There are three major components of SIRS that must be implemented by aged care providers:
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.
About SIRS
The SIRS is an initiative to help prevent and reduce incidents of harm to consumers and other people in Commonwealth-funded aged care services. 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.
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).
Continuous improvement
You must use the data from your IMS to drive quality improvement in your service.
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.
Incident management obligations
Providers must have effective systems and practices in place for preventing and managing all incidents and near misses. This includes using an Incident Management System (IMS).
Continuous improvement
Providers must use the data from their IMS to drive quality improvement in service.
Serious incident reporting and response
Your service 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:
Incident management systems (IMS)
Your service’s IMS is a system that helps you to prevent incidents and identify, respond to and manage them and any near misses that occur during the course of delivering care and services to consumers. The IMS includes policies and procedures that you will use to prevent and manage incidents, the tools that you will use to document information about incidents and find solutions, and the training and culture you rely on to continuously improve safety.
What is an incident?
An incident is an act, event or omission that occurred (or was suspected to have occurred) and caused harm to a consumer, or another person, or could reasonably have been expected to have caused harm.
A near miss is when an act, event or omission happens that does not result in harm but had the potential to do so. This could be an injury, illness or danger to the health of a consumer or another person.
Both incidents and near misses must be captured by your IMS.
Your IMS should include all incidents that:
- occur at your service
- occur during the delivery of care and services to consumers, whether at your service or out in the community such as when attending appointments, going shopping or participating in activities
- occur while workers are undertaking duties as part of their role.
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):
- in connection with your provider’s service
- 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 in connection with care
The home service environment presents unique challenges for managing incidents. You 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:
Near Misses
A near miss is a something that happens (or something that should happen but doesn't) that doesn't harm a consumer but has the potential to do so.
You must record near misses in your IMS to help prevent similar incidents from happening in the future.
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.
Incidents not in connection with care
You 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 your service. While incident management and prevention requirements do not apply to these incidents, your service still has 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.
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 according to your provider’s IMS.
Incidents where the consumer was not directly affected are not reportable to the Commission. This includes where other individuals may have been harmed, such as staff or other household or community members. When in connection with care, such incidents must still be recorded and managed internally according to your IMS. Speak with your manager to ensure you are aware of your role in managing reportable incidents.
Reporting to police
If you become aware of an incident that is potentially or likely to be criminal in nature, then the incident should be reported to the police. Report any such incidents to your manager, as these should be reported to police regardless of connection with care.
My rights and reporting
If you do not think your service’s response to a reportable incident is sufficient, you should raise your concerns with your manager if you feel safe to do so. If you do not feel safe to raise the issue with your manager, or if you are not satisfied with your service’s response, you also have the right to contact the Commission directly. This is known as disclosure.
Disclosure protection
The Aged Care Act (1997) contains protections for people who disclose reportable incidents. These protections extend to disclosures from former workers, current and former consumers, families, volunteers and advocates.
If the information you are disclosing is protected under these provisions, you are protected from both civil and criminal liability for making the disclosure. You are also protected from victimisation and may be compensated if you are threatened or if action is taken against you.
How does the SIRS fit in with your other obligations?
The SIRS is one element of the legal framework that supports the provision of quality care and services and a safe environment for consumers. It sits alongside and complements your other obligations as an approved provider, particularly the Charter of Aged Care Rights, the Aged Care Quality Standards and restrictive practices obligations in the Quality of Care Principles 2014.
Legislative requirements
Open disclosure - Standard 6: Feedback and complaints and Standard 8: Organisational governance
You must use an open disclosure process when things go wrong. This means that you should facilitate an open discussion with consumers (and their representatives) when something happens that has harmed or had the potential to cause harm to a consumer. You are also expected to practice open disclosure in the prevention and management of any incidents impacting consumers.
Clinical governance - Standard 8: Requirement (3)(e)
If your service provides clinical care, you must use a clinical governance framework. This is an integrated set of leadership behaviours, policies, procedures, responsibilities, relationships, planning, monitoring and improvement mechanisms that are implemented to support safe, quality clinical care and good clinical outcomes for each consumer.
Incident Management - Standard 8: Requirement (3)(d)(4)
You must have effective risk management systems and practices in place, including the use of IMS.