‘living not existing’ ndis opportunities & challenges
Post on 17-Jan-2016
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‘Living not existing’NDIS Opportunities & Challenges
“Disruptive Innovation”• massive service system change
• Victorian NDIS rollout now announced
• Impending changes to HACC with transfer of younger people to NDIS
• NDIS will double investment in disability in Victoria, and expand provision of disability services to over 100,000 residents
“Disruptive Innovation”Transition to a nationally run schemeNDIS characterised by: • Choice and Control for participants• Emphasis on early intervention and lifetime
approach to a person’s needs• commitment to a social insurance approach, within
the framework of a National Disability Strategy with its emphasis on community inclusion.
Disability Support System
Victorian NDIS rollout schedule
Still awaiting …
• Victorian NDIS operational plan by December 2015
• Clarity re accommodation issues by December 2015
• Safeguards and QA Framework to be agreed by early 2016
• Results of LAC tender• ILC - Information Linkages & Capacity Building -
commissioning details
Still awaiting …
• Greater clarity about how mental health services will fit within NDIS
• Roll out of a national disability workforce plan • More detail of how the NDIA will address areas of
thin markets, and the extent of market regulation
Coming Up
Victorian government providing leadership, with new NDIS Taskforce
NDS is rolling out an NDIS Transition program of information and capacity building
Government program of information and transition support for communities
Challenges for local government
Local governments face both challenges and opportunities, in regard to their roles as:• Providers of direct services for people with disabilities• Providers of ‘Information, Linkages and Capacity
Building’ type services• Local service coordination related roles
NDIS context for providers
Organisational preparation• Assessment of skills and
capabilities and understanding of strengths and weaknesses
• Focus on strong local community connections
• Organisational efficiency improvements through financial modelling, cost control, and workplace innovation
More say for participants• greater diversity
in services purchased• greater flexibility in timing
and type of supports• less predicable patterns of
demand
Competition increasing• clients as ‘customers’ &
investment in relationship management processes
• New market entrants & some participants self managing supports
• cherry-picking of profitable services?
• Increased demand for services driving workforce growth and competition for high quality staff
NDIA prices• Lean pricing particularly
loadings for supervision and non-client facing time
• L&D squeezed• Funding in arrears after
services have been delivered
NDIS Pricing StructureNDIA Efficient Price - standard Workforce Conversions
Direct Support Staff Pay Rate $21.85
Annual Leave – including loading. $2.17($1.89 without loading).
20 days per FTE
Personal Leave $0.43 5 days per FTE
Long Service Leave Allowance $0.07 0.85 days per FTE
Non-client facing rate (95% Client facing time).
$1.29 13 days per FTE
Total direct support staff rate. $25.82
WorkCover & super $3.49
Program mgt & admin $2.43
Corporate overhead + Profit Margin $4.97
Total costs $36.70
For Service Providers• NDIS presents large opportunities for growth, but hard decisions about
the direction of growth.
• In making decisions, service providers need to consider:– internal factors: their purpose, skills and capacity–external factors: competition, workforce availability, consumer
demand–policy settings: prices, regulation, the NDIS implementation plan
ILC: Information, Linkages, Capacity Building
ILC is for all people with a disability and their families, including but not limited to NDIS participants
Currently, limited information about what and how ILC will be funded.
5 streams of services:• Information, Linkages and Referrals• Capacity building for mainstream
services• Community awareness and capacity
building• Individual capacity building• Local area Coordination
5 proposed funding priority areas:
• Specialist or expert delivery• Cohort focused delivery• Multi-regional supports• Remote/rural solutions• Delivery by people with disability for
people with disability
Local CommunitiesOpportunity for local governments to play an active role in shaping NDIS transition within their communities
Supporting smooth transition for: - People with disabilities and families; Workers; Service
providers; Mainstream and other services
Continuing to support social inclusion opportunities
The Scheme’s impact: one story
Sarah FordycePolicy Manager
NDS Victoria
‘The Scheme has changed my life: it’s saved my marriage and my family. It’s providing my kids with the supports they need so they wake up happy in the morning, not throwing tantrums. I’ve been able to return to work and my wife has recently been able to as well. The way things are going, within 5 years, we expect to be able to start a business employing 10 people, knowing my children are going to be OK.’
Barwon participants’ Dad
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