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Tuesday, 7 June 1994
Page: 1433

(Question No. 1307)


Senator Patterson asked the Minister representing the Minister for Human Services and Health, upon notice, on 7 April 1994:

  (1) On a state by state basis, please provide the most up-to-date breakdown of the number of nursing homes and hostels (and number of beds) in Australia managed by the private, religious/charitable and public sectors.

  (2) Please detail the level of Commonwealth funding assistance (both in dollar terms and as a percentage of total funding) to private sector service providers in each of the following areas for the 1992-93 financial year: (a) Aged Care Program Support Program; (b) multi-purpose centres and multi-purpose services; (c) additional recurrent funding for upgraded, new and rebuilt nursing homes; (d) nursing home respite care beds; (e) hostel respite care places; (f) capital funding for nursing homes; (g) capital funding for hostels; (h) community aged care packages (CACPs); (i) aged specific housing assistance; (j) carers' package total funding; (k) community visitors scheme; (l) aged care advocacy services; (m) day therapy; (n) day care in aged care facilities; (o) Home and Community Care program (HACC); (p) Commonwealth Respite for Carers Program (CRC); (q) HACC projects for special needs groups (for example, ethno-specific, Aborigines and Torres Strait Islanders, dementia); (r) HACC respite care; (s) hostel options; (t) nursing home options; (u) National Action Plan for Dementia Care (NAPDC) Demonstration Project Grants; (v) NAPDC counselling grants; (w) National Action Plan for Dementia Care total funding; (x) dementia specific residential facilities; (y) Benefits Respite Care (BRC) program.

  (3) How many, and what proportion of, aged care assessment teams are located in private hospitals or facilities.

  (4) Has the Department made, or will it be making, a submission or submissions to the current Industry Commission inquiry into charities; if so, please provide a copy of any such submissions when they become available.

  (5) What would have been the impact on Commonwealth expenditure during the 1992-93 financial year if all exempt home beds were funded at non-exempt funding levels.

  (6)(a) Please provide a list of all aged care consultancies during the 1992-93 financial year undertaken by private sector related organisations

and individuals; and (b) what proportion of total aged care consultancies does this represent in terms of numbers of consultancies and the amount of funding provided.

  (7)(a) Please provide a list of all Commonwealth aged care related advisory bodies, committees and panels whose membership includes non-Government representatives; and (b) what proportion of the total membership of each of these bodies, committees and panels is comprised of members representing private sector service providers.

  (8) Please provide the most up-to-date occupancy rates and average length of stays in private and religious/charitable nursing homes and hostels.


Senator Crowley —The Minister for Human Services and Health has provided the following answer to the honourable senator's question:

  (1) Spreadsheets containing this information are provided at Attachment 1 (nursing homes) and Attachment 2 (hostels).

  (2)(a)-(y) Funding to Private Sector Service Providers for 1992-93:

$m % of total

Aged Care Program Support Program 0 0

Multi-purpose centres and Multi-purpose services 0 0

Additional recurrent funding for upgraded, new

and rebuilt nursing homes 0.3 100

Nursing home respite care beds 0 0

Hostel respite care places 0.1 1.2

Capital funding for nursing homes 0 0

Capital funding for hostels 0 0

Community aged care packages (CACPs) 0 0

Aged specific housing assistance 0 0

Carer's package total funding 0 0

Community visitors scheme 0 0

Aged care advocacy services 0 0

Day therapy 0 0

Day care in aged care facilities 0 0

Home and Community Care (HACC) 0 0

Commonwealth Respite for Carers (CRC) 0 0

HACC projects for special needs groups 0 0

HACC respite care 0 0

Hostel options 0 0

Nursing home options 0 0

National Action Plan for Dementia Care (NAPDC)

Demonstration Project Grants 0 0

NAPDC Counselling Grants 0 0

NAPDC total funding 0 0

Dementia specific residential facilities 0 0

Benefits Respite Care (BRC) program 4.3 46

  (3) No teams are located in private hospitals. However, 81 of the 122 teams are attached to hospitals, and 41 are attached to community centres.

  (4) The Department intends to lodge a submission with the Industry Commission in relation to its inquiry into charitable organisations.

  (5) Exempt nursing homes receive discounted Commonwealth benefit. The discount rate is nominated by the proprietor on application for exempt status and must not be less than 50% of the additional exempt bed fee. Estimated savings to the Commonwealth from discounted benefit for the year 1992-93 were in the order of $4,000,000.

