The report examines the Australian Government’s proposal to transition the Commonwealth Home Support Program (CHSP) into the Support at Home Program (SAH Program) after 1 July 2027. It provides eight recommendations. 

Before making changes to the operation of the CHSP, the Australian Government must pause, reflect on evidence received during the course of this inquiry, listen to advice from experts on the expected impacts of any changes,
and most importantly only proceed with changes that will enhance the experiences of older Australians in receiving care at home.

The report is comprised of seven chapters:

1. Chapter 1: introduction
2. Chapter 2: examines the successes and challenges of the CHSP
3. Chapter 3: outlines the diversity of views on the future of the CHSP
4. Chapter 4: considers the readiness of the sector and older Australians for the proposed transition
5. Chapter 5: examines the implementation and operation of the SAH Program and the Single Assessment System
6. Chapter 6: examines the evidence received in relation to the lifetime cap on home modifications, and the restrictions of the End-of-Life Pathway
7. Chapter 7: provides a committee view and recommendations.

Key findings

• The SAH Program has delivered unrelenting waiting lists, priced out older people from receiving the care they need due to high co-contributions, filled hospital beds with older people unable to be discharged to their unsafe homes, and older Australians dying before they can receive the care they require.
• The CHSP has delivered vital services to older Australians for over four decades. It provides services to nearly a million people – allowing them to age in their homes with dignity. 
• Despite having evidence before the program even began that necessary changes would be required, the Australian Government chose to proceed with it. 

Key recommendations

• The Australian Government extend funding to the CHSP for an additional three years after July 2027 to allow time for consultation and co-design to occur. 
• That the CHSP be retained as a separate block-funded program, and not transitioned into the SAH Program.