2015 WA HACC Community Consultations South West Region Welcome - - PowerPoint PPT Presentation

2015 WA HACC Community Consultations

South West Region

Welcome & Overview

• Overview for today
• The HACC Planning Process
• Group discussion and feedback
• Break
• Regional planning and data
• Group discussion and feedback
• Summary

HACC Program Planning

• Three year planning cycle
• WA HACC Program Plan (Triennial Plan)
• Outlines strategic objectives
• Every third year
• Outlines:
• Need/evidence
• Reforms
• Strategic direction
• Evaluation/Research projects

Program Planning

• Annual Supplement
• Each year
• Outlines planned funding
• Includes:
• Budget, Expenditure, Funding
• Any amendments to Triennial Plan

Program Reporting

• HACC Business Report
• Reports actual activity and funds against

planned activity and funds

• Produced annually
• Submitted to the Commonwealth

Government

South West Region

2013-14 Service Groups Planned Funding $ (PYE) Planned Outputs Units (PYE) Actual Funding $ Actual Outputs Units (PYE) Unit Price $ % Actual Funding/Plan Funding (PYE) % Actual Outputs/Plan Outputs (PYE) Service Group 1 Domestic assistance $3,880,236 94,212 $4,061,753 83,908 104.7% 89.1% Personal care $1,837,490 31,288 $1,976,158 29,751 107.5% 95.1% Social support $2,130,562 59,995 $2,320,726 48,475 108.9% 80.8% Home maintenance $1,556,686 35,115 $1,663,172 30,217 106.8% 86.1% Respite care $334,057 8,391 $342,198 2,641 102.4% 31.5% Other food services $182,907 4,977 $243,622 1,031 133.2% 20.7% Total: $9,921,936 233,976 $10,607,629 196,023 $54.11 106.9% 83.8%

Program Reporting

Government Funding Arrangements

• Offer of funding from the Commonwealth

Government

• Is matched by the State Government 40:60
• In 2014/15 total funding was $288m
• Approx $21.6m more than 2013/14

Government Funding Arrangements

• The base funding for continued service

delivery in 2014/15 was $264.1m

• The cost indexation to maintain current

service delivery was $9.2m

• Therefore in 2014/15 real growth allocation

was $12.4m

Regional Funding Allocations

• An Equity Model is used and is based on
• Existing regional allocations
• Client numbers/ New clients
• Adjustment for distance and isolation
• Identified priorities/unmet need
• Planned reforms

Regional Priority Setting

• 1. Needs analysis using data sources:
• WA HACC MDS
• Other HACC Program information
• ABS statistics
• Information about other related programs

Regional Priority Setting

2. Consultation: two types of consultation

• Major Consultation
• Every 3 yrs
• Data presentation and discussion in each region
• Minor Consultation
• Other years
• Regional forums/Network meetings
• RAS
• Input from service providers via ongoing feedback

with Project officer

Priority Setting – In Summary

Setting of regional priorities

Needs analysis Consultation

Strategic Direction State and National Reforms

Funding Allocations

• Breakdown of regional dollar allocations

according to service group priorities

• Where specific gaps are identified, growth

may be targeted:

• Geographically – to sub-region, LGA level
• Target groups – Dementia, CALD, etc.
• Specific times – after hrs, weekends,

holiday periods

Funding Allocations

• Priorities and targets are advised through:
• Growth Funding Application (GFA) package
• Triennial Plan / Annual Supplement

Growth Funding Process

• Service providers apply for funding against

the regional priorities/targets

• Project officers review applications and

make recommendations to Senior HACC Officials

• A State Government approval process is

carried out followed by a Commonwealth Government noting process

Timelines for 2015/16 Planning Cycle

15/16 Growth Funding Released

December 2015

Growth Funding Processes

August/Sept 2015

GFA Released

Late May 2015

Regional Allocations Set

May 2015

Priorities Set

May 2015

Consultation

Late Feb to Early May 2015

Needs Analysis

Jan/Feb 2015

Group Discussion

Consider any potential or current gaps in service delivery

• Focusing on:
• 1. Access to HACC Services
• After hours
• Weekends / Public holidays
• Christmas / New Year break
• 2. Reach of services and any regional or

location gaps

Group Discussion

• 3. Impact of CDC, other Aged Care Reforms

and My Way

• Introduction of level 1,2,3 & 4 packages
• Large allocations of packages in ACAR
• Package care and HACC
• Impact of My Way
• 4. Sector Support via CommunityWest
• Current sector support
• Future sector support needs

2015 WA HACC Community Consultations

South West Region

Population

• WA = 2,557,230
• Aged 65+ = 341,960
• Under 65 = 2,215,269
• South West = 189,495
• Aged 65+ = 26,520
• Under 65 = 162,975
• South West as proportion of WA = 7.41%
• Aged 65+ = 7.76%
• Under 65 = 7.36%

