Ethnic Communities' Council of NSW 02) 93190288 [email protected]

Navigating the Aged Care Reforms

Reform Timeline – The Journey so far 2005 – 2021

Note: The diagram below has been compiled by the author for the purpose of assisting in initiating dialogue with our peers. Please provide feedback on the content below should you find information is missing or requires correction.


  • Commonwealth began a 10-year plan to reform the aged care system and ensure it stays workable and affordable as our population LINK
  • Living Longer Living Better reform package introduced LINK


  • Senate Inquiry: Funding and Allocation LINK


  • PC Inquiry: Structural Reform LINK
  • Commission landmark report in 2011 (PC, 2011) LINK
  • 2011–12 Report on the Operation of the Aged Care Act 1997 LINK

2012 / 2013


  • Removal of low care/high care distinction in residential care. Funding level based on 4 levels of ACFI classification LINK
  • Australian Aged Care Quality Agency established  LNK
  • Means testing reforms for Home Care and residential LINK


  • Consumer Directed Care applied to all Home Care Packages LINK
  • Expansion of My Aged Care LINK
  • Commonwealth Home Support Program began,  consolidation of HACC, National Respite, Day Therapy, Centres, Assistance with Care and Housing for the Aged LINK Funding and Financing of the Aged Care Sector


  • Handling of complaints transferred to Aged Care Complaints Commissioner LINK
  • Aged Care Sector Committees’ Road MAP LINK &  LINK


  • Review of aged care reforms LINK
  • Home Care packages follow the consumer (CDC LINK
  • Oakden Report: Clinical care LINK
  • AACS: Reviews of ACFI LINK
  • Senate Inquiry: Workforce LINK
  • Tune Report: Reform progress LINK
  • DoH Consultation: Care at Home LINK
  • Carnell/Patterson Review: Quality Regulation LINK 2017


  • Aged Care Quality and Safety Commission funded to combine Quality Agency and Complaints Commissioner LINK
  • Ongoing Senate Inquiries: Quality Framework Financial and Tax practices LINK
  • Quality and Safety Commission LINK
  • Ongoing House of Reps Inquiries: Quality Staffing Rations
  • Home care pakages program additional 14,000 packages announced (may 2018)
  • Creation of a single budget item for homE care packages and residential places
  • Improvements to My Aged Care

2019 / 2020

  • Royal Commission into aged care quality LINK
  • Expansion of the Pension Loan Scheme LINK
  • New Aged Care Quality Standards apply LINK
  • Establishment of Aged Care Quality Safety Commission  Jan 2019 LINK


Where to from here? The future reform journey 2021 – 2025

Note: The diagram below has been compiled by the author using the information from the Department of Health website for the purpose of assisting in initiating dialogue with our peers. Please provide feedback on the content below should you find information is missing or requires correction.


  • 40,000 more home care packages released.
  • 325 Services Australia centres to provide assistance and information about aged care services.
  • Aged care specialists in 70 Service Australia centres.
  • Extra support for informal carers.
  • Supplement of $10 per resident per day.
  • Homeless and viability supplements continued increase.
  • New monitoring, compliance and intervention to help providers build financial sustainability, capability and resilience.
  • Improvements to dementia, diversity, food and nutrition services.
  • Stronger clinical care standards.
  • Up to 120,000 more GP in-reach services for aged care residents.
  • Increase dementia care capability and training.
  • Palliative care services expanded.
  • Up to 6,000 new personal care workers.
  • Surge workforce increase in regional and rural locations.
  • Initial rollout of expanded regional network.
  • Establish a Council of Elders and National Aged Care Advisory Council.


  • Another 40,000 home care packages released.
  • 8,400 more respite services available.
  • Single assessment workforce introduced.
  • Australian National Aged Care Classification (AN-ACC) funding model begun.
  • Average care minutes increased to 200 minutes per day, including 40 minutes of registered nurse time and 16 hours per day on site.
  • Structural Adjustment Program to increase provider viability.
  • Better reporting for comparison between services (star rating).
  • Primary Health Network (PHN)-led telehealth and out-of-hours services.
  • Expanded Serious Incident Response Scheme (SIRS)
  • 1,500 more Aged Care Quality and Safety Commission site audits.
  • Up to 7,000 new personal care workers.
  • 33,800 additional training places rolled out.
  • Registered nurse incentive and financial support schemes.


  • 500 Community Care Finders to give specialised support for accessing aged care services.
  • New support at home program.
  • Mandatory minimum care times.
  • Review of Aged Care Quality and Safety Commission.
  • New Independent Hospital and Aged Care Pricing Authority.
  • New Aged Care Act.


  • Residential care places allocated directly to senior Australians.
  • Residential Aged Care Accommodation Framework to improve accessibility and dementia-friendly design.
  • National Aged Care Data Strategy available.
  • Continued growth of aged care workforce.


  • Improved service sustainability that ensures Senior Australian’s care needs are met.
  • Improved aged care workforce staff levels, skill mix and training.
  • Strong and effective governance of aged care in place.