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24 March 2011, at 8.38 Am SPARK AND CANNON Telephone: Adelaide (08) 8110 8999 TRANSCRIPT Hobart (03) 6220 3000 Melbourne (03) 9248 5678 OF PROCEEDINGS Perth (08) 6210 9999 Sydney (02) 9217 0999 _______________________________________________________________ PRODUCTIVITY COMMISSION INQUIRY INTO CARING FOR OLDER AUSTRALIANS MR M. WOODS, Presiding Commissioner MR R. FITZGERALD, Commissioner TRANSCRIPT OF PROCEEDINGS AT HOBART ON THURSDAY, 24 MARCH 2011, AT 8.38 AM Continued from 23/3/11 in Melbourne Caring 482 ca240311.doc INDEX Page SOUTHERN CROSS CARE TASMANIA: RAY GROOM 483-498 RICHARD SADEK CAROLYN WALLACE ROYAL GUIDE DOGS TASMANIA: DAN ENGLISH 499-507 ADVOCACY TASMANIA: KEN HARDAKER 508-518 DAVID OWEN UNIVERSITY OF TASMANIA: ANDREW ROBINSON 519-528 AGED AND COMMUNITY SERVICES TASMANIA: DARREN MATHEWSON 529-541 JILL SAVELL ROD HUNT UNIVERSITY OF TASMANIA: KIM BOYER 542-552 HEALTH AND COMMUNITY SERVICES UNION: JAMES EDDINGTON 553-561 ASSOCIATION OF INDEPENDENT RETIREES: RICHARD JAMES 562-567 CARERS ASSOCIATION OF TASMANIA INC: JANIS McKENNA 568-576 FAITH LAYTON 577-584 CARE ASSESS: JOE TOWNS 585-589 24/3/11 Caring (i) AUSTRALIAN NURSING FEDERATION: NEROLI ELLIS 590-610 LOUISE PHILLIPS BOB ELLISTON 24/3/11 Caring (ii) MR WOODS: Welcome to the Hobart public hearings for the Productivity Commission inquiry into Caring for Older Australians. I'm Mike Woods and I'm the presiding commissioner for this inquiry. I'm assisted by Commissioner Robert Fitzgerald and Associate Commissioner Sue Macri. The commission has been requested to undertake a broad-ranging inquiry into the aged care system with the aim of developing detailed options for a redesign which will ensure that the current weaknesses are overcome and that future challenges can be met. In developing the draft report the commission travelled extensively throughout Australia holding 150 visits and receiving nearly 500 submissions. I would like to express our thanks and those of the staff for the courtesy extended to us in our travels and deliberations so far and for the thoughtful contributions that so many have made already in the course of this inquiry. These hearings represent the next of the inquiry and the final report will be presented to government in June this year. I would like these hearings to be conducted in a reasonably informal manner but remind participants that a full transcript will be taken and made available to all interested parties. At the end of the scheduled hearings for the day, there will be an opportunity for any person present to make an unscheduled presentation should they wish to do so. I welcome to the hearing Southern Cross Care Tasmania. Could you please, for the record, each of you state your name, the organisation you're representing, and any position that hold in that organisation. MR GROOM (SCC): Ray Groom, I'm chairman of Southern Cross Care Tasmania. MR SADEK (SCC): Richard Sadek, chief executive officer for Southern Cross Care Tasmania. MS WALLACE (SCC): Carolyn Wallace, director of clinical services, Southern Cross Care Tasmania. MR WOODS: Welcome. It's a pleasure to have you. Thank you for your earlier submission and as I was going through it this morning I figured that we ticked off a few of your recommendations in that, but no doubt you'll give us a scorecard on where we're at with the draft report. If you have an opening statement you wish to make, please do. MR GROOM (SCC): Thank you. We appreciate the opportunity to comment on the draft report prepared by the commission. As you now know, I'm accompanied by Richard Sadek, who is our chief executive officer. Richard has been with Southern 24/3/11 Caring 483 R. GROOM and OTHERS Cross Care in that position for some 15 years - I think a little over 15 years. Carolyn Wallace is our director of clinical care and was director of nursing at one of our major aged care facilities; in fact, the largest in our complex of facilities. Both are very experienced people. I'll just mention that we're a member of Aged and Community Services Australia and also Catholic Health Australia. We rely very much on those two organisations to look in great detail at your report and to prepare to submissions in response to that report, but we thought we would touch on just a few of the issues that arise from the draft report. Since we're at the coalface of the industry or the sector, we thought that may be helpful to you. We are a not-for-profit organisation; I won't go into all the detail. We operate seven aged care facilities around the state, in the south, north, north-west of Tasmania, and we have 10 retirement villages that we operate in