We are Worth the Investment. NSW Council for Intellectual Disability Conference 16-17 July 2015. David Bowen CEO NDIA at Opening Session NDIS-where are we now?
4. National Disability Insurance Scheme (NDIS)
Where are we now?
Rhonda Galbally
Chair, Independent Advisory Council
16 July 2015
5. NDIS Independent Advisory Council (IAC)
• Provides independent
advice to the Board, on its
own initiative or at the
request of the Board.
• Members reflect the diversity
of people with disability, to
capture the necessary skills,
knowledge and expertise
required to perform its
important function.
6. National Disability Insurance Scheme (NDIS)
Healthier lives in the NDIS
Anne Skordis
General Manager,
Full Scheme Design and Transition
16 July 2015
7. • Some participants will have support needs from the NDIS and
the health and mental health systems.
• The NDIS may fund non-clinical support for daily living
assistance.
Mental health and the NDIS
8. • Chaired by NDIA Strategic Adviser Mr Eddie Bartnik and includes
diverse sector representatives,
• Provides expert advice from a cross section of the mental health
sector about the progressive integration of psychosocial disability
into the NDIS.
NDIA Mental Health Sector Reference Group
9. National Disability Insurance Scheme (NDIS)
People in contact with the criminal justice system
Anne Skordis
General Manager,
Full Scheme Design and Transition
17 July 2015
10. NDIS and the justice system
The NDIS is responsible for:
• Supports for people living in the community
• Limited support for those in custody
The justice system is responsible for:
• Monitoring for those in community
• (Almost) all supports in custodial settings
11. Responsibility of the NDIS
11
• All reasonable and necessary support for people on community based
orders
• Skills and capacity building
For people in custody:
• Support to live in the community post-release and aids and equipment
12. Responsibility of the justice system
• Legal system
• Management and compliance
For people in custody:
• All support for custody and custody-like settings
13. National Disability Insurance Scheme (NDIS)
Housing
Anne Skordis
General Manager,
Full Scheme Design and Transition
17 July 2015
14. NDIS and Housing
• Access to suitable and stable housing is critical to the well-
being of people with disability and the vision for the NDIS.
• People with disability and their families should the same
opportunity to choose their housing arrangements as
everyone else.
15. • The NDIS will provide support for
people with disabilities to live
independently, as part of ‘reasonable
and necessary’ support.
• This can include home modifications,
skills development, or support with
personal care or domestic
assistance.
• Families also have a critical role to
play, where they have the financial
capacity to do so.
NDIS and Housing
16. National Disability Insurance Scheme (NDIS)
Children, Young People and the NDIS
Mary Hawkins
Nepean Blue Mountains Early Transition Site
16 July 2015
17. Early intervention
• Investment in early intervention is a key feature of the NDIS.
• Early intervention is for both children and adults.
18. Early intervention requirements
To meet the early intervention requirements a person
must have an impairment that is, or is likely to be,
permanent.
AND
There is evidence that receiving supports now (early
interventions) will help:
o Reduce the level of support needed, now and in
the future OR
o Assist their family/carer to keep providing
support
19. NDIS pathway in the Nepean Blue Mountains
“I understand
what the NDIS can
offer my family”
“I have been given
advice on the
existing
community
resources that
could assist us”
Community
Connectors
“I can contact
NDIA to see if I
meet the access
requirements”
National
Access Team
“What will the
NDIS mean for
our
organisation?”
“How do we
prepare to
transition our
clients to the
NDIS?”
Provider
Support
“I have
conversations
about planning
and support
needs”
Community
Connectors
“I choose how
my plan can be
applied to reach
my goals”
“I direct and
implement my
plan (with the
assistance I
need)”
Community
Connectors
“I receive my
plan with my
informal,
mainstream and
funded
reasonable and
necessary
supports”
Planner
Provider
Engagement
Community
Engagement
Access
Request
Plan
Readiness
Planning
Plan
Implementation
20. National Disability Insurance Scheme (NDIS)
Accessible Session: NDIS Q&A
Suzi Punshon
Director of Engagement and Funding,
Hunter Trial Site
16 July 2015
22. National Disability Insurance Scheme (NDIS)
NDIS Q&A
Branka Carter
Branch Manager Operations
Lee Duncombe
Regional Director Hunter Trial Site
17 July 2015
24. National Disability Insurance Scheme (NDIS)
Meeting complex behavioural needs
Vanessa Robinson
Ag/ Director Scheme Integrity
17 July 2015
25. NDIS and complex behaviours
• Vision of the Scheme is optimising social and economic
participation for people with disability
• Planners consider specialist assessment or assessments to
inform planning
• We aim for the least restrictive and best practice when
providing supports for behavioural concerns.
