1. MSD – What we do

2. What we will cover Who is MSD How we work with NZers The numbers
Our philosophy
Perception of employers and support to employers
Support for clients

3. What we will cover today

4. Ministry of Social Development Regions

5. What drives Ministry of Social Development
Our vision - We help New Zealanders to help themselves to be safe, strong and independent.
Ministry of Social Development’s role is
developing and delivering effective and efficient client-centred services
Developing an integrated actuarial
providing current and long-term social policy advice.

6. Work and income in operation
4 key areas of service delivery
Work and Income
Study Link
Seniors
Social Housing
We operate 147 service centres
Work Focused case managers, Employment Co-ordinators and Work Brokers
Regional Health Advisers, Regional Disability Advisers and Health and Disability Co-ordinators

7. Determinants of Health
Income
Access to medical and related services
Housing
Employment
Education
20/11/2018
We help New Zealanders to help themselves to be safe, strong and independent.

8. Financial Support Jobseeker Support Sole Parent Support
people available and looking for full-time work
temporary deferral for sickness
long term/ permanent condition with capacity to work
Sole Parent Support
sole parents with dependent children under 14
Supported Living Payment
people with serious health conditions or disability unable to work 15 hours or more a week
caregivers looking after seriously ill people
20/11/2018
We help New Zealanders to help themselves to be safe, strong and independent.

9. The numbers are people too!
24 Feb 17 - National
JSS ,354
JS HCID ,234 (exempt work)
SPS ,322
SLP ,078
Youth ,138
Other ,002
Total ,990

10. Health and Disability Population
34% of people on JS – H&D have a mental health condition. Next largest group are those with musclo-sketal conditions.
It is important to note that 97% of the overall growth in JS-HCID/ SLP client numbers over the last 10 years are people who have a mental health condition.
70% of JS-HCID & SLP clients are aged over 40 years.

11. Consideration
“It’s much more important to know what sort of person has the disease than what sort of disease the person has”
Sir William Osler, 1896

12. Philosophical basis
International Classification of Functioning, Health and Disability (ICF)
Health Benefits of Good Work
New definition:…”as the ability to adapt to change and self manage in the face of social, physical and emotional challenges.” Huber et al 2011, BMJ 343

13. Employment as an important part of inclusion
Work is an important therapeutic intervention
Impact of been out of work:
Loss of Income
Loss of self-respect
Risks of ill-health
The “psychological scar” persists
Suicide in young men > 6mths out of work is increased 40x (Wessely, 2004)
Greatest impact on the children

14. Perception of employers
Hassle
Costly
Lower productivity
Higher absenteeism
Impact on other employees
Customer concerns
Health and Safety issues

15. Functions Engaging with employers from an employer perspective
Providing employers with the tools
Knowledge
Information
Networking
Learning from the successes of others

16. Employers Employer Advice Line Account managers Work Brokers
Disability Confident Employers- msd.govt.nz/DisabilityConfidentNZ
Employability Launches
Modification Grants
Subsidies – Flexi wage
Skills for Industry programmes

17. Services to clients – assessment
Self – assessments
Designated Doctor Assessments
Specialist assessments
Workability Assessments

18. Support to get into work
Job Search Service
Funding to address Health and Disability barriers
Dress for success
CV writing; interview skills
Work Experience
Work confidence
Mainstream programme
SLP – Opt In Programme
Contracts with:
Supported employment Agencies
Work to Wellness providers (Mental Health Service)

19. Stay in Work
Sustainable Employment Trial- allows a person to work 15 hours or more in open employment for up to 6 months while retaining Supported Living Payment
In work support
Job support – providing reasonable accommodations for individuals in employment.

20. Finding out what works Number of trials: Oranga Mahi
REACH (Waikato)
Step Up – (Canterbury ) -co located with Primary Care
Restores – (Waitemata) Intensive case management foe people with Stroke
Rakau Rangatira (Northland) – integrated social and health programme
Mana Taimahi – National Hauora Coalition
Resiliency unleashed – one day workshop for staff and managers
Intensive Client Support trial (Nelson)

21. Outcomes Sustainable employment Staircase off benefit
Better futures for clients and their families

22. Questions

23. Contact