{"id":521188,"date":"2026-03-05T22:35:09","date_gmt":"2026-03-05T22:35:09","guid":{"rendered":"https:\/\/www.newsbeep.com\/au\/521188\/"},"modified":"2026-03-05T22:35:09","modified_gmt":"2026-03-05T22:35:09","slug":"she-helped-design-australias-aged-care-assessment-tool-but-now-lynda-henderson-is-too-scared-to-use-it-aged-care","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/au\/521188\/","title":{"rendered":"She helped design Australia\u2019s aged care assessment tool \u2013 but now Lynda Henderson is too scared to use it | Aged care"},"content":{"rendered":"<p class=\"dcr-130mj7b\">One of the people involved in the development of the federal government\u2019s controversial aged care assistance tool says she\u2019s now too scared to use it, saying she never wanted needs to be determined by algorithm.<\/p>\n<p class=\"dcr-130mj7b\">As fellow advocates warned people\u2019s care and funding needs were being underestimated, Lynda Henderson \u2013 who sat on the expert advisory group to develop the Integrated Assessment Tool (IAT) \u2013 said the assessment questions were aimed at assisting those making clinical judgments.<\/p>\n<p class=\"dcr-130mj7b\">But Henderson said she had felt \u201cfury\u201d when she learned that the government had introduced an algorithm to classify responses collected through the IAT to assign scores to responses and categorise people according to level of need. The resulting classification is used to determine the funding package allocated.<\/p>\n<p class=\"dcr-130mj7b\">\u201cI had no idea that an algorithm would eventually be applied to the assessment we were developing, which we began work on at the end of 2020,\u201d Henderson said.<\/p>\n<p class=\"dcr-130mj7b\">\u201cMy background is in psychology, psychometrics and statistics, and when we developed it, it was through the eyes of an assessor who would be carrying the assessment out, and so we made sure it would have room for nuance, notes and changes.\u201d<\/p>\n<p class=\"dcr-130mj7b\">As <a href=\"https:\/\/www.theguardian.com\/australia-news\/2026\/feb\/17\/australian-aged-care-algorithm-tool-home-support-funding-packages\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">previously reported by Guardian Australia<\/a>, the IAT has been criticised after the government removed the ability for assessors to override an incorrect outcome when assessing people for home support. Aged care workers and clients say the algorithm frequently under-assesses levels of need, leaving people with inadequate funding and care.<\/p>\n<p class=\"dcr-130mj7b\"><a href=\"https:\/\/www.theguardian.com\/email-newsletters?CMP=copyembed&amp;CMP=emailbutton\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">Sign up: AU Breaking News email<\/a><\/p>\n<p class=\"dcr-130mj7b\">Some people previously receiving home support packages \u2013 who required reassessment because their health deteriorated \u2013 said the IAT classified them <a href=\"https:\/\/www.theguardian.com\/australia-news\/2026\/feb\/23\/calls-for-help-surge-aged-assistance-tool-care-homes-australia\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">at a lower level than before<\/a>, leaving them with <a href=\"https:\/\/www.theguardian.com\/australia-news\/2026\/feb\/19\/at-the-algorithms-mercy-jean-may-have-to-leave-her-sa-home-as-outrageous-tool-cuts-aged-care-support\" data-link-name=\"in body link\" rel=\"nofollow noopener\" target=\"_blank\">less funding and support despite greater needs<\/a>, with assessors unable to override the outcome.<\/p>\n<p class=\"dcr-130mj7b\">Henderson said members of the working group had been sworn to confidentiality while developing the assessment, and had believed it would continue to rely on an assessor\u2019s judgment.<\/p>\n<p class=\"dcr-130mj7b\">After the assessment questionnaire was handed to the government for trial, she said she felt proud of the work they had done, though she expected some refinements.<\/p>\n<p>Lynda Henderson (right) and her partner Veda Meneghetti, who died two years ago with dementia<\/p>\n<p class=\"dcr-130mj7b\">\u201cBut neither we in the working group or the health consultancy company that ran it knew the government were going to be using an algorithm to score each question and assign categories,\u201d Henderson said.<\/p>\n<p class=\"dcr-130mj7b\">\u201cIt is not the assessment or the questions that is the problem. It\u2019s the absolutely ridiculously simplistic scoring algorithm that\u2019s been applied to it.\u201d<\/p>\n<p>\u2018I am so terrified\u2019<\/p>\n<p class=\"dcr-130mj7b\">Henderson\u2019s partner, Veda Meneghetti, died two years ago with dementia. Since then, her own health has declined.<\/p>\n<p class=\"dcr-130mj7b\">Asked how she feels about the assessment she helped to develop now, Henderson said: \u201cI really, really need more home support, and my case manager agrees.\u201d<\/p>\n<p class=\"dcr-130mj7b\">\u201cBut I am so terrified about applying for a reassessment and having all my support cut if it [the IAT] under-assesses me that I\u2019m not going to go ahead with that assessment in the immediate future.