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australian ageing agenda

International day of love: National day of action!

Published on Tue, 15/02/2011, 01:54:52

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By Yasmin Noone

On the international day of love, Valentine’s Day, the sector’s key players united to speak with one voice about the issue closest to their hearts — aged care reform.

Aged care providers, peak body advocates, union delegates, aged care workers, residents and their families, MPs, consumer representatives and even the Minister for Mental Health and Ageing himself, Mark Butler, all turned up to the Australian Nursing Federation’s (ANF) national day of action yesterday to show support for sector-wide reform.

The main event, held at Mercy Place nursing home in Melbourne, coincided with smaller events held at aged care facilities around the country.

ANF federal secretary, Lee Thomas, said that the national day of action was held to publically demonstrate just how serious the entire sector is about the issue of reform.

“We think that the day was very important and very successful,” Ms Thomas said. “I think it clearly demonstrated that we are all standing together and it highlighted the urgent need for reform.

“Clearly, from our perspective, reform needs to include not only issues to do with wages, but also, very importantly, adequately resourcing the sector so quality care can be delivered.

“I think we are all speaking from the same song book in terms of that agenda.”

Acting CEO of Aged and Community Services Australia, (ACSA) Pat Sparrow, paid reference to the minister’s first address to the sector at the ACSA Conference in Hobart last year, and the fact that he called for stakeholders to be more united on the issue of reform —especially when the Productivity Commission released its draft report.

“[Yesterday], we were united on the need for the reform of the aged care sector,” Ms Sparrow said.  “And we will continue to work together. We are all committed to ensure the reform of the aged care sector.

“Certainly everyone has agreed on the issue about competitive wages but funding has to be changed to enable providers to do that. I do feel that we are working together well and are united behind the call to reform aged care.”

CEO of National Seniors Australia, Michael O’Neill, agreed that the key stakeholders came out in a united front, but that is not to say that everyone agrees on everything.

“Of course we didn’t cross swords at all,” Mr O’Neill said.

“There is an opportunity for real reform but for real reform to occur, we need competitive and equitable wages for all people working in the sector. Unless we reform that, there will not be reform.

“It’s encouraging that people are, at this stage, generally on the same page. But there remains a long way to go in the process and we should be careful not to get ahead of ourselves.

“I don’t think it’s all hunky dory in reality but there is a degree of good will and recognition that had an interest in finding common ground.”

Minister Butler’s ‘love’ for aged care

In his address to the crowd yesterday,  Mr Butler minster made reference to Valentines Day's and his love of this aged care portfolio: “It really is a pleasure to be here with you this morning and to show some love (as the theme of today requires) for the process of aged care reform.

“Speaking of love, I just want to say how much I love being the Minister for Ageing. It’s important to say that because not everyone who has been the Minister for Ageing has loved the job. I remember reports of one of my predecessors in the last Government indicating that he thought he was too young for the job and actually had an interest in foreign affairs, which went down like a lead balloon.

“I do love the job. I mainly love the job of ageing because I believe that one of the truest tests of a decent society is how we treat our seniors; those people who for years and years worked hard, paid their taxes, raised their families, and in their senior years, after building so much of the society that we now take for granted need a bit of support and care in return.

“I think what has really characterised the debate over aged care reform over the last couple of years, and happily for me continues, is the level of cooperation and consensus about the need for reform between the different interests that exist in the sector. It has been a very positive thing and I hope that it continues.

He welcomed the cooperative dialogue that now exists between the ANF, other unions, providers and the consumer groups.

“Their capacity to talk through some very difficult issues and present government with a level of consensus around at least some of them is incredibly valuable to us, hearing from the sector what sort of path we should be taking forward.”

Mr Butler spoke about the comprehensiveness of the Productivity Commission’s draft report.  

“We didn’t want a report that drilled into a couple of issues deeply; we wanted a report that covered the whole gamut of issues facing the aged care sector. I think anyone who has read the 507 pages plus the 50-page introduction plus the hundreds of pages of appendices would acknowledge that this report is nothing if not comprehensive.”

He outlined the three principles that will guide the government’s approach to aged care reform.

“The first is that older Australians have earned the right to be able to access the care and support that is appropriate to their needs, when they need it.”

“Secondly, older Australians deserve, frankly, more choice and more control over their care arrangements than the system currently delivers them.

“Lastly, and perhaps most challengingly, aged care needs to have funding arrangements which are fair and sustainable, both for older Australians and for the broader community.

“Those are the principles that will guide us in the coming months as we listen to the community’s response and the response of stakeholders like ANF and others to the Draft Report. They’re the principles that will guide us through the process following the release of the Final Report that we expect in June.”

IF, and it's a big IF, the Commonwealth and the States can collaborate on reform of aged care then the next five years will be a lot of fun - maybe. The proposed reform represents significant change at all levels - not just in way the sector is funded but also in the way aged care services are delivered. It's one thing for aged care providers to work with the Commonwealth as sole funder; its another thing to have to woo a quarter million empower consumers with hands on their own individual purse strings. At its extreme, reform will require boards and committees to develop new ways of thinking about the direction and delivery of aged care. Management teams will need to develop new processes, develop a unique product/service mix and learn how to market those to consumers. This will require experience and skills very few providers have at present. We are talking around 2000 governance teams and 3000 management teams engaging in this process over the next five years. New players will enter the market and bring with them innovative and creative ways to deliver services. Those that fail to plan for change, will fall by the wayside. On the other hand it is likely cash flow for providers will improve and possibly margins also. Investors may discover opportunities to invest in the infrastructure of aged care. Some providers will not be able to make the change. Others are better resources to plan for the future and to adapt and change. One or two of the failures will likely be spectacular and newsworthy. While this takes place, aged care providers continue to work through current issues, attracting and retaining their best people, paying competitive remuneration in a rising market, coping with rising costs and insufficient funding, trying to work out how to upgrade stock and facilities, within environmental guidelines, the list goes on. It is time to start looking ahead, at the future. It is not time for boards and management to sit on their hands and do nothing. Others will move ahead and gain a position while you are still thinking about it. The cost of planning is nothing compared to the cost of not being able to keep up with the pace of change, of not being able to adapt. For those that are proactive there will be sunny days ahead; for those that wait, there may be dark days ahead. John Coxon www.johncoxon.com.au
Posted by John Coxon. 15/02/2011 04:51:54 PM
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