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Cousins, Sophie
The Lancet (British edition), 03/2021, Volume: 397, Issue: 10278Journal Article
Central to the recommendations is the overhaul of the 1997 Aged Care Act that allowed the system to transform into a free-market model which fuelled private investment and saved the government billions of dollars. Other recommendations include a minimum quality and safety standard for staff time in residential aged care, “including an appropriate skills mix and daily minimum staff time for registered nurses, enrolled nurses and personal care workers for each resident, and at least one registered nurse on site at all times”; putting the power to prescribe anti-psychotic drugs in the hands of a psychiatrist or a geriatrician to restrict their use in residential aged care; and funding to “meet the actual cost of high quality care and an independent Pricing Authority to determine the costs of delivering it”. To address the lack of transparency about how different aged care providers perform, a publicly available star rating system that grades providers on staffing levels, feedback from those who have received care from providers, and other quality indicators should be introduced by July, 2022.
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