1 00:00:00,040 --> 00:00:02,800 Speaker 1: The government's finally making moves on aged care reform. There's 2 00:00:02,800 --> 00:00:04,880 Speaker 1: almost a million of US aged over the age of 3 00:00:04,920 --> 00:00:08,239 Speaker 1: sixty five. New Ministerial Advisor group being set up looking 4 00:00:08,320 --> 00:00:10,560 Speaker 1: at the funding model, looking at how to get more beds. 5 00:00:10,600 --> 00:00:13,480 Speaker 1: Casey Castale is the Associate Health Minister with me this morning. Minister, 6 00:00:13,560 --> 00:00:17,080 Speaker 1: good morning, good morning. Right, So how long will this 7 00:00:17,120 --> 00:00:17,799 Speaker 1: review take? 8 00:00:19,200 --> 00:00:22,480 Speaker 2: We want very short timeframes, so I'm hoping to get 9 00:00:22,520 --> 00:00:24,759 Speaker 2: the report back from the group by the middle of 10 00:00:24,840 --> 00:00:28,200 Speaker 2: next year so that we can be looking at what 11 00:00:28,280 --> 00:00:30,960 Speaker 2: that implication is for budget twenty twenty seven. 12 00:00:31,080 --> 00:00:32,800 Speaker 1: How many beds are we short? 13 00:00:34,479 --> 00:00:36,440 Speaker 2: I think that's the problem that we've got is we 14 00:00:36,560 --> 00:00:39,400 Speaker 2: keep talking about age care as a bed problem and 15 00:00:39,479 --> 00:00:42,560 Speaker 2: we have about thirty four thousand older New Zealanders living 16 00:00:42,600 --> 00:00:45,280 Speaker 2: in age recidentral care at the moment, but we have 17 00:00:45,479 --> 00:00:48,760 Speaker 2: over nine hundred thousand over sixty five in New Zealand. 18 00:00:49,400 --> 00:00:53,080 Speaker 2: So this is about the developing a system that allows 19 00:00:53,760 --> 00:00:56,400 Speaker 2: care to be integrated, to be able to deliver in 20 00:00:56,480 --> 00:00:59,520 Speaker 2: home care the right care the right place, and our 21 00:00:59,600 --> 00:01:04,120 Speaker 2: model doesn't allow for that transition from care, doesn't support 22 00:01:04,920 --> 00:01:08,080 Speaker 2: investment in the in home care, and all of the 23 00:01:08,160 --> 00:01:10,640 Speaker 2: leavers that we can pull to allow people to live 24 00:01:10,680 --> 00:01:13,320 Speaker 2: well where they choose to live for as long as possible, 25 00:01:13,360 --> 00:01:14,520 Speaker 2: and that's what we're trying to achieve. 26 00:01:14,600 --> 00:01:16,560 Speaker 1: So you want the money to follow the needs of 27 00:01:16,600 --> 00:01:19,040 Speaker 1: the person we want. 28 00:01:19,440 --> 00:01:21,800 Speaker 2: We want to be able to put the care at 29 00:01:21,880 --> 00:01:24,319 Speaker 2: the heart of this and this is when you mentioned 30 00:01:24,319 --> 00:01:27,679 Speaker 2: earlier about Australia. This is about what is the right 31 00:01:27,720 --> 00:01:30,200 Speaker 2: care where you need to live, where it needs to 32 00:01:30,240 --> 00:01:33,400 Speaker 2: be delivered. And this is the problem that you hear 33 00:01:33,560 --> 00:01:37,280 Speaker 2: repeatedly is the access to care, the type of care 34 00:01:37,360 --> 00:01:40,800 Speaker 2: you need, where you need it. And we know that 35 00:01:41,160 --> 00:01:43,520 Speaker 2: most people want to be able to stay at home 36 00:01:43,840 --> 00:01:46,440 Speaker 2: for as long as possible, and with the right care, 37 00:01:47,000 --> 00:01:49,840 Speaker 2: we can deliver there and take some pressure off this 38 00:01:50,040 --> 00:01:52,760 Speaker 2: concept of more and more beds. You know, we have 39 00:01:52,840 --> 00:01:56,880 Speaker 2: a care system that is publicly funded but privately delivered 40 00:01:57,320 --> 00:01:59,200 Speaker 2: and so this is what we need to do is 41 00:01:59,320 --> 00:02:02,040 Speaker 2: understand those that are delivering the services and that's what 42 00:02:02,080 --> 00:02:05,560 Speaker 2: we're hoping with the Ministererial Advisory Group is technical people 43 00:02:05,920 --> 00:02:08,359 Speaker 2: that know what is needed in this system. 44 00:02:08,480 --> 00:02:11,720 Speaker 1: Menisa, if you're rich, should you be expecting to pay 45 00:02:11,760 --> 00:02:14,520 Speaker 1: more for aged care? After you're done and dusted with all. 46 00:02:14,440 --> 00:02:18,120 Speaker 2: This I think the reality is now, the way our 47 00:02:18,160 --> 00:02:21,320 Speaker 2: funding model is set up, that's what's occurring. You know, 48 00:02:21,360 --> 00:02:25,720 Speaker 2: we have premium bed rates, we have occupational rights agreements 49 00:02:25,720 --> 00:02:27,960 Speaker 2: for care, we have a range of systems that is 50 00:02:28,040 --> 00:02:30,720 Speaker 2: making that a cure now. And this is why we 51 00:02:30,760 --> 00:02:33,800 Speaker 2: need to have some really honest conversations about how is 52 00:02:33,800 --> 00:02:38,000 Speaker 2: this being structured and ensure that those that need it 53 00:02:38,120 --> 00:02:39,560 Speaker 2: most are getting the right care. 54 00:02:40,320 --> 00:02:43,040 Speaker 1: Hey, got any reaction to Labour's capital gains tax announcement? 55 00:02:44,400 --> 00:02:46,440 Speaker 2: Yeah, Well, as a New Zealand first MP, I can 56 00:02:46,480 --> 00:02:49,000 Speaker 2: can imagine it's not something that we're going. Yeah, this 57 00:02:49,080 --> 00:02:51,280 Speaker 2: is a great idea. So yeah, that was a bit 58 00:02:51,280 --> 00:02:53,200 Speaker 2: of a shocker this morning, but I suppose we sort 59 00:02:53,240 --> 00:02:55,440 Speaker 2: of knew it was coming. So we'll see what this 60 00:02:55,520 --> 00:02:57,520 Speaker 2: all out is from here there. Other policies haven't been 61 00:02:57,560 --> 00:02:59,679 Speaker 2: so successful, so we'll see how it goes. Case. 62 00:03:00,400 --> 00:03:03,519 Speaker 1: Who is with us this morning? Associate Health? For more 63 00:03:03,560 --> 00:03:06,640 Speaker 1: from early edition with Ryan Bridge, listen live to news 64 00:03:06,680 --> 00:03:09,720 Speaker 1: Talks it'd be from five am weekdays, or follow the 65 00:03:09,760 --> 00:03:11,160 Speaker 1: podcast on iHeartRadio.