Published on March 16, 2014
National Disability Summit
Growing Reform Disability ServicesTasmania • 2009 - 2012 all direct service delivery outsourced to not for profit community sector • Single access point for intake, assessment and referral - “Gateway Service” • Move from block funded approaches to more individualised, person centred • Introduction of a unit price framework for all service types • Introduction of a Quality and Safety Standards Framework forTasmania’s Funded Community Sector (the Standards Framework)
Gateway Model Gateway Services • 2008 – Integrated Family Support Services (IFSS) • 2009 – Disability Services Key elements of the Gateway mirror elements of the NDIS including • A single intake, referral and assessment point • A Common Assessment Framework • Local Area Coordination Tasmanian Government contracts two community sector organisations to operate Gateway Services in regions • North West and South East – Mission Australia • North and South West - Baptcare Inc
Growing Services • Delivering services to 6500 people with disability • 87 specialist disability services funded by Tasmanian government • 1000 young people in the current NDIS cohort of 15 – 24 year olds • Potential population at full scheme expected to be around 10 600 • 114 NDIS registered service providers
Groundswell… There was an overwhelming groundswell of community support for a launch of the NDIS in Tasmania demonstrated through the: • Every Australian Counts Campaign • Premier’s Advisory Group • Service providers • Individuals coming together to support a launch
Get real… • Bilateral Agreement to commence launch on 1 July 2013 • Cohort approach agreed • Planned intake of existing and new participants • Cash and in-kind contributions to the scheme settled
Getting the cohort… 2013 – 2016 a cohort approach • young people with disability aged 15 to 24 years • A focus on transition issues for young people moving from school to employment or vocational options and for those young people moving from state care
Getting the cohort – participants in the Scheme • Participants entering the scheme in a planned approach - 2013-14 - 792 eligible participants - 2014-15 - 114 eligible participants - 2015-16 - 63 eligible participants • Priority in 2013-14 (by quarter) - Young people on the needs register for Individual Support Packages or community access - Young people who require transition planning (school leavers and out of home care) - Young people in receipt of mental health services - Other new participants
Getting the approach right… April 2013 • Programs identified as potential to be “cashed out” - All individualised funding approaches • Programs constrained by block funding to be “in kind” • In-kind services included as part of the trial include: - supported accommodation - respite - community access - community support services - therapy services
Gaining consent getting ready… • A NDIS State Implementation Team (SIT) was established under an Memorandum of Understanding with the Australian Government • Priorities of the SIT - identify all young people in the cohort - gain consent to share information - Work with the NDIA to transition the cohort group - Work with Service providers - Work with mainstream services - Ensure that there is sustainability across the disability services sector
• As of 1st March 2014 - 534 approved NDIS plans - 122 planning meetings scheduled - 164 plans to be approved by 30 June 2014 to meet the Bilateral Agreement Getting there…the trial
Getting the statistics December 2013 • 262 of the cohort plans included existing state funded specialist services • 86 new participants • 236 Agency managed plans • 91 plans a combination of Agency managed and self- managed • 9 plans entirely self-managed • 114 service providers are now registered with the NDIA in Tasmania
Getting it right! Is the NDIS making a difference for youngTasmanian’s with disability? YES! With very positive results • A young person with communication issues has received NDIS funding to purchase an IPAD to enable her to send and receive messages and research topics of interest for the first time in her life. • The iPad has changed the way this young woman communicates with her family and others. It’s also reduced the anxiety of both mother and daughter when they are not together in that they know each other is just a message away. • This is significantly improved her independence.
Getting Results! Case study of a young man exercising real choice and control • 19 years old and with multiple disabilities • Choice of 21 service providers to implement the support in his individualised plan - with so many options, how did he choose? • NDIA Local Area Coordinator and guardian support the participant to email each of the 21 service providers - introducing himself and explaining what services he would like. He gave them two weeks to respond with how they could meet his needs • 13 providers responded with specific suggestions • LAC, guardian and participant able to then shortlist to three providers • Met with shortlisted providers and chose preferred one
GettingThrough… Implementation Challenges and Solutions • Planning process • Provider issues • Cash and in-kind services • Participant phasing
• The cohort approach – testing vital elements of the NDIS model state-wide and at key transition points for young people - Increased demand for services on leaving school or moving to training or higher education - Remote and rural service delivery - Expectation of more innovative and individualised approaches GettingThrough Planning Process
GettingThrough Provider Issues • Diverse sector - Very small services with single service delivery focus to very large services with multiple funding sources - Family oriented organisations with low skill Boards to large providers with sophisticated business processes and governance structures. • Variable sector readiness • “Vulnerable” providers
GettingThrough Sector Support What isTasmania doing to support the sector? • Collaboration with the sector • Sector development activities to date have included: - Values based support workshops - Active support / person centred planning activities - Support Workers conference - Governance workshops - Business disciplines in a changing marketplace workshops - NDIS specific information sessions-facilitated by the NDIA • Sector development will continue to be a key priority
GettingThrough Cash and In-kind • The implementation of in-kind in Tasmania has been complex to administer and somewhat inflexible, to the point where it has created an operational burden for the Tasmanian government, the NDIA and service providers. • There are a number of reasons why this is the case: ! Slower than expected participant entry to the scheme ! Slow take-up of providers in using the NDIS portal ! Constraints of in-kind
• Longer than expected timeframes to complete plans • Slow implementation of new services • Complex and high intensity supports challenging • Plan costs have exceeded the estimated average cost • Capacity and cash flow issues for providers in delivering new services GettingThrough Participant Phasing
Getting others to come along with us… • The Council of Australian Governments agreed on principles to determine the responsibility of the NDIS and other service systems in early 2013 • Engaging with mainstream services - liaising with mental health, aged care, education, transport, justice and child protection to develop processes for a smoother transition • Key principles of the NDIS - providing an opportunity for mainstream services to work together, moving toward full scheme.
Going Forward… • Tasmania has begun planning for full scheme • The key priorities identified in preparation for full scheme are: - Phasing in of around 10 000 participants over three years - Build on the lessons from the trial to communicate effectively with the sector - Role of state government as a future service provider - Overcoming capacity issues in accommodation and centre based respite - Tasmania’s role and responsibility in full scheme
Getting in touch Tasmania welcomes discussion, shared experiences and information sharing with other states and territories. For more information you can contact: Kathryn Ellston Project Manager, State Implementation Team-NDIS Phone (03) 62332248 Email: firstname.lastname@example.org Ingrid Ganley Director, Disability and Community Services Phone (03) 62334066 Email: email@example.com
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