Organisational Governance

The paper has discussed the challenges faced by the aged care sector in Australia, including the workforce crisis, lack of accessibility of information and services, and the need for restorative and preventive care programs. The potential of the aged care reform package has also been highlighted, which aims to establish a sustainable and responsive aged care system.

Running head: ORGANISATIONAL GOVERNANCE
ORGANISATIONAL GOVERNANCE
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Executive Summary
Australia in recent times has been experiencing a demographic shift with the life expectancy 25
years longer than observed in a century ago. Consequentially a significant increase has also been
witnessed in the size of the aged population of Australia. Such a lengthened life expectancy thus
must be appreciated. However, this extended rate of life expectancy encounters critical
challenges with a considerable impact on Australia’s health system as well as the aged care
sector. The paper offered comprehensive insights into the way aged care reforms have been
serving a contributory role to the Australian aged population. Furthermore, the paper provided
certain recommendations to which advanced aged care training programs would facilitate a
procedure of effective communication in Australian aged sector.

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Table of Contents
Introduction......................................................................................................................................3
Discussion........................................................................................................................................3
Challenges to the terms of community aged care services..........................................................3
Improving accessibility of information and services for Aged Clients.......................................4
Importance of Restorative Care Programme for aged clients in Australia..................................6
Prospective Potential of Aged Reform Package..........................................................................7
Conclusion.......................................................................................................................................8
References......................................................................................................................................10

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Introduction
Australia in correspondence to several countries has been experiencing a demographic
shift. Australians are living 25 years longer than they did a century ago. Authors reveal that
Australians aged 85 or above is anticipated to rise from 0.6 million in 2011 to over 1.9 million by
2050. In 2010, citizens aged around 65 years and over constituted about 14% of Australia’s
populace (Radford, Shacklock & Bradley, 2015). This proportion is expected to increase to
between 25% and 27% in 2056. Such a growth exhibit a considerable impact on Australia’s
health system generally as well as the aged care home based, flexible and especially residential
care system. The aged care sector for a certain period observed that Australia’s aged care health
system might exhibit incompetence to act responsively to the shifting demographics (Wyatt,
2017). However, such a reform towards the aged care system was required. The provision of
aged care and support with a suitable environment is a fundamental human right (Radford,
Shacklock & Bradley, 2015). The following paper will argue on the role of aged health care
system. In addition to this, the paper will further evaluate the strategy and attain insights of
potential opportunities for further reform development.
Discussion
Challenges to the terms of community aged care services
Australia’s aged cares system is aided and regulated through multifaceted set
arrangements which involve various levels of government along with a diverse range of
stakeholders (Porter, 2017). This range of stakeholders primarily involves informal carers as well
as recognized care providers from both not-for-profit and for-profit and governmental sectors.
Radford, Shacklock and Bradley (2015) have revealed that the Australian aged care sector has
been undergoing an elevating workforce crisis specifically in rural as well as remote areas. The

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labour force with a considerable rate of female employees is gradually ageing and employing
young and proficient workers are identified as a challenging task for the sector.
Furthermore, demands for skilled and sustainable aged care employee base in Australia
have been established to increase. Westaway et al. (2018) are of the perspective that the existing
workforce across home and community care sectors will require to be amplified three times by
2050. However, for the community aged sector as a whole, the area of concern has aggravated by
an ageing as well as gendered employee profile. This has been consequential to the aged care
sector which constitutes a wide range of service types as well as care levels to encounter specific
challenges in contesting for workers, specifically young female proficient graduates in order to
provide care services for an increasingly fragile clientele base (Porter, 2017). The aged care
service sector according to Radford, Shacklock and Bradley (2015) is thus being emerging as a
highly complex and diverse consequential to contemporary aged care services along with the
persistent challenges in offering services to the increasing rate of aged citizens living in
Australia’s rural and regional areas.
Needs of service managers in aged care services
Davis, Morgans and Burgess (2016) at this juncture while observing the ranging
challenges have identified the essential needs of service managers. Author has found out that
well-established service which offers extensive care activities necessitates a pool of proficient
employees whose competencies and skills will efficiently attain clients’ needs for domestic,
individualistic and essential health care. Thus employees with vital health and evaluation skills
for rapid medication use or checking blood pressure level of aged clients add high flexibility to
the ability of managers’ to successfully accomplish the needs of the increasing rate of clients
who require intense care needs (Lafortune et al., 2015).

