May 13, 2026

Budget 2026 leaves aged care’s biggest pressures unresolved, sector figures warn

Budget 2026 leaves aged care’s biggest pressures unresolved, sector figures warn

When Treasurer Jim Chalmers delivered the 2026 Federal Budget on Tuesday night, the government made sure the headline number landed hard: $3.7 billion for aged care.

On paper, it is one of the most significant aged care investments in recent years. New residential beds, dementia care expansion, Support at Home refinements, and the removal of out-of-pocket costs for basic personal care services all gave the government strong talking points.

But less than 24 hours after the budget was handed down, key voices across the aged care sector are warning that some of the system’s most urgent problems remain untouched, underfunded, or simply pushed further down the road.

For older Australians waiting months for assessments, stuck on home care queues, or trying to navigate increasingly complex support systems, the sector says this budget may have delivered headlines, but not enough practical relief.

Home care waitlists remain the elephant in the room

Among the strongest criticisms came from Older Persons Advocacy Network, which described the budget as a “missed opportunity” to deliver meaningful reform.

While OPAN welcomed measures such as removing out-of-pocket costs for showering, dressing and continence support under Support at Home, the organisation said the government failed to address one of the most pressing issues facing older Australians: access.

According to productivity data cited by OPAN, the median time to receive an aged care assessment has increased from 22 days to 27 days. More concerningly, the time between a successful assessment and actually receiving services has blown out to 245 days, up from 118 days.

OPAN Director of Policy, Education and Systemic Advocacy Samantha Edmonds said older people cannot continue to wait.

“This is disappointing news for the sector and older people, especially since we have an ageing population, with more people projected to need government funded assistance going forward,” Ms Edmonds said.

“We cannot risk having older people be denied vital support or be forced to wait more than eight months for funding, because of red tape or a computer algorithm assessing their care needs incorrectly.”

The government committed $389.8 million to Support at Home refinements, but crucially, it remains unclear how much of that funding will actually translate into new care packages.

That uncertainty matters because the waiting list continues to grow.

More than 200,000 older Australians still waiting

Ageing Australia said the budget failed to confront what it called an emerging national crisis in home and community care.

The organisation said more than 200,000 older Australians are either waiting for a Support at Home package or waiting simply to be assessed.

Ageing Australia Chief Executive Tom Symondson said the funding announced does not come close to what is needed.

“This is fast approaching a national emergency,” Mr Symondson said.

“This funding clearly won’t meet increased demand over the next 12 months, let alone clear the backlog.”

He warned that long delays in accessing support increase the likelihood older people will deteriorate, end up in hospital, or enter residential aged care earlier than necessary.

Ageing Australia also raised concerns about the complete absence of new funding for the Commonwealth Home Support Program, which currently supports more than 840,000 older Australians and is already operating at capacity.

For providers on the ground, that means demand is still far outstripping supply.

Concerns remain over the government’s assessment algorithm

One of the more technical, but increasingly controversial, issues left unresolved in the budget is the Integrated Assessment Tool.

The digital tool helps determine an older person’s eligibility and priority for government-funded aged care services, but advocates have repeatedly raised concerns about its accuracy and lack of clinical oversight.

OPAN said it was disappointed the budget did not include changes allowing assessors to override the algorithm where clinical judgement suggests a different outcome.

As aged care becomes increasingly digitised, advocates say older Australians should not have their support determined solely by software.

Dementia investment welcomed, but community support still lacking

Dementia Australia broadly welcomed the government’s dementia spending, including around $200 million to expand Specialist Dementia Care units and the Hospital to Aged Care Dementia Support Program.

Additional funding for respite grants and dementia monitoring was also seen as positive.

But Dementia Australia Chief Executive Tanya Buchanan said the funding still falls short of what is needed to prepare for Australia’s rapidly growing dementia burden.

“There are an estimated 446,500 Australians living with dementia in 2026,” Professor Buchanan said.

“Without significant additional investment services will not be able to keep up with escalating needs.”

Dementia is now the leading cause of death in Australia, yet advocates say much of the funding remains concentrated in crisis and residential care settings, rather than helping people remain supported in the community.

That matters because two in three people living with dementia are believed to still be living at home.

Workforce silence remains striking

Perhaps one of the biggest omissions in the budget is what was not said at all.

Despite aged care’s ongoing staffing shortages, providers and advocacy groups say there was little in the budget to address workforce pay, recruitment pipelines, training, or retention beyond previously announced commitments.

This remains one of the sector’s most persistent structural problems.

New residential beds and additional care packages may sound impressive politically, but without enough qualified staff to deliver that care, sector leaders say those promises risk becoming little more than numbers on paper.

The real test begins now

The 2026 budget gives the government plenty to point to when talking about aged care reform.

But the reaction from the sector tells a more complicated story.

Older Australians may no longer have to pay out of pocket for showering or dressing support. More dementia beds may eventually come online. Additional residential places may be built.

But for the older person waiting eight months for an assessment, the family carer trying to secure support, or the provider turning away vulnerable clients because no packages exist, this budget may not feel like reform at all.

It may simply feel like more waiting.

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