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Report on Government Services 2020

Part F, section 14: RELEASED ON 23 JANUARY 2020

14 Aged care services

This section 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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  • Key Facts
  • Indicator Framework
  • Indicator Results
  • Indigenous Data

Total government expenditure reported on aged care services in 2018-19 was $20.1 billion. This comprised expenditure of $13.2 billion on residential care services, $5.9 billion on home care and support services and $1.0 billion on other services, such as flexible care and assessments.

As at June 2019, there were 213 397 operational places (excluding flexible places) in residential care services, and 106 707 recipients of Home Care Packages Level 1–4.

During 2018-19, there were 85 915 older clients receiving Home Care Packages Level 1‑2, 66 775 older clients receiving Home Care Packages Level 3‑4 and 826 335 older clients of the Commonwealth Home Support Program. There were also 236 213 older clients who received permanent care and 64 117 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 this Report.

Indicator framework

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 section and data tables.

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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)

Most recent data for this measure are comparable and complete, subject to caveats
 NSWVicQldWASATasACTNTAust
Aged care target population, 30 June 2019 3.6 1.0 4.5 4.4 2.2 5.4 2.3 45.5 3.4
ACAT assessments, 2018-19 2.4 0.7 2.2 2.5 1.2 2.9 1.0 29.7 1.9
Residential aged care, 30 June 2019 0.9 0.3 1.5 1.8 0.5 1.0 0.4 36.2 1.0
Home care levels 1–2, 30 June 2019 4.5 2.8 3.4 3.0 2.9 3.4 3.4 67.3 4.0
Home care levels 3–4, 30 June 2019 4.4 2.4 3.6 2.8 2.2 2.8 4.5 35.8 3.6
Transition care, 30 June 2019 1.2 0.9 2.3 0.3 0.9 1.1 10.5 1.2
Source: Data table 14A.18

Effectiveness — Access indicators

Unmet need

Proportion of all hospital patient days (for overnight separations only) that were for aged care type, 2017‑18

Most recent data for this measure are comparable and complete, subject to caveats
 NSWVicQldWASATasACTNTAust
% 8.3 0.5 15.4 13.4 23.4 10.3 13.3 11.9 9.5
Source: Data table 14A.33

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 2019

Most recent data for this measure are comparable and complete, subject to caveats
 NSWVicQldWASATasACTNTAust
% 89.9 94.7 93.0 97.1 89.9 87.5 76.0 91.7 92.3
Source: Data table 14A.37

Proportion of Australian Government home care and support service providers reviewed that achieved all expected outcomes for each of the three standards, 2018-19 (per cent)

Most recent data for this measure are comparable and complete, subject to caveats
 NSWVicQldWASATasACTNTAust
Standard 1 — Effective management 93.2 93.8 86.6 95.1 90.5 90.9 95.0 92.6 91.6
Standard 2 — Appropriate access and service delivery 94.3 97.3 96.2 91.8 86.9 93.2 95.0 88.9 94.2
Standard 3 — Service user rights and responsibilities 98.9 98.3 95.4 93.4 94.9 100.0 100.0 98.1 97.2
Source: Data table 14A.39

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, 2018 (per cent)

Most recent data for these measures are comparable and complete, subject to caveats
 NSWVicQldWASATasACTNTAust
Older people 82.6 ± 1.6 85.1 ± 3.0 83.4 ± 2.9 85.3 ± 6.4 95.2 ± 7.5 76.4 ± 6.1 78.9 ± 7.1 100.0 ± np** 84.4 ± 1.2
Primary carers 72.4 ± 7.0 75.1 ± 8.5 72.1 ± 9.2 70.6 ± 8.0 47.1 ± 32.7* 45.3 ± 34.2* 70.0 ± 22.9 71.3 ± 3.4
Source: Data tables 14A.45 and 14A.47

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, 2018-19

Most recent data for this measure are comparable and complete, subject to caveats
 NSWVicQldWASATasACTNTAust
no. 28.3 33.8 30.9 23.8 32.0 28.1 45.2 45.6 30.4
Source: Data table 14A.38

Efficiency indicators

Cost per output unit

Australian Government expenditure on aged care assessments, per completed assessment, 2018‑19

Most recent data for this measure are comparable and complete, subject to caveats
 NSWVicQldWASATasACTNTAust
$ 719.87 621.36 706.66 839.60 751.42 753.24 841.19 1987.54 711.79
Source: Data table 14A.49

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, 2018 (per cent)

Most recent data for this measure are comparable and complete, subject to caveats
 NSWVicQldWASATasACTNTAust
With profound or severe disability 48.1 ± 6.1 47.7 ± 7.9 43.8 ± 7.6 37.2 ± 9.3 38.9 ± 16.5 43.4 ± 14.1 44.8 ± 19.4 45.2 ± np** 45.5 ± 2.5
Without disability 5.5 ± 1.4 6.9 ± 1.6 3.4 ± 1.2 6.2 ± 2.1 6.9 ± np** 1.5 ± np** 5.8 ± np** 5.8 ± 0.9
Source: Data table 14A.53

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, 2018‑19 (number)

Most recent data for this measure are comparable and complete, subject to caveats
 NSWVicQldWASATasACTNTAust
Average MBI on entry 79 65 72 53 71 66 86 86 70
Average MBI on exit 91 73 84 62 86 83 96 92 81
Source: Data table 14A.54

Notes

These data and caveats for these data are available in section 14 and relevant data tables.

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. ** Indicates the estimate or proportion has a relative standard error greater than 50 per cent and is considered too unreliable for general use.

np Not published. – Nil or rounded to zero.

Performance indicator data for Aboriginal and Torres Strait Islander people in this section are available in the data tables listed below. Contextual data and further supporting information can be found in the section.

Aged care services data disaggregated for Aboriginal and Torres Strait Islander people
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.22 HACC services received per 1000 people aged 65 years or over and Aboriginal and Torres Strait Islander Australians aged 50–64 years
Table 14A.23 CHSP services received per 1000 people aged 65 years or over and Aboriginal and Torres Strait Islander Australians aged 50–64 years
Table 14A.29 Elapsed times for residential aged care, by Indigenous status
Table 14A.32 Public hospital separations for care type "maintenance" for older people aged 65 years or over and Aboriginal and Torres Strait Islander Australians aged 50–64 years
Table 14A.33 Hospital patient days used by those eligible and waiting for residential aged care