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

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Aged Care & Rehabilitation Clinical Service Plan 2007 - 2012New service models associated with psychogeriatric care are also being developed betweenSSWAHS and Holy Spirit Croydon in the Inner West, and Hammond Care at Hammondville.Various models have been proposed to undertake this work and are described further in theSSWAHS Sustainable Access Plan 2005. The Older Persons and Aged Care Services ClinicalRedesign Project also addresses this issue. Without significant investment, the impact of improvedrelationships and systems between SSWAHS and RACFs will not be sufficient to address thedemands from population growth.8.12.1 State Government Residential Aged Care FacilitiesSSWAHS operates two state government residential aged care facilities (SGRACF) on behalf ofNSW Health. A review of all NSW SGRACFs has been undertaken, primarily to determine how thefacilities will meet new legislative requirements by the end of 2008. Results of the review are not yetavailable; however preliminary findings indicate that SSWAHS will be required to undertake planningto determine the future of these services.Queen Victoria Memorial HospitalQueen Victoria Memorial Hospital (QVMH) is a state-government operated residential aged carefacility. It holds 100 bed licences, 70 in high care and 30 in low care, although only 84 beds arecurrently operational. A number of options for the future of QVMH were raised through the reviewprocess, some of which may support SSWAHS with the management of complex patients. Planningfor QVMH is not within the scope of this Plan.Carrington Centennial Nursing HomeCarrington Centennial Nursing Home (CCNH) is a Third Schedule facility operated by CarringtonCentennial Care Ltd. Carrington Centennial Care is licensed to provide 94 high care beds on behalfof NSW Health. These high care beds complement 144 low care beds and community services alsodelivered from the site. Again, there have been a number of options for the future of CCNH raisedthrough the review process, some of which may support SSWAHS with the management of complexpatients. Planning for CCNH is not within the scope of this Plan.Recommendation – Residential Care/Residential Level CareExpand the range of services and supports offered in partnership with Residential Aged CareFacilities, to improve early intervention and reduce avoidable hospital admissions8.13 Community Care ProvidersAlong with community care services provided by SSWAHS, an extensive range of community careservices are provided by other government agencies and the non-government sector. Examplesinclude respite services, centre based day care, community options, transport and food services.The Commonwealth Carer Respite Centre (CCRC) and Commonwealth Carelink program areauspiced by the non-government sector across SSWAHS. These programs coordinate respite careon a planned and emergency basis and provide information and referral advice with regard toservices for frail older people, people with a disability and their carers.Consistent with the high demand for services delivered by SSWAHS, there are long waiting lists toaccess many community care services. Lack of availability of community care services (particularlyhome modifications services) can delay patient discharge. A lack of community based casemanagement services can also result in unnecessary readmissions to hospital and/or residentialcare placement, in situations where a client is unable to manage their multiple care needs.Strong linkages exist between SSWAHS and many community based services, however these mustbe strengthened to ensure a quality continuum of care for the target group.Recommendation – Community Care ProvidersExpand the range of services and supports offered in partnership with community careproviders, to improve early intervention and reduce avoidable hospital admissionsPage 70
Aged Care & Rehabilitation Clinical Service Plan 2007 - 20128.14 Aboriginal Health ServicesIn consultation with Aboriginal Health Services, including local Aboriginal Medical Services, theneeds of Aboriginal people and Torres Strait Islanders have been identified. Nationally, access toresidential care by Aboriginal people is poorer than for non-indigenous people with the overallpermanent residential aged care usage rates for non-Indigenous permanent aged care residents 7.3per 1,000 compared to 1.8 per 1,000 for Indigenous residents (2005, AIHW). Despite its largeAboriginal population, there are no Aboriginal specific residential aged care facilities in SSWAHS. In2003, this gap was identified by the SSWAHS Janangalee Elders (Minto), the Aboriginal MedicalService Redfern, and SSWAHS Aboriginal Health staff, and again in 2007 during DADHC andSSWAHS consultations with Aboriginal consumers and service providers. The lack of culturallyappropriate respite, and facilities for younger Aboriginal people with disabilities, was also raised as asignificant issue.Also of concern for older Aboriginal people is the lack of clustered housing for older Aboriginalpeople and associated social isolation, their lack of knowledge about health and other governmentservices, AC&RS cultural sensitivity, and specific access issues associated with culture and history.Recommendation – Aboriginal PeopleImplement actions in the SSWAHS Aboriginal Health Plan which focus on Aboriginal peoplewho are older or who have disabilities, and their carers8.15 Interpreter Services and Multicultural ServicesSSWAHS has well developed interpreter services and multicultural services. Interpreter services arekey support services for clinical care and are located in major hospitals. In addition to a phoneservices, interpreters work in inpatient, outpatient and community settings.It is not always easy to access interpreters, particularly in newer or less commonly occurringlanguages. Other significant issues include the under-utilisation of interpreters, the need for staff touse culturally appropriate assessment tools, and the variable skill level of staff in working withculturally diverse communities. Attention needs to be given to information about newly emergingCALD communities and internal service data about access by existing CALD communities.Multicultural health services work in partnership with AC&RS services through a number ofinitiatives. These include cross cultural training, community development and education programs.The SSWAHS Ethnic Aged Health Advisory supports the development of knowledge and skills instaff and the broader community, and with residential and community care services.Access for CALD communities to AC&RS services requires a strong focus, particularly as newcommunities emerge. Culturally competent staff and services are key requirements.Recommendation – Interpreter Services and Multicultural ServicesContinue to develop systems and staff skills to ensure a culturally competent and appropriateservicePage 71
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Aged Care & Rehabilitation Clinical Services Plan 2007 Ã¢Â€Â“ 2012

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