https://www.legislation.gov.au/Latest/F2015L02125 https://www.legislation.gov.au/Latest/F2016C00050 https://www.legislation.gov.au/Latest/F2015C00623 https://www.legislation.gov.au/Latest/F2014L00697 https://www.legislation.gov.au/Latest/F2015C00075 https://www.legislation.gov.au/Latest/F2014L00810 https://www.legislation.gov.au/Latest/F2014L00803 https://www.legislation.gov.au/Latest/F2016C00049 Copies of the legislation and any amendments to it can be found on the (https://www.legislation.gov.au/). Attachment B - Comparative table of Commonwealth funded / subsidised aged care services Eligibility Related Information Restorative Care Programme Commonwealth Home Support Programme Transition Care Residential Respite Care Aim of care To reverse and/or slow ‘functional decline’ with the aim of improving care recipient wellbeing. To support older people to be more independent at home and in the community and to prolong their entry into longterm ongoing care. To facilitate a continuum of care for older people who have completed a hospital (acute or sub-acute) episode. To provide an alternative care arrangement with the primary purpose of giving a carer or care recipient a break from their usual care arrangements. Type of place under the Aged Care Act 1997 Flexible Care. Not Applicable. Flexible Care. Residential Care. Type of support High intensity short term early intervention support. (Usually) low intensity (low volume) long term support. Goal-oriented, time-limited and therapy focused (low intensity) following a hospital stay. High or low level respite care.
Type of Assessment ACAT assessment in a home care setting. RAS assessment in a home care setting. ACAT assessment in an acute or setting. ACAT Assessment in a home care setting. of reablement provided Multidisciplinary team care / support and services which could include GP / geriatrician and allied health professionals. Aimed at actively promoting and self-sufficiency by providing interventions that support the care recipient to make the most of their own capacity and achieve their full potential. Supports provided to the recipient in their home, could include training in a new skill, modification to a person’s home environment or having access to equipment or assistive technology. Services may include: in-home or community linked exercise and daily activity programme strategies to reduce falls education on the use of medication information to manage chronic disease, including improved ways of Transition care provides older people, at the conclusion of a hospital episode, with a package of services that includes low intensity therapy such as physiotherapy and occupational therapy, as well as social work and nursing support or personal care. The services are designed to meet a client’s daily care needs and provide additional therapeutic care to enable the client to maintain or improve their physical, cognitive and psychosocial functioning after hospital discharge. Any services provided through full time residential care are available in residential respite. The services can include hotel services, assistance with daily living, recreational therapy, meals and refreshments, access to treatments and assistance in obtaining further services. management.
Core Eligibility Requirements An elderly person who is experiencing ‘functional decline’ that is likely to be reversed and/or slowed by STRC. A frail, older person who has difficulty performing activities of daily living without help due to functional limitations. An elderly person, who has completed an episode of acute and/or care, and has the capacity to benefit from additional care to complete their restorative process and optimise their physical and cognitive functional capacity. People who meet the eligibility criteria for approval for residential care and who need respite care are eligible for approval for residential respite care. Period of care Time-limited Up to 8 without extension. Not time limited. NB: CHSP restorative care service type is as a targeted short-term intervention to address a particular functional deficit. Time-limited Up to 12 weeks with possibility of extension. Time-limited 63 days can be used per financial year (with the possibility of an extra 21 days accessible via ACAT Care Environment Provided in a home care setting or a residential care setting, or a combination of both. Provided in a home care setting. NB: CHSP restorative care service type can also be provided in a clinic, at a day centre, a group environment or other community setting. Provided in a home care setting or a residential care setting, or a combination of both. Provided in a residential care setting. Time Out Provisions Care recipients can take up to 7 days leave from the placement. No leave arrangements. No leave arrangements. Not applicable due to care type. limited
Approval Extension Provisions No extension provisions. No extension provisions. Must be by ACAT as requiring an extension which can be up to a maximum of 6 weeks. Must be by ACAT as requiring an extension can be up to a maximum of 21 days. Approval Lapsing Provisions Approval and entry eligibility will lapse six months from the date of the ACAT approval. No lapsing provisions. Approval and entry eligibility will lapse if care isn’t utilised within 4 weeks of approval. An approval for residential respite care will not lapse but can expire if it is time or revoked. Core Ineligibilities A person is ineligible if they already receiving aged care provided under the Act; or has received flexible care in the form of transition care within the six months prior to the date of assessment. Generally CHSP services should not be provided to people who are already receiving other services that provide similar service types to those funded through CHSP. A person is ineligible if they are not entering the programme directly upon discharge from hospital. Permanent residents of a residential aged care service cannot be approved for residential respite care in another aged care service. Attachment C - Examples of possible Multidisciplinary Team Members Either a GP or a Geriatrician must always be on the Multidisciplinary Team so as to identify any underlying medical condition. Other professionals include (but are not limited to) Registered Nurse Orthotist Audiologist Pharmacist Community health worker Physiotherapist Dental hygienist