Joint COSS submission to the Senate on Social Determinants of ...

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Submission <strong>to</strong> <strong>the</strong> <strong>Senate</strong> Community Affairs Committee on Australia’s response <strong>to</strong> <strong>the</strong> WHO ‘Closing <strong>the</strong> gap’ reportThe <strong>COSS</strong> Network applauds <strong>the</strong> decision by Fair Work Australia <strong>to</strong> award equal payfor workers in <strong>the</strong> social and community services (SACS) sec<strong>to</strong>r and <strong>the</strong>Commonwealth Government’s commitment <strong>to</strong> fund its share of <strong>the</strong> costs. This is acrucial step <strong>to</strong>wards ensuring viable, effective social services by requiring appropriatelevels of pay for <strong>the</strong> staff we depend upon <strong>to</strong> deliver those services.We also welcome <strong>the</strong> creation of <strong>the</strong> Australian Charities and Not-for-profit Commission<strong>to</strong> improve <strong>the</strong> regula<strong>to</strong>ry environment for our sec<strong>to</strong>r. Effective regulation and goodevaluation provide opportunities <strong>to</strong> improve <strong>the</strong> structure and outcomes of <strong>the</strong> not forprofit community service sec<strong>to</strong>r.However, many community service organisations continue <strong>to</strong> face a major challenge <strong>to</strong><strong>the</strong>ir effectiveness due <strong>to</strong> routine underfunding. The Productivity Commission found thatgovernments tend <strong>to</strong> fund only 70% of <strong>the</strong> costs of <strong>the</strong> services that <strong>the</strong>y contractcommunity sec<strong>to</strong>r organisations <strong>to</strong> provide. 23 Government contracts have grosslyundervalued inflation and so have driven a decline in funding in real terms, even asdemand for services in many areas has increased. 24Inadequate resourcing of community sec<strong>to</strong>r organisations is being exacerbated by risingdemand for services. The annual Australian Community Sec<strong>to</strong>r Survey 2011reportedmore people are turning <strong>to</strong> community groups for help, leaving organisation unable <strong>to</strong>meet demand. The survey showed a 12% increase in assistance provided by agencies.It revealed that 1 in 20 people were being turned away, a 19% increase on <strong>the</strong> previousyear. 25The A<strong>COSS</strong> BPS 2012-13 strongly recommends funding processes withinprogrammatic budget allocations that facilitate better collaboration between Governmentand <strong>the</strong> community sec<strong>to</strong>r and that support <strong>the</strong> sec<strong>to</strong>r <strong>to</strong> continue providing services <strong>to</strong>reduce disadvantage and improve community health and well-being.RecommendationAdequately fund <strong>the</strong> full cost of delivering community services, including appropriatelevels of indexation for continuing funding, in-line with <strong>the</strong> A<strong>COSS</strong> BPS 2012-13.TransportTransport is a critical fac<strong>to</strong>r <strong>to</strong> social inclusion and well-being. Transport should beaffordable, available, accessible and appropriate – enabling everyone <strong>to</strong> be able <strong>to</strong> get<strong>to</strong> where <strong>the</strong>y need <strong>to</strong> go within an acceptable amount of time, cost and ease.People who have ready access <strong>to</strong> transport are more able <strong>to</strong> access essential services,undertake education and employment, and participate in social activities. Yet manypeople are prevented from accessing <strong>the</strong>se opportunities and services due <strong>to</strong> transportdisadvantage. People most likely <strong>to</strong> experience transport disadvantage are those who23 Australian Productivity Commission (2010) Research Report in<strong>to</strong> <strong>the</strong> contribution of <strong>the</strong> Not-for-profit sec<strong>to</strong>r,Productivity Commission, http://www.pc.gov.au/projects/study/not-for-profit/report24 A<strong>COSS</strong> BPS 2012-1325 A<strong>COSS</strong> (2011), Australian Community Sec<strong>to</strong>r Survey 2011, Sydney.http://acoss.org.au/images/uploads/ACSS_2011_Report_Volume_1_National.pdfCouncil of Social Service of NSW (N<strong>COSS</strong>) Page 18 of 31
Submission <strong>to</strong> <strong>the</strong> <strong>Senate</strong> Community Affairs Committee on Australia’s response <strong>to</strong> <strong>the</strong> WHO ‘Closing <strong>the</strong> gap’ reportare already experiencing socio-economic disadvantage and who live in isolated or ruralcommunities.We note that Governments at <strong>the</strong> national, state and local levels can support a fairertransport system that contributes <strong>to</strong> improved social, environmental and healthoutcomes through:Incentives <strong>to</strong> reduce car dependency and encourage active transportLand use planning and development that encourages walking, cycling, and publictransport useProvision of affordable, accessible, safe, and convenient public transportWhole-of-government approaches <strong>to</strong> transport planning and funding.Ensure adequate resourcing for coordinated local transport services, includingcommunity transportA lack of transport as a barrier <strong>to</strong> accessing health services is a concern frequentlyraised by <strong>the</strong> social and community services sec<strong>to</strong>r. Transport difficulties can reduce <strong>the</strong>likelihood that people will access preventative treatment, receive effective care, or bediagnosed early. The lack of clear policy responsibility for transport <strong>to</strong> health servicesfollowing <strong>the</strong> 2010 and 2011 health reform agreements has contributed <strong>to</strong> a system inwhich <strong>the</strong>re are significant policy and service gaps. Responsibility for transportinfrastructure and public transport services sits outside health yet supplementarytransport services are required for equitable access <strong>to</strong> health care.Of particular concern is <strong>the</strong> impact of increased demand for health transport oncommunity transport. Community transport’s provision of social inclusion transportservices, predominantly funded through <strong>the</strong> Home and Community Care Program, isbeing constrained by increasing demand for health transport. Long-term, this will fur<strong>the</strong>rexacerbate <strong>the</strong> social isolation of older people and people with disability who rely oncommunity transport.To address <strong>the</strong> significant policy and service gaps around health-related transport,Governments at <strong>the</strong> national and state levels should:Fac<strong>to</strong>r transport considerations in<strong>to</strong> health service planning and deliveryEnsure adequate resourcing for health transport servicesRecommendation:Coordinated, joined-up planning and funding of transport systems that focuses onimproving social, environmental and health outcomesClarify responsibility for health transport services through <strong>the</strong> COAG process <strong>to</strong> improveequitable access <strong>to</strong> health care.Council of Social Service of NSW (N<strong>COSS</strong>) Page 19 of 31
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Joint COSS submission to the Senate on Social Determinants of ...

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