  (6)(a) A list of all aged care consultancies for 1992-93 is provided at Attachment 3. Those

undertaken by private sector related organisations and individuals are marked with an asterisk.

  (b) This represents 78.9% of total aged care consultancies and 32.6% of funding commitment.

  (7)(a) A list of relevant advisory bodies, committees and panels is provided at Attachment 4.

  (b) Members of four of these committees are appointed on the basis of their individual knowledge, experience and ability to contribute to the planning process, and not as representatives of particular organisations. Of the eight remaining committees, 33.6% of the total membership is comprised of members representing private sector service providers.

  (8) Occupancy rates and average length of stays in private and religious/charitable nursing homes and hostels are documented at Attachments 5 to 7.

Attachment 1

NUMBER OF APPROVED NURSING HOMES AND BEDS FOR THE AGED

as at 1 April 1994

NSW VIC QLD SA WA TAS ACT NT AUST

Nursing homes

Participating

- Private Ent 266 205 74 72 52 7 2 1 679

- Religious and

Charitable 71 17 46 16 17 14 3 3 187

Transferred 121 81 61 60 23 22 - 2 370

Adj. Fee Government - 50 3 9 62

Government 29 78 20 2 20 2 1 1 153

Total Homes 487 431 201 153 112 54 6 7 1451

Nursing home beds

Participating-

- Private Ent 16,310 7,613 4,524 3,029 2,910 370 212 40 35,008

- Religious and

Charitable 3,948 599 2,267 569 799 452 219 42 8,895

Transferred 6,305 3,408 3,272 2,891 1,025 866 - 86 17,853

Adj. Fee Govt - 3,452 - 191 - 270 - - 3,913

Government 2,539 1,854 2,140 132 1,358 176 126 24 8,349

Total beds 29,102 16,926 12,203 6,812 6,092 2,134 557 192 74,018

Produced 5 April 1994

By Systems Section—Community Care Branch. Enquiries phone ex 5260

Attachment 2

NUMBER APPROVED HOSTELS AND PLACES AS AT 5 APRIL 1994

NSW VIC QLD SA WA TAS ACT NT AUST

Permanent 17633 13247 11018 5814 4879 1269 580 120 54560

Respite 604 409 320 219 160 63 23 4 1802

Total places 18237 13656 11338 6033 5039 1332 603 124 56362

Organisation type

Religious 193 101 136 25 15 19 6 1 496

Local govt authority 23 26 13 6 13 4 - - 85

Charitable 196 158 83 116 118 18 6 3 698

Ex-Service 13 2 5 - 4 - 1 - 25

Ministerial approval - 3 1 - 1 - - 3 8

Private/Commercial - 22 6 1 - 1 - - 30

State government - 9 - - - - - - 9

Total hostels 425 321 244 148 151 42 13 7 1351

5 April 1994 This report is compiled and produced by the Project Development and Funding Section. For more information or any queries please contact us on ext. 5511.

Attachment 3

Annual Report 1992-93 Appendix 20

Contract

Consultant Justification Price Purpose

Aged Care

* Accord Cross Cultural

Developments a,b 80,100 Report on selected aged

care hostels for Aboriginal

and Torres Strait Islander

people (2).

* AGB: McNair a 80,000 Evaluate the training strategies

developed for hostel management

and hostel staff in the hostel

outcome standards

* Alt Statis &

Associates a,b 29,700 Review existing methods used by

service delivery agencies and

State and Territory authorities

to identify the costs of

services. (2)

Australian Council

of Community

Nursing Services a 105,344 Conduct an 18 month pilot

implementation of a minimum data

set for a standardised national

collection of community nursing

data; test its operational

effecttiveness in collecting

and analysing data. (3,4).

* Brian Elton &

Associates a 100,000 Evaluate the Residental Aged

Care Advocacy Service Program.

(2)

* Brian Elton &

Associates a,b 104,461 Develop a common aged care

assessment record for the full

range of aged care services.

