NDIS ACT LAUNCH SITE

Presentation by Maureen Sheehan

Deputy Director General

Community Services

ACT Government

ACT Launch Site Challenge

NDIS Trial 5000 people to transition by July 2016

• 2500 2014-2015

• 2500 2015-2016

• Funding to grow from $90m pa to $180m pa

• Data sets July 2012 : 3300 users of specialist disability, mental health, HACC services

• Data matching November 2012 reduces range to 1700-2400 service users

Where are they?

• Other service systems :

• Education or at home with parents since leaving school

• Homelessness

• Public Housing

• Corrections

• Clinical Services but no non clinical supports

Three components of ACT NDIS readiness

• Provider readiness

• Consumer readiness

• Family and carer readiness

ACT Provider Overview

Understanding who is providing services in the ACT so we can understand the

impact of the end of block funding and consumer choice.

36%

11% 20%

10%

7% 5% 11%

$0-$2m

$2-5m

$5-10m

$10-20m

$20-50m

$50m +

TBC data collection

90%

10%

TOTAL Revenue base

of providers in ACT

ACT Government

funding

Split of potential ACT NDIS Services:

•60% of ACT Government funding to community providers.

•40% in Government as provider services.

Financial strength of disability provider

sector

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

Current funded Support profile

18%

35%

9%

11%

11%

4% 9%

4%

Accom NGO

Accom Gov

Community Support

Community Access

Respite

Other

HACC client support

Mental Health

ADL Client Profile Statistics for the ACT (SDAC & ROGS)

ACT National Average

Need for Assistance with Daily Living in client group

Accommodation Services 95.60% 86% Community Support 82.50% 66.20% Community Access 82.80% 72.90% Respite Services 88.80% 82.20%

Potential population accessing services excluding employment 32.0% 23.0% Potential population aged 0- 65yo 11,000

Family and Carers

ACT carer capacity

• Over the next 10 years:

– 26% reduction in the number of carers is projected.

– 40% increase in clients numbers.

• If current service delivery were replicated, this translates into carer demand for accommodation services.

Risk areas Clients

Client capacity to exercise control and choice so the market provides and responds differently under an NDIS.

Families

Aligning the legitimate needs of guardians and families with individual needs and voice

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

Risk areas

Providers • Provider financial stability without block funding (30%

of current market)

• Not for profit capacity to move to commercially competitive model.

• Market skewed by cross subsidisation by non-NDIS block funded programs: failure to set realistic service price

90% of ACT market funding is from sources other than disability funding

Risk areas

1. Support for choice and control for people with a disability

Issues • Magnitude of cultural and business changes to move to

individual funding and consumer choice (Currently 10% of services by cost)

• Traditional reliance on government as provider and conservative models of support in sector

• Innovative models rarely emerge if not funded by government ( market failure ?)

• ACT client support profile is dominated by accommodation support models – 52% of current services.

2. Provider Viability

Issues

• Weak financial positions in small providers (30% of market) that primarily were established by parent groups or special interests.

3. Workforce Issues • Supply

• Low unemployment levels – impacting on costs and

supply

• Training and skills

• Cultural change to support control and choice

4. Carers

Issues

• ACT carer base (natural support) is ageing and is forecast to fall by 26% over next 10 years with a subsequent likelihood for demand for alternative accommodation

• Innovation and guidance in thinking about ‘what makes a good life for me?’ vital to achieve lasting change and sustainability

Progress to date

Expert Panel established August 2012

ACT NDIS Taskforce established October 2012

From July 2013 additional $9m grants

prepare individuals for self-directed funding

Establish demand in other service systems

ACT working with the sector on NDIS readiness

Advocacy for Inclusion – research on self-advocacy models for people with disability

ADACAS – research independent decision making models and improving skills

ACTCOSS – scoping study on citizen advocacy in ACT

Establishing training options for workforce

Progress to date

Procurement and funding stability

All funded organisations (Disability and Mental Health) 2013-14 (one year) extension of existing Service Funding Agreement

ACT and Commonwealth to agree a sector development plan to work with funded organisations to help prepare for implementation of the NDIS

Progress to date

Opportunity for Broader Community Sector Reform

ACT Social Compact

Joint Community Government Reference Group Agreement to become NDIS champions

All sector providers to see themselves as providers under an NDIS: they are already providing services in related service systems

Consistency with Commonwealth reform direction under Australian Charities and Not for Profit Commission

Progress to date

Next Steps Agree mainstream / NDIS interface Consider Cash and “in kind” service provision Agree Sector Development Approach with Commonwealth Develop Sector Development Projects with People with a

Disability, Providers, Families and Carers Align ACT funded and Commonwealth funded organisation transition planning Consider the role of Government as provider