Australian aged care system – guide to Australian Government subsidised aged care services Home support assessment and some home support services may be different in Western Australia. My Aged Care assists older people in Western Australia to access home support assessment services. The Department of Veterans’ Affairs also provides Australian Government subsidised aged care services.
Service types funded Meals Other food services Transport Domestic assistance Personal care Home maintenance Home modifications Social Social (formerly centre-based day care) Nursing Allied health and therapy services Goods, equipment and assistive technology Specialised support services Flexible respite: In-home day respite In-home overnight respite Community access – individual respite Host family day respite Host family overnight respite Mobile respite Other planned respite Centre-based respite Centre based day respite Residential day respite Community respite Cottage respite (overnight community) Assistance with care and housing Sector support and development activities Home and Community Care — Victoria and Western Australia In 2015-16, the Victorian and Western Australian HACC programs provided services for older Australians needing support, as well as younger people with a disability. HACC provides support services for eligible older consumers and their carers to assist them to continue living independently at home. Support services include: social support and counselling; respite care and centre-based day care; transport; domestic assistance and home maintenance; home modifications; nursing and allied health care; personal care; meals; goods and equipment; and
Average EBITDA per resident per annum $9,274 $8,660 $9,224 $10,222 $11,134 EBITDA margin 11.8% 10.6% 10.7% 11.2% 11.6% NPBT margin 5.6% 4.3% 4.9% 5.8% 6.2%
The 2016 Survey of Aged Care Homes estimated that a total of $1.6 billion in new building, refurbishment and upgrading work was completed during 2015-16, involving about 24 per cent of all homes. The amount of new building work in progress at the end of June 2016 was estimated at $2.9 billion, involving about 17.8 per cent of all homes. In 2015-16 there was a decrease of $184 million (-11 per cent) in completed new building, refurbishment and upgrading work compared with 2014-15. However, there was an increase of $900 million (43 per cent) in work-in-progress during the same period. ACFA notes that the total spend on building activity was 18 per cent higher in 2015-16 at over $4.5 billion, compared with around $3.8 billion reported in 2014-15 (Chart 10.8). ACFA concludes that investors are continuing to respond positively to the 1 July 2014 reforms and are showing interest in investments that leverage the ageing demographic. Residential aged care building activity, 2013-14 and 2015-16 Building and construction statistics Chart 10.9 shows the proportion of homes planning to either rebuild or upgrade over the period 201314 to 2015-16. The proportion across 2014-15 and 2015-16 is relatively stable. Proportion of homes planning to either upgrade or rebuild in 2013-14 and 2015-16 As was the case in last year’s report, building statistics data from the Australian Bureau of Statistics are showing strong signs of investment in the sector. There were 395 building approvals for aged care homes in the 12 months up to the end of February 2017, up from 372 for the same period up to February 2016 (Chart 10.10). Residential aged care building approvals, 2011-12 to 2016-17 Note: Dates are from March to February The value of building approvals has decreased, with average monthly total building approvals for aged care services in the 12 months to February 2017 being $149 million per month, compared with $168 million (per month) in the previous 12 months (Chart 10.11). Number of building approvals by value of building work, 2012-13 to 2016-17
Financial performance with government owned providers included and excluded, 2015-16 Totals Averages (per provider) All providers (949) Government providers (99) Providers excl government (850) All providers Government providers Providers excl government Total Revenue $17,171.8 m $928.8 m $16,243.1 m $18.1m $9.4m $19.1m EBITDA $1,984.9m ($98.1m) $1,984.9 $2.1m ($1.0m) $2.3m EBITDA p.r.p.a $11,134 ($12) $11,658 NPBT $1,062.8m ($86.6m) $1,149.4m $1.1m ($0.9m) $1.4m NPBT p.r.p.a $5,962 ($10,835) $6,751 EBITDA margin +11.6% 0% +12.2% NPBT margin +6.2% (11.0%) +7.1% # with + EBITDA 790 49 741 # with +NPBT 653 31 622
Conditional Adjustment Payment - - - Veterans’ supplement $6.78 $6.88 $6.98 Homeless supplement $15.49 $15.72 $15.94 Dementia and Severe Behaviours supplement - - *These supplements are payable in respect of eligible residential respite care recipients. Table I.3: Residential aged care supplements (accommodation and hotel related) Residential care 20/03/16 20/09/16 20/03/17 Higher Accommodation supplement - newly built or significantly refurbished services $54.29 $54.39 $55.09 Accommodation supplement - services that are not newly built or significantly refurbished but do meet set building requirements $35.37 $35.44 $35.90 Accommodation supplement – services that are not newly built or significantly refurbished and don’t meet set building requirements $29.74 $29.79 $30.17 Concessional resident supplement (concessional and assisted residents) - newly built or significantly refurbished services $54.29 $54.39 $55.09 Concessional resident supplement (concessional residents) – services that are not newly built or refurbished $21.63 $21.67 $21.95 Concessional resident supplement (assisted residents) - services that are not newly built or significantly refurbished $8.90 $8.92 $9.03 Transitional Accommodation supplement – residents who entered low level care after 19 March 2008 and before 20 September 2011 After 19 March 2008 and before 20 September 2010 $8.11 $8.12 $8.22 After 19 September 2010 and before 20 March 2011 $5.41 $5.41 $5.48 After 19 March 2011 and before 20 September 2011 $2.70 $2.71 $2.74 Transitional supplement $21.63 $21.67 $21.95 Basic Daily Fee supplement $0.56 $0.56 $0.57 Respite supplement – high level is equal to or greater than 70% of the specified proportion of respite care for the approved provider. $88.70 $88.87 $90.01 Respite supplement – high level is less than 70% of the specified proportion of respite care for the approved provider. $52.13 $52.23 $52.90 Respite supplement – low level $37.19 $37.26 $37.74