2. HCCI – Who we are
HCCI the trade association representing private care providers . With 25 member
organisations employing over 8,000 carers and providing 78,000 hours of care
every week to over 6,000 people in their own homes in every county in Ireland, our
members work to promote:
Care delivery excellence
Statutory regulation of home care
Industry leading training & standards
Patient choice
Cost effective solutions
3. Elder care budget – Over 65s
HSE Budget
c. € 1.39bn Home Care Status Quo
Home Care Packages
€129m Only 12% of Home Care Package
Budget open to private providers
Home Help (€16m)
€195m
Home Help only open to HSE/ non-
profit providers
State provision amounts to €307m
Fair Deal Private only €33m
€998bn
4. Challenges for care of the older person
Difficult economic situation
Aging society -Between now and 2021 the number of people over 65 is set to
rise by 40% to nearly 800,000
Lack of Regulation
Quality issues
Attracting quality carers into the industry
5. Key Questions
How do we improve the quality of provision in
the absence of regulation?
How do we get more from our limited resources?
6. Key Facts
State Provision 30% more expensive than private provision
Lack of competition
Inefficient home help organisations
Undue bias towards residential care
6% over 65’s in residential care V norm of 4%
13% Low dependency / 22% medium dependency
7. Report Recommendations
Stop ring fencing funds for one type of care over another
FDS review
Money follows the patient
Single Assessment Tool
Open and Transparent Commissioning of Home Care Budget
Up coming tender
Choice drives quality
Efficient use of scarce resources
Nursing home scenario
Up skill for the future
8. Benchmarking
U.K.
Putting People First
Personalisation
Prevention
Early Intervention
England 74% of home care outsourced
Australia
Home and Community Care (HACC) programme
Integrated care – aged care assessment teams
Empowering the patient
Moving away from Not For Profit sector
9. Report Findings
Potential to create 8,600 jobs and 18 million additional home care hours within
existing budget
Cumulative savings of €2 billion could be achieved over the next 8 years to 2021
in line with phased outsourcing and an end to the ring-fencing of funds for one
type of care over another
€117M – open and transparent commissioning
€256M – Moving patients from residential care to care at home
2014 - Savings of €117 million
€48M – Proper commissioning in upcoming tender
€69M – Fair Deal Scheme Review
10. Summary
Cuts to frontline services not necessary
Drive quality and savings through patient choice
State should regulate and supervise but doesn't
have to deliver