Presentation on theme: "The National Disability Insurance Scheme"— Presentation transcript:
1The National Disability Insurance Scheme Scheme overview and implementation updatePresenter name TitleNational Disability Insurance AgencyDate
2The 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 centralNeeds driven rather than rationed fundingDelivered in local communityWorking towards national coverage
3We launched the scheme on 1 July 2013 The legislation is the NDIS Act 2013Government agreements are signedCouncil of Australian Governments signed intergovernmental agreement in December 2012Bilateral agreements were signed in April 2013There are Heads of Agreement for full scheme in NSW, South Australia, ACT, Tasmania, Victoria and QueenslandLocal arrangements in placeThe NDIA has seven regional offices across four launch locations open as of 1 JulyOur systems and processes were tested locally through site rehearsals prior to launchWe have been focused on talking with people and providers at a local level and will continue to do so over the period of launch
4There are 7 launch sites being established over the next 3 years On 1 July 2013, the first stage of the NDIS commenced inSouth AustraliaTasmaniaThe Hunter in NSW andThe Barwon area in VictoriaThe ACT and NT will join the first stage on1 July 2014Western Australia will commence a two year launch from 1 July 2014Launch sites commenced on 1 July 2013 in NSW, VIC, SA and Tasmania.July 2014 launch locationsAustralian Capital Territory—for people under 65 years.By July 2019, all ACT residents with permanent and significant disability who meet the access requirements—around 5,000 people—will be supported by the scheme.Northern Territory—for people under 65 in the Barkly region who meet the access requirements.Western Australia – a two year NDIS pilot for people under 65 - about 4,100 people residing in the Perth Hills local government areas of Kalamunda, Mundaring and Swan. The WA government will also commence operating two My Way sites .Queensland - all people under 65 who meet the access requirements, commencing in July 2016.
5Our role Delivering the national disability insurance scheme Building community awareness of disabilityEnsuring financial sustainability of the schemeCollecting, analysing and exchanging dataDeveloping and enhancing the disability sectorUndertaking research related to disability and supportsDeliver the NDISAs described in:The Intergovernmental Agreement for the National Disability Insurance Scheme launch; andThe NDIS legislationEnsure the financial sustainability if NDIS by:Funding for individualised reasonable and necessary packages of supportProviding innovative and flexible support to people with disabilityTaking a lifetime view of support needs and ensuring a sustainable balance of costs and outcomesReport and advise on the financial sustainability of the schemeDevelop and enhance the disability sector by:Successful transitioning of existing sector providersIdentifying and addressing barriers to successBuilding a sustainable sector and workforceBuild community awareness of disability byManaging the expectations of people with disability, their families and cares regarding access to NDIS support in the launch sitesRaising community awareness of disability and the social contributors to capabilityCollect, analyse and exchange data about disability and supportsImplement IT systems which capture robust data and produce requisite reportsAnalyse and use data to promote awareness and inclusion of people with disabilityUndertake research relating to disability and supportsShare information on and learn from successful participant pathwaysModelling future needs, disability prevention, evaluating early interventions and supports etc.
6Principles and objects of the NDIS Act 2013 underpin delivery Give effect to obligations under UNCRPD and certain obligations in other conventionsSupport independence, social and economic participation – not passiveProvide reasonable and necessary supports, including early interventionEnable people to exercise choice and control in pursuit of goals, and in planning and delivery of their supportsFacilitate nationally consistent approach to access, planning and funding of supportsPromote provision of high quality, innovative supports to maximise independent lifestyles and full inclusion in the communityPrinciples expand on the objects for implementation and guide administrationNDIS Act’s first object is to give effect to the Convention on the Rights of Persons with Disabilities.The objects and principles taken together provide a very clear statement of Act’s intentions to support improved social and economic participation for people with significant and permanent disability.
7A primary aim of the scheme is to increase participation Consistent with UN Convention on the Rights of Persons with Disabilities - aim to achieve full social and economic participation of people with disabilityScheme design assumes people with disability will participate to the extent they are ableIncreased economic participation translates to better long term outcomes for individuals and communitiesHigher participation rates will permanently deal with social constraints of disabilityScheme will work to ensure that other supports, such as employment assistance, that are provided by other systems are accessibleScheme will fund reasonable and necessary disability supports required to achieve participationAlso focus on individualised approach, funding linked to goals, aspirations and needs, with expectation that support outcomes can be addressed in flexible “participant driven” ways.Important to acknowledge that Scheme is not intended to, nor will it fund what ought to be rightly funded by other systems.Acknowledge early days and need to learn from launch.
