{"id":23,"date":"2019-11-01T15:15:59","date_gmt":"2019-11-01T04:45:59","guid":{"rendered":"http:\/\/blogs.flinders.edu.au\/caring-futures-institute\/?p=23"},"modified":"2020-12-03T12:42:40","modified_gmt":"2020-12-03T02:12:40","slug":"caring-futures-institute-statement-on-royal-commission-into-aged-care-quality-and-safety-interim-report%e2%80%af","status":"publish","type":"post","link":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/2019\/11\/01\/caring-futures-institute-statement-on-royal-commission-into-aged-care-quality-and-safety-interim-report%e2%80%af\/","title":{"rendered":"Caring Futures Institute statement on Royal Commission into Aged Care Quality and Safety interim report\u202f"},"content":{"rendered":"<p><span data-contrast=\"auto\">T<\/span><span data-contrast=\"auto\">he <a href=\"https:\/\/agedcare.royalcommission.gov.au\/publications\/Pages\/interim-report.aspx\">interim report<\/a> of the <a href=\"https:\/\/agedcare.royalcommission.gov.au\/Pages\/default.aspx\">Royal <\/a><\/span><span data-contrast=\"auto\">Commission into Aged Care Quality and Safety<\/span><span data-contrast=\"auto\">\u00a0describes\u00a0<\/span><span data-contrast=\"auto\">a<\/span><span data-contrast=\"auto\">\u00a0system that must be urgently changed<\/span><span data-contrast=\"auto\">, with<\/span><span data-contrast=\"auto\">\u00a0systemic failures in access to services, substandard care delivery, a lack of leadership, and regulatory processes that are not fit for purpose.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">These issues are exacerbated by an overworked, underpaid and poorly trained workforce and the need for a sustained and strategic approach to change according to the <a href=\"https:\/\/www.flinders.edu.au\/caring-futures-institute\">Caring Futures Institute<\/a> at Flinders University.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">While the interim report has highlighted three areas for immediate action, there are also clear signals that the final report will seek to comprehensively address the design, objectives, regulation and funding of aged care in Australia<\/span><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Matthew Flinders Fellow <a href=\"https:\/\/www.flinders.edu.au\/people\/julie.ratcliffe\">Professor\u00a0<\/a><\/span><span data-contrast=\"none\">Julie\u00a0<\/span><span data-contrast=\"none\">Ratcliffe<\/span><span data-contrast=\"none\">\u00a0<\/span><span data-contrast=\"auto\">says the interim report contains\u00a0<\/span><span data-contrast=\"auto\">heartfelt stories of neglect and poor care and statistics which indicate that there are fundamental problems.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cEvidence-based practice is the key to achieving transformational change and the improv<\/span><span data-contrast=\"auto\">ement\u00a0<\/span><span data-contrast=\"auto\">in outcomes for the most vulnerable in our society including people in aged care. Translation and impactful r<\/span><span data-contrast=\"auto\">esearch is badly needed to support the culture change that is needed. The Caring Futures Institute is working in partnership with aged care consumers, service providers and policy makers to deliver new consumer focused metrics urgently needed for measuring and improving quality of care and quality of life,\u201d says Professor <\/span><span data-contrast=\"auto\">Ratcliffe<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cInvestment in a skilled and capable workforce is essential.\u00a0 Training\u202fand education are critical and should be based on best practice evidence and on the best evidence about workforce development and organisational change.\u201d\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The Caring Futures Institute is the first fully dedicated research institute in Australia to commit to unravelling the complexities and practicalities around care \u2013 and several of its researchers have already provided submissions or evidence at Royal Commission into Aged Care Quality and Safety hearings.\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The interim report and publicly available transcripts give an indication of key areas of research priority in Australian aged care systems.\u00a0<\/span><span data-contrast=\"auto\">\u00a0Equally important are the underlying processes such as knowledge translation and implementation strategies that will embed change and drive innovation to provide new frames of reference for the future.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The potential for meaningful digital solutions\u00a0<\/span><span data-contrast=\"auto\">to enhance<\/span><span data-contrast=\"auto\">\u00a0better consumer outcomes is an area of focus for the Caring Futures Institute.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cThere is great scope for better development and application of digital tools that would lead to more effective community and consumer experiences as well as improved quality of life outcomes for older Australians<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u201d<\/span><span data-contrast=\"auto\">\u00a0said Professor Ratcliffe.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The interim report also highlights that palliative care and end-of-life experiences for older Australians is an issue.\u00a0 Skilled and experienced staff with more time to provide care and communicate with older Australians and their families about end of life needs and preferences is critical.\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cThe Caring Futures Institute can significantly contribute to the knowledge about what works in the context of Australian health and aged care systems, as we work towards person-centred, flexible and culturally appropriate end-of-life care in both residential and home care services<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u201d said<\/span><span data-contrast=\"auto\">\u00a0Professor Ratcliffe.