1. ACC’s National Serious Injury Service A better approach to serious injury management July 2007

2. Why a better approach is necessary To improve outcomes for clients with Serious Injuries Sustainable employment Sustainable community participation To stabilize the rate of growth of Serious Injury costs

3. Why the focus on client outcomes Internationally the common characteristics of people disabled by injury Loss of valued roles Financial hardship Social isolation Return to Work International best practice New Zealand Spinal cord injury 80% Traumatic brain injury 56% 18% 9%

4. Why the focus on growth rate 20032004200520062007200820092010 Cost per claim Number Target

5. Service development informed by

6. Changes we need to make FROM Recovery modelsSocial models of disability Entitlement focusNeeds & abilities focus Generic approachesSpecialist approaches Process focus ACC at the centre Relationships & outcomes ACC as a support On-going rehabilitationValued roles Limited use of evidencePractice informed by evidence TO

7. The ACC National Serious Injury Service will work with people who’ve been disabled through injury to rebuild their lives and participate in the social and working life of the community. What is being delivered

9. How it will be delivered National Service Manager Service Delivery Manager (18-month fixed term) Area Team Manager, Auckland Senior Support Coordinators Support Coordinators Service Coordinators Area Team Manager, Midlands Area Team Manager, lower North Island Area Team Manager, upper South Island Area Team Manager, lower South Island Active engagement Stable Support Coordinators Service Coordinators

10. Key priorities Person – centred practice Evidence-based assessments & outcome measurements Specialist ACC staff Community & vocational participation Improved client outcomes Sustainable rate of growth of liabilities

11. Service philosophy Where will these supports come from (contributors) ? Home Work/education Leisure /recreation Community access Episodic S M A R T Modified Goal Attainment Scale Participatory goals Participatory goals What supports are needed to achieve these goals ? ClientFamily whanau natural supports CommunityEmployer or educational facility ACCOther funders  Treatment   Rehabilitation   Treatment   Rehabilitation 

12. Serious Injury Service Focusing on the person who is injured – not the injury itself Outcomes Increased participation in work & community life at a reasonable cost to New Zealand Contribution to social & economic life in New Zealand With reduced administration costs Positive client experiences Success will be measured through Quality of Life & Customer Satisfaction surveys Goal Attainment Scale (GAS) Formal evaluation of whole Serious Injury Service in March 2009