Future aged care at home reform

Page last updated: 03 April 2019

The aged care at home system currently supports around one million older Australians each year through the Commonwealth Home Support Programme  and the Home Care Packages Program.

Important reforms in home care were introduced in February 2017. The changes give consumers more choice in selecting a home care provider. There is now also a nationally consistent process for assigning home care packages to consumers.

Following the implementation of these reforms, the Department of Health conducted consultation on options for longer-term reforms. The consultations were undertaken through a public discussion paper and a sector advisory group established by the National Aged Care Alliance (NACA).

Over 300 submissions to the public discussion paper were received from a range of stakeholders, including consumers, providers and peak bodies. A summary report of the key issues and feedback from the consultation is available. Individual submissions can also be viewed.

The consultations found broad support for a range of changes to support progression towards more integrated care at home. In 2018, a number of these changes were progressed through the 2018-19 Budget measures More Choices for a Longer Life and Promoting Independent Living, including:

  • Streamlined assessment 
  • Enhancing My Aged Care for consumers
  • Trialing system navigators
  • Reablement trials.

Longer term arrangements will be considered in the context of the Royal Commission into Aged Care Quality and Safety.