James Saunders

Pride Living Pty Ltd

Redesigning Aged Care to Embrace CDC and Remain Financially Viable.

Wednesday 12 October 2022

2:30pm – 3:00pm

Speaker Bio

For over 30 years, James has been a leader in the aged care industry working to ensure providers maximise their operations and profitability.

As a Partner at Pride Living who heads up the financial and operations management team and as former CEO of a well-regarded aged care group, he has genuine insight into all aspects of aged care operations. He is called upon by company directors, CEOs and senior aged care managers to provide strategic advice, particularly in respect of revenue maximisation, workforce analysis, change management, property development, service commissioning and in assisting to build effective management teams.


As home care grows at a much faster pace than residential aged care, we must question why our older Australians prefer help in their own home rather than live in a residential aged care facility. People want to retain a high level of independence, privacy and flexibility so what can we learn from this?

The Royal Commission recommendations encourage Providers to shift from a traditional hospital model of ‘care delivery’ to a supported accommodation model (or aka Consumer Directed Care model). This means going beyond the current specified care and services and empowering the Consumer with autonomy in all decision-making related to the way they live their life.

The aged care sector is under immense pressure with falling occupancy, insufficient funding, and workforce shortages. With the introduction of AN-ACC and minimum care minutes it is unlikely Providers will be able to deliver the required standard of service without further impacting their financial viability. Almost two-thirds of Providers are already running at a deficit, and modelling shows AN-ACC will not be sufficient to cover the increased hours and wages alone.

With an increasing threat from homecare, Retirement Villages offering care and competition between Providers, it is imperative Providers review their service delivery model, facilitating CDC through their service offerings in a manner that is financially viable.

It is essential to build a model that addresses the changing needs of Consumers e.g. autonomy, dignity, and choice should be at the forefront.


In this presentation, we provide an overview of the current service delivery and workforce model and its limitations both for Consumers and our workforce.

We will compare this with the Small House Model recommended by the Royal Commission, and consider its benefits and limitations. 

We propose that the best model for residential care is a Wellness & Reablement Model, such as used in-home care. This will outline a workforce structure that is consistent with the AN-ACC minutes, funding and engages the workforce.

We will also discuss new revenue streams that fund CDC, such as Additional Services, as we all know it is financially unviable to supply complimentary services beyond the specified care and services.

James Saunders will share his experience as a Partner at Pride Living, working with Providers in maximising their operations and profitability.

The session will provide delegates with:

  • The Royal Commission’s recommendations
  • Wages Revenue – AN-ACC not sufficient to cover increased hours
  • Nursing & Personal Care – current & best practice – moving from traditional hospital model to a supported accommodation model
  • RACS vs Home Care service model
  • Consumer Directed Care vs Person-Centred Care
  • Small House Model
  • Wellness & Reablement Model
  • Realising CDC with Additional Services

200 minutes requires a significant workforce restructure. So why not redesign your service delivery model too?