Maureen Sheehan, Community Sevices Directorate, ACT - ACT Case Study

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Maureen Sheehan, Executive Coordinator, ACT National Disability Insurance Scheme, Community Services Directorate, ACT delivered this presentation at the 5th Annual National Disability Summit 2014. Examining the theme of “Ensuring Sustainable & Successful Disability Reform through the NDIS”, I am proud to present a diverse program showcasing insights and case studies from individuals across the entire Disability Sector to give a realistic and insightful overview of the NDIS rollout to date, and recommendations for moving forward successfully

For more information, please visit https://www.communitycareconferences.com.au/nationaldisabilitysummit14

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Maureen Sheehan, Community Sevices Directorate, ACT - ACT Case Study

  1. 1. www.act.gov.au/ndis   Presenta3on  by     Maureen  Sheehan     Execu3ve  Coordinator,  ACT  NDIS  Taskforce  
  2. 2. www.act.gov.au/ndis   •  The  NDIS  begins  in  the  ACT  on  1  July  2014.   •  The  first  jurisdic3on  in  Australia  to  accept  all   eligible  residents  into  the  Scheme  by  2016.   •  Access  requirements:   – A  resident  of  the  ACT   – Under  the  age  of  65  on  1  July  2014   – Meet  the  disability/early  interven3on  requirements  
  3. 3. www.act.gov.au/ndis   •  5,025  people  to  transi3on  by  July  2016.   – 2,500  in  2014  –  2015   – 2,525  in  2015  –  2016     •  Funding  in  the  ACT  to  double  to  $342m  p/a.   •  Not  for  profit  capacity  to  move  to  a   commercially  compe33ve  model.     •  Workforce  cultural  change.  
  4. 4. www.act.gov.au/ndis   •  $7.7m  for  two  rounds  of  grants  for  people  to   purchase  disability-­‐related  supports  or   services  and  “test  drive”  the  NDIS.   •  804  successful  applicants  in  Round  1   •  556  successful  applicants  in  Round  2  
  5. 5. www.act.gov.au/ndis   “This  grant  is  going  to  change  our  lives...  When  I   finally  opened  the  envelope  I  burst  into  tears.   It  means  that  much  to  our  family.”   “I  can  hear  bubbles.  It’s  so  cool,  I  can  hear   underwater!”  
  6. 6. www.act.gov.au/ndis   •  To  date,  informa3on  sessions  have  been  held   with  school  staff,  Therapy  ACT,  youth  workers   and  other  stakeholders.   •  Further  informa3on  sessions  will  be  held  in   the  lead  up  to  1  July.   •  Stakeholders  have  asked  a  range  of  ques3ons.  
  7. 7. www.act.gov.au/ndis   Using  the  Gender  lens   ABS  2012  Disability,  Aging  and  Carers  survey  data   Summary  of  findings  –  by  gender,  number  and  propor?on  of   popula?on  in  the  ACT         Male                                                    Female   Profound  core  ac3vity  limita3on              2400  (1.4%)                              2400(1.5%)   Severe  core  ac3vity  limita3on                3200    (1.9%)                3800  (2.3%)   Moderate  core  ac3vity  limita3on                          1900    (1.1%)                  3100  (1.9%)   Mild  core  ac3vity  limita3on                                          4200  (2.5%)                  5700    (3.5%)  
  8. 8. www.act.gov.au/ndis   Using  the  Gender  lens         Male                              Female     Schooling  or  employment  restric3on                  11900  (7.1%)      14900  (9.0%)   All  with  specific  limita3ons                      14700(8.7%)      17900  (10.8%)   All  reported  with  disability                                        18200  (10.9%)          21,500  (13.0%)  
  9. 9. www.act.gov.au/ndis   What  is  reasonable  and  necessary?  
  10. 10. www.act.gov.au/ndis   •  Capacity  building  for  par3cipants  and  their  families   to  plan  and  vision  a  new  future.   •  Improvements  in  workforce  capability  and  stability.   •  Real  inclusion  and  integra3on  into  the  ACT   community.   •  Centralised  informa3on.   •  Greater  employment  opportuni3es  for  people  with   disability.  
