2015 WA HACC Community Consultations
Great Southern 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
Great Southern 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 $1,542,988 39,388 $1,653,482 36,496 107.2% 92.7%
Personal care $724,400 13,799 $792,896 14,556 109.5% 105.5%
Social support $1,303,869 35,337 $1,373,641 26,703 105.4% 75.6%
Home maintenance $571,700 14,019 $644,648 12,975 112.8% 92.6%
Respite care $336,134 7,492 $349,580 2,458 104.0% 32.8%
Other food services $27,671 800 $28,778 270 104.0% 33.8%
Total: $4,506,761 110,835 $4,843,025 93,458 $51.82 107.5% 84.3%
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
Great Southern Region
Population
WA = 2,557,230
Aged 65+ = 341,960
Under 65 = 2,215,269
Great Southern = 67,655
Aged 65+ = 11,225
Under 65 = 56,430
Great Southern as proportion of WA = 2.65%
Aged 65+ = 3.28%
Under 65 = 2.55%
(Source: ABS Estimated Resident Populations for WA 2014)
Population
(Source: ABS Estimated Resident Populations for WA 2014)
Central GS Population % Under 65 % 65+
Katanning 5,090 85.9% 14.1%
Kojonup 2,475 84.9% 15.1%
Gnowangerup 1,480 91.9% 8.1%
Broome Hill/Tambellup 1,370 89.4% 10.6%
Woodanilling 505 95.1% 4.9%
Kent 665 88.7% 11.3%
TOTAL 11,585 87.4% 12.6%
Population
(Source: ABS Estimated Resident Populations for WA 2014)
Lower GS Population % Under 65 % 65+
Albany 39,005 82.1% 17.9%
Denmark 6,375 78.7% 21.3%
Plantagenet 5,480 83.8% 16.2%
Ravensthorpe 2,590 90.2% 9.8%
Cranbrook 1,370 85.8% 14.2%
Jerramungup 1,250 91.6% 8.4%
TOTAL 56,070 87.3% 17.4%
Population Growth
GS projected population growth
~1.2% per year over next 3 years
~4.0% per year over next 3 years (65+)
=~500 people per year (65+)
More than 50% of this is in the greater
Albany area
(Source: ABS Population Projections for WA 2014-17)
HACC Client Numbers
Great Southern
Total Clients = 3,311 (2013/14)
Carers = 895 with 21.3% (n=191) receiving
a service
Net increase of 67 clients from 2012/13
Net decrease of 38 carers receiving a
service from 2012/13
(Source: UWA WA HACC MDS Annual Report 12/13, 13/14)
HACC Client Numbers
(Source: UWA WA HACC MDS Annual Report 2013-14)
Central GS HACC
Clients % Under 65 % 65+
Katanning 189 18.5% 81.5%
Kojanup 91 13.2% 86.8%
Gnowangerup 37 29.7% 70.3%
Broome Hill/Tambellup 39 15.4% 84.6%
Woodanilling/Kent 5 20.0% 80.0%
TOTAL 361 18.0% 82.0%
HACC Client Numbers
(Source: UWA WA HACC MDS Annual Report 2013-14)
Lower GS HACC
Clients % Under 65 % 65+
Albany 2,046 17.4% 82.6%
Denmark 369 11.7% 88.3%
Plantagenet 334 13.2% 86.8%
Ravensthorpe 88 8.0% 92.0%
Cranbrook 85 14.1% 85.9%
Jerramungup 19 5.3% 94.7%
TOTAL 2,941 15.8% 84.2%
HACC Client Numbers
2,480 2,551
2,903 2,912
3,244 3,311
724 712 845 860 913 895
-
500
1,000
1,500
2,000
2,500
3,000
3,500
2008-09 2009-10 2010-11 2011-12 2012-13 2013-14
No
. C
lien
ts
Great Southern Client Numbers
Clients Carers
(Source: UWA WA HACC MDS Annual Reports 08-14)
HACC Client Numbers
Great Southern
Client turnover = 1,364 in 2013/14
41.1% turnover
Client turnover = 1,243 in 2012/13
38.3% turnover
Client turnover = 1,155 in 2011/12
39.6% turnover
(Source: UWA WA HACC MDS Annual Reports 10/11, 11/12, 13/14)
Demographics Age
2013/14:
Great Southern WA
Age Group No. of Clients Percentage Percentage
Under 50 yrs 205 6.2% 9.0%
50-64 yrs 334 10.1% 11.5%
65-74 yrs 630 19.0% 18.5%
75-89 yrs 1,790 54.1% 52.0%
90+ yrs 352 10.6% 8.9%
(Source: UWA WA HACC MDS Annual Report 13/14, ABS Estimated Resident Populations for WA 2014)
Demographics: Aboriginal & Torres Strait Islanders (ATSI)
1.6% Clients in GS (n=52)
GS has least Aboriginal clients of any HACC
region in WA
Aboriginal HACC Clients in GS are older
than any other HACC Region (44.2% are
65+ yrs vs. WA State average of 29.7% in
65+ group)
Highest proportion in Lower GS
(Source: UWA WA HACC MDS Annual Report 2013-14)
Demographics: Culturally & Linguistically Diverse Backgrounds (CALD)
Non-English Speaking Country of Birth
GS = 8.1%
WA = 18.3%
Primary Language Spoken at Home
GS WA
English 98.6% 92.0%
Aboriginal Languages 0.1% 1.0%
All other languages 1.4% 6.9%
(Source: UWA WA HACC MDS Annual Report 2013-14)
