NDIS Annual Report 2018–19

Annual Report 2018–19 NDIS Growth Participant Outcomes of participants rated their overall satisfaction 117,307 90% with the NDIS planning participants received an process as either good or approved plan in 2018–19. very good Of those: of participants said their planner listened to them 94% and 94% of participants 60,771 said they had enough were previously supported by state time to tell their story and territory disability programs of participants said 11,801 95% their planning meeting had gone well were previously supported by Commonwealth disability programs of parents and carers of children aged 0 years 44,735 to before starting 94% school, thought the received disability supports NDIS improved their for the first time child’s development Participants in the Scheme for two years show significantly 8.4% improved outcomes. These include: of total Scheme participants identify 9% increase in independence for as Culturally and Linguistically children aged 7 to 14 years Diverse, compared to 7.5% last year 7% increase in assistance with daily living for participants 7% increase in choice and control for 62% participants aged 25 years and over increase in the number of participants from last year 11% increase in accessing community and social activities for participants aged 15 and over eligible Australians with a permanent and significant disability have benefited from 298,816 the Scheme, as at 30 June 2019 Lacey Amos Lacey Amos, from Barcaldine, Queensland, recently attended a family wedding with her parents. Lacey receives NDIA funding for support workers to help with her cerebral palsy, and therapy to help with her breathing, posture and speech. The extra support has fostered independence for Lacey, and strengthened the relationship between her and her mum, Sharon. National Disability Insurance Agency Annual Report 2018–19 Pamela East Pamela East used to live in an aged care residence with much older residents. NDIS funding helped her move to more age-appropriate care. “It’s been a massive achievement,” Pamela said, “I look forward to enjoying a more independent and fulfilling life.” Introduction Introduction The National Disability The Scheme provides specialist disability supports that complement mainstream Insurance Scheme (NDIS or the services provided by the Australian Scheme) is a fundamental shift Government and state and territory governments. It is founded on insurance in the way Australians with principles, making evidence-based decisions a significant and permanent on individuals’ access to the Scheme. disability access supports. The This insurance approach is underpinned by Scheme continues to focus on four key principles: 1. Develop actuarial estimates of the providing all eligible Australians reasonable and necessary support who enter the Scheme under needs of participants the age of 65 years, and 2. Focus on lifetime value for Scheme participants who have a permanent and 3. Invest in research and significant disability, with the encourage innovation reasonable and necessary 4. Support the development of community supports they need. capability and social capital. With this new market-based approach, participants work closely with Local Area Coordinators (LAC) or Early Childhood Early Intervention (ECEI) providers to help develop a plan that focuses on their individual goals. Participants can choose their providers, rather than having providers selected for them. The Scheme forms an important part of the Australian Government’s National Disability Strategy 2010–2020, a 10-year policy framework for improving the lives of Australians with disability, their families and carers. The current and future strategy is the cornerstone of Australia’s implementation of the United Nations Convention on the Rights of Persons with Disabilities, enabling people with disability to participate in all areas of Australian life and fulfil their potential as equal citizens. iii National Disability Insurance Agency Annual Report 2018–19 NDIA purpose The purpose of the National Drawing on the Council of Australian Governments (COAG) Disability Reform Disability Insurance Agency Council (DRC) expectations, the NDIA’s (NDIA) is to increase the ability purpose is supported by four aspirations, as outlined in the NDIA Corporate Plan of individuals with a significant 2018–22, and illustrated in Figure 0.1. and permanent disability The four aspirations are: (participants) to be more 1. A quality experience and outcomes independent, and engage more for participants 2. A growing and competitive market with socially and economically, at innovative supports the same time as delivering a 3. A financially sustainable scheme financially sustainable Scheme 4. A high-performing NDIA. that inspires community and The COAG DRC’s expectations for