Pain relief when it's needed...

IT'S NOT TOO MUCH TO ASK.

 

A little mealtime assistance...

IT'S NOT TOO MUCH TO ASK.

The ANMF is calling on all politicians in the next federal election to make aged care reform a priority and announce laws that require staff ratios in every aged care facility and implement the key recommendation of the Aged Care Royal Commission. Without key reform elderly Australians and their families will continue to suffer.

4 KEY ACTIONS TO FIX AGED CARE

The Royal Commission into Aged Care Quality and Safety’s Final Report made 148 recommendations for wide scale reform of the aged care system.

The ANMF is calling on every political party and politician to support four key reforms recommended by the Royal Commission which are critical to ensure safety and quality across the aged care sector: Registered Nurse on site 24/7, guaranteed ratios, transparency and accountability of funding and improvements to wages and conditions.

RN24/7

The ANMF supports the recommendation of the Aged Care Royal Commission that there be at least one registered nurse on-site, at every nursing home across Australia, 24 hours per day, that is across all shifts – day, evening and night shifts.

Recommendation 86: Minimum staff time standard for residential care

3. From 1 July 2022, the minimum staff time standard should require at least one registered nurse on site per residential aged care facility for the morning and afternoon shifts (16 hours per day).

5. In addition, from 1 July 2024, the minimum staff time standard should require at least one registered nurse on site per residential aged care facility at all times (24/7).

Ratios

The ANMF supports the recommendation of the Aged Care Royal Commission for immediate implementation, that is 1 July 2022, of a minimum staff time standard for at least 200 minutes of care per resident per day for the average resident, with at least 40 minutes of that staff time provided by a registered nurse.

And an uplift in legislated minimum care hours to at least 215 minutes of care per resident per day for the average resident, with at least 44 minutes of that staff time provided by a registered nurse from 1 July 2023.

Recommendation 86: Minimum staff time standard for residential care

2. From 1 July 2022, the minimum staff time standard should require approved providers to engage registered nurses, enrolled nurses, and personal care workers for at least 200 minutes per resident per day for the average resident, with at least 40 minutes of that staff time provided by a registered nurse.

4. From 1 July 2024, the minimum staff time standard should increase to require approved providers to engage registered nurses, enrolled nurses, and personal care workers for the average resident for at least 215 minutes per resident per day for the average resident, with at least 44 minutes of that staff time provided by a registered nurse.

Transparency and accountability

The ANMF supports the recommendation of the Aged Care Royal Commission for legislated transparency and accountability measures for use of taxpayers’ funding which guarantee that funding is tied directly to care provision and staffing levels.

Recommendation 120: Casemix-adjusted activity based funding in residential aged care

By 1 July 2022, the Australian Government should fund approved providers for delivering residential aged care through a casemix classification system, such as the Australian National Aged Care Classification model. The classification system should take into account the above recommendations for high quality aged care.

Recommendation 133: More stringent financial reporting requirements

1. From 1 July 2023, the Prudential Regulator should be empowered under statute to require approved providers to submit financial reports.

2. The frequency and form of the reports should be prescribed by the Prudential Regulator.

Recommendation 124: Standardised statements on services delivered

2. From 1 July 2022, providers should be required to issue completed statements in the standardised format to people receiving their care on a monthly basis.

Recommendation 24: Star ratings performance information for people seeking care

1. By 1 July 2022, the Australian Government should develop and publish a system of star ratings based on measurable indicators that allow older people and their families to make meaningful comparisons of the quality and safety performance of services and providers. The star ratings and accompanying material should be published on My Aged Care.

2. The star ratings should incorporate a range of measurable data and information, including, at a minimum:

a. graded assessment of service performance against Standards
b. performance against relevant clinical and quality indicators
c. staffing levels

Recommendation 122: Reporting of staffing hours

1. From 1 July 2022, the Accountability Principles 2014 (Cth) should be amended to require all approved providers of residential aged care to report, on a quarterly basis, setting out total direct care staffing hours provided each day at each facility they conduct, specifying the different employment categories (including personal care workers, enrolled nurses engaged in direct care provision, registered nurses engaged in direct care provision, and allied health care professionals engaged in direct care provision).

2. The System Governor should assess the reports against the minimum staffing requirements, and initiate appropriate action in cases of non-compliance.

Wages and conditions

The ANMF supports the recommendation of the Aged Care Royal Commission for wage increases and improvements in conditions for the aged care workforce, commencing with support and a commitment to fund the 25% wage increase being sought in the current work value case before the Fair Work Commission.

Recommendation 80: Dementia and palliative care training for workers

By 1 July 2022, the Australian Government should implement as a condition of approval of aged care providers, that all workers engaged by providers who are involved in direct contact with people seeking or receiving services in the aged care system undertake regular training about dementia care and palliative care.

Recommendation 84: Increases in award wages

Employee organisations entitled to represent the industrial interests of aged care employees covered by the Aged Care Award 2010, the Social, Community, Home Care and Disability Services Industry Award 2010 and the Nurses Award 2010 should collaborate with the Australian Government and employers and apply to vary wage rates in those awards to:

a. reflect the work value of aged care employees in accordance with section 158 of the Fair Work Act 2009 (Cth), and/or
b. seek to ensure equal remuneration for men and women workers for work of equal or comparable value in accordance with section 302 of the Fair Work Act 2009 (Cth).

Recommendation 81: Ongoing professional development of the aged care workforce

From 1 July 2021, the Australian Government and the States and Territories, through the Skills National Cabinet Reform Committee, should fast-track the development by the Australian Industry and Skills Committee of accredited, nationally recognised short courses, skills sets and micro-credentials for the aged care workforce. The courses should be designed to:

a. improve opportunities for learning and professional development, and
b. upgrade the skills, knowledge and capabilities of the existing workforce.

Recommendation 110: Amendments to residential aged care indexation arrangements

1. Commencing with effect on 1 July 2021, the Australian Government should amend the indexation arrangements for residential aged care so that all care subsidies, and the viability supplement, are increased on 1 July each year by the weighted average of:

a. 60% of the yearly percentage increase to the minimum wage for an Aged Care employee – Level 3 under the Aged Care Award 2010 (clause 14.1) that is determined by the Fair Work Commission immediately prior to 1 July as part of the annual review of award minimum wages
b. 30% of the yearly percentage increase to the minimum wage for a Registered nurse Level 2 – pay point 1 under the Nurses Award 2010 (clause 14.3) that is determined by the Fair Work Commission immediately prior to 1 July as part of the annual review of award minimum wages

STAFF RATIOS IS NOT TOO MUCH TO ASK

The Aged Care Royal Commission recognised that the aged care sector’s most precious resource is its dedicated and caring workforce, which, because of long standing systemic failings, has simply not been supported to do its job.

The final report

There are many ingredients that enable the provision of high quality and safe aged care, but it cannot be achieved without the sector having enough staff with the skills and time to care.

With almost 60% of residents in nursing homes experiencing an unacceptably low level of staffing, the report recommends that staffing ratios should be introduced to ensure that there are sufficient nursing and other care staff present at all times in residential aged care.

This means guaranteeing enough workers to provide high quality and safe, person centred care and increasing the proportion of qualified staff, such as nurses and allied health workers.

Staff ratios for aged care, it’s not too much to ask.

Recommendations

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Executive summary

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A little mealtime assistance – it’s not too much to ask.

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SHOW YOUR SUPPORT FOR AGED CARE