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Researchers at the Caring Futures Institute will be keenly awaiting next year\u2019s final report and hope to see strong recommendations around workforce and service development, a comprehensive evaluation framework, strategic research priorities, community engagement, revised training programs, and minimum requirements for technology in aged care.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<h2><b><span data-contrast=\"auto\">Caring Futures Institute\u00a0<\/span><\/b><b><span data-contrast=\"auto\">recommendations<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/h2>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Address the current lack of an evidence-based approach to aged care services provision and practice. \u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">There is a need to further integrate research from co-design to translation working in close partnerships with consumers and service providers. This must include the development of validated and meaningful outcome measures relevant to the older person.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">There is a need for evidence-based practice enabled by a strategic research plan and strategic research partnerships which support and enable interactions between researchers, policy makers, and service providers. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<h3><span data-contrast=\"auto\">\u202f<\/span><b><span data-contrast=\"auto\">Skills\/training\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/h3>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">There is a lack of<\/span><span data-contrast=\"auto\">\u00a0appropriate<\/span><span data-contrast=\"auto\">\u00a0training for aged care workers, nurses,\u00a0<\/span><span data-contrast=\"auto\">and allied<\/span><span data-contrast=\"auto\">\u00a0health professionals.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">Retraining is required to enable the delivery of fundamental and care models which maximise the wellbeing and quality of life of older people accessing aged care\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">Training and education approaches should be tracked for effectiveness of care delivery and consumer outcomes not just knowledge change.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">There is a need to address the appropriate skills mix for personal and clinical care in residential care and in the community.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<h3><span data-contrast=\"auto\">\u202f<\/span><b><span data-contrast=\"auto\">Governance and systemic change\/benchmarking and frameworks<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/h3>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">There is a need for systemic and attitudinal change within the care workforce and the professional workforce.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">There is a need for universally agreed governance and practices that could be driven by an evaluation framework for best practice of care, effectiveness and cost-effectiveness measures of services and supports. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0 <\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">There is a need to address the lack of mandated staff ratios in residential care.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<h3><span data-contrast=\"auto\">\u202f<\/span><b><span data-contrast=\"auto\">Personalised-care model\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/h3>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"4\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Personalised care-models to be adapted that recognises the person in their context and that care is provided in a manner that is sensitive and culturally appropriate to the preference and needs of the person.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"4\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Community engagement is required so that service users, families and carers voices are represented in all stages of research, evaluation-design and implementation. \u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<h2>Collaborate with us<\/h2>\n<p><span class=\"text_size_large\">We are leading a reform agenda where \u2018care\u2019 is the focus for aged and disability care sectors: where quality care is accessible to all, and where person-centred care and trusted relationships are paramount.<\/span><\/p>\n<p><a href=\"https:\/\/www.flinders.edu.au\/caring-futures-institute\/collaborate-with-us\">Join the Caring Futures Institute&#8217;s reform movement now<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The interim report of the Royal Commission into Aged Care Quality and Safety\u00a0describes\u00a0a\u00a0system that must be urgently changed, with\u00a0systemic failures in access to services, substandard care [&hellip;]<\/p>\n","protected":false},"author":2023,"featured_media":59,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3206],"tags":[23,204],"class_list":["post-23","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-quality-aged-care","tag-aged-care","tag-julie-ratcliffe"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-json\/wp\/v2\/posts\/23","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-json\/wp\/v2\/users\/2023"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-json\/wp\/v2\/comments?post=23"}],"version-history":[{"count":0,"href":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-json\/wp\/v2\/posts\/23\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-json\/wp\/v2\/media\/59"}],"wp:attachment":[{"href":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-json\/wp\/v2\/media?parent=23"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-json\/wp\/v2\/categories?post=23"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/caring-futures-institute\/wp-json\/wp\/v2\/tags?post=23"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}