Evaluation of the consumer - directed care initiative - Final Report
C.3 Consumer-directed respite care packages - participants, services and expenditure
Table of contents
- Executive summary
- Glossary
1 Introduction
2 The consumer-directed care initiative- 3 Evaluation of the consumer-directed care initiative
- 4 Profile of participants and the supports they accessed
- 5 Implementation and operation of the initiative
- 6 Impact of the initiative for CDC participants and their carers
- 7 Impact of the initiative for CDRC participants and the people they care for
- 8 Impact on providers and the broader service system
- 9 Cost assessment and cost-effectiveness of the initiative
- 10 Key findings
- 11 Lessons learnt and strategies for consideration
- Appendices
- References
The following tables relate to the characteristics of CDRC participants and the services they use, as reported by CDRC providers as part of the April-June and July-September provider data collections undertaken as part of this evaluation.
Table C27: CDRC participants by age
| April-June | July-Sept | April-June | July-Sept | NRCP 2011-Q1 | |
|---|---|---|---|---|---|
| 0-39 | 8 | 2 | 5% | 1% | 10% |
| 40-49 | 17 | 21 | 10% | 11% | 14% |
| 50-54 | 22 | 18 | 13% | 9% | 10% |
| 55-59 | 28 | 38 | 16% | 19% | 12% |
| 60-64 | 23 | 30 | 13% | 15% | 13% |
| 65-69 | 26 | 25 | 15% | 13% | 10% |
| 70-74 | 15 | 22 | 9% | 11% | 9% |
| 75-79 | 24 | 21 | 14% | 11% | 8% |
| 80-84 | 6 | 14 | 3% | 7% | 7% |
| 85-89 | 3 | 2 | 2% | 1% | 4% |
| 90+ | 0 | 2 | 0% | 1% | 1% |
| Total | 172 | 195 | 100% | 100% | 100% |
Table C28: CDRC participants by special needs group status
April-June | July-Sept | April-June | July-Sept | NRCP 2011-Q1 | |
|---|---|---|---|---|---|
| ATSI | 16 | 6 | 9% | 3% | 3% |
| Financially/socially disadvantaged | 61 | 60 | 35% | 31% | |
| Homeless (or at risk of) | 3 | 1 | 2% | 1% | |
| Live in a rural/remote area | 35 | 41 | 20% | 21% | |
| CALD | 24 | 32 | 14% | 16% | 6% |
| Veteran | 2 | 2 | 1% | 1% | |
| Care leaver | 1 | 0% | 1% |
Table C29: Reason for exit - CDRC
| Reason for exit | April-June | July-Sept |
|---|---|---|
| Care recipient died | 11 | 1 |
| Moved to another town/city/state | 1 | |
| Care recipient moved to residential aged care | 12 | 11 |
| Care recipient moved to standard (non-CDRC) package | 15 | |
| No longer needed package | 9 | |
| Other | 27 | |
| Total exits | 75 | 12 |
| Proportion of participants exiting | 44% | 6% |
Table C30: Participant living arrangements - CDRC
April-June | July-Sept | April-June | July-Sept | |
|---|---|---|---|---|
| Does not live with the person they care for | 32 | 25 | 19% | 13% |
| Lives with the person they care for | 139 | 170 | 81% | 87% |
| Other | 1 | 1% | 0% | |
| Total | 172 | 195 | 100% | 100% |
Table C31: Service status prior to commencing CDRC
April-June | July-Sept | April-June | July-Sept | |
|---|---|---|---|---|
| Received HACC or other community care | 61 | 102 | 35% | 52% |
| Received NRCP services | 52 | 32 | 30% | 16% |
| Did not receive services | 51 | 53 | 30% | 27% |
| Other/unknown | 8 | 8 | 5% | 4% |
| Total | 172 | 195 | 100% | 100% |
Table C32: Top 10 services types accessed – by hours, CDRC
| April-June | Hours | % of total hours | July-September | Hours | % of total hours | ||
|---|---|---|---|---|---|---|---|
1 | Commonwealth funded residential respite | 10967 | 48% | 1 | Commonwealth funded residential respite | 6714 | 43% |
2 | In home respite | 2771 | 12% | 2 | Community residential respite | 1888 | 12% |
3 | Regular respite care | 1834 | 8% | 3 | Centre based day care | 1548 | 10% |
4 | Individualised respite | 1308 | 6% | 4 | In home respite | 1281 | 8% |
5 | Other residential respite | 872 | 4% | 5 | Social support | 929 | 6% |