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Improving the accessibility of information and services for Aged Clients
Wodchis et al. (2015) have identified that one of the major limitations in the current
organizations which have been initiated to determine through current reforms is the lack of
accessibility of information and services for aged people and their carers. Cardona (2018)
observed that several older people, as well as their carers, face challenges in seeking adequate
services from the aged care system while navigating and accessing data related to the services
they are being offered. Several old patients are uninformed of the available services and thus
tend to report problems in obtaining proper data and undergoing evaluation as well as receiving
most appropriate services (Hillen, Vitry & Caughey, 2018). Such inefficiencies and lack of
integration within the system increases a high level of apprehension in providing the same data
to varied service providers repeatedly.
Lafortune et al. (2015) at this juncture have identified current initiatives which are
purposed to address the areas of shortfalls within the aged care system in Australia. Approaches
such as is making a considerable contribution in aiding local authorities, primary care trusts as
well as voluntary organizations to efficiently develop new and advanced methods for older
people (Westaway et al., 2018). These approaches furthermore are fundamentally intending to
expand the rate of accessibility for aged clients to integrate into services and through local and
national assessments in order to enhance the understanding of the functionality of the system.
Furthermore, in relation to information and access to old age clients, these approaches provide a
range of successful as well as innovative strategies for older people. However, Gnanamanickam
et al. (2018) have witnessed several instances where current contact centre services have
undergone transitions. These changes posited by Porter (2017) have been executed either by
developed documentation or prompting individuals to be referred to related service.

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Such services, however, are applied to the services offered outside the immediate enquiry
or through set up associations with voluntary to provide additional assistance in form filling or
providing guidance in decision-making procedures. However, the primary path of success of
these approaches is their strategies to expanding rate of accessibility and improving information
and preferences for older people seeking aged care services. Meanwhile, Westaway et al. (2018)
have identified certain areas whereby the current aged care system fails to position sufficient
importance on wellness and restorative care along with poor linkages between the aged care and
health systems (Hillen, Vitry & Caughey, 2018). These areas of challenges have been signifying
lack of integration of the multiplicity of the existing care strategies.
Importance of Restorative and Preventive Care Programme for aged clients in
Australia
According to Lafortune et al. (2015), wellness and restorative approaches have been
significantly emerging as crucial ways to offer assistance to aged people in improving their
function and quality of life. Studies conducted by authors have indicated that the Australian
Government reported an expansion of flexible elderly initiatives. A developed form of flexible
care services such as the STRC programme has been set up to successfully raise the care options
available for the aged population of Australia (Wodchis et al., 2015). These care preferences
must be executed through time-constrained, goal-driven as well as a coordinated range of
services. Each care package within the STRC programme has been designed with and accepted
by the aged recipients, and further may have the potential to be delivered within residential or
home settings or the amalgamation of both (Burton et al., 2018).
Meanwhile, on the other hand, Gnanamanickam et al. (2018) have critically analysed the
high prevalence of physical, psychological as well as social dysfunction in aged persons.

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Furthermore, the continual failure to be well informed or detecting these dysfunctions has
resulted in the recommendation for routine comprehensive functional evaluation of elderly
patients either biennially or at an annual rate in accordance with their age.
Westaway et al. (2018) is of the perspective that as several illnesses of aged persons are
identified to be chronic and significantly incurable, a disease-centric approach towards
prevention or early exposure, as well as a proper treatment of disease, will not be able to curb
such criticalities effectively. Thus Cardona (2018) have observed a severe need for
comprehensive evaluation of physical, psychological as well as social functioning by primary
care health practitioners. However, the author further claimed if these shortfalls are observed
then proficient healthcare experts must initiate proper treatment as well as rehabilitation to
enhance or sustain an elderly individual’s health condition or slow deterioration in function.
Furthermore, it is important to note that such reliance with subsequent access to an institution
must be prohibited or forestalled (Gnanamanickam et al., 2018).
Several studies conducted by Radford, Shacklock and Bradley (2015) have proposed that
with increased age, there can be witnessed a progressive decline in maximal oxygen
consumption, endurance along with proper coordination while functioning. These shifts can be
identified as a gradual increase in the rate of incidence and occurrence of physical disability.
Porter (2017) has revealed that while a significant proportion of aged persons tend to maintain a
considerable percentage of physical ability, nearly 25% of that section of around 75 to 85 years
of age lack the ability to climb stairs or walk half a mile. However, several biologic changes
attributing towards ageing have shown a connection to the functional losses induced by the
prolonged level of inactivity. Lewin, Concanen and Youens (2016) at this juncture, are of the
opinion that loss of physical function with age is because of factors associated with physical de-

