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RESIDENTIAL AGED CARE SERVICES AND THE EMPLOYMENT OF NURSING STAFF.

Resident characteristics

* 178,713 permanent residents in mainstream residential aged care services at 30 June 2017.

* Average age of residents in permanent care as at 30 June 2017:

** 84.8 non-indigenous

** 73.2 Aboriginal and Torres Strait Islander people

* 92.88% of residents in permanent care on 30 June 2017 had a high care rating in at least one domain, or two or more medium domain ratings.

Number of aged care services

As at June 2017 there were 2,672 residential aged care services providing 200,689 resident places (excluding flexible places).
Number of operational residential aged care places

30 June 1995  134,810
30 June 2005  161,765
30 June 2010  179,749
30 June 2012  187,941
30 June 2013  186,278
30 June 2014  189,283
30 June 2015  192,370
30 June 2016  195,825
30 June 2017  200,689

Ratio of residential aged care places per 1000 persons aged 70 years
and over

30 June 2005  86.4
30 June 2009  87.0
30 June 2010  86.8
30 June 2011  85.7
30 June 2012  84.4
30 June 2013  86.0
30 June 2014  82.6
30 June 2015  81.1
30 June 2016  79.7
30 June 2017  77.9

Average number of places per facility

1998  46.4
2006  60.0
2010  64.8
2012  69.0
2013  68.5
2014  70.4
2015  81.1
2016  73.4
2017  75.1

Ownership of residential aged care places

Private for profit providers      39.7%
Private not for profit providers  31.2%
Religious providers               24.7%
State/Territory/local government   4.4%


Registered and enrolled nurses in residential aged care

* The number of registered and enrolled nurse full-time equivalent positions in residential aged care has dropped by 13% since 2003. Between 2003 and 2015 the number of residential aged care places has increased by 30% and dependency levels of residents have increased from 64.4% assessed as high care in 2003, to 89% in 2015.

* The decline in the number of registered nurses is also highlighted in AIHW Nursing Labour Force reports, noting the substantial skill loss which places further pressure on the residential aged care sector.

Wages gap

* Full time residential aged care nurses now earn approximately an average of $200 per week less (calculated on the base rate) than their colleagues in other sectors resulting in increasing difficulties attracting and retaining adequate numbers of appropriately trained nursing staff.

Note:

The figure of 89% of residents with an overall classification of high care is based on the process applied in the 2013-14 AIHW Report whereby people were classified as high care if they had an ACFI appraisal of either high in Activities of Daily Living or high in Complex Health Care, or high in Behaviour together with low or medium in at least one of the other two domains, or medium in at least two of the three domains, (http://www.aihw.gov.au/aged-care/residential-and-home-care-2013-14/

Sources:

AIHW 2000 Residential Aged Care Facilities in Australia 1998-99: A Statistical Overview

AIHW 2011 Residential Aged Care in Australia 2009-2010: A Statistical Overview

AIHW 2012 Residential Aged Care in Australia 2010-2011: A Statistical Overview

AIHW 2013 Residential Aged Care and Aged Care Packages in the Community 2011-12

AIHW 2014 Residential Aged Care and Aged Care Packages in the Community 2012-13

AIHW 2015 Residental Aged Care and Home Care 2013-14 Web Report

AIHW 2016 Residental Aged Care and Home Care 2014-15 Web Report

AIHW 2017 GEN fact sheet 2015-16: People's care needs in aged care. Canberra: AIHW

AIHW National Aged Care Data Clearinghouse

AIHW Nursing Labour Force 1999; 2001; 2002; 2003

AIHW Nursing and Midwifery Labour Force 2005

AIHW 2004 Residential Aged Care Facilities in Australia 2002-03

Martin B and King D, 2008, Who Cares For Older Australians? National Institute of Labour

Studies, Flinders University, Adelaide, Australia.

Mavromaras K, Knight G, Isherwood L, etal 2017. The Aged Care Workforce 2016.

Commonwealth of Australia as represented by the Department of Health

Report on Government Services 2015

Report on Government Services 2017

Department of Health 2016 Report on the operation of the Aged Care Act 1997

AGED CARE DATA [Please note this section has not been updated in this edition]

This section of Paycheck provides information on agreement coverage in the non-public residential aged care sector and an analysis of the wage rates for key nursing classifications based on 791 enterprise agreements operating as at 15 February 2018. The information is updated on a quarterly basis as new agreements are approved by the Fair Work Commission. It includes data at a national level as well as by each State and Territory.

Australia wide, the proportion of facilities covered by awards is 9.5% and the proportion of facilities where the entire nursing workforce is covered by agreements remains at 86%.

Agreements in non-public residential aged care

As at 15 February 2018, we have identified a total of 791 agreements operating in the residential aged care sector. The combined total for all States/Territories is 807 - sixteen more than the count for Australia because of twelve multistate agreements operating across two states/territories and two agreement operating in three states.

Agreement coverage and award reliance

Across Australia, 85.9% of all aged care facilities have their entire nursing workforce covered by enterprise agreements (2155 out of 2509 facilities). This coverage rate is calculated by mapping enterprise agreements to the Australian Government Department of Social Services list of Non-Public Sector Residential Aged Care Services (excluding services associated with public hospitals or publicly funded regional area health services). 84% of these fully covered facilities are covered by a single agreement setting out wages and conditions for all classifications of nursing staff (RN, EN and AIN/PCW). In 4.6% of facilities, nursing classifications are partially covered by agreements and partially covered by the Nurses Award.

