S38 · 38 proposed systems11 preliminary illustrative gross scenarios27 uncosted systemsVerified whole-program net savings: not available
S03System 3 of 38

National Aged Care

Align aged care access with hospitals, discharge and community supports.

S38, debt & governance framework · October 2026Status: proposed policyIllustrative gross scenario
On this page · Aged Care

01

What changes, and what people should notice.

Operational reform

Align aged care access with hospitals, discharge and community supports.

What Australians could experience

Simpler care navigation and faster coordination after discharge.

Intended, conditional improvements — not guaranteed outcomes.

National framework

One consistent set of rules and standards for aged care across Australia.

Regional decisions

Regional care networks plan for local need; clinicians, carers and caseworkers keep professional independence.

Local delivery

Frontline staff and service points remain in communities; duplicated back-office administration is the target, not frontline capacity.

02

Strategy and proposed delivery priorities.

  1. 1

    Establish a public baseline for aged care: laws, regulators, service locations, staff, contracts, information assets and spending in every jurisdiction.

  2. 2

    Develop system-specific national standards and safeguards around the specific reform proposed — align aged care access with hospitals, discharge and community supports — and test it against the stated protections before it is adopted.

  3. 3

    Pilot the model in representative metropolitan, regional and remote settings, with results published before migration is considered.

  4. 4

    Transfer functions only with lawful authority, workforce consultation and verified uninterrupted service; keep frontline delivery regional and local.

Health & Care group priorities

  • Map referral, assessment and discharge pathways to find where people repeat their story to multiple agencies.
  • Build interoperable records with privacy, consent and participant choice designed in from the beginning.
  • Treat safe staffing, quality oversight and complaint rights as protected conditions of every pilot.

Public register · proposal status, not a delivery claim

Evidence and the next decision gate.

Proposed policy onlyCurrent public stage

No system-specific evidence bundle is published or verified here. No approval, funding decision, authorised transfer or completed delivery is claimed.

Prerequisites before a design or pilot decision

  1. 01Earn a federal governing mandate; an election result at another level does not confer national powers.
  2. 02Publish independent legal advice on constitutional authority, affected laws and any state or territory agreement required before changing institutions or transferring functions.
  3. 03Establish a jurisdiction-by-jurisdiction baseline for National Aged Care, consult affected workers and communities, and publish the lawful options before deciding whether to proceed.
  4. 04Assess service continuity, regional access, workforce and the stated protections (Resident rights, provider choice, quality oversight) before any authorised design or pilot.
  5. 05Publish independently reviewable transition and ongoing costs; keep estimates, purchaser effects and gross scenarios separate from verified net savings.

Next decision gate

If a federal governing mandate is earned, publish the National Aged Care baseline, legal options, consultation findings and independently reviewable costs. Only then decide publicly whether to proceed to detailed design or an authorised pilot; no transfer or rollout is implied.

A proposed gate is a condition for a future decision, not evidence that the decision has been made.

Supporting evidence to publish

These are evidence requirements for this proposal, not completed research or verified findings.

  • Legal and institutional baseline

    Map the laws, decision rights, regulators, providers and intergovernmental responsibilities that apply to National Aged Care; identify constitutional questions and any required consent.

  • Service and outcome baseline

    Publish baseline and annual data on access, processing time, safety/quality, regional equity, complaints, gross efficiency, transition spending and verified net financial impact for national aged care.

  • Cost and feasibility assessment

    Validate the addressable baseline and these cost drivers — Assessment administration and referral duplication. — then publish transition, parallel-running and ongoing costs separately from benefits.

  • Safeguards and consultation record

    Document how the stated protections will be tested (Resident rights, provider choice, quality oversight), who was consulted, and how service continuity and regional equity will be monitored.

Official source starting points

These public bodies may hold relevant baseline material. Links do not mean that evidence has been collected, independently verified, or that any body endorses S38.

