The federal government last week released its annual report on the operation of the aged care sector, providing a useful snapshot of a sector in the middle of significant reform.
The report reveals the government spent $2.1 billion to support the sector through the pandemic, and overall spent $23.6 billion on aged care.
The government spent $14.1 billion on residential aged care and $4.2 billion on home care.
On 30 June 2021, there were 830 approved aged care providers operating 2,704 aged care homes across Australia.
Around 1.5 million Australians use aged care services, with 243,117 people living in residential aged care in the 2020-21 year and 183,894 living in aged care homes as of 30 June 2021.
More than half – 52.3% – of all aged care residents with an ACFI assessment were assessed as having a dementia diagnosis.
More than two-thirds of Australians who use aged care services receive support at home, either through a home care package or the CHSP.
There were 939 approved providers of home care services and more than 1,430 organisations delivering CHSP services as of 30 June 2021.
A total of 212,293 Australians received care through a home care package as of 30 June 2021, and 825,383 were receiving support through the CHSP.
More than one-third (38.2%) of the 2020-21 reviews resulted in reduced funding (431 cases). Two reviews (0.2% of reviews) resulted in increased funding.
The ACFI funding model is being replaced by the AN-ACC model, an evidence-based model that bases funding on the cost of providing aged care services. The AN-ACC model requires less staff input than the ACFI model, according to the government’s report.
From April 2021, shadow AN-ACC assessments have been taking place in parallel to ACFI assessments.
ACFI assessment will stop from 1 October 2022, from which time only AN-ACC assessments will be conducted, as that model becomes the aged care funding mechanism.