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Primary Health Care in Aged Care – what does the future hold?

ISO 9001 Lic QEC22546 SAI Global. Primary Health Care in Aged Care – what does the future hold?. Overarching policy questions. How can our aged care system be equipped to respond to the diverse needs of our growing aged population flexibly and sustainably?

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Primary Health Care in Aged Care – what does the future hold?

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  1. ISO 9001 Lic QEC22546 SAI Global Primary Health Care in Aged Care – what does the future hold?

  2. Overarching policy questions • How can our aged care system be equipped to respond to the diverse needs of our growing aged population flexibly and sustainably? • How can we facilitate smoother connections between aged care and other services that aged care residents need?

  3. Context (ageing population) • The ageing of the population will see the number of people aged 65 to 84 years more than double and the number of people 85 years and over more than quadruple over the next 40 years • Approx 1.7 million persons aged 85 years and older by 2050 http://www.treasury.gov.au/igr/igr2010/

  4. Context (chronic illness)

  5. Context(RACFs) • Currently around 170,000 government subsidised beds Australia wide – predicted bed need by 2031 is 370,000 • $10 billion industry (annually) • 70 million beds days of care annually • 530 million medication administration events annually

  6. Context(RACFs) • The lifetime risk of requiring residential aged care in Australia is estimated to be 20% for men and 34% for women • Approximately 6% of people aged over 65 yrs (and 30% of people aged over 85 years) live in RACFs • There are equal proportions of men and women aged 65-74 years; but by age 85 years, residents are predominantly women

  7. Primary care provision in RACFs • Increases in the complexity of the management of chronic health concerns • GPs - primary medical care providers for older people in the community, including those living in residential aged care facilities • Challenge is to provide appropriate care of the highest quality – driver of GPs working with other health providers to deliver high quality primary care in aged care settings

  8. Primary care provision in RACFs The Medical care of older persons in residential aged care facilities(RACGP 'silver book') recognises the multidisciplinary nature of care and is used as a clinical or educational resource for GPs, nurses and staff in RACFs in their work with GPs; other health professionals who provide services to residents; and Divisions of General Practice that work collaboratively with GPs and residential aged care staff. http://www.racgp.org.au/silverbookonline/intro.asp

  9. Integrated residential health care map

  10. http://www.health.vic.gov.au/acute-agedcare/functional-decline-update-2007.pdfhttp://www.health.vic.gov.au/acute-agedcare/functional-decline-update-2007.pdf

  11. http://www.health.vic.gov.au/acute-agedcare/howto_knowledge_into_practice.pdfhttp://www.health.vic.gov.au/acute-agedcare/howto_knowledge_into_practice.pdf

  12. FUTURE Aged Care Industry Council (peak council of Australia’s aged care providers)

  13. FUTURE Productivity Commission • Increasing emphasis on community care • Increasing support for carers • Increasing the number of places • Creating a more integrated aged care system • Improving the provision of aged care services in regional and rural areas • Improving the provision of culturally appropriate aged care • Improving access to information services. http://www.pc.gov.au/research/commissionresearch/aged-care-trends

  14. Proposed health reforms • The Commonwealth Government will assume full policy and funding responsibility for aged care • Establishment of primary health care organisations (PHCOs) -improve the delivery of primary health care services at the local level and ensure local primary care is better integrated and more responsive to the needs and priorities of patients and communities.

  15. Proposed health reforms • More funding to increase the capacity and service delivery of aged care system (capital, GP access, rural and remote etc) • Establish arrangements that better integrate care with other parts of health system (one stop information shops, better assessment etc).

  16. http://www.accreditation.org.au/site/uploads/Accreditation%20standards%20factsheet.pdfhttp://www.accreditation.org.au/site/uploads/Accreditation%20standards%20factsheet.pdf

  17. Overarching policy questions • How can our aged care system be equipped to respond to the diverse needs of our growing aged population flexibly and sustainably? • How can we facilitate smoother connections between aged care and other services that aged care residents need?

  18. THANK YOU “The next apology to Australians will be made to people in nursing homes if we fail to properly prepare for the future” CEO of the Australian Industry Group Heather Ridout

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