HACC in Victoria & National Reform Jane Herington PSM Director, Ageing and Aged Care, Department of Health Victoria.

HACC in Victoria & National Reform  National Disability Insurance Scheme (DisabilityCare Australia) - agreement between the Victorian and Commonwealth Government  included an agreement to broader revision of roles and responsibilities for people 65 and over and people aged under 65 (and indigenous people over/under 50)  The Agreement will affect the HACC Program in Victoria, which is currently funded by both the Victorian and Commonwealth Government  the program will be split, with funding and management of services for people over 65 transferring to the Commonwealth  The Heads of Agreement state that: “the Commonwealth and Victoria will work together to retain the benefits of Victoria’s current Home and Community Care service system.”

Timelines  Transition being overseen by a CW/State Steering Group  Commonwealth PM&C, Treasury, DoHA  Victorian P&C, DTF, DH  First meeting to discuss terms of reference and timelines for transition plan – June 2013  Transition plan agreed (and approved by Victorian Cabinet) early- mid 2014 – key milestones, funding and activities agreed  Transition implementation activities over  identification of agency splits – funding for over/under 65 y.o clients  agreement around other funding types – FSR, SSR and projects  integration/interface with C’w Home Support Program  C’w funding agreements for service delivery agencies commence 1 July 2015  C’w Home Support Program intended to commence 1 July 2015

Impacts  What will be the impact in the short term?  no immediate impact on HACC clients or service providers  seeking undertakings about current service delivery arrangements (“stable state”)  transition plan will document milestones to enable agencies to make decisions and to plan for change  What will happen over the next 2 years to 30 June 2015?  HACC will continue to be funded jointly by the Commonwealth and Victorian Governments and managed by the Victorian Department of Health  decisions about growth funds and indexation each year will continue to be taken by both Governments in the context of their respective Budgets  growth consultations for to commence next two weeks  DH will continue to pursue the directions in Victoria’s Triennial Plan

Key elements of Steering Group considerations  “ The CW and Victoria will work collaboratively to ensure successful communication and implementation of the transition of HACC and related services for older people in Victoria from 1 July 2015.”  “The CW and Victoria will work together to retain the benefits of Victoria’s current HACC service system.”

Commonwealth/State discussions to include:  The unique arrangements for HACC in Victoria  How Victorian HACC will inform development of Commonwealth Home Support Program  introduced from July 2015 in all states  future integration/interface issues with Victorian HACC  Financial arrangements, including  split of funds over/under 65  budget neutrality (neither govt better or worse off as a result)  pricing issues  relationship with related programs and NDIS

Victoria’s view of the benefits of the Victorian HACC system  significant role and involvement of local government in HACC  local government role in positive ageing, planning for age- friendly communities and community support services  Partnership approach to developing and managing service system  Local area planning and population based resource allocation  Framework and structure of assessment (inc. care planning, care coordination)  Range of services available, including investment in community nursing and allied health  Victoria has spent more on home nursing and allied health than any other jurisdiction

The benefits of the Victorian HACC service system (cont.)  Focus on HACC as locally connected prevention and support services  Policy directions, including wellness and reablement; diversity planning  Sector wide service development  eg. statewide training; ASM industry consultants; access and equity for CALD and ATSI; wound care management; regional planning and projects  Relationships between health services, community health and community aged care to provide more integrated services for older people  Service coordination encouraging electronic referral protocols and networked services working together around the client  Investment in infrastructure  eg. local government buildings, transport vehicles, Community Chef, workforce, funding for minor capital

Towards a Victorian position  Maintain stable and planned platform  Continuation of base funding to existing providers  exc. underperformance/closure and new types of services  Schedule F to NHA included undertaking to ‘not substantially alter service delivery mechanisms for period of 3 years, and “there is no requirement for services to be delivered under competitive tender processes”  Growth funds continue to be directed into key services and sectors, on equitably planned basis  note recent C’w advertising of growth in other jurisdictions  Continued investment in community nursing and allied health – consideration being given to retention by State  Retention of current network of HACC Assessment Services  interacting with national Gateway service, and maintaining face to face assessment where appropriate

Towards a Victorian position (cont.)  Recognise role of ACAS in both health services and aged care services, and build on existing links with HAS  Embedding ASM approach to reablement objectives – building on Victoria’s participation in NAF trial  Consultative planning (C’w, State, Local Govt, service providers)  Seek C’w to endorse evidence-based approach to resource allocation  recognising existing service networks, demand pressures and rates of older population growth, and allowing for population diversity  Develop mechanism for continued sector wide service development initiatives  Discuss C’w approach to program management

What does this mean?  Discussions with C’w will continue  Significant work to be undertaken by DH/DoHA, reporting to Steering Committee  Bilateral discussions re design of Commonwealth Home Support Program – proposing C’w/State workshop  Context is a national approach to delivery of CHSP and need to rationalise very different (prior) approaches in different jurisdictions  C’w response to our propositions yet to be tested

Next steps  Further engagement  peak bodies stakeholder group meeting 25 July -MAV, RDNS, ECCV, VACCHO, NDS, LASA, AAV, CarersVic, VHA, AMA, GPV, PCP Network - development of position paper for endorsement  Joint communication with DoHA to the sector  Regional forums  Suggested DoHA meeting with local government  Transition Team established - Calvin Graham, Deb Warren, Sarah Wilson  Transition information will be posted at: