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As you age, the task of looking after yourself and maintaining your home becomes more onerous.  If the burden becomes too great, a range of services are available to help you stay at home.  Assistance is also available if you are caring for an older person or someone with a disability.  Your circumstances and requirements may influence the cost and your eligibility to receive particular assistance.  You can scroll down the page or use the following bookmarks to go directly to a particular topic.

Private Home Care

Home and Community Care (HACC)

Community Aged Care Packages (CACP)

 Advocacy and Dispute Resolution

Day Therapy Centres

Private Home Care
 
Many private and not-for-profit organisations provide home care services for seniors.  Some of these services, notably the ones described in the following sections, are provided on a needs basis in conjunction with government programs and are at least partly government funded.  Others are provided by agreement at commercial rates, or with a charitable subsidy where the service provider is a not-for-profit organisation.
 
We have included a list of service providers in the Home Care section of our Products and Services Directory, where you can also find listings for a range of products and other services that can make it easier to stay in your own home.
 
Home and Community Care

The Home and Community Care (HACC) Program is a Commonwealth initiative, jointly funded by the Commonwealth, State and Territory governments.  Services are provided by a range of service organisations to frail older people and people with a disability to help them live independently at home.  The services are either brought to the home or are available in the local community and include:

bulletday care in a day care centre that provides group recreation activities
bullethome help with household tasks such as cleaning, laundry and shopping
bulletpersonal care such as help with bathing and dressing
bullethome maintenance and modification including repairs, maintenance and modifications safely ramps and support rails
bullettransport for shopping, appointments and social activities
bulletfood services including shopping, storage, preparation, home delivery and meals at a community or day centre
bulletnursing by a qualified nurse on a regular or occasional basis
bulletother health services such as physiotherapy, podiatry, speech therapy and occupational therapy provided at home or at a day centre or service providers offices
bulletadvocacy services to advise you about your rights and responsibilities when receiving services and to act on your behalf with service providers on request
bulletsocial support including help shopping, banking, paying bills and socializing.

Each HACC service provider has its own fee policy and most services require a small contribution, depending on your situation.  Special consideration is given to people with limited resources.

You do not need to be assessed by an Aged Care Assessment Team to obtain HACC funded services and you may contact a HACC funded service provider directly to discuss your situation.  You can find out what services are available in your local area by calling a Commonwealth Carelink Centre on 1800 052 222.  This is a free call number, which will connect you to the nearest office.

You can find links to the Commonwealth, State and Territory Departments that administer HACC here.

 
Community Aged Care Packages

Community Aged Care Packages (CACP) are flexible service packages provided to frail older people and people with a disability to help them remain living in their own home.  The Commonwealth Government pays certain community and commercial organisations to arrange and coordinate the provision of the appropriate services by a variety of community organisations in the local area and sets standards to ensure that quality care is provided. 

Applicants must first be assessed by an Aged Care Assessment Team (ACAT) to determine their needs.  Service packages are then tailored to meet those needs and can change over time as the recipient's needs change.  The individual services can include:

 
bullet
meal preparation
bullet
housework, including laundry
bullet
personal care, including help with bathing and dressing
bullet
temporary in home respite
bullet
home maintenance
bullet
transport
bullet
social activities.

Before any services are provided, recipients should be offered an agreement to sign which clearly sets out their rights and responsibilities and those of the service package provider.

The above agreement may also provide for the payment of fees.  Recipients who receive the maximum basic rate of pension cannot be asked to pay more than 17.5% of that pension.  Those on higher incomes may be asked to pay additional fees, limited to 50% of any income above the maximum basic rate of pension.  CACP's are not subject to GST.

You can find contact details for Aged Care Assessment Teams here.

There is also an Extended Aged Care at Home (EACH) program, which you can read more about here.
 
Advocacy and Dispute Resolution

Advocacy services are available to help older people and people with a disability understand and exercise their rights.  The services are generally free of charge and information, advice, support and representation can be provided on a confidential basis.  Contact details are as follows:

 
NSW- The Aged-Care Rights Service: (02) 9281 3600 or 1800 424 079
Queensland- Aged and Disability Advocacy: (07) 3637 6000 or 1800 818 338
Victoria- Residential Care Rights: (03) 9602 3066 or 1800 133 312
Western Australia- Advocare: (08) 9221 8599 or 1800 655 566
South Australia- Aged Rights Advocacy Service: (08) 8232 5377 or 1800 802 030
Tasmania- Advocacy Tasmania Inc: (03) 6224 2240 or 1800 005 131
Northern Territory- Darwin Community Legal Service: (08) 8982 1111 or 1800 812 953
Northern Territory- Alice Springs Centacare: (08) 8953 3177 or 1800 354 550
ACT- Disability, Aged and Carers Advocacy Service: (02) 6242 5060

The Commonwealth Government has established a free and independent service, known as the Aged Care Complaints Resolution Scheme to resolve disputes that cannot be resolved directly with the relevant service provider. 

 
The Scheme can be contacted on 1800 550 552.
 
Day Therapy Centres

There are over 150 Commonwealth funded Day Therapy Centres (DTCs) operating nationally. They vary in size and in the range of therapy services that they provide.  Therapy services, which may include physiotherapy, occupational therapy, speech therapy and podiatry, can be provided to frail aged people who are living in the community or who are residents of Commonwealth funded aged care homes.  The aim of the program is to assist people to either maintain or recover a level of independence, which will allow them to remain either in the community or in low level residential care.

Further information about Day Therapy Centres and their locations may be obtained by contacting:

bulletCommonwealth Carelink Centres on 1800 052 222
bulletthe Aged and Community Care Information Line on 1800 500 853.
 

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