6 | Community respite | 711 | 3% | 6 | Individualised respite | 892 | 6% |
7 | Community residential respite | 669 | 3% | 7 | Regular respite care | 786 | 5% |
8 | Personal care | 454 | 2% | 8 | Assessment | 438 | 3% |
9 | Centre based day care | 454 | 2% | 9 | Liaison/advice/support/ counselling | 375 | 2% |
10 | Social support | 414 | 2% | 10 | Information provision | 346 | 2% |
*Excludes supports that were not measured in hours
Top of pageTable C33: Top 10 service types accessed – by number of participants accessing each service type, CDRC
| April-June | No of participants | % of total participants | July-September | No of participants | % of total participants | ||
|---|---|---|---|---|---|---|---|
1 | Liaison/advice/support/ counselling | 125 | 73% | 1 | Assessment | 154 | 79% |
2 | Information provision | 115 | 67% | 2 | Information provision | 122 | 63% |
3 | Assessment | 83 | 48% | 3 | Liaison/advice/support/ counselling | 121 | 62% |
4 | In home respite | 75 | 44% | 4 | In home respite | 63 | 32% |
5 | Regular respite care | 36 | 21% | 5 | Individualised respite | 31 | 16% |
6 | Transport | 33 | 19% | 6 | Regular respite care | 23 | 12% |
7 | Commonwealth funded residential respite | 32 | 19% | 7 | Domestic assistance | 21 | 11% |
8 | Domestic assistance | 30 | 17% | 8 | Commonwealth funded residential respite | 18 | 9% |
9 | Individualised respite | 29 | 17% | 9 | Social support | 14 | 7% |
10 | Education/training | 26 | 15% | 10 | Community residential respite | 12 | 6% |
Table C34: Top 10 service types accessed – by expenditure, CDRC
| April-June | Expenditure | % of total expenditure | July-September | Expenditure | % of total expenditure | ||
|---|---|---|---|---|---|---|---|
1 | In home respite | 104682 | 31% | 1 | In home respite | 44053 | 23% |
2 | Regular respite care | 31190 | 9% | 2 | Regular respite care | 26410 | 14% |
3 | Individualised respite | 25496 | 8% | 3 | Individualised respite | 14038 | 7% |
4 | Commonwealth funded residential respite | 22740 | 7% | 4 | Commonwealth funded residential respite | 12528 | 7% |
5 | Provision of goods and equipment | 22689 | 7% | 5 | Assessment | 11443 | 6% |
6 | Personal care | 18560 | 5% | 6 | Liaison/advice/support/ counselling | 10791 | 6% |
7 | Community respite | 14784 | 4% | 7 | Provision of goods and equipment | 9763 | 5% |
8 | Home maintenance | 13051 | 4% | 8 | Community residential respite | 9595 | 5% |
9 | Domestic assistance | 12511 | 4% | 9 | Social support | 9247 | 5% |
10 | Home modification | 11943 | 4% | 10 | Information provision | 9025 | 5% |
Table C35: Average hourly rates charged - CDRC
| Service type | April-June | July-Sept |
|---|---|---|
| Assessment | $24.41 | $26.13 |
| Information provision | $24.88 | $26.12 |
| Liaison/advice/support/ counselling | $25.71 | $28.81 |
| Education/training | $15.76 | $24.00 |
| Commonwealth funded residential respite | $2.07 | $1.87 |
| Community residential respite | $3.48 | $5.08 |
| Community respite | $20.79 | $4.29 |
| Emergency respite care | $40.20 | $44.00 |
| In home respite | $37.78 | $34.39 |
| Individualised respite | $19.49 | $15.74 |
| Other residential respite | $2.19 | $75.00 |
| Regular respite care | $17.01 | $33.60 |
| Centre based day care | $6.88 | $2.16 |
| Social support | $19.60 | $9.95 |
| Personal care | $40.88 | $52.17 |
| Domestic assistance | $38.73 | $34.69 |
| Nursing care | $61.38 | |
| Allied health care | $91.14 | $67.55 |
| Home maintenance | $78.62 | $106.26 |
| Other | $29.00 | $23.15 |
Table C36: Case management and coordination charges - CDRC
April-June | July-Sept | |
|---|---|---|
| Number of participants receiving case management and coordination | 151 | 175 |
| Number of hours of case planning and management | 1305 | 1090 |
| Average number of hours of case planning and management per participant | 8.6 | 6.2 |
