Commonwealth of Australia Explanatory Memoranda

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AGED CARE LEGISLATION AMENDMENT (SERIOUS INCIDENT RESPONSE SCHEME AND OTHER MEASURES) BILL 2020

                        2019-2020-2021




THE PARLIAMENT OF THE COMMONWEALTH OF AUSTRALIA




               HOUSE OF REPRESENTATIVES




AGED CARE LEGISLATION AMENDMENT (SERIOUS INCIDENT
  RESPONSE SCHEME AND OTHER MEASURES) BILL 2020




   ADDENDUM TO THE EXPLANATORY MEMORANDUM




                (Circulated by the authority of the
     Minister for Senior Australians and Aged Care Services,
                Senator the Hon Richard Colbeck)


AGED CARE LEGISLATION AMENDMENT (SERIOUS INCIDENT RESPONSE SCHEME AND OTHER MEASURES) BILL 2020 This addendum responds to concerns raised by the Senate Standing Committee for the Scrutiny of Bills in Scrutiny Digests 18 of 2020 and 1 of 2021. After the paragraph commencing 'New subsection 54-3(7)', insert:- The Quality of Care Principles will specify matters such as the timeframes and actions required when notifying the Commissioner of reportable incidents and the details of notices on reportable incidents. These matters will go into the minutiae of notification arrangements such as the specific details to be provided in the notice, including the name, position and contact details of the person giving the notice. It is considered appropriate that these matters be dealt with in delegated legislation as they relate to operational matters such as process and procedures. The Quality of Care Principles will also further define and provide clarification on the terms in new subsection 54-3(2) and specify where an incident is, or is not, a reportable incident despite that new subsection. The Quality of Care Principles are proposed to provide clarity of the terms by using concepts to identify what the terms include, and by providing scenarios of what these would and would not entail. The Quality of Care Principles are also proposed to specify where an incident covered by new subsection 54-3(2) is not a reportable incident. This is also proposed to be achieved using concepts or classes, for example where a residential care recipient refuses to receive care or services from an approved provider and has sufficient cognitive function to make that decision. If these matters were dealt with in primary legislation it is likely that, in an attempt to capture all scenarios, the definitions would become highly complex and therefore difficult to interpret and implement. Including matters in delegated legislation will allow for responsiveness in relation to incidents in residential aged care services. As these arrangements are intended to ensure the reporting of abuse and neglect in residential aged care, it is appropriate that these aspects of the SIRS can be adapted and modified in a timely manner. Allowing some flexibility to promptly respond to unforeseen risks, concerns and omissions aligns with community expectations and the key aim of the SIRS which is to protect older Australians from abuse and neglect. After the paragraph commencing 'New subsection 21(7)', insert:- The Rules will specify how the Commissioner deals with matters in relation to reportable incidents. This may include requests for further information or a final report, undertaking inquiries or investigations, approving forms and other actions by the Commissioner, for example referral to police or requesting a 1


provider to take remedial action to ensure the health, safety and wellbeing of residential care recipients. It is considered reasonable that these matters be dealt with in delegated legislation as they relate to operational matters such as process and procedures. Including these arrangements in delegated legislation will allow flexibility to respond to unforeseen issues and respond to community and sector concerns in a timely manner. As these matters relate to actions taken in response to reportable incidents it is appropriate (including from a community expectations perspective) that there is flexibility for the Commissioner to take appropriate and prompt action in response to any unforeseen matters. It is intended that the Australian Government's ability to undertake such actions will prevent the abuse and neglect of older Australians. The Australian Government has undertaken significant consultation on the arrangements under the SIRS. This includes engagement with key stakeholders from the aged care sector on the details of the Bill and what is proposed for delegated legislation. Further, communications and guidance are being prepared and are proposed to be issued across the sector prior to commencement of the SIRS, and will include details on these matters. As such, the Australian Government does not consider it necessary to amend the Bill to include high-level guidance on these matters. These arrangements are intended to be broad to enable appropriate flexibility for the Commissioner to ensure the safety needs of older Australians. After the paragraph commencing 'Item 1 inserts new sections 74EA, 74EB, 74EC and 74ED', insert:- New sections 74EA to 74ED introduce new enforcement powers and functions for the Commissioner by making certain provisions in the Aged Care Act and the Quality and Safety Commission Act subject to enforcement under the Regulatory Powers Act. Existing delegation arrangements under subsection 76(1) of the Quality and Safety Commission Act apply to these new powers and functions. Under subsection 76(1) the Commissioner may delegate to a member of staff of the Commission all or any of the Commissioner's functions or powers under the Quality and Safety Commission Act (except for the powers and functions under Part 7B). Subsection 76(1B) of the Quality and Safety Commission Act provides that the Commissioner must not delegate a function or power under subsection 76(1), unless the Commissioner is satisfied that the person has suitable training or experience to properly perform the function or exercise the power. As such, when the Commissioner delegates the new powers and functions under new sections 74EA, 74EB, 74EC, and 74ED, they are expressly required to be satisfied that the delegate has suitable training or experience to exercise the relevant powers and functions. 2


