Understanding the Single Assessment System (SAS)
Australia has reformed its government-funded aged care services to be more straightforward and person-centric through the Single Assessment System (SAS). Introduced following the Royal Commission into Aged Care Quality and Safety, the SAS addresses the previous system's complexities. Its core aim is for individuals to only have to 'tell their story once'.
The SAS provides a single pathway, a change from the old system requiring different assessments for various needs. This unified approach ensures consistency as care needs change, aiming to reduce wait times and administrative burden while providing personalised care based on a comprehensive evaluation.
Key components of the SAS
The SAS is a comprehensive framework with three main parts to improve the assessment process for older Australians:
- Integrated Assessment Tool (IAT): Introduced on 1 July 2024, this new primary tool assesses eligibility for government-funded services. It collects holistic information to tailor recommendations.
- Single Assessment System workforce: Launched on 9 December 2024, this unified team combines previous assessment groups (RAS, ACAT, and AN-ACC) to provide continuous care as needs change.
- First Nations assessment organisations: As of 1 July 2025, culturally safe pathways are being implemented for older Aboriginal and Torres Strait Islander people, providing assessments sensitive to their unique needs.
How the SAS process works
The SAS process is designed for simplicity:
- Initial Contact: Begin by contacting My Aged Care, the government gateway, online or by phone.
- Screening: Answer questions to determine the appropriate assessment pathway.
- Comprehensive Assessment: A trained assessor conducts a face-to-face assessment at your home or another location, discussing your health, daily life, and care needs.
- Care Plan Development: A personalised care plan is created based on the assessment, outlining eligible services like home support or residential care.
- Service Referral: The assessor refers you to local service providers to access care.
SAS vs. Previous assessment systems
The SAS offers advantages over the old RAS/ACAT model. A key difference is the single, unified assessment pathway compared to the previous fragmented system for different care levels. The SAS also uses a single workforce, replacing multiple organisations and reducing the need to repeat your story. This approach aims to reduce wait times and improve continuity of care.
Benefits of the SAS for older Australians
The SAS provides several benefits:
- Simplicity: The unified process is easier to navigate, reducing stress.
- Continuity of Care: A single pathway and workforce ensure smoother transitions as needs change.
- Person-Centred: Assessments are holistic and individualised, leading to tailored care plans.
- Improved Access: Reforms aim to enhance access in regional and remote areas.
- Efficiency: Streamlined processes can shorten wait times for services.
Preparing for a SAS assessment
To prepare for an assessment:
- Gather documents like your Medicare card and medical history.
- Consider your daily needs and how they affect your independence.
- Have a family member or carer present for support.
- Prepare questions for the assessor.
- Clearly state your goals for aged care support.
The future of aged care under SAS
The SAS is part of broader aged care reforms, including a new Aged Care Act planned for 2025, moving towards a rights-based, person-centred system. The system will continue to develop, with initiatives like the First Nations assessment organisations improving culturally safe care. The goal is a more equitable, accessible, and high-quality aged care sector. For official information, visit the My Aged Care website(https://www.myagedcare.gov.au/assessment).
Conclusion
The Single Assessment System (SAS) represents a significant improvement in Australian aged care. By replacing a complex system with a streamlined pathway, it offers a more efficient and dignified experience. The SAS prioritises continuity of care, reduces wait times, and focuses on individual needs, resulting in better-tailored support and an enhanced quality of life for those using government-funded services.