Total expenditure
April-June | July-Sept | |
|---|---|---|
| Case management and coordination | $32,394 | $30,062 |
| Supports | $433,868 | $189,658 |
| Total reported expenditure (excluding administration) | $371,077 | $219,720 |
| Average expenditure– case management and coordination | $284 | $237 |
| Average expenditure per participant (annualised) | $1137 | $947 |
Proportion of reported package expenditure
April-June | July-Sept | |
|---|---|---|
| Case management and coordination | 9% | 14% |
| Supports | 91% | 86% |
Table C37: CDRC package expenditure - In-house and brokered services
April-June In-house | April-June Brokered | April-June Total | July-September In-house | July-September Brokered | July-September Total | |
|---|---|---|---|---|---|---|
| Expenditure | $77,738 | $260,945 | $338,683 | $65,060 | $124,598 | $189,658 |
| % of total | 23% | 77% | 100% | 34% | 66% | 100% |
note excludes expenditure on case management and administration
Table C38: Time spent on initiation, planning and coordination (hours) – CDRC
Hours - CDRC | Hours - NRCP | |
|---|---|---|
| Time spent providing information to a potential CDRC participant – per potential participant (hours) | 2.5 |  |
| Time spent undertaking care planning – per participant (hours) | 3.0 | 1.8 |
| Time spent managing and coordinating package – per participant per week (hours) | 1.8 | 1.3 |
| Time spent conducting formal review – per participant per review undertaken (every 3-6 months) (hours) | 2.3 | 1.1 |
Table C39: Set-up costs reported by CDRC providers – 2010-11
Total costs reported Staffing | Total costs reported Non-staffing | Total costs reported Total | Average cost per package allocated* Staffing | Average cost per package allocated* Non-staffing | Average cost per package allocated* Total | |
|---|---|---|---|---|---|---|
| Planning | $41,767 | $820 | $42,587 | $246 | $5 | $251 |
| Development or modification of systems (eg IT systems) and processes | $11,996 | $3,414 | $15,410 | $71 | $20 | $91 |
| Development of information and other resources | $21,496 | $3,444 | $24,940 | $126 | $20 | $147 |
| Participant recruitment | $28,833 | $1,978 | $30,811 | $170 | $12 | $181 |
| Training and skills development | $13,981 | $8,474 | $22,455 | $82 | $50 | $132 |
| Other | $41,219 | $9,278 | $50,497 | $242 | $55 | $297 |
| Total | $159,292 | $27,408 | $186,700 | $937 | $161 | $1,098 |
*Average cost per package is based on 441 packages, which is the number of packages allocated to those providers who submitted data as part of the April-June provider data collection. Note not all of these packages had been allocated to participants.
Source: April-June provider data collection
Table C40: Ongoing costs reported by CDRC providers
Total costs reported Staffing | Total costs reported Non-staffing | Total costs reported Total | Average cost per package allocated Staffing | Average cost per package allocated Non-staffing | Average cost per package allocated Total | |
|---|---|---|---|---|---|---|
| Management and administration | ||||||
| $13,328 | $76 | $13,404 | $284 | $2 | $285 |
| $12,284 | $2,644 | $14,928 | $261 | $56 | $318 |
| $9,482 | $3,534 | $13,016 | $202 | $75 | $277 |
| $20,569 | $5,528 | $26,097 | $438 | $118 | $555 |
| $600 | $0 | $600 | $13 | $0 | $13 |
| Participant selection | $17,577 | $1,010 | $18,587 | $374 | $21 | $395 |
| Case planning and coordination | $40,062 | $1,350 | $41,412 | $852 | $29 | $881 |
| Total | $113,902 | $14,142 | $128,044 | $2,423 | $301 | $2,724 |
| Total (excl case planning and coordination) | $73,840 | $12,792 | $86,632 | $1,571 | $272 | $1,843 |
Based on data provided by 16 organisations, encompassing 188 CDRC packages allocated to participants
Source: 2nd CDRC provider data collection