(2)

* Change Agency a 64,765 Develop a national training

package for implementation of

the HACC Program national

complaints policy in States and

Territories. (2)

Gregory, Prof R f 35,000 Review the structure of nursing

home funding arrangements. (4)

* Health Solutions

Pty Ltd a 160,000 Undertake the Aged Care Export

Market Research Project. (1)

* Infoscan a 17,400 Prepare information for the 4th

edition of the Ageing Research

Directory up to the point of

publication. (2)

* Kendall, Mr S a 36,602 Undertake a detailed analysis of

Community Options data collected

for evaluation purposes. (3)

* Leighton, Ms R a,c 25,000 Conduct a study of aged care

needs of persons from non-

English speaking backgrounds in

the ACT. (4,5,6)

* Macri, Ms S f 20,000 Investigate and report on the

Department's Resident Classifi-

cation Instrument documentation

requirements within the context

of current professional nursing

practice. (3)

* Niki Ellis &

Associates a,b 59,777 Conduct consultations and

develop a design for a carers'

information kit. (4)

* Niki Ellis &

Associates a,b 94,150 Develop print, audio and graphic

materials for inclusion in a

carers' information kit in accor-

dance with an agreed design. (4)

Outer Eastern

College of

Technical and

Further Education

and Queensland

University of

Technology a 2,000,000 Undertake the development and

implementation of a national

Hostel Staff Training Strategy.

(1)

Queensland

University of

Technology a 26,645 Provide consultancy services for

the improvement of quality of

life and care for residents of

Pulkapulkka Kari Tennant Creek

Nursing Home and Hostel. (2)

* Sach and

Associates a,d 76,000 Undertake a review of the Aged

Care Assessment Program in South

Australia. (2)

* Sricept Pty Ltd a 100,000 Project Manager for the

redevelopment of the Nursing

Home Payment System.

(1)Attachment 4

AGED CARE RELATED ADVISORY BODIES, COMMITTEES AND PANELS WITH NON-GOVERNMENT REPRESENTATIVES

  Committee to advise on administrative changes to the Personal Care Assessment Instrument

  Nursing Homes Fees Review Committees of Inquiry

  Nursing Homes Standards Review Panels

  Outcome Standards Working Group

  Reference Group for Hostel Outcome Standards Training Package Consultancies

  Standards Monitoring Industry Liaison Committees

  Nursing Home Consultative Committee

  Nursing Home Care Packages Steering Committee

  Aged Care Advisory Committees

  Home and Community Care Advisory Committees

  Aged Care Assessment Program Advisory Committees

Attachment 5

OCCUPANCY RATES BY STATE AS AT 30 JUNE 1993—PRIVATE AND RELIGIOUS/CHARITABLE NURSING HOMES

State Private Charitable

% %

NSW 98 99

VIC 99 99

QLD 100 100

SA 98 97

WA 99 98

TAS 97 98

NT 100 99

ACT 100 100

OCCUPANCY RATES BY STATE AS AT 30 JUNE 1993—PRIVATE AND RELIGIOUS/CHARITABLE HOSTELS

State Private Charitable

% %

NSW N/A * 92

VIC 73 91

QLD 51 95

SA 100 91

WA N/A * 93

TAS N/A * 98

NT N/A * 91

ACT N/A * 93

*There are no private hostels operating in these States

Attachment 6

Table 2.4 Nursing Home Residents: Average length of stay to date by type

of home by state

Nursing Home Residents: As at 30 June 1993

Average stay (weeks)

Type NSW VIC QLD WA SA TAS NT ACT TOTAL

Religious and

charitable 151.37 135.54 143.29 153.16 126.69 118.08 113.59 133.41 144.71

Private

enterprise 167.50 141.20 175.54 172.47 158.59 115.86 147.92 147.58 161.74

Government

adjusted 204.46 128.66 225.77 193.76 387.38 164.90 183.46 165.10 194.79

Government 57.38 456.06 121.69 80.65

Transferred 149.55 138.22 158.02 159.05 145.11 148.36 177.67 148.88

Persons 164.38 123.52 173.43 171.86 166.62 135.80 161.45 146.25 156.46

Attachment 7

TABLE 2.4 HOSTEL CURRENT RESIDENTS: AVERAGE LENGTH OF STAY BY WEEKS BY TYPE

OF HOSTEL BY STATE AS AT 30.6.93

Type of hostel NSW VIC QLD WA SA TAS NT ACT

Charitable 93.81 92.78 101.99 92.45 98.82 93.46 90.85 109.95

Ex-service 106.20 105.47 84.21 48.91 110.93

Local government

authority 87.08 99.77 88.73 78.19 104.39 46.14

Ministerial

approval 102.74 44.85 101.71 109.99

Private/commercial 28.12 17.57 33.39

Religious 103.55 106.99 102.73 110.51 98.22 95.64 84.31 85.69

State government 100.28

This report was produced on 260494