TRUST … and ascendency of the Regulatory State Professor Tracey McDonald RSL LifeCare Chair of Ageing Australian Catholic University Sydney Melbourne Brisbane Ballarat Canberra

Perceptions of TRUST Inevitability of change Trust in ourselves and our abilities Convenient truths and labelling Interpreting government regulation of the aged care industry in Australia Sydney Melbourne Brisbane Ballarat Canberra

The nature of regulatory control Why regulate? Generating acceptable outcomes Risk amelioration The control continuum Regulatory controls on aged care industry: Occupational licensing Business licensing Work practices, plant and equipment Multiple jurisdictions Sydney Melbourne Brisbane Ballarat Canberra

Regulatory concerns Command and control approach Corporate risk management Internal control systems Compliance issues –Interpretation of compliance –Negotiation of meaning –Indirect costs to industry Sydney Melbourne Brisbane Ballarat Canberra

Regulatory concerns Cost of compliance risk management –Corporate Governance and due diligence –Medicare Australia –Aged Care Assessment Teams –Department of Health and Ageing –Conditional Adjustment payment –Office of Quality and Compliance – Complaints Investigation Scheme –Aged Care Standards and Accreditation Agency –Police Department –State and local government regulations Sydney Melbourne Brisbane Ballarat Canberra

What changes are needed? What existing federal regulations need to be phased out or changed? What existing federal regulations need to be phased out or changed? What free market, open-access policies could be introduced to overcome current anomalies? What free market, open-access policies could be introduced to overcome current anomalies? Does government ‘grand-parenting’ undermine efficiency in the industry? Does government ‘grand-parenting’ undermine efficiency in the industry? Should all aged care be privatised? Should all aged care be privatised? Next steps? Sydney Melbourne Brisbane Ballarat Canberra

CONCLUSION THANK YOU Tracey McDonald RN PhD Tracey McDonald RN PhD Professor of Ageing Sydney Melbourne Brisbane Ballarat Canberra