Why funding shortages are forcing crucial aged care services to abandon regional communities
- Replies 10
The key to a healthy and happy retirement is often good access to quality aged care services, which is why we’re concerned to hear that the health organisation Gidgee Healing will be pulling out of the management of several aged care services in the Gulf of Carpentaria due to underfunding and staff shortages.What alarm bells does this raise for other remote regions in Australia, and what does this mean for our ageing community?
Since January 2021, Gidgee Healing has been managing the 15-bed Kukatja Place aged care centre in Normanton, the 10-bed Ngooderi House in Doomadgee, and the Kuba Natha Hostel on Mornington Island, a 15-bed facility.
Now, Gidgee Healing aims to cease managing the centres by June 30 and will be the second health service in recent years to pull out due to inadequate financial support from the government.
In a statement to ABC North West, a spokesperson for Gidgee Healing said: ‘The decision not to renew the current management agreement … has been necessary due to … chronic shortages of affordable workforce and inadequate staff infrastructure.’
The withdrawal of several key aged care services from communities in the Gulf of Carpentaria by Gidgee Healing has highlighted the crisis facing local health services.
Underfunding and staff shortages have made it impossible for Gidgee Healing to sustain its management of the three facilities. The move has caused deep concern among local leaders, who fear that the lack of funding will deter other health providers from moving in to fill the gap left by Gidgee Healing.
'We cannot turn our backs on our elderly residents who rely on this care,' said Carpentaria Shire Council Mayor Jack Bawden.
Historical underfunding of basic services is driving the health crisis in remote communities, Bawden added, noting the previous not-for-profit North West Remote Health (NWRH) which also pulled out of managing the facilities.
It is estimated that there are currently 1.4 million people aged 65 and over living in remote, rural and regional regions of our nation. Analysis from chartered accountancy firm Stewart Brown found 166 regional homes across the country are at risk of closure.
Senior partner Grant Corderoy from Stewart Brown said, 'The regional homes, about 78 per cent, are actually running an operating loss, and 54 per cent in total are running at a cash loss. If there’s no change in the funding arrangements, there will be an exponential increase. And we would expect, yes, seven could well go to 15 or 20 within the next two years.'
In the small town of Harden on the southwest slopes of New South Wales, Wayne Prosser remembers the day the closure of his father’s nursing home was announced.
‘It was horrendous. They called a meeting…and said we’re closing within six weeks.’
Prosser, a lifetime farmer like his father, Rusty, says the distress around the room at the St Lawrence Residential Aged Care nursing home quickly spilled into the community.
‘Staff were crying … My dad’s eyes were boggling. He just said … “What now?”’
The decision by the not-for-profit Southern Cross Care to close the home blindsided the town and the local council. ‘The way they dealt with it … It was just inhumane,’ Prosser said.
Too often, aged care homes in Australia's rural and remote regions cannot cope with demand due to inadequate funding, staff shortages, limited healthcare options and a severe lack of after-hours services when assistance is needed the most.
The Carpentaria Shire Council is currently urging both federal and state governments to invest further in aged care services to counter the high turnover of providers, which is placing stress on other healthcare services in the area.
‘It is really concerning. Medical resources are already stretched. It's really becoming an impossible scenario,’ said Bawden.
Key Takeaways
- Health organisation Gidgee Healing has announced it will withdraw management of several aged care services in the Gulf of Carpentaria due to underfunding and staff shortages.
- Local leaders and the Carpentaria Shire Council mayor express concerns that the lack of funding will deter other health providers from stepping in to fill the gap left by Gidgee Healing, leading to a decline in the quality of care for elderly residents.
- Gidgee Healing and the Carpentaria Shire Council mayor call on the government to invest in aged care and provide better salaries and housing to attract staff to remote areas.
- Despite increased funding by 50 per cent since 2019, greater investment is needed for these aged care services to provide the necessary care for elderly residents.
- More than half of Australia's country nursing homes are losing money, even with the federal government's viability payments meant to help with the higher costs of providing services in rural and remote areas.
He continued, saying that the funding model needed to focus on attracting staff to remote areas with better salaries and housing rather than expecting providers to cope with inadequate financial resources.
'Unless we can offer proper housing, there's going to be a lot of fly-in, fly-out staff and the problem with that is they become absolutely slammed with work and are exhausted during the time they are in the communities,' he said.
‘The salaries on offer are easily matched by positions in the cities, and we have a housing crisis in this region.’
For seniors in rural areas, it’s a worrying trend - the closure of residential care homes has multiple knock-on effects, from losing amenities and access to care to the displacement of residents.
The closure of care homes in small towns has ripple effects throughout the community.
The forced loss of community is the precise situation Pat Powell of Strahan found herself in. 'I don't really want to leave, but I've got no options,' she said. 'I'll miss it very, very much.' said Pat. You can read more about her story here.
And for some homes that remain open, there are concerns and reports of inadequate care and abysmal food. In November, we reported that two-thirds of aged care operators said they spent $14 per resident daily on average, while a third — about 833 operators — admitted to spending less than $10. Two per cent spent a measly $6 daily. You can read more about this here.
Are you or your family members affected by this crisis, either directly or indirectly? Do you have suggestions on how Australia’s regional and rural aged care services can be improved? We’d love to hear your stories and suggestions in the comments section below.