Final Report on RREF 2001 - Department of Health
Final Report on RREF 2001 - Department of Health
Final Report on RREF 2001 - Department of Health
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Part C: Outcomes<br />
7.2 COMPARISON OF CONTINUATION OF CURRENT <strong>RREF</strong> AND INITIAL<br />
OPTIONS<br />
Range <strong>of</strong> initial opti<strong>on</strong>s<br />
A total <strong>of</strong> 12 initial opti<strong>on</strong>s were modelled to illustrate how different approaches to adjusting the<br />
weighting <strong>of</strong> need factors and inclusi<strong>on</strong> <strong>of</strong> 4 or 6 variables affected the regi<strong>on</strong>al allocati<strong>on</strong> <strong>of</strong><br />
growth funds. These opti<strong>on</strong>s were modelled for the initial Base Populati<strong>on</strong>s 2 and 3, as follow:<br />
Opti<strong>on</strong> Initial Base<br />
Populati<strong>on</strong><br />
Weighting <strong>of</strong> need<br />
variables<br />
Number <strong>of</strong> need<br />
variables<br />
Current <strong>RREF</strong> Rurality <strong>on</strong>ly<br />
(1) Base 2 Even 4<br />
(2) Base 2 Even 6<br />
(3) Base 2 SES x 2 4<br />
(4) Base 2 SES x 2 6<br />
(5) Base 2 ARIA x 2 4<br />
(6) Base 2 ARIA x 2 6<br />
(7) Base 3 Even 4<br />
(8) Base 3 Even 6<br />
(9) Base 3 SES x 2 4<br />
(10) Base 3 SES x 2 6<br />
(11) Base 3 ARIA x 2 4<br />
(12) Base 3 ARIA x 2 6<br />
One <strong>of</strong> the rati<strong>on</strong>ales in modelling opti<strong>on</strong>s with <strong>on</strong>ly four variable models was that while<br />
recognising that a great many variables c<strong>on</strong>tribute to differences in the need for HACC services<br />
between LGAs and regi<strong>on</strong>s, the <strong>RREF</strong> formula has to focus <strong>on</strong> a small number <strong>of</strong> key variables.<br />
The variables excluded from the four variable models were:<br />
1. life expectancy, <strong>on</strong> grounds <strong>of</strong> high correlati<strong>on</strong> and hence duplicati<strong>on</strong> with median<br />
household income; and<br />
2. residential care shortfall, <strong>on</strong> grounds <strong>of</strong> the difficulty <strong>of</strong> allocating excess beds in<br />
some LGAs to adjacent LGAs with shortfalls, and in projecting changes in<br />
residential care provisi<strong>on</strong>.<br />
Other models could have been developed with any <strong>of</strong> the other variables excluded. However, as<br />
the remaining variables c<strong>on</strong>tributed less to the overall model, as detailed in Step 4 above, there<br />
would be less change in outcomes.<br />
The current <strong>RREF</strong> and all the other opti<strong>on</strong>s are c<strong>on</strong>strained by the total amount <strong>of</strong> growth funds<br />
being fixed, so that redistributi<strong>on</strong> <strong>of</strong> funds am<strong>on</strong>g regi<strong>on</strong>s has to balance out. The result is that<br />
all regi<strong>on</strong>s c<strong>on</strong>tinue to receive growth funds, however the 12 opti<strong>on</strong>s show different regi<strong>on</strong>al<br />
shares than would be expected under the c<strong>on</strong>tinuati<strong>on</strong> <strong>of</strong> the current <strong>RREF</strong>.<br />
Outcomes <strong>of</strong> initial opti<strong>on</strong>s<br />
Whilst, the regi<strong>on</strong>al shares <strong>of</strong> growth funds projected for 2002 under the current <strong>RREF</strong> provide<br />
a basis for comparis<strong>on</strong> <strong>of</strong> outcomes <strong>of</strong> other models, it should be remembered that the outcome<br />
under the current <strong>RREF</strong> is not fixed and that there would be further changes in the allocati<strong>on</strong> <strong>of</strong><br />
resources between regi<strong>on</strong>s if the current <strong>RREF</strong> were to c<strong>on</strong>tinue. C<strong>on</strong>tinuing reallocati<strong>on</strong> <strong>of</strong><br />
growth funds would come about due to changes in regi<strong>on</strong>al populati<strong>on</strong>s over time, and<br />
c<strong>on</strong>tinuing adjustments to achieve per capita equity as defined by the current <strong>RREF</strong>. Further,<br />
there would be likely to be an adjustment for the VHC in any c<strong>on</strong>tinuati<strong>on</strong> <strong>of</strong> the current <strong>RREF</strong>.<br />
<str<strong>on</strong>g>Final</str<strong>on</strong>g> <str<strong>on</strong>g>Report</str<strong>on</strong>g> July <strong>2001</strong> 74