Community Care Census 2008
The Department of Health and Ageing conducted the 2008 Community Care Census between February and May 2008, which consisted of a census of three packaged care programs, Community Aged Care Packages (CACP), Extended Aged Care at Home (EACH) and Extended Aged Care at Home Dementia (EACHD) and a survey of the National Respite for Carers Program (NRCP) respite care services.
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The 2008 Community Care Census
ISBN: 1-74186-762-2Online ISBN: 1-74186-763-0
Publications Approval Number: P3-4628
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© Commonwealth of Australia 2010
This work is copyright. You may reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given the specific written permission from the Commonwealth to do so. Requests and inquiries concerning reproduction and rights are to be sent to the Online, Services and External Relations Branch, Department of Health and Ageing, GPO Box 9848, Canberra ACT 2601, or by e-mail to copyright@health.gov.au.
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© Commonwealth of Australia 2010
This work is copyright. You may download, display, print and reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given the specific written permission from the Commonwealth to do so. Requests and inquiries concerning reproduction and rights are to be sent to the Online, Services and External Relations Branch, Department of Health and Ageing, GPO Box 9848, Canberra ACT 2601, or by e-mail to copyright@health.gov.au.
Cataloguing-in-Publication
Suggested citation:
Australian Government Department of Health and Ageing, 2010,
The 2008 Community Care Census,
Australian Government Department of Health and Ageing, Canberra.
Any enquiries about or comments on this publication should be directed to:
Policy and Evaluation Branch
Ageing and Aged Care Division
Department of Health and Ageing
GPO Box 9848
Canberra ACT 2601
or
Aged Care Information Line Australian
Phone: 1800 500 853
Published by the Australian Government Department of Health and Ageing
Acknowledgements
This report was prepared by staff of the Department of Health and Ageing from information submitted to the 2008 Community Care Census by providers of Australian Government-funded community aged care and respite services across Australia.This report would not have been possible without the assistance of the many service outlets responsible for delivering packaged care and respite services throughout the Australian community. The Department extends its sincere thanks to these service providers for setting aside their valuable time to collect and submit information for this important collection.
The Department would also like to thank the senior executives of the following peak bodies and organisations for their valued contribution and commitment to the 2008 Community Care Census through membership of the 2008 Community Care Census Reference Group:
- Aged and Community Services Australia
- Aged Care Association Australia
- Anglicare (SA)
- Australian Knowledge Management Group Pty Ltd
- Brightwater Care Group
- Brotherhood Community Care
- Calvary Silver Circle
- Carers Australia
- Church of Christ Homes and Community Services Inc.
- Council of The Ageing (COTA) over 50s Ltd
- Gilbert Care Services Sunshine Coast Pty Ltd
- Helping Hand Aged Care
- INS Health Care Group (Illawarra Nursing Service)
- Mercy Aged Care
- National Seniors Policy Secretariat
- The Aged Care Standards and Accreditation Agency
- The Benevolent Society (NSW)
- The Bethanie Group Inc.
- Uniting Wesley Care Bowden Inc. (SA)
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Abbreviations
ABS - Australian Bureau of StatisticsAIHW - Australian Institute of Health and Welfare
CAAS - Continence Aids Assistance Scheme
CACP - Community Aged Care Package
CALD - Culturally and Linguistically Diverse
CSTDA - Commonwealth State and Territories Disability Agreement
DVA - Australian Government Department of Veterans’ Affairs
EACH - Extended Aged Care at Home
EACHD - Extended Aged Care at Home Dementia
HACC - Home and Community Care
NRCP - National Respite for Carers Program
The 2008 Census - The 2008 Community Care Census
The Department - Australian Government Department of Health and Ageing
VHC - Veterans’ Health Care
Legislation
Aged Care Act 1997http://www.comlaw.gov.au/ComLaw/Legislation/ActCompilation1.nsf/0/4CBFEA0176A3997ACA257638000CE730?OpenDocument
Aged Care Principles 1997
http://www.health.gov.au/internet/main/publishing.nsf/content/ageing-legislat-aca1997-prindex.htm
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Terminology
For the purpose of this data collection the following terminology has been adopted:2008 Census is the 2008 Community Care Census of packaged care and NRCP funded respite care conducted by the Department.
Allocation(s) refers to the aged care places that are assigned during the annual Aged Care Approvals Round (ACAR), in accordance with the Allocation Principles 1997. A community care or flexible care subsidy can only be received for allocated places.
Approved Provider is a person or body in respect of which an approval under Part 2.1 of the Aged Care Act 1997 is in force, and, to the extent provided for in section 8-6 of the Act, includes any State or Territory, authority of a State or Territory or local government authority. Obligations of approved providers under the Act are found in the Approved Provider Principles 1997.
CACP refers to the Australian Government-funded Community Aged Care Packages program.
Care Coordinator/Case Manager is the person assigned by the approved provider to formulate an individual’s care package and ensure packaged care services are delivered in accordance with the care plan developed for the care recipient.
Care Coordination/Case Management refers to all activities that are directly related to the management of the complex care needs of a care recipient or carer by a person who has been formally designated as responsible for ensuring the coordinated and appropriate delivery of assistance to approved care recipients.
