HACC in Victoria & National Reform

Jane Herington PSM

Director, Ageing and Aged Care, Department of Health Victoria

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HACC in Victoria & National Reform

National Disability Insurance Scheme (DisabilityCare Australia) - agreement between the Victorian and Commonwealth Government

included an agreement to broader revision of roles and responsibilities for people 65 and over and people aged under 65 (and indigenous people over/under 50)

The Agreement will affect the HACC Program in Victoria, which is currently funded by both the Victorian and Commonwealth Government

the program will be split, with funding and management of services for people over 65 transferring to the Commonwealth

The Heads of Agreement state that: “the Commonwealth and Victoria will work together to retain the benefits of Victoria’s current Home and Community Care service system.”

Timelines

Transition being overseen by a CW/State Steering Group

Commonwealth PM&C, Treasury, DoHAVictorian P&C, DTF, DH

First meeting to discuss terms of reference and timelines for transition plan – June 2013

Transition plan agreed (and approved by Victorian Cabinet) early-mid 2014 – key milestones, funding and activities agreed

Transition implementation activities over 2014-2015

identification of agency splits – funding for over/under 65

y.o clients agreement around other funding types – FSR, SSR

and projects integration/interface with C’w Home Support

Program

C’w funding agreements for service delivery agencies commence 1 July 2015

C’w Home Support Program intended to commence 1 July 2015

Impacts 2013-15

What will be the impact in the short term?

no immediate impact on HACC clients or service providersseeking undertakings about current service delivery

arrangements (“stable state”)transition plan will document milestones to enable agencies

to make decisions and to plan for change

What will happen over the next 2 years to 30 June 2015?

HACC will continue to be funded jointly by the Commonwealth and Victorian Governments and managed by the Victorian Department of Health

decisions about growth funds and indexation each year will continue to be taken by both Governments in the context of their respective Budgets

growth consultations for 2013-14 to commence next two weeks

DH will continue to pursue the directions in Victoria’s Triennial Plan 2012-15

Key elements of Steering Group considerations

“The CW and Victoria will work collaboratively to ensure successful communication and implementation of the transition of HACC and related services for older people in Victoria from 1 July 2015.”

“The CW and Victoria will work together to retain the benefits of Victoria’s current HACC service system.”

Commonwealth/State discussions to include:

The unique arrangements for HACC in Victoria

How Victorian HACC will inform development of Commonwealth Home Support Program

introduced from July 2015 in all states future integration/interface issues with Victorian HACC

Financial arrangements, including

split of funds over/under 65budget neutrality (neither govt better or worse off as a result)pricing issuesrelationship with related programs and NDIS

Victoria’s view of the benefits of the Victorian HACC system

significant role and involvement of local government in HACC

local government role in positive ageing, planning for age-friendly communities and community support services

Partnership approach to developing and managing service system

Local area planning and population based resource allocation

Framework and structure of assessment (inc. care planning, care coordination)

Range of services available, including investment in community nursing and allied health

Victoria has spent more on home nursing and allied health than any other jurisdiction

The benefits of the Victorian HACC service system (cont.)

Focus on HACC as locally connected prevention and support services

Policy directions, including wellness and reablement; diversity planning

Sector wide service development

eg. statewide training; ASM industry consultants; access and equity for CALD and ATSI; wound care management; regional planning and projects

Relationships between health services, community health and community aged care to provide more integrated services for older people

Service coordination encouraging electronic referral protocols and networked services working together around the client

Investment in infrastructure

eg. local government buildings, transport vehicles,

Community Chef, workforce, funding for minor capital

Towards a Victorian position

Maintain stable and planned platform

Continuation of base funding to existing providers

exc. underperformance/closure and new types of services Schedule F to NHA included undertaking to ‘not substantially alter

service delivery mechanisms for period of 3 years, and “there is no requirement for services to be delivered under competitive tender processes”

Growth funds continue to be directed into key services and sectors, on equitably planned basis

note recent C’w advertising of growth in other jurisdictions

Continued investment in community nursing and allied health – consideration being given to retention by State

Retention of current network of HACC Assessment Services

interacting with national Gateway service, and maintaining face to face assessment where appropriate

Towards a Victorian position (cont.)

Recognise role of ACAS in both health services and aged care services, and build on existing links with HAS

Embedding ASM approach to reablement objectives – building on Victoria’s participation in NAF trial

Consultative planning (C’w, State, Local Govt, service providers)

Seek C’w to endorse evidence-based approach to resource allocation

recognising existing service networks, demand pressures and rates of older population growth, and allowing for population diversity

Develop mechanism for continued sector wide service development initiatives

Discuss C’w approach to program management

What does this mean?

Discussions with C’w will continue

Significant work to be undertaken by DH/DoHA, reporting to Steering Committee

Bilateral discussions re design of Commonwealth Home Support Program – proposing C’w/State workshop

Context is a national approach to delivery of CHSP and need to rationalise very different (prior) approaches in different jurisdictions

C’w response to our propositions yet to be tested

Next steps

Further engagement

peak bodies stakeholder group meeting 25 July

-MAV, RDNS, ECCV, VACCHO, NDS, LASA, AAV, CarersVic, VHA, AMA, GPV, PCP Network- development of position paper for endorsement

Joint communication with DoHA to the sector

Regional forums

Suggested DoHA meeting with local government

Transition Team established

- Calvin Graham, Deb Warren, Sarah Wilson

Transition information will be posted at:

www.health.vic.gov.au/hacc/transition/index.htm