To Dip or Not to Dip (TDONTD) is a quality improvement intervention successfully implemented in UK and Australian aged care homes to improve UTI assessment and antibiotic prescribing appropriateness.
This implementation guide has been drawn from the experiences of homes and champions who have implemented TDONTD, along with feedback from aged care nurses and personal care assistants who have used TDONTD resources.

This quick survey is a reflection tool on urine dipstick practice in your facility.
Is there room for improvement?

This huddle tool poster provides guidance on appropriate use of urine dipstick tests in older adults. It explains that asymptomatic bacteriuria (ASB) is common and not harmful, but that unnecessary antibiotic treatment can be. It suggests confirming urinary tract infections (UTIs) through clinical symptoms rather than dipstick results.
This resource may refer to information that will be updated from 1 July 2025 to align with the new Aged Care Act and Quality Standards.

This visual abstract presents outcomes from a quality improvement project aimed at reducing low-value urine dipstick testing in aged care services. It included nurse education, implementing clinical pathways for UTI identification, and evaluating urinalysis practices and antibiotic prescribing. The findings demonstrate improved antibiotic prescribing appropriateness for UTIs over a 6-month follow-up period.
This resource may refer to information that will be updated from 1 July 2025 to align with the new Aged Care Act and Quality Standards.


Letter to general practitioners and nurse practitioners to seek support in a quality improvement intervention being undertaken in Australian residential aged care services (RACS), to address overprescribing of antibiotics for aged care residents for urinary tract conditions including asymptomatic bacteriuria.

This presentation is an educational tool is part of the Commission’s resource bundle to improve antibiotic use for urinary tract infections in aged care services.

This guide is for facilitators to deliver case-based learning to improve antibiotic use for urinary tract infections in aged care services.

This flyer is part of the Commission’s resource bundle to improve antibiotic use for urinary tract infections in aged care services.

This audit tool is part of the Commission’s resource bundle to improve antibiotic use for urinary tract infections in aged care services.

This provider poster is an educational tool is part of the Commission’s resource bundle to improve antibiotic use for urinary tract infections in aged care services.

This provider poster is an educational tool is part of the Commission’s resource bundle to improve antibiotic use for urinary tract infections in aged care services.

These clinical forms are part of the 'Clinical Pathway for older people in aged care homes: suspected urinary tract infections (UTIs)'.

This user guide relates to the 'Clinical Pathway for older people in aged care homes: suspected urinary tract infections (UTIs)'.

RB 2021-14 This Regulatory Bulletin outlines the Commission’s regulatory approach where there is a transfer in ownership of a residential aged care service from one approved provider to another.

Information about antibiotics for aged care residents and their families, carers and representatives.
This brochure is available in 25 languages.

RB 2021-12 This Regulatory Bulletin outlines how an approved provider can apply for reconsideration of a reviewable decision under Part 8B of the Aged Care Quality and Safety Commission Act 2018 and Part 7 of the Aged Care Quality and Safety Commission Rules 2018.

How to stay safe from COVID-19 video is available in 15 different languages. The video aims to help consumers understand the steps they can take to keep themselves safe during the current pandemic.

In the event of an outbreak of COVID-19 at a residential service, the service’s Outbreak Management Team and key personnel at the service will be working in close co-operation with public health authorities and other parties to ensure an effective emergency response. A key personnel template has been developed to assist providers in identifying key personnel of the service and their contact details to support this response.
Regulatory Bulletin RB 2020-11 Publication of provider performance information (PDF) (540.5 KB)
RB 2020-11 This Regulatory Bulletin details the information the Commission publishes about aged care service providers' performance in relation to their responsibilities under the Aged Care Quality and Safety Commission Act 2018 (Commission Act) and the Aged Care Act 1997, or the Commonwealth funding agreement that relates to a service.
