Overview of Australia's aged care system
Aged care services offer a variety of care in different settings to older Australians. Home support and home care services provide care for people living in the community and could include assistance with housework and property maintenance, cooking and providing assistive equipment (such as walking frames or installing handrails at home). Residential aged care services provide care and accommodation in residential facilities, both for permanent and short-term respite stays. At 30 June 2022, around 407,000 Australians were using residential aged care (permanent or respite), home care or transition care services. In 2021–22 nearly 818,000 people received assistance under the Commonwealth Home Support Programme (CHSP), and some of them may have also accessed residential aged care (AIHW 2023).
Australian Government-subsidised aged care services are generally provided on the basis of need – there are no age restrictions for eligibility (except for the CHSP). Aged care services are managed by government, not-for-profit and private organisations. At 30 June 2022 there were 811 organisations providing residential aged care through 2,671 services, 916 organisations delivering home care services through 2,427 services, and 1,452 organisations were providing home support during 2021–22 through 3,760 outlets in Australia (AIHW 2023). Note that some organisations may have been providing more than one type of care services and support. For more information on aged care in Australia, visit GEN Aged Care data.
In 2021–22 about 672 men and 627 women with younger onset dementia (that is, people with dementia aged under 65) were living in a residential aged care facility. For some young people with dementia, residential aged care may be their setting of choice. However, younger people are generally considered to be better served by other services (such as specialist disability accommodation provided through the NDIS) (see Box 10.1). The Australian Government has committed to minimising the need for younger people to live in aged care facilities, through the Younger People in Residential Aged Care Strategy 2020–25 (NDIA 2022).
In addition to aged care services, people with dementia may access a range of health services, including: allied health services, medical specialists and specialised dementia services. See Overview of dementia support services and initiatives for information on dementia specific services available to Australians with dementia and their carers and GP and specialist services overview for information on the use of community-based GP and specialist health care services by people with dementia.
Refer to the Aged care data tables for the underlying data presented in these pages.
Box 10.1: Support services for people with younger onset dementia (aged under 65)
People with younger onset dementia may be eligible for support through the National Disability Insurance Scheme (NDIS) (NDIA 2019) and financial support through the Disability Support Pension (Services Australia 2023), in addition to aged care services. Data are not currently available on the number of people with younger-onset dementia accessing the NDIS or receiving the Disability Support Pension.
National Disability Insurance Scheme (NDIS)
The NDIS provides support for people aged under 65 who have a significant, ongoing disability. Through this scheme young people are provided with funding in order for them to access a range of support services and programs, including supports that assist people with daily personal activities (such as gardening, household chores and meal preparation), making home modifications to suit their needs, programs that enable and encourage participation in work or social activities, and funding towards therapeutic services.
Disability Support Pension
The Disability Support Pension provides financial help for people with an on-going physical, intellectual or psychiatric condition that prevents that person from working (such as people with younger-onset dementia). This pension is available to people aged 16 and over (who are less than pension age), with eligibility and payment amounts based on the person’s condition and level of impairment, and their assessable income and assets.
Dementia care workforce
Ensuring the aged care workforce is appropriately trained to care for people with dementia is essential to providing high quality care.
The Aged Care Act 1997 does not mandate educational qualifications for those working in the aged care sector, however it does outline that approved residential aged care providers have a duty to ensure staff have the right qualifications and skills to provide care appropriate to the needs of people in care (Mond 2019).
The Royal Commission into Aged Care Quality and Safety (Royal Commission) has recommended implementing mandatory dementia care training for workers engaged in residential aged care and in care in the community, after finding that staff often lack skills and resources to appropriately care for people with dementia. This is especially relevant for people with dementia who experience behaviours and psychological symptoms, and require skilled staff to help them effectively manage symptoms (Royal Commission 2021).
The Australian Government is implementing reforms, including revising the Aged Care Quality Standards to strengthen requirements in relation to dementia care and increasing average care minutes per day to improve the quality of residential care for all older Australians, including people living with dementia. New requirements were introduced on 1 July 2023 for Registered Nurses to be on-site and on duty 24 hours a day, 7 days a week at residential aged care facilities. The Dementia Training Program provides specific training for the aged and health care sectors to improve the quality of care.
Due to a lack of national data, this page does not present statistics on the formal workforce caring for people with dementia. For information on unpaid carers, see Carers of people with dementia.
Need more information?
If you require more information about aged care services available for people with dementia, refer to:
- My Aged Care – for information on, and applying for access to government-subsidised aged care services
- GEN aged care data – for data, statistics and reports on aged care services in Australia
- Dementia Australia website
- National Dementia Helpline – 1800 100 500, a free and confidential service to discuss dementia and memory loss concerns for yourself or others.
AIHW (Australian Institute of Health and Welfare) (2023) People using aged care, AIHW, Australian Government, accessed 16 June 2023.
NDIA (National Disability Insurance Agency) (2022), Younger People in Residential Aged Care Strategy 2020–25. accessed 13 July 2023.
Mond J (2019) EXHIBIT 3-79 - WIT.0144.0001.0001 - Statement of Josephine Mond, Royal Commission into Aged Care Quality and Safety, accessed 20 January 2023.
NDIA (2019), Access to the NDIS – The disability requirements, accessed 13 May 2021.
Royal Commission (Royal Commission into Aged Care Quality and Safety) (2020) Research Paper 4: What Australians Think of Ageing and Aged Care, Royal Commission, Australian Government, accessed 10 October 2020.
Royal Commission (2021) Final report: Care, Dignity and Respect, Royal Commission, Australian Government, accessed 9 May 2021.
Services Australia (2023) Disability Support Pension, Services Australia, Australian Government, accessed 15 June 2023.