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  • Aged Care Submission to Senate: September 29, 2018

Author Topic: Aged Care Sector Workforce Inquiry  (Read 372 times)


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Aged Care Sector Workforce Inquiry
« on: September 22, 2018, 08:38:45 PM »
Submission to Senate Community Affairs References Committee On HIV & Aged Care April 2016

Below is the only submission written by Positive people into Aged Care Sector Workforce senate Inquiry ’.

HIV Institute of WA
Published by Neil Buckley ·
17 September at 14:52 ·

To date, it has not been acknowledged or the recommendation implemented by ant of the peak body in WA or the and high lights thie systemic failure of MIPA in Western Australia and the crisis in aged care for HIV people. (NAPWA endorsed the AFAO Submission from NGO's )

Submission to Senate Community Affairs References Committee Inquiry on the ‘Future of Australia’s Aged Care Sector Workforce’

This Submission to the Senate Community Affairs References Committee Inquiry on the ‘Future of Australia’s Aged Care Sector Workforce’ is made on behalf of the People Living with HIV (PLWH) Community Forum W.A. The Forum is an Independent peer based Group.

The PLWH Forum was established in 2012, following the collapse of HAPAN, as an advisory and advocating group facilitated for and by Positive People.

A working committee has been established for this submission and hearings, by the PLWH Forum members, Neil Buckley, Nigel Chartres. Robert Hastings and Katrina Montaut, who is an affected advocate for ‘People with HIV’.

This submission addresses issues and concerns about the specific needs of older people who are infected with the Human Immunodeficiency Virus (HIV), who are frequently referred to as ‘HIV Positive People’, or, ‘People with HIV’ and who also need the type of care services, as provided by residential aged care facilities (RACFs) and in similar situations, where the aged care sector workforce are responsible for delivering care services to older people.

While there has been acknowledgment and good progress made in the rights of gender and sexually diverse (GSD) people in residential care and workforce practices in regards to sexual orientation, this has, however, in some cases, been mistaken as also addressing the specific needs of ‘People with HIV’, but this is incorrect.

We are not seeking special rights, but are asking that our special requirements, due to our diagnosis and resulting specific health needs, be met. In saying this we recognise that, in theory, HIV may be just categorised as another blood borne disease, amongst others, such as hepatitis and malaria, for which medical protocols are usually in place.

The key issue with HIV is that, in part, due to the way it has been given much sensational media coverage over the years, it is frequently ‘singled out’, at least in the minds of many aged sector care workers, as something ‘different’, particularly in the context of some cultural beliefs and perspectives that it is somehow connected with different and even perverse sexual practices.

As ‘People with HIV’, we, like all others, should be allowed dignity in old age and care delivery settings. So it is for all these reasons, as outlined in this introduction, that the current stigmatisation and frequently associated discrimination towards ‘People with HIV’ now needs urgent rectification, through concerted and targeted affirmative actions, along the lines of those outlined in this submission

Background to Issues & Concerns

There is copious anecdotal evidence of discrimination, against HIV positive people, who are currently the recipients of aged care services within Commonwealth Government subsidised RACFs. This discrimination is not confined to this particular group, but is also evident in the case of other marginalised groups and is frequently apparent in cases of sexual orientation, which are not seen as ‘mainstream’ and ‘normal’ by many members of the current aged care services sector workforce.

The reasons for this discrimination are various, but are frequently attributable to deeply held cultural beliefs in relation to their widely held views about sexual orientation and issues inherent in HIV infected individuals and related matters. Such discrimination may include, for example, a care giver avoiding contact, unnecessary isolation, or an exaggerated display of protective measures.

In addition, due to the current cause and effect relationship model of how discrimination occurs, it is not highly visible and so on most occasions is not adequately, or, appropriately addressed within the current framework of standards and complaints procedures.

It is therefore necessary that specific affirmative and systemic action now be taken to address what is inherently a significant education issue within Australia’s aged care sector workforce.

