60,000 will die waiting for home care: forward estimates

Article published 24 October 2019

60,000 will die waiting for home care: forward estimates

THE waiting list for the Home Care Packages (HCP) program has been reduced by 7.3 per cent during the June 2019 quarter. This is the first time the HCP waiting list became shorter rather than longer.

But did the HCP list really become shorter?

Yes, it did.

Compared with the previous quarter there were 9,514 fewer people in the National Priority System, as the waiting list is optimistically called.

But this was achieved by adding only 5,779 new packages.

How is that possible? you might ask.

Take away 5,779 from 9,514. This yields 3,735, which is the number of people who dropped off the HCP waiting list because they died waiting. That’s in just three months’ time. Extrapolated to a period of one year that number is 14,940 people dying waiting.

This means that the reduction in the number of people waiting for a package is 39 per cent due to people dying.

This reduction is nothing to be proud of.

This reduction is success caused by failure.

The way the HCP program is designed is deeply flawed, because the number of “allocated” packages greatly exceeds the number of actual, active packages. The current allocated number is 144,912, whereas the latest actual, active number is 99,110. That means 45,802 packages are allocated but inactive for administrative reasons.

Activating those almost 46,000 packages would make a real dent in the waiting list. It wouldn’t solve the problem, but it would make a real difference.

As it is, the number of “allocated home care packages across the forward estimates” is projected to rise by 8.4 per cent by June 2023, but no one knows how many of the then 157,154 allocated packages will be active.

By that time, 60,000 people will have died waiting, about half the current waiting list of 119,000.

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