2015 WA HACC Community Consultations South East Metropolitan Region - - PowerPoint PPT Presentation

2015 WA HACC Community Consultations

South East Metropolitan 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 East Metro Region

2013-2014

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

$7,383,846 176,815 $7,783,452 165,436 105.4% 93.6%

Personal care

$5,338,573 90,338 $5,610,167 65,188 105.1% 72.2%

Social support

$4,589,854 121,551 $5,255,526 136,247 114.5% 112.1%

Home maintenance

$2,571,074 51,616 $2,669,416 53,841 103.8% 104.3%

Respite care

$3,100,270 66,949 $3,092,310 32,939 99.7% 49.2%

Other food services

$242,139 5,993 $229,922 2,543 95.0% 42.4%

Total:

$23,225,755 513,261 $24,640,793 456,194 $54.01 106.1% 88.9%

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

2015 WA HACC Community Consultations

South East Metropolitan Region

Feb 2015

Population

• WA = 2,557,230
• Aged 65+ = 341,960
• Under 65 = 2,215,269
• South East Metropolitan = 424,230
• Aged 65+ = 55,670
• Under 65 = 368,550
• South East Metro as proportion of WA = 16.59%
• Aged 65+ = 16.64%
• Under 65 = 16.28%

(Source: ABS Estimated Resident Populations for WA 2014)

Population

Inner South Metro East Population % Under 65 % 65+ Belmont 37,200 84.2% 15.8% Canning 94,660 87.4% 12.6% South Perth 45,980 84.6% 15.4% Victoria Park 35,830 82.6% 17.4% TOTAL 213,670 85.4% 14.6%

(Source: ABS Estimated Resident Populations for WA 2014)

Population

Outer Metro South East Population % Under 65 % 65+ Armadale 69,500 87.2% 12.8% Gosnells 118,990 88.9% 11.1% TOTAL 188,490 88.3% 11.7%

(Source: ABS Estimated Resident Populations for WA 2014)

Population

Serpentine-Jarrahdale Population % Under 65 % 65+ Serpentine-Jarrahdale 22,070 89.0% 11.0%

(Source: ABS Estimated Resident Populations for WA 2014)

Population Growth

• SEM projected population growth
• ~1.9% per year over next 3 years
• ~4.9% per year over next 3 years (65+)
• =~2,600 people per year (65+)

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

HACC Client Numbers

• South East Metro
• Total Clients = 13,022 (2013/14)
• Carers = 3,804 with 23% (n=876) receiving

a service

• Net increase of 224 clients from 2012/13
• Net increase of 17 carers receiving a

service from 2012/13

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

HACC Client Numbers

Inner Metro South East HACC Clients % Under 65 % 65+ Belmont 1,577 20.3% 79.7% Canning 3,885 19.6% 80.4% South Perth 1,217 18.2% 81.8% Victoria Park 934 25.3% 74.7% Total 7,613 20.2% 79.8%

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

HACC Client Numbers

Outer Metro South East HACC Clients % Under 65 % 65+ Armadale 2,374 26.3% 73.7% Gosnells 2,694 24.5% 75.5% Total 5,068 25.3% 74.7%

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

HACC Client Numbers

Serpentine-Jarrahdale HACC Clients % Under 65 % 65+ Serpentine-Jarrahdale 310 20.3% 79.7% Total 310 20.3% 79.7%

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

HACC Client Numbers

(Source: UWA WA HACC MDS Annual Reports 08-14) 12,199 12,337 12,532 12,971 12,798 13,022 3,811 3,369 3,536 3,531 3,558 3,804 2,000 4,000 6,000 8,000 10,000 12,000 14,000 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14

• No. Clients

South East Metropolitan Client Numbers

Clients Carers

HACC Client Numbers

• South East Metro
• Client turnover = 4,653 in 2013/4
• 35.7% turnover
• Client turnover = 4,639 in 2012/13
• 36.2% turnover
• Client turnover = 6,035 in 2011/12
• 46.5% turnover

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

Demographics

Age

• 2013/14:

South East Metro WA Age Group

• No. of Clients

Percentage Percentage Under 50 yrs 1,399 10.7% 9.0% 50-64 yrs 1,643 12.6% 11.5% 65-74 yrs 2,479 19.0% 18.5% 75-89 yrs 6,387 49.0% 52.0% 90+ yrs 1,113 8.5% 8.9%

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

Demographics:

Aboriginal & Torres Strait Islanders (ATSI)

• 2.9% Clients in South East Metro (n=381)
• 69.3% in the 50+ age group
• 30.7% under 50 years
• Highest number in Outer SEM
• 1.6% decrease from 12/13 to 13/14

