Aged Care Industry Newsletter 26 April 2006

AUSTRALIAN AGED CARE
INDUSTRY NEWSLETTER

Thursday, 14 May 2009

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Budget winners and losers

Tuesday, 12 May 2009
Sydney Morning Herald

WINNERS

Pensioners:

Pensioners will receive a boost in payments.

Single pensioners on the full pension rate will receive an extra $1689 a year, while pensioner couples (combined) will get an extra $527 a year.

This means that, from September 20 this year, single pensioners will receive an extra $32.49 a week. This is made up of an extra $30 a week in the base pension and an extra $2.49 a week in a new fortnightly pension supplement.

Pensioner couples will receive an extra $10.14 a week in the new fortnightly pension supplement.

The Government will also simplify the payments system. From July 1, 2010, pensioners will be able to access about half of the pension supplement on a quarterly basis and have better access to advance pension payments.

A new price index will be developed for households that rely on the pension to keep pace with the cost of goods that pensioners purchase. This will be used to index pension rates where it is higher than the Consumer Price Index.

Carers:

The Government says it recognises the "vital role" that carers play in the community.

Those who receive a carer payment will receive the pension increases of $32.49 a week for singles on the full pension rate.

As well, a permanent carer supplement of $600 a year will be introduced for carer payment recipients and an extra $600 a year for carer allowance recipients for each person in their care.

The supplement will replace the Government's one-off bonuses.

The first payment to carers will be made at the end of June.

First home owners:

To support the housing market and first home buyers, the Government will provide $539 million over three years to extend the First Home Owners Boost scheme.

But the current scheme will be wound back from October.

For first home buyers entering into contracts between July 1, 2009, and September 30, 2009, $7000 will continue to be provided for the purchase of existing homes and $14,000 for the purchase of new homes.

Combined with the existing $7000 under the first home owners grant, first home owners will receive a total of $14,000 for existing homes and $21,000 for new homes.

But for first home buyers entering into contracts between October 1, 2009, and December 31, 2009, the First Home Owners Boost scheme will provide only $3500 for the purchase of existing homes and $7000 for new homes. These home buyers will continue to receive the existing $7000 first home owners grant.

Parents:

Paid parental leave will be introduced from January 1, 2011, at the federal minimum wage, currently $543.78 a week, for up to 18 weeks.

The scheme will cost an estimated $730.7 million over five years.

But parents who receive this payment will not be eligible for the Baby Bonus, except in cases of multiple births where parents will not receive the Baby Bonus for only the first child.

Parental leave payments will be taxable and will have an impact on the parents' entitlement to family assistance payments, but will not be deemed income for income support payments.

Parents who choose not to receive the paid parental leave or who do not qualify will still receive the Baby Bonus and other family payments.

Primary carers will be eligible for paid parental leave if they earn less than $150,000 in the full financial year prior to the birth or adoption of a child, have worked at least 330 hours over the 10 months preceding the birth or adoption of a child and have worked continuously with one or more employers for at least 10 of the 13 months before the expected date of birth or adoption.

In some cases, the paid parental leave will be able to be transferred to another caregiver if the primary carer returns to work early.

LOSERS

Private health insurance members:

The current 30 per cent rebate will be reduced for private health insurance holders but will be dropped altogether for singles on high incomes.

From July 1, 2010, three new private health insurance tiers will be introduced.

The regime will remain unchanged for singles with income of less than $75,000 a year and families with incomes of less than $150,000 a year.

Tier one: For singles with income of more than $75,000 (and families earning more than $150,000) the rebate will be 20 per cent, increasing to 25 per cent at 65 years of age and to 30 per cent at 70 years. The surcharge for not having insurance will remain at 1 per cent.

Tier two: For singles with income of more than $90,000 (and families earning more than $180,000), the rebate will be 10 per cent, increasing to 15 per cent at 65 years of age and to 20 per cent at 70 years. The surcharge for not having insurance will be increased to 1.25 per cent.

Tier three: For singles with income of more than $120,000 (and families on more than $240,000), no rebate will be provided. The surcharge for not having insurance will be increased to 1.5 per cent.

Aged pensioners:

The Rudd Government argues that "tough decisions" need to be made to take into account demographic changes impacting on the sustainability of the pension system.

