1. Forgotten Australians and Access to Care and Support
Presented by Anne Livingstone
Practical resourcing and capacity building for the community sector

2. Contributors Final Year QUT Nutrition/ Dietetic Students Duy Nguyen
Megan Gracey
Liliana Botero

3. Aged Care Act 1997 - Special needs groups
Under the Aged Care Act 1997, people with special needs include people who identify with or belong to one or more of the following groups:
·       people from Aboriginal and Torres Strait Islander communities;
·       people from non-English speaking (culturally and linguistically diverse) backgrounds;
·       people who live in rural or remote areas;
·       people who are financially or socially disadvantaged;
·       people who are veterans, including the spouse, widow or widower of a veteran;
·       people who are homeless, or at risk of becoming homeless;
·       people who are care leavers; and/or
·       people from the Lesbian, Gay, Bisexual, Transgender and Intersex community.
While not a separate special needs group under the legislation, all home care providers should also have policies and practices that address the provision of care for people with dementia.

4. Under the Aged Care Act Carer Leavers are defined as
‘Care-leaver’ is defined as a person who was in institutional care or other form of out-of-home care, including foster care, as a child or youth, or both, at some time during the 20th century.  
‘Institutional care’ refers to residential care provided by a government or non-government organisation. This is explained as including, but not being limited to, institutions such as any of the following:
(a) orphanages; (b) children’s homes; (c) industrial, training or farm schools; (d) dormitory or group cottage houses; (e) juvenile detention centres;
(f) mental health or disability facilities.
Explanatory Statement issued by the Authority of the Minister of Aging Age Care act Allocation Amendment Principals 2009

5. Home Care Packages
Provides packages of care and services to meet higher level care needs and helps you live independently in your home. 
Allows you to tailor a co-ordinated range of care and services to help you meet your care needs and achieve your goals. 
Where the Commonwealth Home Support Programme (CHSP) provides entry level services, the Home Care Package Programme provides a more comprehensive and tailored range of care and services for older people with higher level care needs.

6. Home Care Package Services
Personal services (bathing, showering, toileting)
Nutrition, hydration, meal preparation and diet
Continence management
Mobility and dexterity
Nursing, allied health and other clinical services
Transport and personal assistance
Management of skin integrity 

7. Home Care Package Eligibility
You may be eligible for a home care package if you are:
An older person who needs coordinated services to help you to stay in your home
A younger person with a disability, dementia or other special care needs that are not met through other specialist services.
Assessment for a home care package
Aged Care Assessment Team (ACAT) will determine which package best suits the needs of the person
There are 4 levels of packages

8. Home Care Package Levels
Level 1 - basic care needs
Level 2 - low-level care needs
Level 3 - intermediate care needs
Level 4 - high-level care needs.
Each level of home care packages provides a different subsidy amount. This amount is paid to your selected approved home care provider but provided in a consumer directed way.

9. Home Care Packages Funding Levels
4 levels of Home Care Package
Dementia & Cognition Supplement
Veterans Supplement
All HCPs delivered as Consumer Directed Care (CDC) since July 2015

10. Priority Access to Aged Care and Home Care Packages
People on a waiting list do not necessarily access care purely on a “first come, first served” basis.  Home care providers are encouraged to assess each individual’s care needs relative to others also waiting for home care.  They must also take into account any conditions of allocation for the package, including priority of access for people from special needs groups.

11. The Commonwealth Home Support Program
Target groups for the Commonwealth Home Support Programme are:
Frail, older people (aged 65 years and over or 50 years and over for Aboriginal and Torres Strait Islander people) and who need assistance with daily living to remain living independently at home and in the community
Frail, older Commonwealth Home Support clients aged 65 years and over (50 years and over for Aboriginal and Torres Strait Islander people) will be the direct service recipients of planned respite services, which will allow regular carers to take a break from their usual caring duties
People aged 50 years and over on a low income who are homeless or at risk of homelessness as a result of experiencing housing stress or not having secure accommodation
Grant recipients funded under the Commonwealth Home Support Programme and their service delivery client base

12. The Commonwealth Home Support Program
Will recognize people with cultural or other special needs with appropriate services which reflect the diversity of the population
The Commonwealth Home Support Programme recognises the special needs groups, which align with those identified under the Aged Care Act 1997

13. National Disability Insurance Scheme
“The NDIS will provide about 460,000 Australians under the age of 65 with a permanent and significant disability with the reasonable and necessary supports they need to live an ordinary life”

14. Criteria for NDIS Plan
Have a permanent disability that significantly affects their ability to take part in everyday activities;
Be aged less than 65 when they first enter the NDIS;
Be an Australian citizen or hold a permanent visa or a Protected Special Category visa;
Live in Australia where the NDIS is available

15. Healthcare funded by NDIS
Aids and equipment (hearing aids, wheelchairs)
Prosthetics and artificial limbs
Home modifications
Personal care/domestic assistance
Allied health and other therapy where this is required as a results of the participants impairment
Physiotherapy
Speech therapy
Occupational therapy
Dental care is not funded by the NDIS

16. Healthcare funded by NDIS
time limited services are the responsibility of the healthcare system and are not covered by the NDIS. E.g.:
Rehabilitation
Restoring health
GP visits
Time in hospital
Dietitian
Psychologist
Exercise Physiologist

17. Thank You For Listening
For further information
Anne Livingstone