03 · proposed, not commenced

Phased rollout.

  1. Years 1–2

    Baseline and design

    Inventory relevant laws, regulators, service locations, staff, contracts, information assets and expenditures; identify overlaps with adjacent systems; consult affected workers, communities and users.

  2. Years 3–5

    Standards and pilots

    Develop system-specific national standards, safeguards and secure interoperability; pilot the proposed national aged care model in representative metropolitan, regional and remote settings; publish evaluation results.

  3. Years 6–10

    Controlled migration

    Transfer functions only after required approvals, establish regional delivery capability, migrate records and credentials, train personnel, operate parallel systems where necessary and verify uninterrupted service.

  4. Years 11–30

    Improvement

    Expand capacity, retire duplicative administration only where demonstrated, modernise platforms, reinvest verified efficiencies and review outcomes at five-year intervals.

04

Cost drivers and financial status.

proposed systems
38
preliminary illustrative gross scenarios
11
uncosted
27
verified net impact not available
N/A

Cost drivers · Assessment administration and referral duplication.

Mature annual gross scenario
$597.0m
Cumulative · 10 years
$3.67bn
Cumulative · 20 years
$9.64bn
Cumulative · 30 years
$15.61bn
Net impact
Uncosted

Annual mature gross savings $597.0m; cumulative gross savings 10 years $3.67bn, 20 years $9.64bn, 30 years $15.61bn. These are inherited modelling assumptions, not validated system-specific estimates; net impact remains uncosted.

Gross scenario, not a net or guaranteed benefit. Figures are inherited modelling assumptions in constant dollars. Transition costs, new operating responsibilities, National Service costs, inflation and discounting are excluded. No government-wide net saving is established.

S03 preliminary illustrative gross scenario, annual, on program ramp — not net, not verified
$0.0bn$0.5bn$1.0bnYear 1: annual $0.000bn, cumulative $0.000bnY1Year 2: annual $0.060bn, cumulative $0.060bnYear 3: annual $0.149bn, cumulative $0.209bnYear 4: annual $0.269bn, cumulative $0.478bnYear 5: annual $0.388bn, cumulative $0.866bnY5Year 6: annual $0.478bn, cumulative $1.343bnYear 7: annual $0.537bn, cumulative $1.881bnYear 8: annual $0.597bn, cumulative $2.478bnYear 9: annual $0.597bn, cumulative $3.075bnYear 10: annual $0.597bn, cumulative $3.672bnY10Year 11: annual $0.597bn, cumulative $4.269bnYear 12: annual $0.597bn, cumulative $4.866bnYear 13: annual $0.597bn, cumulative $5.463bnYear 14: annual $0.597bn, cumulative $6.060bnYear 15: annual $0.597bn, cumulative $6.657bnY15Year 16: annual $0.597bn, cumulative $7.254bnYear 17: annual $0.597bn, cumulative $7.851bnYear 18: annual $0.597bn, cumulative $8.448bnYear 19: annual $0.597bn, cumulative $9.045bnYear 20: annual $0.597bn, cumulative $9.642bnY20Year 21: annual $0.597bn, cumulative $10.239bnYear 22: annual $0.597bn, cumulative $10.836bnYear 23: annual $0.597bn, cumulative $11.433bnYear 24: annual $0.597bn, cumulative $12.030bnYear 25: annual $0.597bn, cumulative $12.627bnY25Year 26: annual $0.597bn, cumulative $13.224bnYear 27: annual $0.597bn, cumulative $13.821bnYear 28: annual $0.597bn, cumulative $14.418bnYear 29: annual $0.597bn, cumulative $15.015bnYear 30: annual $0.597bn, cumulative $15.612bnY30
Show values as a table
YearAnnual grossCumulative gross
1$0.000bn$0.000bn
2$0.060bn$0.060bn
3$0.149bn$0.209bn
4$0.269bn$0.478bn
5$0.388bn$0.866bn
6$0.478bn$1.343bn
7$0.537bn$1.881bn
8$0.597bn$2.478bn
9$0.597bn$3.075bn
10$0.597bn$3.672bn
11$0.597bn$4.269bn
12$0.597bn$4.866bn
13$0.597bn$5.463bn
14$0.597bn$6.060bn
15$0.597bn$6.657bn
16$0.597bn$7.254bn
17$0.597bn$7.851bn
18$0.597bn$8.448bn
19$0.597bn$9.045bn
20$0.597bn$9.642bn
21$0.597bn$10.239bn
22$0.597bn$10.836bn
23$0.597bn$11.433bn
24$0.597bn$12.030bn
25$0.597bn$12.627bn
26$0.597bn$13.224bn
27$0.597bn$13.821bn
28$0.597bn$14.418bn
29$0.597bn$15.015bn
30$0.597bn$15.612bn