(Source: ABS Estimated Resident Populations for WA 2014)

Population

Upper South West Population % Under 65 % 65+ Bunbury 37,020 84.2% 15.8% Capel 17,950 91.6% 8.4% Collie 9,825 85.2% 14.8% Dardanup 16,540 88.1% 11.9% Donnybrook-Balingup 5,935 85.1% 14.9% Harvey 28,865 88.0% 12.0% TOTAL 116,135 87.0% 13.0%

(Source: ABS Estimated Resident Populations for WA 2014)

Population

Warren-Blackwood Population % Under 65 % 65+ Boyup Brook 1,815 82.4% 17.6% Bridgetown-Greenbushes 5,330 81.5% 18.5% Manjimup 10,865 84.6% 15.4% Nannup 1,415 77.7% 22.3% TOTAL 19,425 83.0% 17.0%

(Source: ABS Estimated Resident Populations for WA 2014)

Population

South West Coastal Population % Under 65 % 65+ Augusta-Margaret River 14,515 86.9% 13.1% Busselton 39,420 84.2% 15.8% TOTAL 53,935 85.0% 15.0%

(Source: ABS Estimated Resident Populations for WA 2014)

Population Growth

• SW projected population growth
• ~2.4% per year over next 3 years
• ~5.3% per year over next 3 years (65+)
• =~1,450 people per year (65+)

(Source: ABS Population Projections for WA 2014-17)

HACC Client Numbers

• South West Region
• Total Clients = 7,168 (2013/14)
• Carers = 1,966 with 8.1% (n=160) receiving

a service

• Net increase of 433 clients from 2012/13
• Net decrease of 5 carers receiving a service

from 2012/13

(Source: UWA WA HACC MDS Annual Report 12/13, 13/14)

HACC Client Numbers

Upper South West Population % Under 65 % 65+ Bunbury 1,839 20.6% 79.4% Capel 366 27.6% 72.4% Collie 538 17.7% 82.3% Dardanup 476 13.7% 86.3% Donnybrook-Balingup 242 17.8% 82.2% Harvey 847 20.5% 79.5% TOTAL 4,308 19.9% 80.1%

(Source: WA HACC MDS 2013-14)

HACC Client Numbers

Warren-Blackwood Population % Under 65 % 65+ Boyup Brook 164 12.8% 87.2% Bridgetown-Greenbushes 220 24.5% 75.5% Manjimup 602 19.3% 80.7% Nannup 62 19.4% 80.6% TOTAL 1,048 19.4% 80.6%

(Source: WA HACC MDS 2013-14)

HACC Client Numbers

South West Coastal Population % Under 65 % 65+ Augusta-Margaret River 394 16.2% 83.8% Busselton 1,411 15.5% 84.5% TOTAL 1,805 15.7% 84.3%

(Source: WA HACC MDS 2013-14)

HACC Client Numbers

6,060 6,167 6,002 6,640 6,735 7,168 2,024 1,751 1,712 1,804 1,932 1,966 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14

• No. Clients

South West Client Numbers

Clients Carers (Source: UWA WA HACC MDS Annual Reports 08-14)

HACC Client Numbers

• South West
• Client turnover = 2,731 in 2013/14
• 38% turnover
• Client turnover = 2,210 in 2012/13
• 33% turnover
• Client turnover = 2,658 in 2011/12
• 40% turnover

(Source: UWA WA HACC MDS Annual Reports 11/12, 12/13, 13/14)

Demographics

Age

• 2013/14:

South West WA Age Group

• No. of Clients

Percentage Percentage Under 50 yrs 548 7.6% 9.0% 50-64 yrs 849 11.8% 11.5% 65-74 yrs 1509 21.0% 18.6% 75-89 yrs 3688 51.5% 52.0% 90+ yrs 573 8.0% 8.9%

(Source: UWA WA HACC MDS Annual Report 13/14)

Demographics:

Aboriginal & Torres Strait Islanders (ATSI)

• 1.8% Clients in South West (n=130)
• The greatest number and proportion of

clients were in the Upper SW

• 79.2% are 50 years and oer
• There have been fluctuations in recent

years for client numbers in this region

(Source: UWA WA HACC MDS Annual Report 13/14)

Demographics:

Culturally & Linguistically Diverse Backgrounds (CALD)

• Non-English Speaking Country of Birth
• SW = 9.5%
• WA = 18.3%
• Primary Language Spoken at Home

SW WA English 96.2% 92.0% Aboriginal Languages 0.1% 1.0% All other languages 3.6% 6.9%

(Source: UWA WA HACC MDS Annual Report 13/14)

Carers

• 27.4% of SW clients have a carer
• WA average is 27.6%
• 8.1% of carers in SW are receiving HACC

support

• WA average is 17.6%

(Source: UWA WA HACC MDS Annual Report 13/14)

