Presentation on theme: "The National Disability Insurance Scheme"— Presentation transcript:
1 The National Disability Insurance Scheme Scheme overview, implementation and transition managementDavid BowenCEONational Disability Insurance AgencySeptember 2013
2 The NDIS is a new way of delivering disability support Supports tailored to individual needsInsurance approach for more stable long term costs and better outcomesChoice and control is centralDemand-driven rather than rationed fundingDelivered in local communityWorking towards national coverage
3 Principles and objects of the NDIS Act 2013 underpin delivery Give effect to the obligations under the CRPD and certain obligations in other conventionsSupport independence and social and economic participation – not passiveProvide reasonable and necessary supports, including early interventionEnable people to exercise choice and control in pursuit of their goals, and in the planning and delivery of their supportsFacilitate a nationally consistent approach to the access, planning and funding of supportsPromote the provision of high quality and innovative supports to maximise independent lifestyles and full inclusion in the communityRaise community awareness of the issues that affect social inclusionEvidence base is criticalPrinciples expand on the objects for implementation and to guide administration.
4 Taking an insurance approach provides benefits Risks are pooled and recognise the unpredictable nature of disability – new Levy refersSupports relate to the individualRisk approach that allows higher short term costs given longer term benefitsPrudential governance approach focusing management on cost trendsEnables planning to encompass positive outcomes for the individual – such as early intervention, outcome planning, links to communityStrong and transparent accountabilitySection 180 of the legislation goes to the appointment and duties of the Scheme Actuary including:Assessing the sustainability of the SchemeRisks of the Scheme and causesAny trends in the provision of supports and driversEstimate future expenditure and provide a report on the consideration and estimationEstimates must be done at least once per quarter.The actuary provides advice to Board or CEO as requested and bring matters of concern to the Board.
5 The scheme was launched on 1 July On 1 July 2013, the first stage of the NDIS commencedFor cohorts in South Australia, TasmaniaThe Hunter in NSW andThe Barwon area in VictoriaFrom July 2014The whole of the ACT, the Barkly area of NT and Midland, Kalamunda and Mundaring in WA. Plus two My Way sites also in WA.Started in July 2013:New South Wales—Support for people living in the local government areas of Newcastle, Maitland and Lake Macquarie.By July 2016, about 10,000 Hunter region residents with a permanent and significant disability will be covered by the scheme.By July 2018, all NSW residents with permanent and significant disability—around 140,000 people—will be supported by the scheme.Victoria—Support for Barwon area residents; that’s people living in the local government areas of City of Greater Geelong, the Colac-Otway Shire, the Borough of Queenscliffe and the Surf Coast Shire.By July 2016, all Barwon area residents with significant and permanent disability—around 5,000 people—will progressively access the scheme.By July 2019, all Victorian residents with permanent and significant disability—around 100,000 people—will be supported by the scheme.South Australia—Support for children, with the first year to focus on children aged birth to five years with significant and permanent disability or who would benefit from early intervention. Around 5,000 children are expected to benefit from the first stage of the scheme.From July 2014, the age limit will be extended to 13 years and in the third year of launch all children up to 14 years.By July 2018, all South Australian residents with permanent and significant disability—around 33,000 people—will be supported by the scheme.Tasmania—Support and improved services for young people aged 15 to 24 years.By July 2018, all Tasmanian residents with permanent and significant disability—around 11,000 people—will be supported by the scheme.Starting from July 2014:Australian Capital Territory—Support for eligible people between the ages of 15 and 24 years.By July 2019, all ACT residents with permanent and significant disability—around 5,000 people—will be supported by the scheme.Northern Territory—Support for people in the Barkly region.Western Australia - Pilot will involve about 4,000 people in the Perth Hills area of Kalamunda, Mundaring and Swan from July 2014.Starting from July 2016:Queensland—Support for people in Queensland.By July 2019, all Queensland residents with permanent and significant disability—around 97,000 people—will be supported by the scheme.Importantly, all jurisdictions except for WA have now committed to a full scheme roll out.
