Funding and Operation of the Commonwealth State/Territory Disability Agreement
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The Senate Standing Committee on Community Affairs Funding and operation of the Commonwealth State/Territory Disability Agreement February 2007 © Commonwealth of Australia 2007 ISBN 978-0-642-71756-6 Senate Community Affairs Committee Secretariat: Mr Elton Humphery (Secretary) Ms Christine McDonald (Principal Research Officer) Mr Owen Griffiths (Senior Research Officer) Ms Leonie Peake (Research Officer) Ms Ingrid Zappe (Executive Assistant) The Senate Parliament House Canberra ACT 2600 Phone: 02 6277 3515 Fax: 02 6277 5829 E-mail: [email protected] Internet: http://www.aph.gov.au/senate_ca This document was produced by the Senate Community Affairs Committee Secretariat and printed by the Senate Printing Unit, Parliament House, Canberra. iii MEMBERSHIP OF THE COMMITTEE From 11 September 2006 1 Members Senator Gary Humphries, Chair LP, Australian Capital Territory Senator Claire Moore, Deputy Chair ALP, Queensland Senator Judith Adams LP, Western Australia Senator Lyn Allison AD, Victoria Senator Carol Brown ALP, Tasmania Senator Concetta Fierravanti-Wells LP, New South Wales Senator the Hon Kay Patterson LP, Victoria Senator Helen Polley ALP, Tasmania Substitute Member Senator Siewert, AG Western Australia to replace Senator Allison for the inquiry and Senator Ferris, LP South Australia to replace Senator Adams on 6 October 2006 Participating Members for the inquiry Senator Guy Barnett LP, Tasmania Senator Andrew Bartlett AD, Queensland Senator Jan McLucas ALP, Queensland Senator Gavin Marshall ALP, Victoria Senator Ruth Webber ALP, Western Australia 1 The Senate Committee system was restructured on 11 September 2006 to amalgamate the former legislation and references committees. The membership of committees was varied as part of the restructure. Inquiries that were current on 11 September continued with the same terms of reference and reporting dates. iv Senate Community Affairs References Committee Until 10 September 2006 Members Senator Claire Moore, Chair ALP, Queensland Senator Gary Humphries, Deputy Chair LP, Australian Capital Territory Senator Judith Adams LP, Western Australia Senator Lyn Allison AD, Victoria Senator Carol Brown ALP, Tasmania Senator Helen Polley ALP, Tasmania Substitute Member Senator Siewert, AG Western Australia to replace Senator Allison for the inquiry Participating Members for the inquiry Senator Guy Barnett LP, Tasmania Senator Andrew Bartlett AD, Queensland Senator Jan McLucas ALP, Queensland Senator Gavin Marshall ALP, Victoria Senator Ruth Webber ALP, Western Australia v TABLE OF CONTENTS MEMBERSHIP OF THE COMMITTEE ..................................................................... iii RECOMMENDATIONS ....................................................................................................ix CHAPTER 1 INTRODUCTION .....................................................................................................................1 Terms of reference..................................................................................................1 Conduct of the inquiry............................................................................................1 Background.............................................................................................................2 CHAPTER 2 THE AGREEMENTS – INTENT AND EFFECT ....................................................................3 Background.............................................................................................................3 Commonwealth State Disability Agreement (1991-1992 to 1996-1997) ..............5 Major features......................................................................................................6 Funding................................................................................................................6 The views of consumers and service providers...................................................7 Impact of the first CSDA.....................................................................................7 Commonwealth State Disability Agreement (1997-1998 to 2001-2002) ............11 Funding..............................................................................................................11 Impact of the second CSDA..............................................................................12 Commonwealth State Territory Disability Agreement (2002-2003 to 2006-2007)....................................................................................13 Conclusion............................................................................................................21 CHAPTER 3 APPROPRIATENESS OF JOINT FUNDING ARRANGEMENTS......................................23 Introduction ..........................................................................................................23 Bilateral Agreements.........................................................................................24 Joint funding arrangements ..................................................................................26 Responsibilities..................................................................................................26 Inflexible interfaces...........................................................................................28 Commonwealth services - State/Territory services interface - transitions........28 State/Territory services interface – portability..................................................29 Dual diagnosis and multiple disability ..............................................................30 Complexity and overlap ....................................................................................32 Cost-shifting ......................................................................................................32 Whole of government coordination...................................................................34 A national approach?............................................................................................35 Competitive federalism .....................................................................................36 A federal dilemma .............................................................................................37 Conclusion............................................................................................................38 Assessment ...........................................................................................................41 vi Assessment and planning ..................................................................................41 Application procedures......................................................................................41 A National Framework......................................................................................43 A Disability Assessment Team?........................................................................44 The burden of multiple assessments..................................................................45 Appropriate Assessment....................................................................................46 Indexation of CSTDA funding .............................................................................46 Demand funding ...................................................................................................50 Growth Funding....................................................................................................52 Equity of funding distribution ..............................................................................53 Possible solutions ..............................................................................................55 Performance monitoring and reporting ................................................................56 Input controls.....................................................................................................58 The burden of accountability.............................................................................59 Outcomes and quality based performance framework......................................59 CHAPTER 4 UNMET NEED........................................................................................................................63 Disability support services ...................................................................................64 Assessments of unmet need..................................................................................65 Disability services data.........................................................................................67 CSDA Minimum Data Set.................................................................................68 CSTDA National Minimum Data Set ...............................................................68 Improvements in datasets ..................................................................................69 Conclusion.........................................................................................................73 Continuing unmet need.........................................................................................73 Accommodation support services .....................................................................74 Identification of unmet need for accommodation services............................75 Options for accommodation services.............................................................81 Respite services .................................................................................................82 Assistive