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Aged Care article - Coggle Diagram

- - - - What would explain the decline from 2019?
        
        viability supplement - to some
  - - - convoluted
    - - no gov data to identify rural and remote centres
        
        big variance performance across the sector, some significant profit and some significant loss.. chances are RRR were in that bottom part
- - - - gov funding increased by 1.1% CPI (consumer price index?) but salaries and wages (largest single cost) increased by 2% ...2.5% including super?... so increase in costs offset by 1.1% revenue..
      - underlying deficit - losing money for a long time.
      - gov budget - no money for any increase in salaries or wages - to increase staffing levels.
      - only money - residential - 10$ per person per day. basic fee covers housekeeping, food. Doesn't help put an extra nurse on the floor.
      - increased regulation = more $$ - very little to residential aged care - capacity to meet the challenges.
      - viability supplement only for very remote providers
      - COVID
        
        job keeper - few would have received it.. nursing home has to be significantly effected - can't close.
        
        200k - covid requirements. 100k was unfunded. Cleaners, admin staff, temps. PPE - crates in the shed on standby
      - bulk money - is residents money - RADs. trust - not our money.
      - NFP - more conservative - spending and investment
    - - COVID-19 - skilled migration from overseas. Seeing our registered nurses - going to hospitals as they also face shortages
      - in the past 5-6 applications... now lucky to get 1. big recruitment drive - been extremely challenging.
      - reg burden - nurse - oct 2022... have to have 40 mins per resident, 160 m of care stafff. very difficult when not available.
      - compete bigger places - people.
      - at risk of not being able to meet standards - sanctions and restrictions on how you operate.
    - - to date - very little clue.How will translate. haven't released the actual funding.
      - shadow assistance - local health district - review residents - determination - scale - no feedback.
      - bigger
      - bigger providers have engaged independent consultants - predicting loss revenue - wen comes in but we don't know. trying to plan for the future and needs of Cowra past this year - very difficult.
- - - - after 3 years operating at Galong - built a new facility on land donated by __ + self care units
        
        gov funding and bonds that paid for the buildings not SCC
        
        some segments of the community want the land back and the bed licences.
    - - doesn't have a lot of criticism - gov. Understands how difficult the issue is.
      - biggest issue - administrative burden. Onerous. Huge amount of money.
      - Money is in high care - takes a lot to show you have high care residents.
    - - SCC didn't tell anyone..
      - had a community meeting - Cowra - feeling positive... deep breath.
      - fall through - Cowra - negative feeling - concern - lack of certainty. disappointment.
      - 4mil - concerning from the community POV.
      - problems - started a long time ago starting with privatisation.
      - talk - community - take over. Problem is funding. Aged care so complex. Council has no money and no capacity. Fed gov issue.
  - - - cleanliness although reiterates that the nurses were lovely.
    - - very few resident reps
      - mind boggling - dad - what now?
      - tears - horrendous. the way that it was dealt with.
      - CEO - said 6 weeks - INHUMANE.
      - Bonds - finding alternatives - "we don't know"
        
        250k a lot of money - we need it back to find somewhere else.
      - only 2 beds were vacant at the hospital. his dad got one. feared for the others. Most ppl got shifted to cootamundra.
        
        coota is 40km away.
      - said - can't get staff, not financially viable and can't fill beds.
        
        disbelief.
      - talk of taking the beds to Goulburn - 146km away.