A ‘cruel and harmful system’: The royal commission interim report

The Royal Commission into Aged Care Quality and Safety has released its interim report, and although it did not make any recommendations â it is saving those for the final report due next year â it laid down the gauntlet to the Government and the aged care sector with a few suggestions of things to start working on.
Titled simply Neglect, the language used by the commissioners was blunt and to the point, shorn of any 'legalese'. The foreword to the report described the current model as a âcruel and harmful systemâ that must be changed.
âWe owe it to our parents, our grandparents, our partners, our friends. We owe it to strangers. We owe it to future generations. Older people deserve so much more,â it read.
Much of the report is a round-up of the evidence given so far with initial observations from the commissioners. Divided up into three hefty volumes it identifies systemic problems in need of âfundamental reform and redesignâ.
The current system is âdesigned around transactions, not relationships or careâ, it said and âminimises the voices of people receiving care and their loved onesâ.
The system is also hard to navigate, ill-informs consumers and has a workforce that is âunder pressure and under-appreciated and that lacks key skillsâ.
Neglect ... it must stop in aged care. The title of todayâs Interim Report from #AgedcareRC â âNeglectâ encapsulates #agedcare in Australia. Unfortunately, itâs that simple â the history of aged care in Australia is a story of woeful & increasing neglect. https://t.co/IfA6xm0wLk
â ANMF - Australian Nursing Midwifery Federation (@anmf_federal)Â October 31, 2019
Residential care strips residents of their humanity, they become âjust another body to be washed, fed and mobilised, their value defined by the amount of funding they bring with them. They become infantilised, lose autonomy, and are prevented from making decisions or doing physical things that were routine when they lived at home, on the grounds that they âcould hurt themselvesâ.â
The commissioners believe that the sector âlacks fundamental transparencyâ and called out certain providers who have appeared at the commission as âbelligerent in their ignorance of what is happening in the facilities for which they are responsibleâ.
https://t.co/TjQDh0L39v Words of interim report no surprise to AMA members #work & witness daily current #crisis in #agedcare. There are things that can be done now to improve situation. AMA continues to call on Govt to #StartActingNow. Donât wait another year @GregHuntMP #auspol
â AMA President (@amapresident)Â October 31, 2019
The government too is in the commissionâs sights for its lack of transparency around the numbers on complaints and assaults in aged care, and for empowering a regulator that âis unfit for purpose and does not adequately deter poor practicesâ.
âThe regulatory regime appears to do little to encourage better practice beyond a minimum standard. We were flabbergasted to hear that, until recently, it was routine practice for large sections of the reports of accreditation audits of services conducted by the Aged Care Quality and Safety Commission to be generated by computer assisted text.â
Here is the scale of the endemic neglect writ in black and white.
CC: Aged Care Minister @richardmcolbeck, who recently called the Australian #agedcare âworld class.â
And CC: the @healthgovau bureaucrats who claimed instances of neglect were overemphasised. #Auspol #agedcarerc pic.twitter.com/Y9833LYNNP
â Sarah Holland-Batt (@the_shb)Â October 31, 2019
The good practices of some providers and staff were acknowledged in the report, however, the report says these examples of âpassion and dedicationâ are succeeding in spite of the aged care system, not because of it.
The aged care system needs a âreality checkâ and to focus less on acting like an âindustryâ and a âmarketâ force which views people as âclientsâ and âconsumersâ.
The report identified three areas that need âurgentâ attention.
- to provide more Home Care Packages to reduce the waiting list for higher level care at home
- to respond to the significant over-reliance on chemical restraint in aged care, including through the seventh Community Pharmacy Agreement
- to stop the flow of younger people with disability going into aged care, and expediting the process of getting those younger people who are already in aged care out.
âWe see no reason to delay action in these areas,â the commissioners wrote. Translation: act now.
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