26. • NDIA is not a provider of support
• In Trial identifying issues and have put in place strategies to
address issues
• The Agency will work with states and territories to transition
specialist supports and ensure there is an appropriate market
response
• Leverage off best practice
NDIS and complex behaviours
27. National Disability Insurance Scheme (NDIS)
Information, Linkages & Capacity Building
Nick Chiam
Director, Community Development Authority
17 July 2015
30. National Disability Insurance Scheme (NDIS)
Planning for participants
Susan Jennings
Planner, Hunter Trial Site
17 July 2015
31. Each participant will have an individual plan
Individual Goals
and Aspirations
Informal, Mainstream
and Community
Supports
(provided by other
systems, family, friends
and community)
NDIS Funded Supports
(reasonable and
necessary)
34. What is possible?
“As a result of NDIS I have learnt to catch the
bus to TAFE and home again by myself and I am
gaining more independence”
“As a result of the NDIS I now have a vegetable
garden growing in my back yard and I am
engaged with more social networks and
developing some new friendships”
“Because of the NDIS I can now have respite
supports in my own home instead of the
nursing home with old people.”
“As a result of the NDIS I now have a permanent
part time job in my home town.”
Editor's Notes
Four trial sites have been operating across the country for over 18 months. They are in the Hunter (NSW), Barwon (VIC), South Australia (for children under six years of age) and in Tasmania (for young people, aged 15 to 24 years).
We have also expanded the NDIS trial sites to include the ACT, Barkly in the NT and Perth Hills, in WA.
In May 2015 an early transition site was announced by the Commonwealth and NSW Governments in the Nepean Blue Mountains area, an office will be opening on 1 July 2015 and participant planning will commence on 1 September 2015 (for children under 17 years of age).
In Queensland, important preparatory work by the NDIA and the Queensland Government is forging ahead under a Memorandum of Understanding. Queensland will transition in July 2016.
Importantly, all jurisdictions except for WA have now committed to a full scheme roll out.
Appointments must ensure:
a majority of members are people with a disability
at least two of the members are carers of people with disability
at least one of the members is a person who has the skills, experience or knowledge in relation to disability in rural or remote areas
at least one of the members is a person who has skills experience or knowledge in the supply of equipment, or the provision of services, to people with disability.
The Advisory Council can provide this advice on its own initiative or at the written request of the Board about the way in which the National Disability Insurance Agency:
performs its functions in relation to the Scheme
supports the independence and social and economic participation of people with disability
provides reasonable and necessary supports, including early intervention supports, for participants in the Scheme launch
enables people with disability to exercise choice and control in the pursuit of their goals and the planning and delivery of their supports
facilitates the development of a nationally consistent approach to the access to, and the planning and funding of, supports for people with disability
promotes the provision of high quality and innovative supports to people with disability
raises community awareness of the issues that affect the social and economic participation of people with disability, and helps with greater community inclusion of people with disability.
In providing advice, the Advisory Council must consider the role of families, carers and other significant persons in the lives of people with disability.
The NDIS is responsible for
for people living in the community (including on bail and community-based orders) the usual reasonable and necessary supports, including behaviour management plans and capacity building can be accessed
for people in custody only specialist transition supports and aids and equipment can be accessed
The Justice System is responsible for
population wide crime prevention and offender management
accessibility of the justice system
for people living in the community – monitoring of community-based orders
for people living in custody – all supports (except specialist transition supports and aids and equipment – agency provided)
The NDIS will be responsible for, where a person meets access requirements,
All supports for people on community-based orders – including supports to meet any court-imposed conditions
Skills and capacity building – social relationships, communication, behaviour management
For people in custody:
The NDIS will only provide ‘support to live in the community post-release’ and aids and equipment
The justice system is responsible for
The legal system including guardianship, advocacy, community visitors, legal aid, victims or witnesses of crime
Management and compliance – services to ensure compliance with court or parole orders for people living in the community.