Ramp: 0% in year 1, rising to full value from year 8. Red bars mark the 10, 20 and 30-year horizons. Values are this system's proportional share of the 11-system scenario.

Illustrative gross
Modelled potential before costs; not realised or independently audited savings.
Uncosted
No defensible savings amount is available.
Purchaser saving
A reduction in customer bills that may be offset elsewhere; not automatically a net national gain.
Program cost
New expenditure that must be reported separately from efficiency claims.
Verified net — not available
Independently audited realised cash savings less all incremental recurring and transition costs. No verified whole-program net amount exists.

05

Protections and risks.

System-specific protections

  • Resident rights
  • provider choice
  • quality oversight

Risks to monitor

Monitor service disruption, privacy, workforce impacts, unequal regional access and unintended consequences.

Democratic authority

Legally assess and obtain constitutional, referendum and any applicable state-consent approvals before institutional abolition or irreversible transfers.

National standards, regional delivery

Set consistent rights and technical standards nationally, with regional decision-making, accessible service offices and local frontline delivery.

Independent institutions

Protect courts, electoral bodies, integrity agencies, regulators and police oversight from partisan direction.

Uninterrupted public services

Protect emergency services, benefits, licensing, schools and healthcare throughout migration. Dual-running is a cost to plan for, not a reason to put continuity at risk.

Financial integrity

Report cashable savings, noncash efficiencies, transition spending, new operating costs and service outcomes separately. No government-wide net savings claim is established.

Participation and equity

Protect accessibility, remote communities, First Nations interests, worker rights, privacy, independent complaints and review.

06

Outcome measures to establish.

Publish baseline and annual data on access, processing time, safety/quality, regional equity, complaints, gross efficiency, transition spending and verified net financial impact for national aged care. Baselines come first; targets will only be set once independent baselines exist.

Access

Who can reach the service, where, and how quickly — including remote and assisted access.

Baseline: to be established

Processing time

Elapsed time from application, referral or call to decision or service.

Baseline: to be established

Safety and quality

Incidents, clinical or technical quality indicators and independent inspection findings.

Baseline: to be established

Regional equity

Differences in access and outcomes between metropolitan, regional and remote communities.

Baseline: to be established

Complaints

Volume, resolution time and independent review outcomes.

Baseline: to be established

Gross efficiency

Administrative cost changes before transition and new operating costs are subtracted.

Baseline: to be established

Transition spending

Every year of parallel running, migration, workforce, legal and technology expenditure.

Baseline: to be established

Verified net financial impact

Audited cashable savings minus recurring and transition costs.

Baseline: to be established

Living policy status

This page is part of a living policy library. Strategy papers, consultation responses, independent costings and delivery evidence will be added here as they are prepared. Nothing on this page reports completed delivery: the Party does not currently hold government, and every phase below is proposed.

  • Policy foundation · published
  • Strategy paper · forthcoming
  • Independent costing · forthcoming
  • Consultation report · forthcoming
  • Delivery evidence · forthcoming