<\/p>\n<p class=\"dcr-130mj7b\">\u201cI think that says a lot, really.\u201d<\/p>\n<p class=\"dcr-130mj7b\">She said she feels \u201cfury and frustration\u201d about what the assessment has become. \u201cThe worst thing the government did was to disallow assessors to override it.\u201d<\/p>\n<p class=\"dcr-130mj7b\">The department did not respond to questions about when the decision was made to introduce the algorithm and who developed it. But Guardian Australia understands the rationale was to create a consistent, national approach to assessing care needs and reduce variation in outcomes. The information collected through the IAT is then used by the algorithm to determine eligibility and support levels.<\/p>\n<p>Quick GuideContact us about this storyShow<img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/au\/wp-content\/uploads\/2026\/03\/1772750109_922_4000.jpg\" alt=\"\" class=\"dcr-1vs4o7z\"\/><\/p>\n<p>The best public interest journalism relies on first-hand accounts from people in the know.<\/p>\n<p>If you have something to share on this subject, you can contact us confidentially using the following methods.<\/p>\n<p>Secure Messaging in the Guardian app<\/p>\n<p>The Guardian app has a tool to send tips about stories. Messages are end to end encrypted and concealed within the routine activity that every Guardian mobile app performs. This prevents an observer from knowing that you are communicating with us at all, let alone what is being said.<\/p>\n<p>If you don&#8217;t already have the Guardian app, download it (<a href=\"https:\/\/apps.apple.com\/app\/the-guardian-live-world-news\/id409128287\" rel=\"nofollow noopener\" target=\"_blank\">iOS<\/a>\/<a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.guardian\" rel=\"nofollow noopener\" target=\"_blank\">Android<\/a>) and go to the menu. Select \u2018Secure Messaging\u2019. <\/p>\n<p>SecureDrop, instant messengers, email, telephone and post<\/p>\n<p>If you can safely use the Tor network without being observed or monitored, you can send messages and documents to the Guardian via our <a href=\"https:\/\/www.theguardian.com\/securedrop\" rel=\"nofollow noopener\" target=\"_blank\">SecureDrop platform<\/a>.<\/p>\n<p>Finally, our guide at <a href=\"https:\/\/www.theguardian.com\/tips\" rel=\"nofollow noopener\" target=\"_blank\">theguardian.com\/tips<\/a>\u00a0lists several ways to contact us securely, and discusses the pros and cons of each.\u00a0<\/p>\n<p>Illustration: Guardian Design \/ Rich Cousins<\/p>\n<p>Thank you for your feedback.<\/p>\n<p class=\"dcr-130mj7b\">Documents seen by Guardian Australia confirm that the IAT became a prescriptive tool that could no longer be overridden when assigning support-at-home classifications on 1 November.<\/p>\n<p class=\"dcr-130mj7b\">\u201cAn ongoing SaH [Support at Home] classification outcome cannot be overridden to an ongoing lower or higher SaH classification outcome,\u201d the documents state.<\/p>\n<p class=\"dcr-130mj7b\">The Greens senator Penny Allman-Payne said the volume of complaints she has received about the IAT had prompted her to write to the aged care minister, Sam Rae, on Wednesday urging him to \u201cimmediately reinstate human oversight of the IAT, and give assessors the ability to override under-assessments\u201d.<\/p>\n<p class=\"dcr-130mj7b\">\u201cI have grave concerns about the use of algorithms and automation to make decisions about the complex individual care needs of older Australians,\u201d she wrote.<\/p>\n<p class=\"dcr-130mj7b\">\u201cOlder people are being denied urgent at-home supports, leaving them trapped in hospital or left without the necessary assistance they need to live safe and full lives in their homes.<\/p>\n<p class=\"dcr-130mj7b\">\u201cThis is also placing an incredible strain on family members, many of whom are forced into unpaid care roles.\u201d<\/p>\n<p class=\"dcr-130mj7b\">The letter also raised transparency concerns, calling on Rae to make public details about who developed and tested the algorithm, and what methodology was used.<\/p>\n","protected":false},"excerpt":{"rendered":"One of the people involved in the development of the federal government\u2019s controversial aged care assistance tool says&hellip;\n","protected":false},"author":2,"featured_media":521189,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[64,63,44],"class_list":["post-521188","post","type-post","status-publish","format-standard","has-post-thumbnail","category-australia","tag-au","tag-australia","tag-news"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/521188","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/comments?post=521188"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/521188\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media\/521189"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media?parent=521188"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/categories?post=521188"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/tags?post=521188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}