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In addition to the requirement under subsection 76(1B), in accordance with internal policy arrangements, the Commissioner will also determine which persons are best qualified to make particular decisions or to exercise the particular powers prior to making a delegation. Further, being able to delegate powers is necessary to effectively and efficiently manage the volume of work of the Commission and ensure the quality of Commonwealth funded aged care services and the safety of individuals in care. Time is a factor that could make a significant difference to the health, safety, wellbeing and quality of life of a recipient of aged care services, especially if the non-compliance relates to the quality of care provided. After the paragraph commencing 'Existing delegation arrangements under subsection 76(1) of the Quality and Safety Commission Act will apply in relation to new section 74EE', insert:- Under subsection 76(1) the Commissioner may delegate to a member of staff of the Commission all or any of the Commissioner's functions or powers under the Quality and Safety Commission Act (except for the powers and functions under Part 7B). Subsection 76(1B) of the Quality and Safety Commission Act provides that the Commissioner must not delegate a function or power under subsection 76(1), unless the Commissioner is satisfied that the person has suitable training or experience to properly perform the function or exercise the power. As such, when the Commissioner delegates the new powers under new section 74EE, they are expressly required to be satisfied that the delegate has suitable training or experience to exercise the relevant powers and functions. In addition to the requirement under subsection 76(1B), in accordance with internal policy arrangements, the Commissioner will also determine which persons are best qualified to make particular decisions or to exercise the particular powers prior to making a delegation. Further, being able to delegate powers is necessary to effectively and efficiently manage the volume of work of the Commission and ensure the quality of Commonwealth funded aged care services and the safety of individuals in care. Time is a factor that could make a significant difference to the health, safety, wellbeing and quality of life of a recipient of aged care services, especially if the non-compliance relates to the quality of care provided. After the paragraph commencing 'The Guide to Framing Commonwealth Offences', insert:- Existing delegation arrangements under subsection 76(1) of the Quality and Safety Commission Act will apply in relation to new section 74GA. 4


Under subsection 76(1) the Commissioner may delegate to a member of staff of the Commission all or any of the Commissioner's functions or powers under the Quality and Safety Commission Act (except for the powers and functions under Part 7B). Subsection 76(1B) of the Quality and Safety Commission Act provides that the Commissioner must not delegate a function or power under subsection 76(1), unless the Commissioner is satisfied that the person has suitable training or experience to properly perform the function or exercise the power. As such, when the Commissioner delegates the new powers under new section 74GA, they are expressly required to be satisfied that the delegate has suitable training or experience to exercise the relevant powers and functions. In addition to the requirement under subsection 76(1B), in accordance with internal policy arrangements, the Commissioner will also determine which persons are best qualified to make particular decisions or to exercise the particular powers prior to making a delegation. Further, being able to delegate powers is necessary to effectively and efficiently manage the volume of work of the Commission and ensure the quality of Commonwealth funded aged care services and the safety of individuals in care. Time is a factor that could make a significant difference to the health, safety, wellbeing and quality of life of a recipient of aged care services, especially if the non-compliance relates to the quality of care provided. 5


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