For people in custody:
All support for custody and custody-like settings (except aids/transition) – prisons, secure mental health, ‘youth justice centre’, ‘disability justice centre’
A person meets the early intervention requirements if the person:
has one or more identified intellectual, cognitive, neurological, sensory or physical impairments that are, or are likely to be, permanent; or
has one or more identified impairments that are attributable to a psychiatric condition and are, or are likely to be, permanent; or
is a child who has developmental delay.
Early intervention is the means of providing specialised support and services for example to infants and young children with disability or developmental delay. It may also apply to adults with recently diagnosed conditions that without intervention would result in significant impairment.
The priority for children will be on those investments with the greatest potential to make a difference over the life course.
The nature of interventions funded under the scheme will be informed by the available evidence of their impacts and outcomes, where this is available.
Community Engagement
Potential participants, their families and carers meet with Community Connector (may be individual or group) and are directed those who require community connections to such existing resources.
Provider Engagement
Provider Support team meet with local providers to offer advice on registering and working in the new scheme.
Access Request
Potential participants who are likely to require individual funding directed to Access Team for eligibility decision and questions regarding Ref packages and Outcomes Framework.
Plan Readiness
Those eligible for NDIS funding meet again with Community Connectors to discuss plan requirements.
Planning
Eligible participants meet with an NDIA planner to finalise plan.
Plan implementation
Community Connector meets/contacts participant to ensure plan implementation is going smoothly and participants requiring higher level of support to implement plan are assisted by their Community Connector to make contact with a Support Coordinator.
Case study: Tiana
Illustrating the NDIS Pathway: Tiana is three years old and lives in South Australia
When Tiana was diagnosed with Autism Spectrum Disorder, her paediatrician referred her family to the NDIS to access early intervention support.
A planner met with Tiana and her parents at their home to talk about her support needs and the family’s goals for her.
Tiana’s agreed plan includes therapies focused on motor skills, communication and social interaction to help Tiana to learn, play and express herself at the same level as other kids her age.
Tiana’s parents received information and learned techniques to support her development at home, and are connected to a local support group, which allows them to meet families in a similar situation.
The plan includes a review date when Tiana enters preschool, to ensure her supports continue to match her needs.
A major barrier to inclusion for people with disability is behaviours of concern
Agency working on developing skills and expertise of planners to ensure that where a participant has BOC, appropriate supports can be funded to address these
Integrated planning & Coordination of supports
Eg. trial sites – identified support services who will provide crisis supports
Ensuring appropriate service supports are available to people with disability will be completed collaboratively with state and territory governments and strategies to achieve this will be identified through the operational plans that are currently being developed
These plans will identify how we will work together during transition to full scheme
Includes understanding what roles governments will maintain and identifying potential service gaps and how these will be addressed
Agency will work with
Information, Linkages and Capacity Building (ILC) is a key component of the support provided under the NDIS. If you are familiar with the development of the scheme, ILC is the new name for “Tier 2” of the NDIS and better reflects the supports it will provide.
ILC contributes to the sustainability of the scheme by building the capacity of the community, people with disability, their families and carers, and helping to foster greater community inclusion. Overtime, this will reduce the demand for and the level of support required from individually funded responses.
ILC supports will be delivered through five streams of activity:
Information, Linkages and Referrals
Capacity building for mainstream services
Community awareness and capacity building
Individual capacity building
Local area coordination
Together with the planner an individual plan is formed which consists of:
individuals agreed goals,
a listing of other supports that help in meeting those goals such as the support provided by family and friends and other government services such as health and education,
and the funded supports provided by the scheme if appropriate
Types of funded supports
Most participants will access a blend of informal, mainstream and funded supports
Supports that are NDIS funded must be reasonable and necessary and must:
focus on the participant’s goals and aspirations
foster greater independence, social and economic participation
be evidence based
represent value for money
Choice of and control over NDIS funded supports means safeguards may be needed to reduce risk of harm, abuse or neglect
Planner, Fiona Cranny provides an overview of the process for developing your NDIS plan of supports.
Click image to play video (4mins 50secs)