Question Aged Care

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Subject: Inquiry Regarding Foot Care Services Under the Support Home Care Program
Good morning,
I am writing to seek clarification regarding the Support Home Care Program scheduled to commence on July 1, 2025. Several uncertainties have arisen, particularly as a significant portion of services has been subcontracted to Home Care Package (HCP) providers. It has been reported that some of these providers have ceased services for clients, asserting that toenail cutting for low-risk clients may only be performed by podiatrists.
I possess the requisite qualifications and extensive experience to deliver in-home "Foot Care Hygiene," encompassing toenail cutting and skin management. With over 23 years in the field, I have been actively engaged in supporting clients with limited mobility and assisting them in maintaining their daily activities and overall care. My practice has always involved close collaboration with local podiatrists for clients presenting with complex nail pathologies and high-risk biomechanical assessments, while I have handled the low-risk and general nail care cases as well.
In January 2025, I contacted the Australian Podiatry Association to discuss this matter. Their response indicated a desire for more practitioners to provide general care services similar to those I offer.
Throughout my career, I have collaborated with various podiatrists within clinic settings and residential aged care homes, serving in the capacity of an Allied Health Assistant (AHA).
As it pertains to Aged Care Category 4, which addresses personal care and support within the home or community, I provide essential assistance that empowers clients to manage activities of daily living and uphold their independence.
The primary concern I wish to address is the lack of clear guidance concerning my ability to continue providing vital personal care services, specifically in maintaining general toenail and skin care for my clientele. I have not encountered any official documentation indicating that the practice of general nail cutting and skin management should be halted.
It appears that many stakeholders are grappling with the implications of the new system, and to the confusion that accompanied the NDIA rollout in previous years. If my services are deemed compatible with NDIS 'Core' personal care, I believe it is reasonable to expect similar recognition within the Aged Care framework.
There exists a considerable demand for these services in the regions I serve, and I am increasingly concerned about the potential ramifications for clients who may be left without access to general care, thereby risking complications such as skin tears, pressure ulcers, wounds, and other related issues. Not all clients can afford the out-of-pocket expenses to pay privately for continuing care requirements. There is only one podiatry clinic open to new clients; however, there is a months-long waitlist for appointments.
I would greatly appreciate any feedback or guidance on this matter.


Thank you for your attention to this raised concern for my clientele.