2015 WA HACC Community Consultations Midwest Region Welcome & - - PowerPoint PPT Presentation

2015 WA HACC Community Consultations

Midwest 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

Midwest Region

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 $1,102,789 28,354 $1,146,900 21,622 104.0% 76.3% Personal care $794,641 17,305 $826,427 8,456 104.0% 48.9% Social support $734,298 18,613 $763,671 12,553 104.0% 67.4% Home maintenance $223,266 6,351 $232,197 1,758 104.0% 27.7% Respite care $114,148 2,737 $118,715 1,145 104.0% 41.8% Other food services $45,248 1,300 $47,058 2,109 104.0% 162.2% Total: $3,014,390 74,660 $3,134,968 47,643 $65.80 104.0% 63.8%

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 and other Aged Care

Reforms

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

2015 WA HACC Community Consultations

Midwest Region

Population

• WA = 2,557,230
• Aged 65+ = 341,960
• Under 65 = 2,215,269
• Mid West = 69,515
• Aged 65+ = 9,345
• Under 65 = 60,170
• Mid West as proportion of WA = 2.72%
• Aged 65+ = 2.73%
• Under 65 = 2.72%

(Source: ABS Estimated Resident Populations for WA 2014)

Population

Eastern Midwest Population % Under 65 % 65+ Cue 255 90.2% 9.8% Meekatharra 1,070 90.7% 9.3% Mount Magnet 560 94.6% 5.4% Murchison 125 96.0% 4.0% Sandstone 120 79.2% 20.8% Wiluna 845 91.1% 8.9% Yalgoo 275 89.1% 10.9% TOTAL 3,250 91.1% 8.9%

(Source: ABS Estimated Resident Populations for WA 2014)

Population

Gascoyne Population % Under 65 % 65+ Carnarvon 5,710 88.8% 11.2% Exmouth 2,465 91.1% 8.9% Shark Bay 1,080 86.1% 13.9% Upper Gascoyne 320 87.5% 12.5% TOTAL 9,575 89.0% 11.0%

(Source: ABS Estimated Resident Populations for WA 2014)

Population

Western Midwest Population % Under 65 % 65+ Carnamah 815 92.6% 7.4% Chapman Valley 1,190 85.3% 14.7% Coorow 960 84.9% 15.1% Geraldton/Greenough 42,195 86.7% 13.3% Irwin 4,140 80.6% 19.4% Mingenew 395 84.8% 15.2% Morawa - Perenjori 1,405 91.6% 15.3% Mullewa 895 91.6% 8.4% Northampton 4,005 80.5% 19.5% Three Springs 690 88.4% 11.6% TOTAL 56,690 85.9% 14.1%

(Source: ABS Estimated Resident Populations for WA 2014)

Population

• Midwest projected population growth
• ~1.0% per year over next 3 years
• ~3.6% per year over next 3 years (65+)
• =~350 people per year (65+)

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

HACC Client Numbers

• Midwest
• Total Clients = 2,138 (2013/14)
• Carers = 707 with 6.8% (n=48) receiving a

service

• Net increase of 94 clients from 2012/13
• Net decrease of 25 carers receiving a

service from 2012/13

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

HACC Client Numbers

Eastern Midwest HACC Clients % Under 65 % 65+ Cue/Mt Magnet/Sandstone 9 11.1% 88.9% Meekatharra 27 18.5% 81.5% Murchison/Yalgoo 0.0% 0.0% Wiluna 29 17.2% 82.8% TOTAL 65 16.9% 83.1%

(Source: UWA WA HACC MDS Annual Report 2013-14)

HACC Client Numbers

Gascoyne HACC Clients % Under 65 % 65+ Carnarvon 178 20.8% 79.2% Exmouth 40 25.0% 75.0% Shark Bay 16 18.8% 81.3% Upper Gascoyne 5 60.0% 40.0% TOTAL 239 22.2% 77.8%

(Source: UWA WA HACC MDS Annual Report 2013-14)

HACC Client Numbers

Western Midwest HACC Clients % Under 65 % 65+ Carnamah 10 30.0% 70.0% Chapman Valley 40 17.5% 82.5% Coorow 17 11.8% 88.2% Geraldton/Greenough 1,261 27.8% 72.2% Irwin 197 10.7% 89.3% Mingenew 32 6.3% 93.8% Morawa - Perenjori 87 9.2% 90.8% Mullewa 44 27.3% 72.7% Northampton 109 22.9% 77.1% Three Springs 32 9.4% 90.6% TOTAL 1,829 23.7% 76.3%

(Source: UWA WA HACC MDS Annual Report 2013-14)

HACC Client Numbers

(Source: UWA WA HACC MDS Annual Reports 08-14) 1,880 2,007 1,834 2,082 2,044 2,138 717 724 735 736 732 707 500 1,000 1,500 2,000 2,500 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14

• No. Clients

Midwest Client Numbers

Clients Carers

HACC Client Numbers

• Midwest
• Client turnover = 921 in 2013/14
• 43.1% turnover
• Client turnover = 843 in 2012/13
• 41.2% turnover
• Client turnover = 994 in 2011/12
• 47.7% turnover

(Source: UWA WA HACC MDS Annual Reports 10/11, 11/12, 13/14)

Demographics

Age

• 2013/14:

Midwest WA Age Group

• No. of Clients

Percentage Percentage Under 50 yrs 263 12.3% 9.0% 50-64 yrs 309 14.5% 11.5% 65-74 yrs 445 20.8% 18.6% 75-89 yrs 980 45.8% 52.0% 90+ yrs 141 6.6% 8.9%

