Garnaut Fitzgerald Review of Commonwealth-State Funding
Garnaut Fitzgerald Review of Commonwealth-State Funding
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]