8How things are changing under the National Disability Insurance Scheme FeatureFormer systemNDISAccess criteriaVary from state to stateNationally consistent as set out in legislationChoice and controlVaries from state to state - most people have little say over the supports they receiveIndividual has control over the type and mix of supports, delivery and how their funding is managedLevel of assistanceCapped – people may be eligible but can spend years on waiting listsDemand driven – people with disability get the support they need, when they need it, to make progress towards goalsFundingMultiple programs within and across governmentsSingle funding pool (pooling contributions from Commonwealth, States, Territories) administered by NDIA
9Accessing the schemePeople with disability who meet the access requirements will become participants in the schemeNDIS has a wide gateway to introduce people to the scheme 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 locationsPhasing arrangements and other detailsAccess to the scheme will be gradual to ensure people get the right supportSupport will include linkages and referrals in the community and funded support where required.DisabilityCare eligibility is not linked to receipt of disability support pensionTo access assistance from DisabilityCare AustraliaLive in Australia as a permanent resident of Australia; andBe under 65 years of age; andMeet the disability requirements; and/orMeet the early intervention requirementsTo meet the “disability requirements” means having a significant and permanent disability that affects communication, mobility, self-care or self-managementTo meet the “early intervention requirements” means having a disability or developmental delay where early intervention support would likely reduce the person’s future needs for supports in relation to disabilityYou can only get a clear answer on access by going through the assessment process from JulyWhether a person is in receipt of a Disability Support Pension (DSP) or not has no bearing on access for the Scheme. Should a person who is receiving the DSP become access for the Scheme, they would continue to receive the DSP. This is because DisabilityCare funding will remain separate from any income support payments.Wide GatewayThe pathway uses a wide gateway to provide information about the Scheme for everyone through the Agency and multiple points in the broader human service system. The gateway harnesses generic disability, community and mainstream supports through local area coordination (LAC) and the Agency local presence. The LAC community development role and access to generic disability assistance (such as provided by many disability specific groups link vision Australia support to vision impaired) are available in the gateway.My Access CheckerPotential participants can also self-report support needs to inform access using the Agency My Access Checker. This short tool asks demographic and support needs questions and will provide the individual with an indication as to their eligibility and, where likely to be eligible, they are encouraged to make contact with the Agency.If asked about developmental delayConsideration of needing permanent disability with early intervention is being considered in some redrafting of the rules - you may get drawn on this issue - particularly relevant with developmental delay
10Early intervention requirements You may meet the early intervention requirements if:You have a permanent impairmentAndThere is evidence that getting supports now (early interventions) will help you by either:Reducing how much help you need to do things now and in the future orHelping your family and carer to keep helping you
11Developing 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 mainstreamGeneral supportsServices provided by Agency e.g.Provision of informationLocal area co-ordination to assist person to access mainstream or other community servicesNDIS calls for a person people with significant and permanent disability to provide their Participant statement – context, current supports and goals and aspirationsThe approved Statement of Supports summarises the outcome of the goal based planning discussion and specifically what they can receive and this is no longer defined by which jurisdiction is doing the planning or fundingIdentify the Reasonable and Necessary SupportsProvides funding for support reasonable and necessary support to achieve goalsAssist independence, social, economic, community participationEffective or beneficial for the participant, having regard to current good practice
12Management of funding for supports to be resolved with Participant Self management(by participant or nominee)Agency ManagementNational Disability Insurance AgencyPlan 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.Most importantly, the participant exercises choice in, and control over, that support.NDIS also aims to ensure that people with disability that are not able to access the scheme receive linking and referral supports where they need this assistance, to access mainstream services and community life.Agency then uses statement and strength-based needs assessment to do a goal based plan with the participant and where relevant their family or carer – process takes into account access to mainstream systems and ensuring that informal supports are sustainableNDIS reform agenda also assumes a different decision making context for individuals and their families:Individual capacity to engage on goal based planning will differ, as will their context and previous life opportunitiesIndividuals and families are responding well to objective discussions around options to support participation and which will impact on life opportunities over time.Project in TAS will inform what is possible at key life transition from school to work – how an integrated approach to planning might produce better participation outcomes for both the student and their family.