participant stakeholder confidence. and community outcomes, supporting market development, and safeguarding the sustainability of the NDIS are reflected in Aspirations 1, 2 and 3. The expectations for developing a high-performing NDIA, building and maintaining stakeholder confidence, and identifying risks early and managing risks well are reflected in Aspiration 4. The new NDIA Corporate Plan for 2019–23 includes an additional aspiration that articulates the Agency’s recognition of the importance of a connected and engaged stakeholder sector. Further information on stakeholder engagement activities conducted in 2018–19 is provided in Chapter 1.4. To view the NDIA Corporate Plan, go to www.ndis.gov.au. iv NDIA purpose Figure 0.1: NDIA purpose and aspirations, 2018–19 Purpose To increase the ability of individuals with a significant and permanent disability (participants) to be more independent, and engage more socially and economically, at the same time as delivering a financially sustainable NDIS that inspires community and stakeholder confidence. 1 2 3 4 A quality A growing and A financially A experience and competitive market sustainable high-performing outcomes for with innovative scheme NDIA participants supports Facilitate Work with Deliver a Develop a outcomes providers financially high-performing of economic and other sustainable NDIA that and social stakeholders Scheme within inspires independence to facilitate the agreed stakeholder and deliver a the growth of funding, based confidence quality service a participant- on insurance and empowers for participants, centric market principles and delivery and their of adequate risk-awareness. partners. families, carers size, quality and providers. and innovation. v National Disability Insurance Agency Annual Report 2018–19 About this report This annual report is prepared in accordance Part 2: Details the governance arrangements with legislative requirements. It summarises of the NDIA, its structure and core the NDIA’s financial and social activities from management processes. 1 July 2018 until 30 June 2019. This includes Part 3: Presents reports required by how the NDIA fulfilled the principles set out the Public Governance, Performance and in the National Disability Insurance Scheme Act Accountability Act (PGPA Act) and the NDIS 2013 (NDIS Act). Act, including a summary of the NDIS This report provides information on the NDIA’s financial sustainability report, 2018–19 four primary stakeholders: annual performance statements and financial statements. • our participants Part 4: Provides additional information • our providers about the NDIA’s performance including • our Commonwealth, state and territory specific statutory provisions that have not governments, and been addressed within the body of the • our people. annual report. It also acknowledges the critical role played by the disability sector. Acknowledgements The NDIA acknowledges the objectives of Report structure the Convention on the Rights of Persons with Disabilities. Introduction: Includes an overview of the NDIS, the purpose and aspirations of the The NDIA acknowledges the Traditional NDIA, messages by the Chairman and Acting Owners and Custodians of the country Chief Executive Officer (CEO) highlighting key throughout Australia, and their continuing achievements and challenges, and directions connection to land, sea and community. for the coming year. We pay our respects to their Elders, past, present and emerging. Part 1: Focuses on participants and progress made in 2018–19 in improving the lives of Australians with disability, their families and carers. It also provides information on the NDIS during transition. vi Contents Contents Introduction iii NDIA purpose iv About this report vi Letter of transmittal 1 Chairman’s review 2 Chief Executive Officer’s review 7 Part 1: Delivering to NDIS participants 13 Chapter 1.1 A quality experience and outcomes for participants 14 Chapter 1.2 A growing and competitive market with innovative supports 21 Chapter 1.3 A financially sustainable Scheme 27 Chapter 1.4 A high-performing NDIA 29 Part 2: Our structure and accountability 41 Chapter 2.1: Our governance and structure 42 Chapter 2.2: Our Board 44 Chapter 2.3: Our executive 54 Chapter 2.4: Risk management 62 Chapter 2.5: Workforce management 65 Part 3: Sustainability and performance 69 Chapter 3.1: Financial sustainability report 2018–19 70 Chapter 3.2: Annual performance statements 75 Chapter 3.3: Financial statements 87 vii National Disability Insurance Agency Annual Report 2018–19 Part 4: Appendices and indexes 123 Appendix A: Enabling legislation 124 Appendix B: Reports by parliamentary committees 125 Appendix C: Board members’ meeting attendance 126 Appendix D: Executive remuneration policy

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