<p>2015 Aged Care Approvals Round Identifying Community Needs Feedback Template </p><p>The Department of Social Services is seeking input from a range of aged care stakeholders to assist in the identification of community needs to help inform the distribution of new aged care places in the 2015 Aged Care Approvals Round (ACAR).</p><p>The feedback template consists of five (5) key questions which aim to establish local level needs within an Aged Care Planning Region, particularly in respect of specific geographic locations, special needs groups or other key issues.</p><p>Responses to the feedback template will be used to provide further insight into the Department’s own planning data. Collectively this will in turn inform the Regional Distribution of Aged Care Places for the 2015 ACAR.</p><p>Invited organisations are welcome to canvas the views of their members in forming their own view on community needs within an Aged Care Planning Region(s).</p><p>Further details on completing, saving and submitting the feedback template are contained in the accompanying instructions. Please read these instructions before completing the template.</p><p>Please submit your completed template(s) via e-mail to the following address: [email protected]</p><p>The closing date for submissions is on or before 8pm (AEST) Friday 19 th of June.</p><p>No late submissions will be considered.</p><p>Page 1 of 6 Feedback Template Thank you for deciding to contribute to the identification of aged care needs in your community. Please enter the name of your organisation and select the organisation type which best describes your organisation.</p><p>Name of organisation:</p><p>Organisation type: Click here to select an organisation type</p><p>If you selected ‘Other’ in respect of your organisation, please provide a description below.</p><p>1. Please select the State/Territory and Aged Care Planning Region to which your responses relate? Maps of Aged Care Planning Regions can be found at the Department of Social Services website by selecting the following link.</p><p>Click here to select a State/Territory and Aged Care Planning Region</p><p>2. Within your selected Aged Care Planning Region, is there a specific geographic location or locations to which your responses relate? </p><p>If yes specify in the text box below If no go to Question 3</p><p>3. Thinking about the types of aged care places of greatest need in your Aged Care Planning Region (and if provided, specific geographic location or locations), please rank these places from 1 to 5. The greatest area of need is 1 and the least is 5.</p><p>Care Type Rank Order Residential Care Home Care Level 4 - High-level care needs Home Care Level 3 - Intermediate care needs Home Care Level 2 - Low-level care needs Home Care Level 1 - Basic care needs</p><p>Page 2 of 6 Page 3 of 6 4. Within your selected Aged Care Planning Region (and if provided, specific geographic location or locations), are there any particular special needs groups or key issues that you have identified as having an unmet need for aged care places? </p><p>Care Type Special Needs Group/Key Issue Home Care Residential L4 L3 L2 L1 People from Aboriginal and Torres Strait Islander ☐ ☐ ☐ ☐ ☐ communities</p><p>Veterans ☐ ☐ ☐ ☐ ☐</p><p>People who are financially or socially disadvantaged ☐ ☐ ☐ ☐ ☐</p><p>People who live in rural or remote areas ☐ ☐ ☐ ☐ ☐</p><p>People who are homeless or at risk of becoming ☐ ☐ ☐ ☐ ☐ homeless</p><p>Care-leavers ☐ ☐ ☐ ☐ ☐</p><p>Parents separated from their children by forced ☐ ☐ ☐ ☐ ☐ adoption or removal</p><p>Lesbian, gay, bisexual, transgender and intersex ☐ ☐ ☐ ☐ ☐ people</p><p>People from culturally and linguistically diverse ☐ ☐ ☐ ☐ ☐ backgrounds, Please specify by language group</p><p>Dementia ☐ ☐ ☐ ☐ ☐</p><p>Residential Respite ☐</p><p>Other, Please specify: ☐ ☐ ☐ ☐ ☐</p><p>Page 4 of 6 Page 5 of 6 5. Please provide a short written summary in support of the needs you have identified at Questions 3 and 4 (if selected), including any examples/evidence that demonstrate a need exists.</p><p>Thank you for completing the feedback template. Details for saving and submitting the feedback template are contained in the accompanying instructions.</p><p>Page 6 of 6</p>