Only 9.5 % of facilities are totally award reliant. On a State/Territory basis, the percentage share of facilities that are totally reliant on awards is 6.9% in NSW; 3.2% in VIC; 2.2% in SA; 1.3% in TAS; 7.1% in ACT; 21.7% in QLD and 23.3% in WA. In the Northern Territory, none are totally reliant on awards.

Agreement coverage varies markedly across the State and Territories: The Northern Territory and Victoria record the highest rate of complete coverage. All facilities in the Northern Territory are completely covered by agreements and 578 out of 597 facilities in Victoria (96.8%) are completely covered by enterprise agreements. More than 90% of facilities are fully covered by agreements in NSW, ACT and Tasmania. In NSW, 93.1% (805 out of 885) of all facilities are covered completely by agreements. In Tasmania. 93.4% (71 out of 76) are fully covered. In Queensland 78.0% (352 out of 451) are fully covered.

In South Australia, just over half (52.4 %) of all facilities are fully covered by enterprise agreements. In 45.5% of South Australian facilities, AINs/PCWs (and presumably support staff) are not covered by enterprise agreements, while RNs and ENs are covered in 97.7% (226 out of 231) of facilities.

Residential aged care enterprise agreements average wage rate data - as at February 2018

The average wage rates are based on a comprehensive mapping of 790 agreements to residential aged care facilities covered by non public sector agreements in Australia. The data comes from the complete set of current and most recently expired agreements. Administrative increases, (where known), have been applied to older agreements and agreements which expired before September 2016 were excluded from the sample used to calculate averages.

Comparison with public sector rates of pay

The difference between the average rates of pay nationally between the top rate for an RN Level 1 in the public sector and the top rate for an RN Level 1 in the residential aged care sector is currently 16% or $218 per week calculated on the base rate.

On a State/Territory basis the difference for an RN Level 1 at the top of the level one classification structure varies from 10% in Tasmania, Western Australia and Australian Capital Territory to 44% in Northern Territory.
Table 1: Count of current or most recent agreements by State/Territory
and nationally

           Count

NSW        246
VIC        258
QLD         73
SA         122
WA          45
TAS         44
NT          14
ACT          5
Australia  807

Table 2 Percent share of facilities (services) by status of agreement
coverage and state

Industrial Instrument Coverage  NSW    VIC    QLD    SA     WA     TAS

Complete - Single Agreement      91.0   88.8   76.9   10.0    9.0   50.0
Complete - Multiple               2.1    8.0    1.1   42.4   65.5   43.4
Sub Total Complete Coverage      93.1   96.8   78.0   52.4   74.4   93.4
Partial-RNS& ENS                  0.0    0.0    0.0   45.5    0.9    5.3
Partial-ENS SAINS/PCWs            0.0    0.0    0.0    0.0    1.3    0.0
Partial-AINS only                 0.0    0.0    0.2    0.0    0.0    0.0
Sub Total Partial Coverage        0.0    0.0    0.2   45.5    2.2    5.3
Agreement Coverage               93.1   96.8   78.3   97.8   76.7   98.7
(Complete or Partial)
Complete Award Reliance           6.9    3.2   21.7    2.2   23.3    1.3
Total                           100    100    100    100    100    100

Industrial Instrument Coverage  NT     ACT    AUST

Complete - Single Agreement      88.9   89.3   71.9
Complete - Multiple              11.1    0.0   14.0
Sub Total Complete Coverage     100.0   89.3   85.9
Partial-RNS& ENS                  0.0    0.0    4.4
Partial-ENS SAINS/PCWs            0.0    0.0    0.1
Partial-AINS only                 0.0    3.6    0.1
Sub Total Partial Coverage        0.0    3.6    4.6
Agreement Coverage              100.0   92.9   90.5
(Complete or Partial)
Complete Award Reliance           0.0    7.1    9.5
Total                           100    100    100

Table 3 Average wage data--February 2018

                           NSW    VIC    QLD    SA     WA     TAS

AIN/PCW entry              20.56  22.22  21.26  21.16  22.32  20.54
AIN/PCW thereafter         22.08  22.81  21.84  21.67  22.90  21.29
AIN/PCW Cert 3 entry       22.25  23.16  22.41  21.97  23.33  21.58
AIN/PCW Cert 3 thereafter  22.36  23.74  22.87  22.79  23.87  21.95
EN min                     25.69  24.35  24.89  23.89  25.38  26.07
EN max                     28.15  27.50  27.11  27.16  27.49  28.25
RN leveM entry             30.57  29.30  29.12  26.56  31.78  27.88
RN level 1 thereafter      38.52  35.18  34.68  35.30  39.56  36.55

                           NT     ACT    AUST

AIN/PCW entry              21.47  20.61  21.30
AIN/PCW thereafter         22.12  21.87  22.28
AIN/PCW Cert 3 entry       24.09  22.26  22.60
AIN/PCW Cert 3 thereafter  24.78  22.66  22.98
EN min                     23.41  26.11  24.95
EN max                     26.36  28.65  27.70
RN leveM entry             24.43  31.56  29.49
RN level 1 thereafter      30.02  38.92  36.56
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Publication:Nurses' Paycheck
Article Type:Statistical data
Geographic Code:8AUST
Date:Jun 1, 2018
Words:1868
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