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The new approach to aged care complaints:
A Department and industry dialogue




Presentation to the Tri-State Conference

• First Assistant Secretary, Iain Scott
• Assistant Secretary, Lucelle Veneros

28 February 2011
Strengthening aged care complaints


• Complaints Scheme: Context for change

• The Walton Review

• Productivity Commission

• Our focus

• Listening to the aged care sector
What the sector has asked for


A strengthened aged care complaints scheme

• Transparency               • Natural justice

• Accountability             • Evidence-based decisions

• Responsiveness             • Continuous improvement

• Communicates effectively   • Shares information

• Focus on quality           • Engages with the sector

• Consistency                • Seeks feedback
What you should be starting to see


• Engagement with the sector

• Improved communication with parties to a complaint

• Strengthened, national approach to complaints-handling

• Focus on quality outcomes

• Expanded complaint resolution options: discussion paper out for
  comment until 22 March 2011
Aim of reforms


• A more responsive and customer focused complaints system

• Underpinning that system: a national approach

• Natural justice

• Clear and timely communication

• Consumers and providers are aware of their rights and
  responsibilities, the role of the Scheme, and options to resolve concerns
You told us…

                                               You should
                                           already be seeing
1. Local resolution where possible
                                             improvements

•   A best practice approach
•   Some complaints can (and should) be handled by providers
•   Meaningful and productive conversations
•   Sustainable and quality outcomes
•   Need to ensure providers, consumers can resolve concerns

2. Expanded resolution options           Discussion paper
                                         out now for public
•   Assisted resolution                      comment
•   Conciliation
•   Mediation
•   Investigation
You told us…


3. Transparent and accountable                                    You should see
                                                                  improvements
•   Publicly available procedures                                      here
•   Performance measures
•   Improved reporting eg Report on the Operations of the Aged Care Act
•   Strategic direction (role, scope, priorities and opportunities)

4. Quality and consistency                   You should see
                                             improvements
•   Revised national procedures                   here
•   Comprehensive national staff training
•   Testing and reviewing procedures
•   Feedback
You told us…


                                                         You should
5. Clear and timely communication                         be seeing
                                                       improvements
•   Early identification of issues
•   Improved Statements of Reason
•   Revised letters
•   Ongoing contact throughout the process
                                                    You should
6. Procedural fairness                               be seeing
                                                  improvements
•   Clarity about the issues being examined
•   Principles of natural justice
•   Examining the issues
•   Evidence-based decisions
•   Focus on quality outcomes for care recipients and providers
You told us…

                                      Ongoing focus
7. Continuous improvement

• We have a job to do, however...
• …complaints are a tool for quality improvement
• Education is important to ensure providers deliver quality care

8. Provide information
                                                           Coming soon
• Trends and risk factors eg missing residents
• Support industry with compulsory reporting obligations
• Consumer education: options, role of the Scheme, advocacy


                                                              Consultation with
                                                              consumer groups
                                                               starting to occur
You told us…


                                     Continuous and through
9. Engage with the sector            a range of mechanisms:
                                         meetings, online,
•   Consumers                        research, conversations
•   Approved providers
•   Staff
•   Industry
•   Advocates

10. Seek and learn from feedback         In progress
                                         and ongoing
•   Satisfaction surveys
•   ‘Compliments and complaints’
•   Aged Care Commissioner reviews
•   Commonwealth Ombudsman reviews
Questions and comments


• We are listening and consultation will continue

• Fact sheet (in your satchel)

• Online: www.health.gov.au/oacqc

• Email: agedcomplaintscomms@health.gov.au



                                 Thank you

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Strengthening Aged Care Complaints Through Engagement And Reform

  • 1. The new approach to aged care complaints: A Department and industry dialogue Presentation to the Tri-State Conference • First Assistant Secretary, Iain Scott • Assistant Secretary, Lucelle Veneros 28 February 2011
  • 2. Strengthening aged care complaints • Complaints Scheme: Context for change • The Walton Review • Productivity Commission • Our focus • Listening to the aged care sector
  • 3. What the sector has asked for A strengthened aged care complaints scheme • Transparency • Natural justice • Accountability • Evidence-based decisions • Responsiveness • Continuous improvement • Communicates effectively • Shares information • Focus on quality • Engages with the sector • Consistency • Seeks feedback
  • 4. What you should be starting to see • Engagement with the sector • Improved communication with parties to a complaint • Strengthened, national approach to complaints-handling • Focus on quality outcomes • Expanded complaint resolution options: discussion paper out for comment until 22 March 2011
  • 5. Aim of reforms • A more responsive and customer focused complaints system • Underpinning that system: a national approach • Natural justice • Clear and timely communication • Consumers and providers are aware of their rights and responsibilities, the role of the Scheme, and options to resolve concerns
  • 6. You told us… You should already be seeing 1. Local resolution where possible improvements • A best practice approach • Some complaints can (and should) be handled by providers • Meaningful and productive conversations • Sustainable and quality outcomes • Need to ensure providers, consumers can resolve concerns 2. Expanded resolution options Discussion paper out now for public • Assisted resolution comment • Conciliation • Mediation • Investigation
  • 7. You told us… 3. Transparent and accountable You should see improvements • Publicly available procedures here • Performance measures • Improved reporting eg Report on the Operations of the Aged Care Act • Strategic direction (role, scope, priorities and opportunities) 4. Quality and consistency You should see improvements • Revised national procedures here • Comprehensive national staff training • Testing and reviewing procedures • Feedback
  • 8. You told us… You should 5. Clear and timely communication be seeing improvements • Early identification of issues • Improved Statements of Reason • Revised letters • Ongoing contact throughout the process You should 6. Procedural fairness be seeing improvements • Clarity about the issues being examined • Principles of natural justice • Examining the issues • Evidence-based decisions • Focus on quality outcomes for care recipients and providers
  • 9. You told us… Ongoing focus 7. Continuous improvement • We have a job to do, however... • …complaints are a tool for quality improvement • Education is important to ensure providers deliver quality care 8. Provide information Coming soon • Trends and risk factors eg missing residents • Support industry with compulsory reporting obligations • Consumer education: options, role of the Scheme, advocacy Consultation with consumer groups starting to occur
  • 10. You told us… Continuous and through 9. Engage with the sector a range of mechanisms: meetings, online, • Consumers research, conversations • Approved providers • Staff • Industry • Advocates 10. Seek and learn from feedback In progress and ongoing • Satisfaction surveys • ‘Compliments and complaints’ • Aged Care Commissioner reviews • Commonwealth Ombudsman reviews
  • 11. Questions and comments • We are listening and consultation will continue • Fact sheet (in your satchel) • Online: www.health.gov.au/oacqc • Email: agedcomplaintscomms@health.gov.au Thank you