Under the changes, the age pension qualifying age will be progressively increased to 67 years beginning in 2017.

The Government says that the increasing longevity of Australians means that "people are receiving the age pension for far longer periods than in the past".


Aged care will sink without help: Libs

Monday, 13 April 2009
By Bonny Symons-Brown
Sydney Morning Herald

The Australian aged care sector needs more federal government funding if it's to stay afloat, the coalition says.

Opposition spokeswoman for ageing Margaret May said there was little incentive to invest in an aged care industry that was barely turning a profit.

"Aged care providers are making decisions not to build any further aged care facilities because the return on their investment is not there," she told AAP on Monday.

"The message I am hearing right around the country is unless we see more funding in aged care we're going to have a crisis on our hands.

"We were disappointed that in the two stimulus packages there was nothing for aged care.

"If the federal government doesn't put some money in ... we are going to hit an even bigger crisis point with the ageing of our population."

Mrs May's comments follow the release of an Access Economics report, commissioned by a multi-denominational alliance of eight national aged care provider groups including Anglicare Australia and UnitingCare Australia, into the daily cost of nursing home accommodation.

The report found that new nursing home accommodation costs $40.32 per bed per day over 25 years to build and fit out, not including the cost of land and the care provided to the resident occupying the bed.

But under the Aged Care Act, the maximum daily accommodation payment is $26.88, a means-tested amount that can be paid by the government or levied to eligible residents to pay for the cost of constructing more nursing homes.

The alliance said the $13.44 shortfall between the cap and the true cost of accommodation is preventing the already stretched aged care industry from expanding and called for Minister for Ageing Justine Elliot to amend the law.

"Australia's aged population is growing at a rate never seen before, and yet it is no longer financially viable to build new high-care aged care facilities," the chief executives of the coalition's member groups said in a joint statement on Monday.

"There is no reason the current government should need to defend the previous government's flawed funding formula.

"At the same time, we are keen to protect the right of all those who need it to access aged care ... and the government must continue to help out those who are unable to pay."

A spokesman for Mrs Elliot said the aged and community care sectors would receive more than $41 billion funding over the next four years.

But he would not say whether there would be any more support for the industry in next month's federal budget.

"We will continue to consider proposals and ideas presented to government of behalf of providers and consumers, but ... we cannot speculate on the budget," he said.

Supplement for aged could reduce falls

Monday, 13 April 2009
Sky News

Australian Researchers are hoping a supplement which has proven to reduce falls among older people will soon be widely available.

Testing has found the dairy additive improves bone and muscle strength, resulting in fewer fractures.

For two years, residents at an aged care centre in Melbourne's Templestowe have been eating food containing the powdered supplement.

It contains milk minerals, protein and vitamin D aimed at strengthening bones and reducing fractures.

Researcher Dr Sandra Iuliano-Burns said the study had seen a reduction in the number of falls by participants.

'Those that did fall, fell fewer times,' Dr Burns said.

'It's an opportunity to improve the quality of life and also hopefully reduce the burden of falls and fractures on the health system,' Dr Iuliano-Burns said.

1,200 residents from 20 homes took part in the study conducted by The University of Melbourne and Austin Health.

The supplement reduces levels of a hormone which when high, causes bones to break down faster.

The extra vitamin D is believed to have improved muscle function and balance.

The findings were welcome news for 78-year-old Mavis Liddall who lives with the constant fear of falling.

'I'm very concerned about falling. I'm very concerned about the way I walk and what I do,' Ms Liddall said.

It is hoped that foods containing the supplement will eventually become available commercially.


Dutch aged care model to benefit Australians

Friday, 10 April 2009
By Sharon O'Neill for The 7.30 Report
ABC News

In the heart of Bondi, the Benevolent Society has proposed accommodation and services for the elderly.

In the heart of Bondi, the Benevolent Society has proposed accommodation and services for the elderly. (www.flickr.com: jonrawlinson)

By mid-century, it is likely a quarter of the population will be over 65.

As much as we'd all like to live independently into old age, that goal will be unattainable for many people if the current housing and care options remain the same.

The good news is that the aged care sector is starting to take inspiration from a highly successful Dutch aged care model which lists its main aim as happiness.

At 80, Joan Poole is in good health and happy in her own home.