(Source: UWA WA HACC MDS Annual Report 13/14, ABS Estimated Resident Populations for WA 2014)

Demographics:

Aboriginal & Torres Strait Islanders (ATSI)

• 10.6% Clients in Midwest (n=227)
• 70.9% in the 50+ age group
• 29.1% under 50 years
• Highest proportion in Eastern MW, highest

number in Western MW

(Source: UWA WA HACC MDS Annual Report 2013-14)

Demographics:

Culturally & Linguistically Diverse Backgrounds (CALD)

• Non-English Speaking Country of Birth
• Midwest = 7.4%
• WA = 18.3%
• Primary Language Spoken at Home

MW WA English 96.0% 92.0% Aboriginal Languages 1.4% 1.0% All other languages 2.6% 6.9%

(Source: UWA WA HACC MDS Annual Report 2013-14)

Carers

• 33.1% of MW clients have a carer
• WA average is 27.6%
• 6.8% of carers in MW are receiving HACC

support

• WA average is 17.6%

(Source: UWA WA HACC MDS Annual Report 2013-14)

Client Coverage by Service Type

2.9% 41.2% 24.3% 28.4% 19.6% 3.8% 40.0% 7.1% 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 Midwest Clients Receiving Each Service Type

MW WA

(Source: UWA WA HACC MDS Annual Report 2013-14)

Client Coverage by Service Type

10.9% 0.0% 13.3% 28.7% 1.7% 11.3% 3.3% 19.3% 28.1% 24.6% 1.0% 8.0% 13.6% 1.0% 9.4% 8.0% 19.8% 25.5% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Clients (%)

Percentage of Midwest Clients Receiving Each Service Type

MW WA

(Source: UWA WA HACC MDS Annual Report 2013-14)

Delivery Intensity by Service Type

(Source: UWA WA HACC MDS Annual Report 2013-14) 7.3 2.9 112.5 2.8 3.4 2.5 25.2 7.6 14.2 57.7 36 49.8 30.9 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

MW WA

Delivery Intensity by Service Type

(Source: UWA WA HACC MDS Annual Report 2013-14) 1.3 93.5 52.7 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

MW WA

Number of Service Types Received

(Source: UWA WA HACC MDS Annual Report 2013-14) 39.7 24 13.7 10.9 6.4 2 1.7 1 0.5 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. Different Assistance Types

Number of Different Assistance Types Being Received by Clients

MW WA

Contracted Outputs Delivered Outputs Outputs Met Service Group 1 Domestic assistance 28,354 21,622 76.26% Other food services 1,300 2,109 162.23% Personal care 17,035 8,456 48.86% Respite care 2,737 1,145 41.83% Social support 18,612 12,553 67.45% SubTotal 68,308 45,885 67.17% Service Group 2 Assessment 4,063 2,522 62.07% Client Care Coordination 2,047 1,695 82.80% SubTotal 6,110 4,218 69.03% Service Group 3 Nursing (home) 16,599 8,442 50.86% Nursing (centre) 255 0.0% Allied Health (home) 850 477 56.12% SubTotal 17,449 9,174 52.58%

Regional Contracted Outputs

(Source: HACC MDS 2013-14)

Contracted Outputs Delivered Outputs Outputs Met Service Group 4 Centre-based day care 76,212 58,611 76.91% SubTotal 76,212 58,611 76.91% Service Group 6 Meals at home 30,133 26,557 88.13% Meals received at centre/other 25 0.0% SubTotal 30,133 26,582 88.22% Service Group 7 Transport 59,685 31,508 52.79% SubTotal 59,685 31,508 52.79% Service Group 9 CSIA (care recipient) 1,604 1,227 76.50% CSIA (carer) 685 29 4.23% SubTotal 2,289 1,256 54.87% Service Group 10 Home maintenance 6,351 1,758 27.68% SubTotal 6,351 1,758 27.68%

(Source: WA HACC MDS 2013-14)

Regional Contracted Outputs

Growth Funding 13/14

Service Type Growth Funding Received Allied Health (Home) $94,256 TOTAL GROWTH $94,256

Growth Funding 14/15

Service Type Growth Funding Received Assessment $470,515 Client Care Coordination $35,374 TOTAL GROWTH $505,889

Other Impacts on the HACC Program

• Home Care Packages in MW
• High Care = 100 (level 3 & 4)
• Low Care = 202 (level 1 & 2)
• 21 HCP allocated in MW in 2014 ACAR
• 9 level 1 packages
• 0 level 2 packages
• 12 level 3 packages

(Source: DSS)

Unmet Need

RAS Feedback

• WAAFI “No Support Available” Report
• Unmet Need
• Much larger number of requests for Home Maintenance

for older people

• Specifically gardening e.g mowing, pruning, weeding to

ensure safe access to things such as the washing line and driveway

• 6x Assistance with everyday household tasks
• 2x Support for social activity
• 1x Assistance with essential activities such as shopping,

banking, maintaining social contacts & 1x Personal care assistance

Group Discussion

• Home Maintenance and Domestic

Assistance

• RAS identified unmet need
• Appears there is capacity in volumes
• Social Support?

Group Discussion

• Wiluna
• High volumes in Group 1, CBDC, Meals
• Carnarvon
• High volumes in Group 1,Meals, HMA
• Geraldton
• Appears there is capacity?
• MPSs
• Very low volumes being reported
• (except Dongara & Exmouth)