Final Report on RREF 2001 - Department of Health

Part A: Background and Scope of the RREF Review
Over the last eight years, HACC growth funds have been allocated to regions on the basis of the
RREF. Over that time, the RREF has achieved a significantly greater degree of equity in
resource distribution in relation to the distribution of the HACC target population between DHS
regions. In the last two years, some providers have raised questions as to whether the RREF, as
it is currently structured and applied, is the most effective method for advancing equity in the
distribution of HACC resources. It is these concerns that have prompted the Victorian
Government to undertake the present review.
It was beyond the scope of the Review to consider the adequacy of the total level of HACC
funding. As noted, the Victorian Government is committed to increasing HACC funds and is
negotiating with the Commonwealth over the level of matching funds. Any additional funds
that become available will be distributed through a process focused on achieving equity in
relation to need.
HACC PROGRAM OBJECTIVES AND THE RESOURCE ALLOCATION
PROCESS
This section of the Paper provides a brief background to the way in which the RREF Review fits
into developments in the HACC Program at national and state level.
National goals of the HACC Program
The broad goals of the HACC Program are stated in the current HACC Agreement.
They make reference to:
1. Promoting the provision of a comprehensive, co-ordinated and integrated
range of basic support and maintenance services for frail older people and
younger people with disabilities and their carers, to enhance their
independence in the community and prevent premature or inappropriate
admission to long term residential care;
2. Ensuring effective planning, monitoring and accountability and facilitating
input from consumers;
3. Ensuring that within available resources, services are delivered in a manner
which is cost effective, achieves integration, promotes independence and
avoids duplication;
4. Ensuring that, within available resources and within the broader service
network, services are provided equitably between regions, responsive to
regional differences and targeted to those who would benefit most and/or
are most in need of these services;
5. Promoting an integrated and co-ordinated approach between delivery of
home and community care and related health and welfare programs,
including programs providing residential care; and
6. Expanding and developing high quality home and community services
through the joint co-operation of the Commonwealth, State/Territory, Local
Governments and the community sectors.
<strong>Final</strong> <strong>Report</strong> July 2001 3