Health, community and aged care sectors in SA

Domiciliary Care SA has an obligation to be responsive to government policy. In doing so, we are best able to maximise the support we provide to clients and carers.

Domiciliary Care SA supports the Australian Government and South Australian Government vision for health, community care and aged care.

The national and state reform agendas seek to achieve similar results in terms of improving the health and wellbeing of Australians, including:

  • better population health,
  • better primary heath care,
  • greater access to home-based care, and
  • health programs tailored to meet the specific needs of vulnerable population groups.

The Australian Government reform agenda

The Australian Government has initiated:

  • The National Strategy for an Ageing Australia (2001),
  • The Way Forward: A New Strategy for Community Care (2004), and
  • Helping Australians with Dementia and Their Carers (2005)

as guiding national reforms that inform the Government’s partnership with state and territory governments.

Visit the Australian Government Department of Health and Ageing website.

The South Australian Government reform agenda

The South Australian Government reform agenda aims to improve health care and population health. Reorienting service delivery towards primary health care, providing integrated service delivery and adopting a whole of government approach to health services are important parts of this reform agenda.

Visit the South Australian Government Department for Families and Communities.

Visit the South Australian Government Department of Health

The Final Report of the Generational Health Review and the State Strategic Plan are two documents integral to Government’s health reforms, and to the aims of MDC:

  • The Generational Health Review

The Final Report of the Generational Health Review, published in April 2003, was commissioned by the South Australian Government to make recommendations about the administration of the State health care system over the next 20 years. It recommended a system focused on:

  • primary health care,
  • illness prevention,
  • health promotion, and
  • early intervention.

View the Final Report of the Generational Health Review.

  • State Strategic Plan

The State Strategic Plan is the South Australian Government’s overall vision and strategy for the State. It was adopted in 2004 after a process of wide consultation, and outlines clear objectives against which the State Government will seek to demonstrate achievement.

There are 6 objectives and 84 measurable targets for South Australia to achieve by 2014. Domiciliary Care SA seeks to support home based care in line with the State Strategic Plan; two objectives of the plan in particular are central to our work:

Objective 2: Improving Well-being
South Australians need to be safe and healthy. We will identify ways to improve living standards, protect our children, care for our ageing, and meet our ongoing healthcare needs.

Objectives 5: Building Communities
We will strengthen and enrich our communities by encouraging volunteers, building social networks and attracting people who will contribute. In particular, we will strengthen health services, education opportunities and infrastructure in regional communities.

Visit the South Australian Government’s State Strategic Plan website.


Community and aged care in Adelaide

There are a range of community and aged care options available in metropolitan Adelaide. These include:

  • Home care services – these are primarily HACC-funded services; the majority of MDC services fall into this category.

  • Community Aged Care Packages (CACPs) - Commonwealth funded individual packages of support which provide the equivalent level of support to low level residential care, in the client’s own home.

  • Low level residential care – such as hostel care.

  • Extended Aged Care at Home Packages (EACHPs) –Commonwealth funded, complex high level home care packages, equivalent to high level residential care, provided in the client’s own home.

  • High level residential care – nursing home care.

Domiciliary Care SA operates within the broader system of community care and aged care, and works to facilitate access to other parts of the service system where appropriate. We will refer clients and potential clients to other services, on the basis of need.

With a shared vision to support healthy ageing and to promote social participation by people with a disability, Domiciliary Care SA at times collaborates with other government agencies including the Office for the Ageing, the Disability SA and mental health services.

  • Non-government organisations

Services in metropolitan Adelaide are also provided by a large range of non-government organisations, including charitable, not-for-profit groups and profitable private enterprise. MDC operates in cooperation with other care providers.

Many major non-government organisations provide both residential and community home care.


Some of the larger non-government aged care organisations in metropolitan Adelaide include:

  • Aged and Community Services Australia (ACS)

Aged and Community Services Australia is the leading national peak body in Australia representing organisations providing accommodation and care services to the aged. It represents groups providing community care, residential aged care and retirement villages.

Visit the Aged Community and Services Australia website.