CHSP Securing our place in the Future

Transcription

1 CHSP Securing our place in the Future Michelle Newman Aged and Community Services NSW & ACT November 2015 Aged & Community Services NSW & ACT 1

2 Commonwealth Home Support Programme CHSP DTC NRCP HACC ACHA 900,000 plus clients in

3 COMMONWEALTH HOME SUPPORT PROGRAMME CHSP

4 Overview Retention of block (output) funding most contracts to 30 June 2018 Entry level program limit of service to less than Home Care Package Grandfathering of existing clients (still not clear for HCP clients) Manual and Guidelines will be complemented by series of Fact Sheets $20 million in transition support funding for CHSP providers to assist with implementing the new programme Reduction in reporting requirements Transitioning

5 The Changes Separation of assessment and service provision MAC/RAS Target group has changed no carers; 50 + ACH; Grandfathered clients new concept for HACC/NRCP/DTC/ACHA Interface with other programs eg HCP Focus on Wellness, Re-ablement & Restorative Approach New restrictions on some services, e.g. $500 (max $1,000) for equipment $10,000 for home modification

6 Flexibility of up to 20% of outputs within sub-programmes Community & Home Support Care Relationships Assistance with Care & Housing Service System Development Specialised Support Services welcomed new service type Sector Support to continue until 2017 Client contributions 15% of grant income

7 CHSP (Fees)

8 Client Contributions New Client Contribution Framework and Guidelines based on feedback from sector Local organisational policy & process Simple means test and hardship provisions No mandatory fees schedule target of 15% of grant revenue(incremental) Greater transparency of user charges Gradual move to national consistency Monitored via reporting & quality review

9 Implementation Anyone that can afford to pay for services should Some services have been collecting a contribution for many years Analyse you current contributions are you anywhere near 15% of your CHSP grant How can you achieve that? Ask staff/clients for ideas Current examples: flat fee for all services, gold coin donation, monthly subscription, combining services and offering a package deal, Start slowly and communicate, communicate, communicate like any other change process

10 HOME CARE PACKAGES

11 CHSP & HCP Manual In defined circumstances, however, a Home Care Package client may access Commonwealth Home Support Programme services in addition to the services they are receiving from their Home Care Package budget (that is, the additional Commonwealth Home Support Programme services will not be charged to the client s individualised budget). These circumstances include: o Where the Home Care Package client s budget is already fully allocated, a Level 1 or 2 Home Care Package client can access additional, short-term or episodic Allied Health and Therapy services or Nursing services from the Commonwealth Home Support Programme; o Where the Home Care Package client s budget is already fully allocated, and a carer requires it, a Home Care Package client can access additional planned respite services under the Commonwealth Home Support Programme; o In an emergency (such as when a carer is not able to maintain their caring role), where a Home Care Package client s budget is already fully allocated, additional services under the broader Commonwealth Home Support Programme can be obtained on an emergency or short term basis. o These instances should be time limited, monitored and reviewed 11

12 Interface HCP CHSP Manual and HCP Operational Manual Some confusion about exceptions eg respite When is it reported as a CHSP output old habits Grandfathered clients Full cost recovery anyone can purchase your services

13 Flexibility Provisions 80/20 sub programme output flexibility what does it mean where a service provider receives a large volume of referrals from My Aged Care for clients requiring social support, but less than the level of referrals expected for personal care, it may need to utilise a small portion of the funding it receives for personal care to deliver social support In essence the flexibility provisions are there to help providers manage their services flexibly when demand varies The general rule is use the flexibility to meet local need and if it exceeds the allowable level of flexibility talk to the Dept about a change in grant agreement MAC referrals and DEX data over time will show what at the real demand is Contradictions referrals from MAC what about existing clients?

14 Examples Can a provider allocate up to 20% of the Personal Care (PC) funding to Transport even though the PC service hasn t yet reached 80% (or can the flexibility only be applied once a service is delivering 80% of its funded outputs)? Response don t need to reach 80 per cent of the PC first. However only 20% can be allocated elsewhere so if it looks like you won t hit the 80%, particularly if not getting adequate referrals, you should tell the Department early as it might mean they need to reconfigure the agreement 2. Given the significant demand for Transport, could Transport outputs be taken above 120% (adding 20% of the PC funding to Transport would allow the Transport service to operate at 143% of funded outputs, due to the different funding amounts for each service). Response - a shift that big requires a conversation with Department to reshape the funding agreement.

15 Data Exchange (DEX) Nov New way of reporting program activities (first full reporting period Jan- Jun2016) No interface with MAC so need to set up your outlets Client Management systems need update to DEX compatibility No CRM - HADs in NSW a major issue and ACS working with ADHC & DSS for a solution Long term the DEX and MAC will allow greater levels of data for planning

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17 September November 2015 Transition funds allocated formula for allocation weighted to smaller service providers ($12-20 K) New Contracts by 1 Nov 2015?? SPVT completed (2 weeks) Contracts currently being issued Discussions re contract changes now CHSP Manual & Guidelines apply 1 Nov 2015 NRCP, DTC & ACHA still struggling to transition DSS Data Exchange 1 Nov 2015 technical specifications August 2015 information and training Sep Nov access to DEX 1 November create outlets

18 MORE REFORMS

19 Still to come Roadmap - Aged Care Sector Committee vision for next 5-10 year 2015? Carer Gateway (Integrated Plan for Carer Support Services) - Very little detail at this stage Full rollout of NDIS - Need to plan now for loss of block funding for CCSP and disability programs Restorative Care Program - Merging Transition Care Program into new expanded shortterm restorative care program

20 and then Feb 2017 HCP - Funding transfers to the consumer - portability July 2017 Sector Support - Decision about sector support into the future August Final report on Review of LLLB Reforms July Amalgamation of CHSP and HCP into a single program Integrated Care at Home Program - Blue sky thinking.opportunity

21 What you can do Plan Respond Alliances Market Opportunities

22 Engaged Strategic Flexible Be kind to yourself

23 Useful links & contacts Aged & Community Services NSW & ACT My Aged Care Australian Department of Social Services National Aged Care Alliance Home Care Today