Aged Care Reform

Five pillars to support aged care reform

The Australian Government has outlined five key pillars of reform, with a $17.7 billion expenditure over five years, to ensure older Australians are delivered quality services of care, putting their individual needs front and centre. The five pillars include:

  • Pillar 1: Home care - supporting senior Australians who choose to remain in their own home
  • Pillar 2: Residential aged care services and sustainability -  improving and simplifying residential aged care services and access
  • Pillar 3: Residential aged care quality and safety - improving residential aged care quality and safety
  • Pillar 4: Workforce - supporting and growing a better skilled care workforce
  • Pillar 5: Governance - new legislation and stronger governance


​ACSA is working closely with the Federal Government to ensure that its 'five key pillars’ response to support aged care reforms will be implemented in a way that incorporates our members’ expertise and experience.

Visit the Department of Health website to find out more about the aged care reforms including getting involved via the Engagement Hub, webinars, information and resources. 

View text description and larger image of 'Five pillars over 5 years' graphic

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The Australian Aged Care Collaboration has launched an Aged Care Reform Scorecard, the first of a regular series to monitor progress on Royal Commission recommended reform and ensure it’s on track. 

The inaugural report finds there are few tangible milestones to report in the first six months. See the media release issued on Tuesday, 14 December 2021.

Find out more on the Australian Aged Care Collaboration website


Pillar 1: Home Care

On Thursday 16 December 2021, the ‘Support at Home Alliance’ released its position paper titled Seamless Aged Care: How to set up 'Support at Home' right, first time. You can view the media release here.

The ‘Support at Home Alliance’ is a group of organisations passionate about the future of the home care system in Australia and includes:

  • Aged & Community Services Australia
  • Community Transport Organisation (NSW)
  • Home Modifications Australia
  • Meals on Wheels Australia
  • NSW Neighbour Aid & Social Support Association
  • Ethnic Communities’ Council of NSW

This 'Seamless Aged Care' position paper sets out important principles for the design of the new ‘Support at Home’ program, announced by the Australian Government as part its response to Royal Commission into Aged Care Quality and Safety, that will replace CHSP, HCP, STRC and residential respite from mid 2023.