our state, also community services, and we have a training organisation as well. So we are, I think it's fair to say, one of the leading aged care organisations in Tasmania. MR WOODS: So you are an RTO? MR GROOM (SCC): We have an RTO, yes. MR WOODS: Providing cert IIIs for care workers and the like? MR GROOM (SCC): Yes. MR WOODS: Excellent, we might discuss that a bit later. MR GROOM (SCC): We care for an support some 1500 Tasmanians and we have, it's quite surprising, 850 employees or thereabouts. I'll just make the point, it's not really in any sense any criticism of the commission, but we've been involved in making submissions to many inquiries over the years and you've heard this before, no doubt, commissioner, but we just hope that this report, when it's finalised, is not in the too-hard basket. We just see a great need for very real reform of the aged care sector, we see great value in this exercise and your draft report, and we just hope, eventually, the final report is considered very seriously by government and that it's adopted by government, at least largely, if at all possible. We think that the authors of the draft report have shown a great knowledge of the aged care sector. When you look at that, it's really a good summary of all of the issues that confront both the consumers and the providers in the aged care sector around Australia. MR WOODS: We too have been in this field for quite a while, trying to get the 24/3/11 Caring 484 R. GROOM and OTHERS reform. So, yes, we're very familiar with many of - - - MR GROOM (SCC): I understand that you've had previous inquiries and so on that you've been involved in. We do consider that most of the recommendations have a great deal of merit; that's our view. We agree with the overall thrust, which is, as we understand it, giving consumers more choice, freeing up the system to some extent, but also providing reasonable support for providers, that is so essential as we look to the future. I have to say, we have had some difficulty in fully understanding how some of the recommendations would actually affect our organisation and the people who we care for and support. We're a big organisation in the Tasmanian context, but we don't have the resources, really, at the top level; they're busy people doing their own work and we just don't have those extra resources to look in detail and try to analyse how this will affect our operation, so that's a slight caveat on the comments that we make. We do think if the government does accept the report in its final form, that ongoing consultations will be needed by government to talk to us about how this is going to really operate and affect us, and we may need to make some adjustments accordingly. But a period of consultation will be absolutely essential, we think, following the report's being handed down and considered and, hopefully, accepted by government. I won't canvass all of the recommendations that I said before. I want to talk about four particular issues, and Richard and Carolyn will also add some comments. These are the Australian Seniors Gateway Agency, which is one of your recommendations; funding arrangements; regulations and the complaint system; and mergers and consolidation within the sector, which I see as an important issue. Your recommendations may have some relevance to that particular issue, but I couldn't see any direct recommendations that go to this important of: we have so many providers, is there a need for some degree of merger; would this be in the interest of consumers, would this be in the interests of the community? MR WOODS: As I recall, that was one also that you had in your earlier submission to us. I was curious as to how that could be implemented by government, but maybe it can be facilities. MR GROOM (SCC): I'll comment on that. MR WOODS: Thank you. MR GROOM (SCC): As I think is recognised by the draft report, there is a great deal of confusion in the minds of people about what aged care can provide, when someone is going into aged care, or their family looking into mum or dad going into 24/3/11 Caring 485 R. GROOM and OTHERS aged care, or aunty or uncle. It's a very complex situation, people just don't understand what is available, and there's really no place they can go to with all of the information that should be provided to our community when people are about to enter into aged care. We are very pleased that the commission has recommended in the draft report this Australian Seniors Gateway Agency, which would provide, as we understand it, essential information to individuals and families to help them make the appropriate decisions.
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