13NDIA role to build individual, community and sector capacity Practical Design Fund projects are available via our websiteMy Choice, My Control, My Future: DisabilityCare Australia conference on 23 and 24 June The proceedings are available on the NDIA websiteSector development fundLikely to be applied to needs of individuals, community and provider readinessBuilding on previous work by jurisdictionsRoundtable discussions with the not for profit sector, stakeholders and key interest groups have taken place and more are plannedTransition of people and programs into the scheme will be gradual to allow time to build capacity of individuals and sectorPractical design fund (PDF) – 73 projects commissioned – they were delivered in June and are currently being made accessible for publishing on the website. Those that are on the website are avaialble under the Providers tab. Some of them were profiled at national conference. The PDFs are an initiative that deliver practical solutions and innovative ways to assist people with disability, their families and carers, as well as service providers, get ready for the new scheme.Sector development fundThe fund is now agreed.Projects will include capacity building, transition support and change management, workforce planning and development, and support for service quality and innovation.Funding includes:Arrangements are in place to transfer funds totalling $3.31 million over four years to extend the evaluation of the NDIS to improve its ability to:measure outcomes for a diverse range of people with disability by increasing the sample size of the longitudinal survey of people with disabilitycompare outcomes for older NDIS participants and people receiving consumer directed care through the aged care systemmeasure impacts on workforce through an expanded workforce surveyA contract with First People’s Disability Network has been signed, providing $990,000 including GST over three financial years to assist Indigenous Australians to benefit from the NDIS.New models of remote service delivery will be trialled for Indigenous communities on the APY Lands and around Ceduna SAThe Request for Quotation closed 12 June for a consultant or consultants to assist identified providers with cash flow management planning is in development. Expected to commence from late June.Roundtable discussion with the not for profit sector have occurred in NSW, Tasmania and Victoria, with a nationally focused discussion also held in Canberra (NFP peaks). More will be planned in early 2014The inaugural NDIS conference, My Choice, My Control, My Future, was held in Melbourne at the Convention and Exhibition Centre June The conference centred around better practice and launching the scheme, bringing together more than 1,000 Australians (registrations for the conference were received very quickly). It was also an opportunity to hear about a number of the PDF projects. There was be a number of high-profile speakers at the event including Minister Macklin. The conference proceedings including transcripts will be available on the website shortly. Incoming Chair Bruce Bonyhady’s speech from the conference can be found on the website now under the ‘News’ tab.
14People from diverse backgrounds contributed to design Specific activities that have included CALD community are:Small group sessions in the Barwon Area and Hunter AreaParticipation in the Alliance CALD roundtableFederation of Ethnic Communities Council Australia (FECCA) represented at Not For Profit with Minister MacklinAgency’s field testing of assessment process with CALD groupsSpecific outcomes from these have been:Cultural sensitivity training for frontline staffConsultants engaged to assist in addressing the particular needs of CALD communities in launch sites including translated materialsOngoing engagement with CALD communities will occur.
15People with disability from Indigenous backgrounds Indigenous people and organisations - a priority target group for engagementExperience a significantly higher rate of disability compared to non-indigenous peopleRecognised that many Indigenous people with disability do not identify as having a disabilityIndigenous planners and LACs employed in each launch site to ensure scheme is accessible to Indigenous peopleScheme launch in Barkly region of NT in July 2014 – will help to inform future roll out to Indigenous peopleFirst People’s Disability Network (Sector Development FundSector Development Fund granted to raise awareness, build capacity of people and organisations, improve cultural competence and increase Indigenous workforce
16People with mental illness A person may meet the disability requirements if they have a permanent impairment due to a psychosocial disabilityNDIS will be responsible for non-clinical supports for participants with psychosocial disability. These could include:Support for community integration and day-to-day livingTherapy that would manage or reduce the functional impact of the psychiatric impairmentSupport to independently access and maintain participation in mainstream community resourcesSkills and capacity building at the community levelSupported residential accommodation that is non-clinical
17Disability requirements Accessing support from the scheme requires that:You have a permanent disabilityYour disability has a big impact on your day to day life and on your ability to participate in your communityYou are going to need supports for the rest of your life
18Progress so far has been good Over 1,200,000 unique visitors to the websiteThe website receives between 2,000 and 5,000 visits each dayMore than 40,000 people have visited My Access Checker with over 25,000 completing itMore than 2000 people have walked into NDIS shopfrontsReceived close to 3000 access requestsOver 2,200 plans have commenced or completedThose who have had their first planning session reported a high level of satisfaction with the process
19Key Achievements:116 staff on-boarded and ready for 1 July 201314% are people with lived experienceColac Office opened 5 months ahead of scheduleOver 280 Registered Providers.Over 500 people have developed a planSimone, Lynne and Tina:
20There is lots of work still to do Continued engagement with people, providers and the communityMovement of National Office to GeelongBuilding the capacity of Agency to respond to increase in participantsEvaluation and feedback about the scheme including preparation for independent evaluation of first stagePreparation of 2014 launch sites (ACT, NT and WA) as well as 2016 rollout in Queensland