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

Demographics:

Culturally & Linguistically Diverse Backgrounds (CALD)

• Non-English Speaking Country of Birth
• SEM = 23.2%
• WA = 18.3%
• Primary Language Spoken at Home

SEM WA English 92.3% 92.0% Aboriginal Languages 0.0% 1.0% All other languages 7.7% 6.9%

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

Carers

• 29.2% of SEM clients have a carer
• WA average is 27.6%
• 23.0% of carers in SEM are receiving

HACC support

• WA average is 17.6%

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

Client Coverage by Service Type

5.2% 70.4% 13.7% 12.4% 25.0% 15.7% 40.7% 6.8% 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 South East Metro Clients Receiving Each Service Type

SEM WA

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

Client Coverage by Service Type

26.3% 1.6% 5.8% 10.6% 1.1% 8.4% 9.6% 19.2% 27.3% 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 South East Metro Clients Receiving Each Service Type

SEM WA

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

Delivery Intensity by Service Type

(Source: UWA WA HACC MDS Annual Report 2013-14) 6.7 2.8 181.9 1.5 4.8 8.7 31.6 15.7 25 18.3 59.4 90.8 52.7 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 80 100 120 140 160 180 200 Hours Delivered

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

SEM WA

Delivery Intensity by Service Type

(Source: UWA WA HACC MDS Annual Report 2013-14) 1.4 102.1 50.5 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

SEM WA

Number of Service Types Received

(Source: UWA WA HACC MDS Annual Report 2013-14) 39.6 23.9 15.9 9.4 5.5 3.1 1.6 0.6 0.2 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

SEM WA

Contracted Outputs Delivered Outputs Outputs Met Service Group 1 Domestic assistance 180,779 165,436 91.51% Other food services 6,068 2,543 41.91% Personal care 91,139 65,188 71.53% Respite care 63,949 32,939 51.51% Social support 129,271 136,247 105.40% SubTotal 471,206 402,353 85.39% Service Group 2 Assessment 24,204 25,177 104.02% Client Care Coordination 8,068 2,451 30.38% SubTotal 32,272 27,629 85.61% Service Group 3 Nursing (home) 27,740 34,542 139.62% Allied health (home) 5,939 3,564 60.01% Allied health (centre) 1,320 913 69.17% SubTotal 31,999 39,019 121.94%

Regional Contracted Outputs

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

Contracted Outputs Delivered Outputs Outputs Met Service Group 4 Centre-based day care 406,909 328,051 80.62% SubTotal 406,909 328,051 80.62% Service Group 6 Meals at home 127,576 72,203 56.60% Meals received at centre/other 11,233 5,521 46.75% SubTotal 138,809 77,454 55.80% Service Group 7 Transport 232,870 181,885 78.11% SubTotal 232,870 181,885 78.11% Service Group 9 CSIA (care recipient) 8,508 14,430 169.61% CSIA (carer) 10,988 4,482 44.07% SubTotal 19,496 19,272 98.85% Service Group 10 Home maintenance 54,826 53,841 98.21% SubTotal 54,826 53,841 98.21%

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

Regional Contracted Outputs

Growth Funding 13/14

Service Type Growth Funding Received Allied Health (Home) $264,980 Domestic Assistance $290,122 Nursing (Home) $147,550 Personal Care $131,675 Social Support $365,293 Transport $119,930 TOTAL GROWTH $1,319,550

Growth Funding 14/15

Service Type Growth Funding Received Domestic Assistance $108,763 Other Food Services $12,960 Personal Care $243,037 Social Support $693,052 Allied Health (Home) $137,241 Nursing (Home) $307,253 Transport $307,752 Home Maintenance $292,014 TOTAL GROWTH $2,102,072

Other Impacts on the HACC Program

• Home Care Packages in SEM
• High Care = 480 (level 3 & 4)
• Low Care = 763 (level 1 & 2)
• 100 HCP allocated in SEM in 2014 ACAR
• 30 level 1 packages
• 15 level 2 packages
• 55 level 3 packages

(Source: DSS)

Unmet Need

RAS Feedback

• Home Maintenance/Gardening
• Across region, largely Inner Metro
• Social Support
• Outer Metro region
• Transport
• Victoria Park, Belmont, Armadale

Group Discussion

• Transport
• 78% contracted volumes delivered
• Yet, RAS identified unmet need
• Home Modifications/Equipment
• RAS identified unmet need
• Service Group 1
• Particularly, Social Support and Domestic Assist.

Group Discussion

• Allied Health, Other Food Services and Personal

Care

• Identified by RAS, but capacity in volumes?
• Home Maintenance
• 98% contracted volumes delivered
• RAS identified unmet need