  11. 11. www.act.gov.au/ndis   •  ACT  and  Commonwealth  have  agreed  a  sector   development  plan  to  work  with  funded   individuals  and  organisa3ons  to  help  prepare   for  the  NDIS.   •  $12.5  m  earmarked  for  sector  development.   •  $4.5  m  already  agributed  to  gehng  individuals,   government  and  community  organisa3ons   ready  for  the  NDIS.  
  12. 12. www.act.gov.au/ndis   36% 11%20% 10% 7% 5% 11% $0-$2m $2-5m $5-10m $10-20m $20-50m $50m + TBC data collection
  13. 13. www.act.gov.au/ndis   20% 28% 36% 16% Strong liquidity ratio >3.0 Medium strength Liquidity ratio 1.5 to 3.0 Weak position liquidity ratio <1.5 TBC by data Collection
  14. 14. www.act.gov.au/ndis   •  Feedback...   – Assessment  and  package  planning  and  pricing   – Cash  flow  stress  on  providers  as  they  transi3on   away  from  block  funding   – Change  management  implica3ons,  business   reconfigura3on,  unit  pricing,  marke3ng   – Workforce  cultural  change  
  15. 15. www.act.gov.au/ndis   Split  of  poten3al  ACT  NDIS  Services:     • 60%  of  ACT  Government  funding  to  community   providers.     • 40%  in  Government  as  provider  services.  
  16. 16. www.act.gov.au/ndis   18% 35% 9% 11% 11% 4% 9% 4% Accom NGO Accom Gov Community Support Community Access Respite Other HACC client support Mental Health
  17. 17. www.act.gov.au/ndis   Clients/Par?cipants   Client  capacity  to  exercise  control  and  choice  so  the   market  provides  and  responds  differently  under  an   NDIS.     Families   Aligning  the  legi3mate  needs  of  guardians  and  families   with    individual  par3cipant  needs  and  voice.  
  18. 18. www.act.gov.au/ndis   Carers   •  Over  the  next  10  years:   – 26%  reduc3on  in  the  number  of  carers  is   projected.     – Large  increase  in  clients  numbers.     •  If  current  service  delivery  were  replicated,  this   translates  into  carer  demand  for  accommoda3on   services.  
  19. 19. www.act.gov.au/ndis   Workforce   •  ACT  providers  compete  directly  with  government  for   professional  employee  skill  across  all  community   sector.   •  Low  unemployment  (2-­‐3%)  –  workforce  capacity  and   capability  issues.   •  Government  as  provider  of  disability  services.  
  20. 20. www.act.gov.au/ndis   Providers   •  Provider  financial  stability  without    block  funding   (30%  of  current  market).   •  Not-­‐for-­‐profit  capacity  to  move  to  commercially   compe33ve  model.     •  Market  skewed  by  cross  subsidisa3on  by  non-­‐NDIS   block  funded  programs:  failure  to  set  realis3c  service   price.   •  90%  of  ACT  market  funding  is  from  sources  other   than  disability  funding.  
  21. 21. www.act.gov.au/ndis   What  is  Interface?   •  COAG  Applied  principles  determine   mainstream/  NDIS  interface   •  Extensive  work  with  Government  and   community  providers  on  mainstream  and  “  in   scope”  specialist  disability  services   •  Educa3ng  government  services  about  control   and  choice,  and  what  it  means  for  mainstream  
  22. 22. www.act.gov.au/ndis   •  KPMG    actuarial  assessment  of  op3ons.   – 220  clients  per  month  at  average  package  $34,000   •  Looked  at:   – Ages  and  stages   – Service  provider   – Support  type   •  Will  disability  services  be  cashed  out,  or  will  they  remain  in-­‐ kind?   •  Control  and  choice  v  service  con3nuity  guaranteed  
  23. 23. www.act.gov.au/ndis   Are  we  there  yet?   •  NDIA  stand  up  January  2014   •  Recruitment  of  NDIA  staff  March-­‐  April   •  Co  loca3on  with  ACT  Human  service  Gateway  for  1  July   •  Flexible  alloca3on  of  planner  and  LAC  resources   •  Pre  planning  with  par3cipants   •  S.50  no3ces  to  providers  to  iden3fy  par3cipants   •  Learning  from  other  Trial  sites   •  Tier  2  in  ACT  Trial  

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