182 7.6.1 Home and Community Care Partnership

National Institute on Ageing defines Home Care and Community-Support Services as:

• Care provided in home-based settings rather than in a hospital or a LTC home, with a goal to support individuals to remain independent in the community
• Two types: home care services and home support services.
• Coordinate with LTC services for individuals whom require 24 hours nursing services, personal care and therapeutic care: convalescent care, respite care, long term care admission
• In most cases is controlled by the provincial and territorial governments
• Not publicly insured through the Canada Health Act
• In some provinces, HCC will support supplemental skilled nursing services into LTC^[1]

A Federal Safe Long-Term Care Act is under development by the Minister of Health and the Minister of Seniors to^[2]:

• Focus on results and accountability to people in Canada residing in LTC
• Create shared responsibility of all levels of governments with respect to the well-being of older adults and persons with disabilities

Provincial & territorial health care governs:

• Most LTC legislation: management, organization and delivery
• Home and community care services
• Have most of the responsibility for delivering health and other social services (except certain groups)

Federal/ Health Canada is responsible for home care services to:

•  First Nations on-reserve and Inuit in designated communities
• Members of the armed forces and the Royal Canadian Mounted Police (RCMP)
• Federal inmates
• Eligible veterans
• Supports  research and policy analysis on home and community care across Canada