Aged Care & Rehabilitation Clinical Services Plan 2007 Ã¢Â€Â“ 2012

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Aged Care & Rehabilitation Clinical Service Plan 2007 - 2012DAS are funded by the Department of Ageing, Disability and Home Care (DADHC), through theAgeing Program or the HACC Program. The Bankstown/Liverpool/Fairfield DAS and Macarthur DASare funded through the HACC program, and as such are only able to support clients and carers in acommunity setting. Wingecarribee has a part time DAS position, auspiced by Alzheimers AustraliaNSW. The Funding Agreement for each individual DAS outlines service roles and responsibilities.Current ActivityIt is not possible to compare DAS activity due to different funding sources and roles.Current and Emerging Issues• Population ageing – there will be an almost 100% increase in the 85+ year old population toover 25,000 people in SSWAHS by 2016. Age is the greatest risk factor for Alzheimer’sDisease;• Increasing incidence and prevalence of dementia – the prevalence of dementia is expectedto double by 2016, with incidence increasing consistently as the population ages. This will placeadditional demands on DAS services;• Younger onset dementia – there is a need to develop specialist capacity to enable effectiveassistance of younger people with dementia and their families;• Education – as the number of people working in the area of dementia grows, so does thedemand for education services for care staff. There is limited dementia expertise in existingcommunity services. Attention is also required for culturally appropriate education models forcarers.Projected Future ActivityFuture activity in DAS will be dependent on external funding becoming available. Applications havebeen made in recent HACC funding rounds, however to date additional DAS funding has not beenmade available.Future Model of CareThe future model of care provided by the DAS will be dependent on additional funding becomingavailable. At present, the Funding Agreement between DADHC and SSWAHS provides clearguidelines on the activities which can be undertaken.Recommendation – Dementia Advisory ServicesSeek additional HACC funding through DADHC to extend the capacity of the existing DASservices, and their capacity to service culturally diverse communities6.1.12 Respite and Support ServicesAC&RS offers a range of respite and support services, generally with external funding, including:• Transcultural Respite – An Australian Government funded service providing out of homerespite for small groups of people from non-English speaking backgrounds. The programfacilitates access to broader group activities, such as centre based day care andcommunity based activities. Funding is provided on a three yearly funding cycle, with thecurrent cycle ending June 2008;• Reslink – An Australian Government funded flexible respite program for carers of peoplewith dementia and challenging behaviours. Funding is provided on a three yearly fundingcycle, with the current cycle ending June 2008;• Out of Hours and Weekend CBDC – An Australian Government funded program providingout of hours and weekend CBDC for people with dementia. Funding is provided on a threeyearly funding cycle, with the current cycle ending June 2008;• Macarthur Home Support Dementia Monitoring Program – a HACC funded monitoringservice for people with dementia who live alone or who spend extended periods at homealone.• Community Aged Care Packages (CACPs) – AC&RS in Liverpool/Fairfield operateCACPs, providing brokered home based assistance to people eligible for low levelresidential aged care. This service is funded by the Australian Government.• Dementia Support Service – an Australian Government funded service providing in-homerespite for people with severe dementia. Funding is provided on a three yearly fundingcycle, with the current cycle ending June 2008;• Transcultural Aged Care Service (TACS) – an Australian Government funded servicesupporting multicultural clusters in residential care. Funding is provided on a three yearlyfunding cycle, with the current cycle ending June 2007;Page 48
Aged Care & Rehabilitation Clinical Service Plan 2007 - 2012• Community Options – a Home and Community Care (HACC) funded service operating atConcord and Camperdown only, providing case management and packaged care for frailaged and people with disabilities. This is a capped service with ongoing funding;• Community Visitors Scheme (CVS) – an Australian Government funded program,recruiting and supporting multicultural volunteers for residents of residential aged care inthe Sydney Metropolitan area. Funding is provided on a three yearly funding cycle.These services provide essential support to older people and their carers in SSWAHS. However,some programs may be equally well provided by non-government agencies. It is important to reviewthe role of SSWAHS in the provision of respite and support services, within the context of the servicedelivery system.Recommendation – Respite and Support ServicesReview the role of SSWAHS in the provision of externally funded respite and support services.6.2 Inpatient ServicesA range of inpatient services at an acute and sub-acute level is required for AC&RS clients. Theseservices include specialised wards, as well as a range of consultative services. Section 8.3describes options for the improvement of the capacity of specialties other than aged care andrehabilitation to respond to the needs of the target group, particularly in recognition of the highnumber of ‘older’ patients throughout the hospital system.A growing proportion of people entering AC&R inpatient services will be from culturally diversecommunities. These clients will require access to interpreter services, or Aboriginal Hospital LiaisonOfficers, to ensure that their needs are identified and appropriately met. Access to culturallyappropriate services should reduce client fear and anxiety about the future.The following core inpatient services are required to meet the demand from AC&RS clients:Section 6.2.1 - Inpatient Beds – Acute and Sub Acute Aged Care and RehabilitationSection 6.2.2 - Aged Care Inpatient ConsultationSection 6.2.3 - Rehabilitation Inpatient ConsultationSection 6.2.4 - Dementia and Gerontology Clinical Nurse Consultants6.2.1 Inpatient Beds – Acute and Sub Acute Aged Care and RehabilitationSSWAHS provides inpatient beds for AC&RS clients including acute aged care, sub-acute agedcare, rehabilitation and aged care psychiatry. Some beds are in dedicated units, whilst others arelocated in mixed wards. Table 6.10 depicts availability of inpatient beds in SSWAHS in 2007.Table 6.10 AC&RS Beds in SSWAHSFacility Ward Name Ward Type Beds as at Dec 2007RPA Ward 8 West 1 Acute aged care 30Balmain 1 John Beasley Rehabilitation 26Lever Mixed Acute/Sub-Acute Aged Care 26Wakefield Mixed Acute/Sub-Acute Aged Care 26Concord Ward 10 Sub-Acute Aged Care 24 – 28Ward 11 Acute Aged Care 24Ward 14 Rehabilitation 15Ward 15 Acute Aged Care 24Ward 17 Delirium 12Canterbury Banksia Mixed Acute/Su-Acute Aged Care 30Boronia Mixed Acute/Su-Acute Aged Care 30Cassia General Medicine (shared Aged Care) 12Bankstown Ward 2A Rehabilitation 20Ward 2B Stroke/ Rehabilitation 20Ward 2C Acute Aged Care 20Ward 2D Psychogeriatrics 20Liverpool 2 Aged Care Unit Acute Aged Care 20BIRU Acute and Transitional Living 20BIRU Community Living Unit 4Page 49
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Aged Care & Rehabilitation Clinical Services Plan 2007 Ã¢Â€Â“ 2012

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