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The government is now operating in accordance with the Guidance on Caretaker Conventions, pending the outcome of the 2025 federal election.

About the Serious Incident Response Scheme (SIRS)

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There are three major components of SIRS that must be implemented by aged care providers providing care and services to consumers in home and community settings.

 

1

Incident management obligations

You must have effective systems and practices in place for preventing and managing all incidents. This includes using an Incident Management System (IMS).

2

Continuous improvement

You must use the data from your IMS to drive quality improvement in your service.

3

Serious incident reporting and response

You must notify the Commission of any reportable incidents and report to police where there are reasonable grounds to do so, in addition to managing incidents through your IMS.

Under the SIRS, providers must take all reasonable steps to reduce the risk of serious incidents. This means you are required to:

Cycle made of five items: Identify and mitigate harm, Respond to incidents quickly and decisively, Support consumers impacted by serious incidents, Drive continuous improvement, and Reduce preventable incidents

Key Actions

  1. Make sure your service has an effective IMS

  2. Make sure your workers can recognise when incidents are in connection with care

  3. Make sure your workers understand how and when to notify the Commission of reportable incidents

Incident management systems (IMS)

An IMS is a system used to prevent, manage and respond to incidents. Your service must have an effective IMS to manage and respond to all incidents and near misses to minimise the risk of reoccurrence. It is important for you to be familiar with these processes so that you can report and/or record an incident or near miss in your IMS if that is part of your role.

What is an incident?

Incidents include any acts, events, or omissions that occur (or are suspected to have occurred):

  1. in connection with your provider’s service
  2. that have harmed, or could have been expected to harm, a consumer or another person.

Your home service provider must work to manage and prevent all incidents that occur in connection with care.

Incidents in connection with care

The home service environment presents unique challenges for managing incidents. You and your workers must understand the distinction between incidents that occur in connection with care, and those that do not. Incidents in connection with care include the following:

Incidents occurring during the provision of care

  • Includes incidents that happen during normal hours of service, typically when a worker is present with a consumer. 
  • Includes where subcontracted workers or organisations are providing service on your behalf.

Example - a consumer falls while being helped into the shower by a worker.

Incidents arising out of the failure to provide care

  • Includes incidents that occur due to the expected level of care not being met.

Example - A worker is late arriving at a consumer's home to drive them to an appointment for important treatment, causing the treatment to be delayed. 

Incidents that may not have occurred while services were being provided but are connected because the (potential) harm arose from the provision of services

  • Includes incidents that do not happen while a worker is providing care or services but are connected to the care or services. 

Example - Your worker has installed a grab rail in a consumer's shower, which collapses while a consumer is showering unassisted, injuring the consumer. 

Incidents not in connection with care

Workers may also witness incidents that are not connected with care. This may include acts committed by members of a consumer’s household or community who are not affiliated with you. While incident management and prevention requirements do not apply to these incidents, you still have a broader responsibility to protect the safety, health and wellbeing of consumers. You must take protective steps when you become aware of neglect or abuse (including suspected or alleged incidents) of consumers.

If an incident may be unlawful, such as a physical assault, or if there is any ongoing danger to any person, your service should contact the police.

You should also support consumers dealing with elder abuse or other issues by connecting them to further assistance, such as:

  • OPAN website – the Older Persons Advocacy Network provides free, confidential, and independent support to older people seeking or receiving care and their families or representatives.
  • 1800 ELDERHelp (1800 353 374) – a free and confidential National Elder Abuse phone line.

Reportable incidents in connection with care

Reportable incidents include those that have harmed, or could have been expected to harm, a consumer in connection with care. These incidents must be reported to the Commission. See the Reportable incidents page for guidance.

An incident is not reportable if consumers have been unaffected. This includes where other individuals may have been harmed, such as workers or other household or community members. When in connection with care, such incidents must still be recorded and managed according to your IMS.

 

Reporting to police

If you become aware of an incident that is potentially or likely to be criminal in nature, this should be reported to the police. This should be reported regardless of whether the incident is in connection with care.

Factsheet

The What is the SIRS? Information for home services care recipients explains what the SIRS is, what is expected of providers, what a SIRS reportable incident is and how to seek help if needed.

Contact us

If you have a question about the SIRS, you can call us on 1800 081 549.

This phone line is open 9 am to 5 pm (AEST) Monday to Sunday.

You can also email us at sirs@agedcarequality.gov.au.

Facilitated workshops

The Commission provides facilitated workshops to sector participants.

Online learning

The Commission’s Aged Care Learning Information Solution, Alis provides free online education for employees of Commonwealth-funded aged care providers, including modules covering the SIRS.

You can access Alis at learning.agedcarequality.gov.au.

Disclaimer

The information contained on this page is intended to provide you with general guidance; however, it is your responsibility to be aware of your legislative requirements.