Add an associated provider
Providers registered in the following registration categories must use this form to notify the Commission of this type of change in circumstances:
- Category 4: Personal and care support in the home or community
- Category 5: Nursing and transition care
- Category 6: Residential care.
The guidance for this smart form does not cover questions, such as those relating to identification or contact details, which are self-explanatory.
You do not need to notify us (do not complete this form) if your arrangement with the associated provider is for:
- Supply of labour under a labour hire arrangement
- Delivery of services that support your management or governance function
- Delivery of services in categories 1, 2 and 3.
Section 3: Parent company
Questions 3.1 and 3.2
Explanatory Note
- If yes to Question 3.1, provide details of any other legal relationship that you have with the associated provider. Include details around duration, purpose of the legal relationship, conditions and arrangements of the relationship (e.g. you being the parent or holding company of your associated provider).
Section 4: Arrangement details
Question 4.2
Explanatory Note
- Summarise your arrangement with the associated provider. At a minimum, this should cover:
- the obligations of you and of your associated provider
- the scope of services to be delivered by the associated provider (e.g. high level description of location, timing, etc.)
- details about how the arrangement may be terminated or suspended (if applicable)
- how information about older people in your care will be shared with your associated provider.
- If the associated provider is delivering funded aged care services in a residential care home, provide information about that residential care home, including the name and address of the home.
Evidence
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Documents detailing the obligations of each party within the arrangement
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Any other documents to support your response
Section 6: Roles and responsibilities
Questions 6.1 to 6.3, 6.5 and 6.6
Explanatory Note
- Provide a description of the type of your relationship with the associated provider, and your level of involvement/engagement in that relationship. Types of relationships that may be considered in this circumstance include a joint venture, partnership arrangement, supplier relationship and strategic alliances.
- An associated provider can be either a subcontractor that is not registered or a registered provider who delivers specific services on behalf of another registered provider.
- Detail how the associated provider will deliver the services you are outsourcing. This includes governance and operational arrangements between you and the associated provider, particularly in relation to ensuring safe and high-quality care.
Removing an associated provider
Providers registered in the following registration categories must use this form to notify the Commission of this type of change in circumstances:
- Category 4: Personal and care support in the home or community
- Category 5: Nursing and transition care
- Category 6: Residential care.
The guidance for this smart form does not cover questions, such as those relating to identification or contact details, which are self-explanatory.
Section 1: Associated provider details
Complete this form for each associated provider you plan to remove from your registration.
You do not need to notify us (do not complete this form) if your arrangement with the associated provider is for:
- Supply of labour under a labour hire arrangement
- Delivery of services that support your management or governance function
- Delivery of services in categories 1, 2 and 3.
Section 2: Removal details
Questions 2.2 and 2.3
Explanatory Note
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Explain why you are removing this associated provider. This may include but is not limited to detail regarding:
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Issues to do with quality of service
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Issues to do with compliance
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Financial disagreements
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Changes in needs
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Lack of reliability
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Strategic changes
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Cost reduction
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Detail the expected operating and/or financial circumstances of your organisation because of this change, including:
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Current or anticipated disruptions to your delivery of care and services
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If known, the number of individuals affected by the disruption
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Outline the processes to be implemented and/or planned actions currently being taken to manage any disruptions to the delivery of care and services
Changes to arrangements with an associated provider
Providers registered in the following registration categories must use this form to notify the Commission of this type of change in circumstances:
- Category 4: Personal and care support in the home or community
- Category 5: Nursing and transition care
- Category 6: Residential care.
The guidance for this smart form does not cover questions, such as those relating to identification or contact details, which are self-explanatory.
Complete this form for each associated provider
You do not need to notify us (do not complete this form) if your arrangement with the associated provider is for:
- Supply of labour under a labour hire arrangement
- Delivery of services that support your management or governance function
- Delivery of services in categories 1, 2 and 3.
Section 2: Change details
Question 2.2
Explanatory Note
- Detail the reason and circumstances for the change, including any internal or external factors. This may include the associated provider:
- providing additional service types on your behalf
- no longer providing a service type of your behalf
- changing their scope of service delivery (e.g., no longer delivering services in a particular location or scheduling changes)
- delivering services for an extended period due to an amendment to the original arrangements.
- Detail any expected operating and/or financial circumstances of your organisation because of this change, including:
- Current or anticipated disruptions to your delivery of care and services
- If known, the number of individuals affected by the disruption
- Outline the processes to be implemented and/or planned actions currently being taken to manage any disruptions to the delivery of care and services