Home care is harder than ever

2023-08-16 12:00:00

“We’ve fallen behind in the end.”

Daniela Grossschädl

Case Manager Relief Organization Salzburg

The Walser Daniela Großschädl is responsible for the Flachgau. “We assess the actual need for care, take care of the best possible support for caregivers and customers and try to find a balance in conflict situations,” says Großschädl. It primarily places carers from Eastern and Southeastern Europe: “The carers work on a self-employed basis. Before we place them, there is a so-called ‘matching’ so that customers and carers really fit together.”

The aid organization is pushing for further increases in funding for 24-hour care. “It’s about the customers being able to afford the care even if the fees are rising. You will have to think about how the caregivers can be paid better fees,” says Großschädl. These forces are very mobile. Austria must remain attractive for caregivers in the medium and long term and prevent their migration. “We’ve fallen behind a bit lately.” At the moment, however, all customer inquiries can still be served well.

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Caritas currently looks after around 35 customers in the province of Salzburg as part of 24-hour care – most of them in the city and in Flachgau. Around 70 of the 730 Caritas caregivers in Austria work in the province of Salzburg. The need can still be covered to date, but the challenges are getting bigger, emphasizes Jakob Wiener, Head of Mobile Services at Caritas Salzburg: “Overall, the number of caregivers in Austria has been falling for years. Due to the improved economic situation in the countries of origin, the Personal care in Austria has become significantly less attractive. In addition, the need for care is getting later and later and is therefore becoming more and more complex.”

From September, the funding for 24-hour care for people in need of care at home should at least be increased. Instead of 640 euros, there should be around 800 euros if two independent caregivers are used. If the supervisors are hired, instead of 1280 euros, there are 1600 euros. Industry representatives emphasize that this only compensates for a loss in value that has not been adjusted for 15 years.

The state’s care advice service offers support in questions of care – from subsidies and aids to relief offers for caring relatives.

Currently in the state 1657 carers reported. 1000 currently dormant. There are 34 agencies in Salzburg (figures from the Chamber of Commerce Sbg.).

Depending on the severity Those affected are divided into care levels from 1 to 7. Care allowance is granted if the need for care per month exceeds
65 hours. If the need for care is higher, the person in need of care is assigned to a higher level.

persons with care allowance From level 3, who need so-called 24-hour care, receive financial support in the form of a monthly allowance of 640 euros in addition to the care allowance. Persons in need of care who earn more than 2500 euros (net) per month do not receive a subsidy.

Interview

“Bureaucracy is a horror”

Working for 24-hour caregivers is becoming less and less attractive. A conversation with Evelyn Fidler from the placement agency “Lebensabend”.

Are there still enough staff or women for this type of care? Evelyn Fidler: Unfortunately, the selection has been greatly reduced. I appreciate the work of the caregivers very much, it often goes to the substance. After all, they are with the people day and night, for 30 days straight. They often look after people with dementia and urgently need time to recover themselves. I now also have six men in my support team from Romania. The Romanians are mostly very relaxed in character, which is particularly helpful when caring for dementia patients.

What worries you most at the moment?It’s getting harder and harder to find good staff. Some women leave the care places without warning, leaving patients behind, others simply do not come back from Romania. It’s also understandable that they want more money.

What would be your demands for a qualitative improvement? The bureaucracy is a horror. More cooperation between departments, the Ministry of Social Affairs, the trade authority and social security is needed. The handling process for the supervisors alone is more than cumbersome.

We invest a lot of time in training the staff, help with language problems, etc. Nevertheless, relatives also have to “keep an eye” on the care. There are still many cases where work is done without agencies. We also support relatives with bureaucratic issues, because otherwise they wouldn’t make it. I would also like to have our own accommodation for the caregivers. A pool of reserve forces that are deployed immediately when needed. Maria Riedler

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