Client Coverage by Service Type

6.8% 57.5% 18.3% 5.9% 11.2% 5.7% 44.1% 1.1% 5.2% 62.0% 15.2% 13.6% 17.2% 11.0% 44.6% 5.4% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Clients

Percentage of Clients in the South West Receiving Each Service Type

SW WA

(Source: UWA WA HACC MDS Annual Report 13/14)

Client Coverage by Service Type

(Source: UWA WA HACC MDS Annual Report 13/14) 33.8% 1.5% 8.4% 14.7% 1.3% 9.6% 3.2% 20.8% 29.4% 24.6% 1.0% 8.0% 13.6% 1.0% 9.4% 8.0% 19.8% 25.5% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0% Clients

Percentage of Clients in the South West Receiving Each Service Type

SW WA

Delivery Intensity by Service Type

11.7 3.1 120 1.4 5.5 8.5 26.4 12.5 16.6 11.2 43.3 43.9 32.4 8.7 2.8 161.6 1.8 5 8.6 29.8 14.9 19.1 23 49.7 79.3 49.1 20 40 60 80 100 120 140 160 180 Hours Delivered

Average Hours of Assistance Received per Client by Service Type 2013-14

SW WA

(Source: UWA WA HACC MDS Annual Report 13/14)

Delivery Intensity by Service Type

1.4 92.5 40.7 1.4 103 49.1 20 40 60 80 100 120 Goods & Equip. Meals Transport Quantity Delivered

Average Quantity of Assistance Received per Client by Service Type 2013-14

SW WA

(Source: UWA WA HACC MDS Annual Report 13/14)

Number of Service Types Received

(Source: UWA WA HACC MDS Annual Report 13/14)

38.6 27.7 15.5 8.9 5.1 2.4 1.2 0.4 0.1 0.1 41.6 24.8 14.9 8.9 5 2.6 1.3 0.6 0.2 0.2

10 20 30 40 50 60 70 80 90 100

1 2 3 4 5 6 7 8 9 10+

• No. Clients (%)
• No. Service Types

Number of Different Service Types being Delivered to Clients

SW WA

Contracted Outputs Delivered Outputs Outputs Met Service Group 1 Domestic assistance 92,259 83,908 90.95% Other food services 6,064 1,031 17.00% Personal care 32,246 29,751 92.26% Respite care 7,957 2,641 33.19% Social support 61,542 48,475 78.77% SubTotal 200,068 165,806 82.87% Service Group 2 Assessment 11,500 12,885 112.04% Client Care Coordination 3,461 581 16.79% SubTotal 14,961 13,466 90.01% Service Group 3 Nursing (home) 16,882 17,074 101.14% Nursing (centre) 200 293 146.50% Allied Health (home) 4,698 2,912 61.98% Allied Health (centre) 3,408 2,764 81.10% SubTotal 25,188 23,043 91.48%

Regional Contracted Outputs

(Source: HACC MDS 2013-14)

Contracted Outputs Delivered Outputs Outputs Met Service Group 4 Centre-based day care 203,911 158,004 77.49% SubTotal 203,911 158,004 77.49% Service Group 6 Meals at home 104,395 54,992 52.68% Meals received at centre/other 20,028 1,150 5.74% SubTotal 124,423 56,142 45.12% Service Group 7 Transport 130,574 86,180 66.00% SubTotal 130,574 86,810 66.00% Service Group 9 CSIA (care recipient) 3,200 2,833 88.53% CSIA (carer) 4,526 905 20.00% SubTotal 7,726 3,738 48.38% Service Group 10 Home maintenance 34,743 30,217 86.97% SubTotal 34,743 30,217 86.97%

(Source: WA HACC MDS 2013-14)

Regional Contracted Outputs

Growth Funding 13/14

Service Type Growth Funding Received Domestic Assistance $85,051 Other Food Services $5,183 Personal Care $35,259 Respite Care $9,558 Social Support $213,668 Allied Health (Home) $72,936 Transport $28,299 Counselling (Carer) $70,368 Home Maintenance $112,407 TOTAL GROWTH $632,729

Growth Funding 14/15

Service Type Growth Funding Received Domestic Assistance $185,127 Personal Care $52,815 Social Support $160,731 Transport $60,000 Home Maintenance $60,856 TOTAL GROWTH $519,529

Other Impacts on the HACC Program

• Home Care Packages in SW
• High Care = 229 (level 3 & 4)
• Low Care = 284 (level 1 & 2)
• 94 HCP allocated in SW in 2014 ACAR
• 29 level 1 packages
• 30 level 2 packages
• 35 level 3 packages

(Source: DSS)

Unmet Need

RAS Feedback

• Home Maintenance
• Bunbury, Bridgetown, Donnybrook, Carey Park

Group Discussion

• Home Maintenance
• 87% contracted volumes delivered
• Yet, RAS identified unmet need
• Service Group 1
• Domestic Assistance
• Personal Care