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conditioning. This type of physical inability can be prevented or re-established by exercise
programs. Efficient physical programs for elderly can be considered of great significance as even
a modest development in muscle strength, endurance and coordination may reflect a profound
impact on the ability of an elderly individual to leave home or also perform regular activities of
daily living (Burton, Lewin and Boldy, 2015).
Prospective Potential of Aged Reform Package
Lewin, Concanen and Youens (2016) have claimed that an ongoing reform process is
highly essential for a number of reasons. According to Davis, Morgans and Burgess (2016).
While many in the Australian healthcare sector have underpinned the value of the reform, the
industry has not responded to the time duration proposed by the Productivity Commission for the
aged health reform. Wodchis et al. (2015) have revealed that the aged care reform will set up a
highly responsive, incorporated and sustainable aged care system that is designed to attain
challenges of ageing populace successfully. The proposed method has further been purposed to
ensure continual innovation and progress.
Furthermore, the sustainable vision for reform is to fundamentally create a highly flexible
as well as accurate ‘end-to-end’ aged care system which will offer improved preferences along
with accessibility to a comprehensive range of elderly care services (Cardona, 2018).
Furthermore, such advanced care services will range from low-intensity support with a domestic
arena to effective home care packages as well as residential aged care offered at varying levels of
concentration. Meanwhile, Lewin and Boldy (2015) have posited that level of combined services
would be increasingly driven by aged clients and less by administrative regulation. On the other
hand, Avkiran and McCrystal (2014) stated that the role of the government would majorly be
focused on safeguarding level of equity in access as well as the quality of the services offered the

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aged clients. Furthermore, invariance to the interests of aged citizens and their families, a core
element is anticipated to be the expansion of rate of accessibility to services and information in
homes and further facilitating these elderly people to live a self-governing life in the community.
Burton, Lewin and Boldy (2015) have revealed that an efficient gateway will be
established that will be primarily based around the call-centres and website and reflect the
competence of efficiently organizing in-home care arrangements by teams of physicians. The
aged care reform is anticipated to establish over 65,000 home care plans by the end of 2023
(Lewin, Concanen & Youens, 2016). However, the fundamental areas of close supervision,
assessment and alteration reveal the need for effective methods testing arrangements to invest the
increased supply and proficiently support developments across the community as well as
residential aged care.
Conclusion
Hence to conclude, it is important to state that improved aged care reform package is
highly efficient in recognising as well as strengthening the rights and privileges of aged
Australian populace. Furthermore, effective implementation of advanced care training programs
for managers and physicians tend to expand beyond that would facilitate the system of effective
communication in aged care sectors. The paper evaluated the way such developments in aged
care services would promote dignity for end-of-life decisions of aged Australians.

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References
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residential aged care networks: scenario analyses for setting policy targets. Health care
management science, 17(2), 113-125.
Burton, E., Lewin, G. and Boldy, D. (2015). A systematic review of physical activity programs
for older people receiving home care services. Journal of aging and physical
activity, 23(3), pp.460-470.
Burton, E., Lewin, G., O’Connell, H., Petrich, M., Boyle, E., & Hill, K. D. (2018). Can
community care workers deliver a falls prevention exercise program? A feasibility
study. Clinical interventions in aging, 13, 485.
Cardona, B. (2018). Measuring outcomes of community aged care programs: challenges,
opportunities and the Australian Community Outcomes Measurement ACCOM
tool. Health and quality of life outcomes, 16(1), 104.
Davis, J., Morgans, A., & Burgess, S. (2016). Information management for aged care provision
in Australia: development of an aged care minimum dataset and strategies to improve
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Gnanamanickam, E. S., Dyer, S. M., Milte, R., Harrison, S. L., Liu, E., Easton, T., ... &
Whitehead, C. (2018). Direct health and residential care costs of people living with
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residential aged care: an Australian experience. International Journal for Quality in
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Lafortune, C., Huson, K., Santi, S., & Stolee, P. (2015). Community-based primary health care

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