Care Recipient Pathways refers to the many different ways older people access aged care services of various types over time.
Carer of Packaged Care Recipient is the primary carer of a packaged care recipient (CACP, EACH or EACHD) as identified by the care coordinator.
Census Week was any consecutive seven day period selected by the outlet, during which services were provided to the care recipient or carer, between 18 February and 20 March 2008. The outlet was free to select the week that best suited their service.
Client is a generic term for any recipient of either packaged community aged care or respite funded by the NRCP during the 2008 Community Care Census.
Community Care Subsidy is a subsidy payable under Part 3.2 of the Aged Care Act 1997. This subsidy supports CACP places. Guidelines on Community Care Subsidies for CACPs are covered in the Community Care Subsidy Principles 1997 and the Deed of Agreement (which is the form of agreement a CACP provider enters into with the Australian Government). The Community Care Subsidy is paid directly to the approved provider based on the daily number of approved packages for which services are provided. An approved provider is eligible for Community Care Subsidy if:
- it holds an allocation of places for Community Care Subsidy;
- it has a Care Recipient Agreement in place with an approved care recipient; and
- it provides community care in accordance with the Care Recipient Agreement.
EACH refers to the Australian Government-funded Extended Aged Care at Home program.
EACHD refers to the Australian Government-funded Extended Aged Care at Home Dementia program.
Extended Leave is where the care recipient has been on either alternative care leave or other leave for over 28 days (56 days if the person is deemed to have been on leave for both alternative care and other reasons).
Flexible Care Subsidy is a subsidy payable under Part 3.3 of the Aged Care Act 1997. This subsidy supports EACH and EACHD places. Guidelines for the Flexible Care Subsidy in the form of EACH and EACHD are covered in the Flexible Care Subsidy Principles 1997 and Clause 2 of the Payment Agreement (which is the form of agreement an EACH or EACHD provider enters into with the Australian Government). Funding for the EACH program is provided through the Flexible Care Subsidy. An approved provider is eligible for Flexible Care Subsidy if they hold an allocation of places for Flexible Care Subsidy and provide flexible care to a care recipient (refer section 50-1 of the Act) assigned to an allocated place.
Home and Community Care (HACC) is a joint Australian, State and Territory Government initiative. The program delivers high-quality, affordable and accessible services in the community that are essential to the well-being of older Australians, younger people with a disability and their carers. The HACC Program provides services such as domestic assistance and personal care, as well as professional allied health care and nursing services, in order to support these people to be more independent at home and in the community and to reduce the potential or inappropriate need for admission to residential care.
High Level Residential Care is for residents who meet the eligibility requirements for high level care under the Aged Care Act 1997 and are approved as such by the Delegate of an Aged Care Assessment Team.
Leave: A care recipient is considered to be on leave from the program if they request to not receive services for more than five consecutive days.
Low Level Residential Care is for residents who meet the eligibility requirements for low level care under the Aged Care Act 1997 and are approved as such by the Delegate of an Aged Care Assessment Team.
NRCP refers to the National Respite for Carers Program funded by the Australian Government to provide support for carers of frail, older people and people with disabilities.
NRCP Care Recipient is the individual being cared for by a carer who is a client of the NRCP. Some NRCP care recipients may also be approved packaged care recipients.
NRCP Carer receives respite funded by the Australian Government’s National Respite for Carers Program (NRCP).
Occupied Place refers to a place that was allocated during the Aged Care Approvals Round, has become operational, and has been filled by a person in receipt of care.
Operational Place refers to a place that was allocated during the Aged Care Approvals Round and has since become available for a recipient.
Packaged Care Carers (See definition: Carer of Packaged Care Recipient.)
Packaged Care Recipient is a recipient of approved package of community aged care (CACP, EACH, or EACHD) subsidised by the Australian Government. This does not include packaged care recipients who pay for their entire service using private funds, or who receive services on a casual basis.
Primary Carer is the person who provides the most informal (unpaid) care on an ongoing basis to the care recipient. This can include coordination of formal care but excludes formal care services such as care or assistance provided by paid workers or volunteers arranged by formal services.
Service Outlet is the physical location from which CACP, EACH, or EACHD funded assistance is delivered to care recipients, and/or, from which NRCP-funded respite services are delivered to carers. It is the location that the service coordinator and any support staff use as a base for home visits to care recipients and/or carers, and to liaise with other services that provide assistance to their clients.
Service Provider is the parent entity of a service outlet. This includes organisations funded to deliver services through community aged care as determined under the Aged Care Act 1997 or the NRCP as agreed in the NRCP Services Funding Agreement. Depending on the scale of the organisation, the service provider and service outlet may be the same physical entity.
Subsidy Payment refers to any payment made in accordance with the Community Care
Principles and the Flexible Care Subsidy Principles of the Aged Care Principles 1997.
Supplementary Care Recipient is a person who temporarily receives CACP, EACH or
EACHD care and for whom a subsidy is not received. A temporary capacity to deliver a package may occur because the recipient of an operational place is absent on leave or in hospital.
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