But she also knows if her situation changes and her health deteriorates, she will have some tough decisions to make

"I lived here 20 years, love the district, but I guess the time really is approaching when I've got to make some provision for older age, when I won't be as agile as I am at present," she said.

"This house has two steps in it.

"Two steps to get into it and two steps within the house. Not too good news with a broken leg or hip. So that's one of the considerations ... it's always with me now."

The potential problems of aging and accommodation that worry Joan Poole are of paramount concern to thousands of elderly Australians, particularly when they reach the stage of needing nursing home accommodation.

Richard Spencer runs the Benevolent Society, Australia's oldest non-denominational charity.

For several years, he and his colleagues have been trying to come up with a new concept in lifestyle and accommodation for older Australians, regardless of their needs or income levels.

"What we have done in this country is to say to people when they need that care, they have to leave their friends, they have to leave their community and they have to go to somewhere where those services are provided," he said.

"So we were increasingly feeling [is] this is not the best way for people to age well. How else could this be done? What new models are there?"

The Benevolent Society found those answers from Dr Hans Becker.

Dr Becker is chief executive officer of the Humanitas Foundation. He developed the concept of apartments for life, a form of accommodation which allows older Dutch people to stay living in their own homes, no matter what level of care they require, and with one very specific aim.

"I know nobody who want to end in a nursing home," he said.

"But what can you do to make it better. And then I changed the philosophy.

"The ultimate goal is happiness. How can I realise that they are happy?"

Dr Becker has just concluded a visit to Australia, where he was a key speaker at a retirement communities conference.

"These are very important. If you look out of danger, you have other values than if you look out of happiness."

There are 1,700 apartments for life in Holland run by the Humanitas Foundation, but nowhere near enough to meet the demand.

The apartment complexes offer bars and restaurants, internet cafes and remembrance museums, especially important for residents with dementia. But most importantly, they offer autonomy.

"You should be and stay the boss of your own life, even if you are crippled of Alzheimer, you should be the boss of your life," Dr Becker says.

"And for that, you need an own apartment with a front door that you can lock."

Joan Poole agrees people need their independence.

"People may be old, but they're still people," she says.

"People may even be not very well, but they're still people and they want to be able to say, 'I would like to do this or that'."

Bondi life

In the heart of Bondi, the Benevolent Society has proposed accommodation and services for the elderly in the area based on Dr Becker's apartments for life.

But it won't be a gated community, but rather a place where everybody can come to enjoy the facilities.

"Hans Becker has shown that just simply having a great building is not enough," Mr Spencer says.

"You have to have a culture shift. You have to have this connected to the community, so half of the space on this site will be open to the community."

Ms Poole is one of a number of older residents at Bondi who is now part of a social committee offering input on the project to the Benevolent Society.

Ms Poole says she got her name on the list straight away.

"I heard someone describe them as 'paradise by the sea'. I think that's pretty accurate."

Heather and Bob Johnson are also on the social committee.

The Johnsons are long-term residents of Bondi and like many of their friends, they don't want to leave the area if their health deteriorates and they need higher levels of care.

"I thought, 'What a terrific idea! And why hadn't someone come up with it before? Why hadn't I come up with it before?" Heather Johnson says.

"You see what people are put through, you know, the anxieties, the emotions and this is not just the individual, but the relatives too.

"You know, they don't want to lose contact with their parents or with their family member. And it's out of their hands. So they're just - most people feel they've lost control."

While leaving friends and family is hard enough, for Ms Poole, moving away from the local services she has come to rely on would also be tough.

"One of the elements that's so important is that I will still be able to visit my own doctor, I know the pharmacy that I prefer, I know the dentist I like and they're all here," she says.

"It's not a good thing to have to do to leave your environment."

In Bondi, the Benevolent Society, like the Dutch model, is trying to create a mixed community, with 40 per cent of the apartments subsidised for those who can't afford market prices.

"What we want to reflect on this site is the differences within the surrounding community," Mr Spencer says.

"You've got people who do own a home and who can sell and relocate into the project. Then we're going to have - those people have virtually nothing.

"They will pay a proportion of their pension."

Bob Johnson says his only concern was the long waiting lists.

"If it's a goer, then there are going to be long waiting lists. And I'm 85, so I don't want to have to wait too long," he says.


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Director,
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Kevin Stapleton

Director,
Corporate Services
Shane ChambersTencaten


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