In the Ontario system, there is a packet of money for various home care supports: primarily PSWs who provide assistance with daily living (ADL: cleaning, housekeeping tasks, meal prep, bathing clients, keeping them dry and clean). There are also nurses who provide wound care, manage the case, and keep on top of medications. When a change is needed in medications, for those who are palliative or unable to go to the physician, they will phone the doctor and request different medications.
Families tell me that they have difficulty in coordinating care: juggling support from various
Clients who qualify for home care are now going to have to search out an agency, and create a contract themselves. For those who qualify for nursing visits, or support with ADLs, they are still going to have a hard time finding someone to come. As it is, some families qualify for a PSW to come weekly to bathe a loved one, and hire someone to do house cleaning. This is what people with money do for themselves.
A Canadian pilot project that would give patients or their caregivers money to spend on the home health services of their choosing. Details were scant on the government’s plans for experimenting with “self-directed care,” an approach that Health Minister Eric Hoskins said is already working well for some parents of autistic children who have been given the flexibility to spend public funds on the programs they believe are best for their children.