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Monday, November 29, 2021

AMA says privatised aged care assessments will result in poorer health outcomes

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The AMA is urging the Federal Government to scrap plans that could potentially privatise the assessment process for aged care services, warning the move would risk the health of older Australians and open the system up to conflicts of interest.

The Government abandoned similar plans last year after strong opposition from state governments, aged care advocates and medical peak bodies.

AMA President, Dr Omar Khorshid, has written to the Minister for Senior Australians and Aged Care Services, Senator Richard Colbeck, expressing his concern with the market approach to aged care assessments.

The AMA says it has long supported a single assessment workforce, but believes it must remain with the state and territory health services, and be based on Aged Care Assessment Teams (ACAT), rather than the Regional Assessment Services (RAS) model that only assesses lower needs.

While a proposal to replace ACATs and RAS with a single assessment process was a recommendation of the Royal Commission into Aged Care Quality and Safety, the Commissioners did not recommend privatisation.

The AMA says the Government’s response, that will rely on a tender process, leaves assessments open to privatisation and conflicts of interest, with providers likely to seek to take on this role.

“Aged care assessments must remain independent of aged care providers and be delivered by health professionals, especially geriatricians who are trained in dealing with the complex medical needs of the frail and elderly,” Khorshid said.

“The royal commission’s recommendation was very clear that assessors must be independent from providers because they are effectively deciding on a person’s level of funding for aged care services like home care packages, among other things. 

Khorshid said state operated public hospitals and ACATs have the necessary medical expertise and are independent of aged care providers, who should never be allowed to assess health needs as well as recommend and supply services for older Australians.

“A market-based approach is a recipe for aged care service providers to put profits before patients,” he said.

“The Government’s plan will see states and territories required to tender for a job they already do well, creating a whole lot of unnecessary inefficiency.

“It’s a complete waste of time.

The Government’s preferred approach, Khorshid continued, risks around $130 million being stripped from the public health system to go to private providers, undermining the independence that currently exists.

“If an older person becomes unwell because their condition changes, something is missed during an assessment or the services they are referred to are not adequate, they will most likely end up in a public hospital and need to go through the same assessment process all over again.

“This adds extra bureaucracy, fragments care, and means poorer outcomes for patients.

“It would also put extra pressure on our already over-stretched public hospitals with older Australians waiting longer in hospital beds while an assessment with an external company is arranged.

“The intention of the royal commissioners was to reduce bureaucracy in getting better health care to our older loved ones, but these plans would do the opposite and potentially impact many m­­ore people through the increased inefficiency.

“The Government needs to focus on the many aspects of aged care that are currently not working, instead of dismantling one of the few parts of the system that actually works well and simply needs more support,” Khorshid said. 

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