Carers
27.0% of GS clients have a carer
WA average is 27.6%
21.3% of carers in GS are receiving HACC
support
WA average is 17.6%
(Source: UWA WA HACC MDS Annual Report 2013-14)
Client Coverage by Service Type
(Source: UWA WA HACC MDS Annual Report 2013-14)
11.4
%
41.7
%
16.2
%
26.7
%
5.9
% 17.3
%
45.0
%
5.9
%
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%
Clien
ts (
%)
Percentage of Great Southern Clients Receiving Each Service Type
GS WA
Client Coverage by Service Type
(Source: UWA WA HACC MDS Annual Report 2013-14)
33.5
%
0.0
%
15.0
%
17.1
%
0.2
% 10.9
%
5.4
% 16.3
%
18.8
%
24.6
%
1.0
%
8.0
%
13.6
%
1.0
%
9.4
%
8.0
% 1
9.8
%
25.5
%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Clien
ts (
%)
Percentage of Great Southern Clients Receiving Each Service Type
GS WA
Delivery Intensity by Service Type
(Source: UWA WA HACC MDS Annual Report 2013-14)
14.1
3.2
131.5
2.1
5.4
15.2
24.7
11.7
17.3
38.6
40.3
51.2
49.9
8.3
3.6
155.8
2.7
4 8
.7
30.2
14 19.5
16.9
50.7
76.4
41.1
0
20
40
60
80
100
120
140
160
180
Ho
urs
Deliv
ere
d
Average Hours of Assistance Received per Client by Service Type 2013-14
GS WA
Delivery Intensity by Service Type
(Source: UWA WA HACC MDS Annual Report 2013-14)
1.1
73.9
44.9
1.4
103.5
47
0
20
40
60
80
100
120
Equipment Meals Transport
Qu
an
tity
Deliv
ere
d
Average Quantity of Assistance Received per Client by Service Type 2013-14
GS WA
Number of Service Types Received
(Source: UWA WA HACC MDS Annual Report 2013-14)
40
.4
22
.6
15
.6
10
.1
5
3.4
1.4
1
0.3
0.2
41
.6
24
.8
14
.9
8.9
5
2.6
1.3
0.6
0.2
0.2
0
10
20
30
40
50
60
70
80
90
100
1 2 3 4 5 6 7 8 9 10+
No
. C
lien
ts (
%)
No. of Assistance Types
No. of Different Assistance Types Recieved By Clients
GS WA
Contracted Outputs Delivered Outputs Outputs Met
Service Group 1
Domestic assistance 39,389 36,496 92.66%
Other food services 800 270 33.75%
Personal care 13,799 14,556 105.49%
Respite care 7,492 2,458 32.81%
Social support 35,338 26,703 75.56%
SubTotal 96,818 80,463 83.13%
Service Group 2
Assessment 6,569 4,464 67.96%
Client Care Coordination 3,233 1,882 58.21%
SubTotal 9,802 6,346 64.74%
Service Group 3
Nursing (home) 11,134 9,774 87.79%
Nursing (centre) 50 59 118.00%
Allied Health (home) 2,050 5,273 257.22%
Allied Health (centre) 383 38 9.92%
SubTotal 13,617 15,144 111.21%
Regional Contracted Outputs
(Source: HACC MDS 2013-14)
Contracted Outputs Delivered Outputs Outputs Met
Service Group 4
Centre-based day care 91,817 70,699 77.00%
SubTotal 91,817 70,699 77.00%
Service Group 6
Meals at home 38,717 34,761 89.78%
Meals received at
centre/other 10,299 2,074 20.14%
SubTotal 49,016 36,835 75.15%
Service Group 7
Transport 48,236 28,032 58.11%
SubTotal 48,236 28,032 58.11%
Service Group 9
CSIA (care recipient) 1,264 948 75.00%
CSIA (carer) 2,877 2,362 82.10%
SubTotal 4,141 3,310 79.93%
Service Group 10
Home maintenance 14,021 12,975 92.54%
SubTotal 14,021 12,975 92.54%
(Source: WA HACC MDS 2013-14)
Regional Contracted Outputs
Growth Funding 13/14
Service Type Growth Funding Received
Assessment $653,598
Client Care Coordination $49,195
TOTAL GROWTH $702,793
Growth Funding 14/15
Service Type Growth Funding Received
Domestic Assistance $139,161
Personal Care $17,442
Allied Health (Home) $77,563
Home Maintenance $46,051
TOTAL GROWTH $280,217
Other Impacts on the HACC Program
Home Care Packages in EM
High Care = 103 (level 3 & 4)
Low Care = 165 (level 1 & 2)
16 HCP allocated in GS in 2014 ACAR
0 level 1 packages
6 level 2 packages
10 level 3 packages
(Source: DSS)
Unmet Need RAS Feedback
WAAFI “No Support Available” Report
RAS registration of unmet need for the region
Group Discussion
Transport
58% contracted volumes delivered
Lower proportion of clients receiving transport
Those who do receive it are on average getting similar to the WA average
Service Group 1
Domestic Assistance - 93% volumes delivered
Personal Care - 105% volumes delivered
Group Discussion
Allied Health
Higher % receiving AH in GS than WA average
Actual volumes are higher than contracted
Home Maintenance
Actual volumes at 92.5%
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