7 Determining Access to the Scheme AgeResidencyPeople with disability who meet the access requirements will become participants in the SchemeThe Scheme has a wide gateway to introduce people through multiple channels and touch pointsPeople can use MyAccess Checker to get an indication about whether they will be able to access assistance from the SchemeGradual intake of participants into the scheme, starting with people in launch locationsDisabilityEarly intervention
8 Note – questions are prompts and are used to guide conversation Structure of planning and assessment conversationTraining and procedures provide structured approach to planning building on participant statementAssessment tool provides screening questions to identify whether person has limitations in:MobilitySelf-care (includes Special Health Care Needs)Domestic LifeCommunicationGeneral Tasks and DemandsLearning and Applying KnowledgeInterpersonal interactions and RelationshipsCommunity, Social and Civic LifeEducationEmployment PLUSNote – questions are prompts and are used to guide conversationIf limitations ask further questions in relevant domainsIf limitations ask further questions in relevant domainsConsolidate information back into Participant record and resolve support needs with ParticipantDraws on existing assessment information- If insufficient thenSupport Needs for Sustaining Informal CareAssistive TechnologyRisk Assessment
9 Developing the Statement of Supports takes into account Sustainable informal careRecords informal care that will be providedTalk with the family about sustainable arrangements into the future.Reasonable expectations of care by familyOptimise mainstream supportsNot funded by NDISPlan records nature, referral and support to access to be providedNDIS will not provide supports that should be provided in mainstreamAre general supports neededAre services to be provided by the Agency e.g.Provision of informationLocal area co-ordination to assist person to access mainstream or other community servicesIdentify the Reasonable and Necessary SupportsProvides funding for support reasonable and necessary to achieve goals in participant statementAssist independence, social and economic participationAre effective or beneficial for the participant, having regard to current good practice
10 Reassess risk or vulnerabilities – ensure safeguards are in plan Statement of supports contains:Fixed supportsEarly intervention and investment supports are fixed in the plan, as are “in-kind’ supportsThese items aim to ensure over long term, the desired outcomes for participants are maximised.Funding for these items cannot be used for other items.Examples include:Early childhood and early interventionsAssistive technology to support independenceFlexible SupportsFlexibility allows the participant to purchase more or less to best meet their needs over life of plan.Flexibility is to bewithin total $ value of flexible items in planwithin limits set for each item (all items have a default level of flexibility but this may be altered to suit each participant’s need)less flexibility may be put on items that are higher risk or for participants that are vulnerableCheck reference packageCheck Life Time Cost EstimatorDelegations for approvalsResolve plan management with participant and include necessary assistance in planReassess risk or vulnerabilities – ensure safeguards are in plan
11 Management of funding for supports to be resolved with Participant Self management(by participant or nominee)Agency ManagementNDIAPlan Management ProviderThe type of funds management that the participant chooses can vary depending on their circumstances.Different options can be chosen for different supports.Plans may have a combination of the options as shown.Agency can limit self management where financial or personal risk.
12 Request to self-manage the funding for supports The participant should be able to manage his or her plan to the extent he or she wishes to do so unless there are grounds for the participant not to self-manage.Grounds to refuse a self-management requestParticipant or nominee is insolvent under administrationThe support is prescribed by the NDIS Rules as being matters not managed by a participantWhere delegate (of CEO) is satisfied management of the plan presents an unreasonable risk to the participant
13 Old New program 1 Government agencies contracts program 2 program 3 funding & reportingcontractsservice deliveryprogram 1program 2program 3participantGovernment agenciesCapped funding Limited choice Limited controlOldNational Disability Insurance Agencyservice delivery & paymentPlan & budgetpaymentNewsupportparticipant13Individualised funding Choice and control Supports not programs
14 Logical next steps for Scheme implementation in WA WA and Commonwealth continue progress with NDA (2012) reforms.Jurisdictions to work with community and providers to raise awareness and readiness.Build individual capacity for engagement on goals and choice and controlDraw on better practice resources as they become available form SchemeAgency has commenced WA readinessRequires an agreed Bilateral approach covering identified areas by November 2013.Staff will commence in November with community engagement.
15 What the NDIA brings to the partnership National capability with local decision making and responsivenessSystems and processes that have been tested in launch with strategic investment plan for full scheme enhancementsExisting capability that now underwrites future growthStrong community engagement approachStrong engagement with sectorGrowing research capability
16 Engagement activity has helped prepare people and communities From January 2013 over 800 events were attended/organised by AgencyIncluded public forums, formal presentations, smaller targeted sessions for people with disability and providersEngagement activity focused on preparing people and providers for launchAdditional engagement conducted by Alliance (Carers Australia, National Disability Services and AFDO) to inform design and improve readiness“Your Say” online forum used extensively on design, legislation and rulesDisabilityCare Australia website activated on 4 June ahead of national advertising campaignFacebook and Twitter live
17 Strategic Issues for Agency to progress in 2013/14 Operationalising choice and control in restricted environments – such as institutions.National strategy for aids and appliancesHousing strategyRefinement of approach to mental health for those that need a funded packageNational framework for quality and safeguardsIndustry workforce – projected need for 65,000 FTE or 130,000 individuals when fully implementedDeveloping effective interfaces with mainstream such as employment