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Garnaut Fitzgerald Review of Commonwealth-State Funding

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Chapter 5: Specific Purpose Payments and Overall Payments to the <strong>State</strong>s<br />

Home and Community Care<br />

The Home and Community Care SPP funds community care services for the frail aged<br />

and younger people with disabilities, and their carers. The program aims to support<br />

people who live at home and avoid premature or inappropriate admission to residential<br />

care. Agreements are made between the <strong>Commonwealth</strong> Department <strong>of</strong> Health and<br />

Aged Care and each <strong>State</strong> health department. This is one <strong>of</strong> the more complex SPP<br />

arrangements, even after simplification by removing the need for <strong>Commonwealth</strong><br />

approval <strong>of</strong> individual projects.<br />

The <strong>Commonwealth</strong> provides approximately 60 per cent and the <strong>State</strong>s approximately<br />

40 per cent <strong>of</strong> funding, with all money going into one pool and being subject to the same<br />

conditions. <strong>Funding</strong> levels are determined annually through a system <strong>of</strong> <strong>Commonwealth</strong><br />

<strong>of</strong>fers and <strong>State</strong> replies.<br />

The Home and Community Care SPP has extensive administrative arrangements.<br />

• A National Triennial Plan (jointly agreed to by <strong>Commonwealth</strong> and <strong>State</strong> Ministers)<br />

sets out priorities, strategic directions and estimated funding for the next three years.<br />

• National Program Guidelines have been developed over time that set outline<br />

parameters for the national program and guide the setting and monitoring <strong>of</strong><br />

program standards, accountability, assessment and fees. The <strong>Commonwealth</strong> and<br />

<strong>State</strong> Ministers jointly agree on the application <strong>of</strong> the guidelines in each <strong>State</strong>.<br />

• A jointly approved Program Management Manual.<br />

• Advisory and consultative mechanisms at national, <strong>State</strong> and regional levels.<br />

• Each <strong>State</strong> must agree with the <strong>Commonwealth</strong> on an annual plan, which sets out<br />

priorities (determined via community consultation) and proposed funding and<br />

outputs. <strong>State</strong>s may vary actual regional outputs and funding slightly for each region.<br />

• <strong>State</strong>s can approve individual projects within regions, as long as they advise the<br />

<strong>Commonwealth</strong> <strong>of</strong> approvals within fourteen days. Unless otherwise agreed,<br />

<strong>Commonwealth</strong> and <strong>State</strong> Ministers announce project approvals and funding<br />

allocations jointly.<br />

• At the end <strong>of</strong> each financial year, the <strong>State</strong>s report to the <strong>Commonwealth</strong> whether<br />

planned outputs were achieved and whether funding was allocated as planned.<br />

Reports must include data collected by service providers on the client<br />

characteristics, and the number, type and quality <strong>of</strong> services provided.<br />

• <strong>State</strong>s are required to enter agreements with service providers, that set out the<br />

services to be provided (in measurable outputs) the quality <strong>of</strong> standards to be<br />

achieved and the means <strong>of</strong> monitoring and measuring the standards.<br />

• Comprehensive quarterly data collection requirements.<br />

If the <strong>Commonwealth</strong> has reasonable grounds (e.g. service outputs not being attained),<br />

it may revert to the previous arrangement where the <strong>Commonwealth</strong> and <strong>State</strong><br />

approved individual projects jointly. It can withdraw funding in the following year if <strong>State</strong>s<br />

do not meet the conditions <strong>of</strong> the agreement.<br />

FINAL REPORT [69]

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