers, who are satisfied with the quality of assistance received from organised and formal services in the last six months, 2015
| NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
|---|---|---|---|---|---|---|---|---|---|
| Older people | 92.3 ± 3.8 | 89.5 ± 1.9 | 86.2 ± 5.9 | 88.7 ± 3.3 | 94.7 ± 5.8 | 83.6 ± 8.4 | 86.2 ± 7.3 | 60.0 ± 46.9 | 89.2 ± 1.2 |
| Primary carers | 79.5 ± 13.2 | 72.9 ± 9.4 | 86.9 ± 8.0 | 68.4 ± 15.1 | 73.6 ± 14.0 | 88.6 ± 12.0 | 76.5 ± 22.8 | 100.0 | 77.2 ± 5.9 |
Compliants received
Number of in-scope complaints received for residential aged care services by the Aged Care Complaints Commissioner per 1000 residential aged care residents, 2017-18
| NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
|---|---|---|---|---|---|---|---|---|---|
| no. | 21.6 | 25.1 | 27.3 | 15.7 | 23.2 | 16.4 | 19.2 | 40.2 | 23.1 |
Efficiency indicators
Cost per output unit
Australian Government expenditure on aged care assessments, per completed assessment, 2017‑18
| NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
|---|---|---|---|---|---|---|---|---|---|
| $ | 703.19 | 591.59 | 641.62 | 801.11 | 773.96 | 709.48 | 752.97 | 1 783.74 | 680.59 |
Outcome indicators
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 (per cent)
| NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
|---|---|---|---|---|---|---|---|---|---|
| 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 the level of physical function for Transition Care Program (TCP) clients, reflected in the movement from the average Modified Barthel Index (MBI) score on entry to the average MBI score on exit, 2017‑18 (number)
| NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
|---|---|---|---|---|---|---|---|---|---|
| Average MBI on entry | 80 | 65 | 72 | 53 | 69 | 63 | 87 | 84 | 70 |
| Average MBI on exit | 91 | 73 | 84 | 61 | 85 | 81 | 96 | 92 | 81 |
Notes
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. – Nil or rounded to zero.
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 aged care recipients |
| Table 14A.33 | Hospital patient days used by those eligible and waiting for residential aged care |