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Department of Human Services

Changes to in-home aged care and some disability services


Changes to in-home services for older South Australians living in metropolitan Adelaide will be rolled out in response to Commonwealth changes to aged care and disability funding.

Along with some State-based disability services, they will be transferred to non-government service providers over several years.

The National Disability Insurance Scheme and the changes to Commonwealth aged care have introduced individualised rather than block funding, and are designed to provide greater choice in services.

About 6,000 new disability services jobs are expected to come online in South Australia and funding for services will increase to $1.5 billion.

South Australia has fully funded its share of the NDIS over the forward estimates, contributing $723 million annually and is investing an additional $7 million to support these changes.

Among the changes:

  • Metropolitan Domiciliary Care, which provides in-home care for older people, will be transferred to the non-government sector by June 2018.
  • Some disability services will be transferred to the non-government sector over the next few years.
  • Government supported community accommodation services will stay within government and will operate commercially, ensuring that people with disability requiring 24-hour care stay in homes with the same carers.
  • Aged care services delivered by SA Health are not affected by these changes.

About 1,100 State Government staff currently work within services that are expected to transfer to the non-government sector. Overall, 2800 South Australian government workers care for 16,000 people in disability and aged care services.

The State Government has been working with unions in an effort to minimise the impact of the changes and clients, families, and staff will be consulted and fully supported through any changes affecting them.

Staff who move with services to the non-government sector will have their terms and conditions protected as part of the transition agreement.

The State Government will also provide individualised support and case management and training to staff who choose to look for alternative employment within government.


The Commonwealth Government is taking over responsibility for the management of the disability and aged care sectors through the NDIS and Commonwealth aged care reforms.

This is changing the way services are funded and delivered across Australia.

Under the NDIS, there will be a greater choice of services through the creation of a stronger and more diverse marketplace for the provision of services.

There will be more opportunities in the disability sector under the NDIS, with jobs numbers forecast to double to 12,000 full-time-equivalent roles.

Minister for Disabilities, Leesa Vlahos said:

The welfare of people with disability and their families is at the centre of our decisions, and the State Government will ensure that people continue to be fully supported as these changes happen and the NDIS rolls out.

I have the utmost respect and admiration for the people who work in this sector and give so much of themselves to improve the lives of others.

The State Government is investing an additional $7 million to support this change and we will talk to and fully support these valued workers throughout this gradual change process.

Minister for Communities and Social Inclusion, Zoe Bettison said:

Moving to the non-government sector will encourage the aged and community care sector to grow, equipping it to respond to the needs of older people and their families.

We will work closely with staff and their unions, and will engage the successful non-government organisation to keep skilled Domiciliary Care staff in secure employment.

Domiciliary Care will continue to provide services and accept new clients as usual and I encourage anyone wanting to access Domiciliary Care service to telephone 1800 897 447.

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Provided by:
SA Department for Human Services
Last Updated:
05 Jul 2018
Printed on:
28 Jan 2020
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