Concerns are mounting about the growing use of algorithms in aged care assessments.

The Integrated Assessment Tool (IAT) was introduced in November as part of the federal government’s Support at Home reforms. It is now used across the aged care system to determine eligibility and classification for services, including residential care and home support packages.

However, some aged care clinicians say the algorithm-driven system is cruel and inhumane. They argue it strips away clinical expertise and limits professional judgement. In some cases, they say, it leaves elderly Australians without adequate support.

So, what are the concerns — and what do they mean for aged care workers and the people they care for?

What are the concerns?

Of particular concern is the way the IAT conducts its assessments. The government’s user guide shows the tool generates a classification of need that assessors must accept to secure support.
There are only limited circumstances in which the IAT’s decision can be overridden.

Matt Aiken,is a registered nurse with 39 years’ experience — including 16 years in aged care. He quit his job just four months after being required to use the tool.

“We weren’t allowed to use it (the override button), and even my manager, who had 25 years of experience in aged care assessment, wasn’t allowed to use it,” he told The Guardian.

“There was no ability for anyone to say: ‘The algorithm has it wrong, we need a human to adjust this’.”

Some aged care workers claim that in 8 out of 10 cases, the algorithm’s output differs from the classification they would have made themselves.

The user guide does not explain how the algorithm weighs risk, need or complexity. Workers say that in some cases it has recommended no support for people with high needs. In other cases, those with comparatively limited needs have been allocated higher levels of support.

The Support at Home program began in November last year. By 23 January, the Department of Health, Disability and Ageing had received 414 requests to review inaccurate IAT results. Of these, 167 related to classification levels, 133 to priority categories and 36 to both.

There are also concerns the system may be vulnerable to manipulation. Some users may enter information designed to trigger higher support levels. This information may not accurately reflect a person’s needs.

What has been the government’s response?

Department representatives say they are continuing to receive feedback about how the system is operating, including concerns about the design of the Integrated Assessment Tool (IAT) and the additional algorithms used to determine classification and prioritisation. They have indicated the feedback is being reviewed as part of the ongoing implementation of the reforms.

As the sector adapts to major reforms and increasing digital oversight, the role of skilled aged care professionals has never been more important. While technology may play a growing role in assessments and service delivery, experienced clinicians and support workers remain at the heart of quality care. For those considering entering the industry — or looking to advance their career — now is a critical time to position yourself strongly in a rapidly evolving workforce.

Are you looking for a new career? Aged Care Resumes can help. We are pleased to offer various services including our resume writing service and cover letter writing service.

Article References

Davey, M (16 February 2026) ‘Algorithm-based tool for home support funding is cruel and inhumane, Australian aged care workers warn’, The Guardian, accessed 19 February 2026.

Lloyd-Jones, K (11 February 2026) ‘Ruston questions accuracy of aged care assessment tool’, Australian Aging Agenda, accessed 19 February 2026.