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Aged Care Crisis Inc Inquiry into the Victorian Government's Response to the COVID-19 Pandemic Submission no. 17 6 July 2020 Dear Committee members, Re: Inquiry into the Victorian Government’s response to the COVID-19 Pandemic Aged Care Crisis is an independent community based group that is primarily concerned with the impact of Coronavirus on aged care and what can be learned about systemic problems from the responses, not only in Australia, but also internationally. Members of our group are engaged with the aged-care sector in a variety of ways - as health professionals, legal experts, and family members of residents in aged care and as volunteers. Our website provides accessible information on many aspects of elder abuse and aged care and an opportunity for site visitors to express their views and concerns. The tenor of much of our feedback indicates a high level of community concern relating to elder abuse and aged-care issues generally. ACC has played a unique and pivotal role in examining events and trends within the aged-care sector. For at least two decades ACC and/or its members have taken the time and effort to respond to various aged care inquiries, reviews and consultations and critically examined scattered information. We have published articles from the coalface and created a forum where participants can tell of their experiences and comment critically. We produce a periodic newsletter. Our byline ‘where little voices can be heard’ underpins all that we do. Ageing and aged care are integral to society. It cannot be artificially separated from what is happening in that society or in the rest of the world. There are patterns of behaviour that impact on aged care. This must be recognised and acknowledged. What most reviews, inquiries and policies have done is to evaluate aged care as if it were isolated. They then ignore knowledge and logic in order to apply current ideological concepts as if every sector in society was identical. To understand what has happened and what works, it is useful to look at the global successes and failures after the virus spread out of China. The entire debate has been characterised by claims and assertions that are untrue, many of them made by national leaders. The Australian Senate, the government in Victoria and the Royal Commission into aged care are all investigating the way in which Australia and its nursing homes have addressed the Coronavirus Pandemic. These seem to be overlapping inquiries. Aged Care Crisis has followed the development of the pandemic globally and in Australia. It has analysed what happened and has already made a submission to the Australian senate inquiry. Australia performed so very much better than the USA, the UK, Canada and many other countries it more closely resembled. It did as well as the successful Asian countries and New Zealand. Aged Care Crisis Inc Page 1 Inquiry into the Victorian Government's Response to the COVID-19 Pandemic Submission no. 17 Submission: Inquiry into the Victorian Government’s response to the COVID-19 pandemic, 6 July 2020 In our submission we examined and compared the reasons why other countries succeeded or failed and then applied the insights to the Australian situation. We show how in Australia, state governments took over from a central government that lacked capacity and the ability to engage society. They were able to engage citizens. This engagement and compliance was critical to controlling the pandemic. While Victoria, like NSW had a large number of cases, it has performed well, learned quickly from others mistakes and has not made the mistakes made by NSW. In spite of the same policies that fractured society in countries that failed, citizens in Australia came together to build capacity and resilience. This has succeeded. The risk of a second wave remains and it has already started in Victoria. This will be disappointing and make it more difficult to engage citizens in the same way and resist pressure from the Commonwealth government. We know what is needed. There are many lessons for policy in aged care and more broadly. The way in which community came together in both the bush fires and the coronavirus crises is relevant to the crisis in aged care that the Royal Commission is addressing. The crisis in aged care is in large part a consequence of government policies that excluded citizens and communities from involvement in what is a humanitarian service to citizens in their communities. These were essentially the same free market policies that have fractured society in the USA and the UK. It left those countries socially weakened and unable to respond to the COVID-19 crisis. You are required to report on: a) the responses taken by the Victorian Government, including as part of the National Cabinet, to manage the COVID-19 pandemic and b) any other matter related to the COVID-19 pandemic What happened in other countries and in the rest of Australia should be relevant to assessing your own performance to see what you did well and in learning where you might have taken a wrong turning if you had been faced by a slightly different challenge. We hope that this submission slightly modified and updated from that submitted to the senate will be useful Our submission follows. Lynda Saltarelli and J M Wynne MB.ChB.,FRCS.,FRACS.,Grad Cert Ed, Aged Care Crisis Inc. Aged Care Crisis Inc Page 2 Inquiry into the Victorian Government's Response to the COVID-19 Pandemic Submission no. 17 Submission: Inquiry into the Victorian Government’s response to the COVID-19 pandemic, 6 July 2020 Contents Glossary and abbreviations.............................................................................................4 1 Summary...................................................................................................................... 5 2 Recommendations for change.......................................................................................7 3 Tardiness in responding to the Coronavirus threat........................................................9 3.1 Those who failed to control coronavirus..............................................................................................10 3.2 Warnings in the United Kingdom..........................................................................................................11 3.3 Impact of Coronavirus in Italy and then Spain......................................................................................12 3.4 Key features of failed management of Coronavirus in countries..........................................................13 3.5 Countries successful in dealing with Coronavirus.................................................................................14 3.6 Coronavirus examples: Japan, India and Germany...............................................................................15 4 Coronavirus in Australia..............................................................................................17 4.1 Australia’s response to Coronavirus.....................................................................................................18 5 COVID-19 and nursing homes......................................................................................23 5.1 international experience......................................................................................................................23 5.1.1 The USA - - - A vulnerable sector...................................................................................................23 5.1.2 The UK - an aged care system under stress....................................................................................24 5.1.3 Canada and aged care....................................................................................................................25 6 Australian nursing homes - a lucky escape..................................................................28 6.1 Coronavirus and Australian nursing homes..........................................................................................28 6.1.1 Dorothy Henderson Lodge.............................................................................................................29 6.1.2 Newmarch House...........................................................................................................................31 6.2 Other issues related to Coronavirus.....................................................................................................36 6.2.1 Just in time supplies.......................................................................................................................37 6.2.2 Privatisation...................................................................................................................................38 6.2.3 Aspen Medical...............................................................................................................................38 6.2.4 Mable.............................................................................................................................................40 6.3 Some conclusions.................................................................................................................................41 6.4 Some lessons from what happened during the pandemic....................................................................43 6.5 Making change sensibly........................................................................................................................45 6.5.1 The development of neoliberalism................................................................................................46
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