Home Care: Challanges and Opportunities

1. Home Care: Challenges and Opportunities
National Healthcare Conference 2013

2. HCCI – Who we are
HCCI the trade association representing private care providers . With 25 member
organisations employing over 8,000 carers and providing 78,000 hours of care
every week to over 6,000 people in their own homes in every county in Ireland, our
members work to promote:
Care delivery excellence
Statutory regulation of home care
Industry leading training & standards
Patient choice
Cost effective solutions

3. Elder care budget – Over 65s
HSE Budget
c. € 1.39bn Home Care Status Quo
Home Care Packages
€129m Only 12% of Home Care Package
Budget open to private providers
Home Help (€16m)
€195m
Home Help only open to HSE/ non-
profit providers
State provision amounts to €307m
Fair Deal Private only €33m
€998bn

4. Challenges for care of the older person
 Difficult economic situation
 Aging society -Between now and 2021 the number of people over 65 is set to
rise by 40% to nearly 800,000
 Lack of Regulation
 Quality issues
 Attracting quality carers into the industry

5. Key Questions
How do we improve the quality of provision in
the absence of regulation?
How do we get more from our limited resources?

6. Key Facts
 State Provision 30% more expensive than private provision
 Lack of competition
 Inefficient home help organisations
 Undue bias towards residential care
 6% over 65’s in residential care V norm of 4%
 13% Low dependency / 22% medium dependency

7. Report Recommendations
 Stop ring fencing funds for one type of care over another
 FDS review
 Money follows the patient
 Single Assessment Tool
 Open and Transparent Commissioning of Home Care Budget
 Up coming tender
 Choice drives quality
 Efficient use of scarce resources
 Nursing home scenario
 Up skill for the future

8. Benchmarking
 U.K.
 Putting People First
 Personalisation
 Prevention
 Early Intervention
 England 74% of home care outsourced
 Australia
 Home and Community Care (HACC) programme
 Integrated care – aged care assessment teams
 Empowering the patient
 Moving away from Not For Profit sector

9. Report Findings
Potential to create 8,600 jobs and 18 million additional home care hours within
existing budget
Cumulative savings of €2 billion could be achieved over the next 8 years to 2021
in line with phased outsourcing and an end to the ring-fencing of funds for one
type of care over another
 €117M – open and transparent commissioning
 €256M – Moving patients from residential care to care at home
2014 - Savings of €117 million
€48M – Proper commissioning in upcoming tender
€69M – Fair Deal Scheme Review

10. Summary
Cuts to frontline services not necessary
Drive quality and savings through patient choice
State should regulate and supervise but doesn't
have to deliver

11. Home Care: Challenges and Opportunities
National Healthcare Conference 2013