Home support services in Australia: a confusion of intergovernmental responsibilities and provision

This article describes the current provision of community and domiciliary health and welfare services in Australia focusing upon national programs and outlining how these have been interpreted and implemented by each of the six States and two Territories which constitute the Australian Federation. The funding of home support services is described, particularly in relation to institutional services and State differences. Changing emphases have been highlighted and considered relative to the needs of those requiring support to remain at home. The article presents an account of a medley of initiatives and programs which are failing to meet ever increasing demand. The recent report of an Inquiry into Accommodation and Home Care for the Aged and the policy of the recently elected Australian Labor Party in relation to domiciliary care are examined.