Issues & Concerns with Regard to Particular Terms of Reference – as Being Addressed by the Senate Inquiry

This submission addresses general issues and concerns associated with the terms of reference B and C and more particularly specific issues and concerns associated with the terms of reference F and J.

These issues and concerns are outlined here under specific headings, which are designed to assist the committee in recognising their key importance, particularly in relation to forming constructive actions for addressing them in going forward.

1 – The Need to Address Current Accreditation Standards so They Stipulate the Type of Care Required by HIV Positive Care Recipients:

In outlining our issues and concerns, we note that the current accreditation standards, applicable to Commonwealth Government subsidised residential aged care service providers, do not stipulate the type of care required for HIV positive care recipients, as stated, by Josh Maldon, Acting Assistant Secretary, Quality and Regulatory Branch of the Department of Health (DoH) on 24th February 2016. A copy of this advice is provided ad attachment B.

Our view is that the current situation requires urgent attention and rectification actions. In attachment A, to this submission, we have outlined specific points, which we consider should form the basis for specific standards, which do need to be stipulated for the provision of services for HIV positive people, who are receiving care within Commonwealth subsidised RACFs and associated care settings.

In doing this we recognise that our proposed list of specific points may need to be referred to and appropriately reviewed, revised and then agreed by the Australian Society of HIV Medicine (ASHM) so that they then have recognised medical credibility throughout the Australian aged care sector.

2 – The Need for Designing & Delivering ASHM Accredited Training Packages to all Members of the Aged Care Sector Workforce:

Our view is that the proposed recommendations, for inclusion in the accreditation standards, as approved by ASHM, form the basis for the design and delivery of ASHM accredited training packages for the aged care sector workforce.

These training packages need to be delivered by recognised Registered Training Organisations (RTOs) to all existing members and to each new member of the aged care sector workforce.

We anticipate that an appropriate training package would typically involve each aged care sector worker in one half day of training effort and activities.
In addition, refresher training packages will need to be designed and delivered to reflect changes to models in HIV medicine and care models, as and when they are necessary.

3 – The Need for Incorporating the New Standards for HIV Positive Care Recipients into the Charters of Care Recipients’ Rights & Responsibilities (the Charter) in all Subsidised Residential Aged Care Facilities (RACF):

Once any given RACF has completed the requisite staff training, as outlined, there is a need to then incorporate the new standards for HIV positive care recipients into the respective Charter of Care Recipients’ Rights and Responsibilities, for the specific facility and to ensure that the standards are adhered to.

4 – The Need to Establish Appropriate & Adequate Monitoring of Compliance with the new Standards & an Integral Complaints System to Identify & Deal with Breaches of the Standards:

As and when each RACF completes the proposed training packages and incorporates the new standards into their respective Charters, there will need to be particular attention afforded, by the respective government agencies, into ensuring that appropriate and adequate monitoring systems are established so that any breaches of the standards are identified and dealt with properly.

We are assuming that, once the standards are implemented and incorporated into the Charters, that the specific HIV discrimination issues will be included and addressed alongside the current mainstream monitoring of compliance and complaints procedures systems, now in place.

Submission to Senate Community Affairs References Committee On HIV & Aged Care April 2016 Page 3

In this way, we are hopeful that the current, particular stigmatisation, as associated with HIV positive people, will diminish and eventually become non-existent, as the new arrangements become widespread throughout the aged care sector and are accepted as part of the normal models of delivering aged care services.

We would like to thank you for the opportunity to put forward our views to the Senate Inquiry.

« Last Edit: September 23, 2018, 12:44:57 AM by Mary-Jane »
Definition of Hats aka "Conflict of Interest" Statement: Mary-Jane is Editor of Perth Gay News, The Media Annuncio of the Perth Sisters of Perpetual Indulgence of the Abbey of the Black Swan & Editor @ HIV Institute of WA.

#Twitter @AbbeyBlackSwan1

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Aged Care Sector Workforce Inquiry
« on: September 22, 2018, 08:38:45 PM »