Progress Report on the Implementation and Administration of the National Disability Insurance Scheme
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Joint Standing Committee on the National Disability Insurance Scheme Progress report on the implementation and administration of the National Disability Insurance Scheme November 2015 Commonwealth of Australia 2015 ISBN 978-1-76010-295-1 PO Box 6100 Parliament House Canberra ACT 2600 Phone: 02 6277 3083 Fax: 02 6277 5829 E-mail: [email protected] Internet: www.aph.gov.au/joint_ndis This document was produced by the Joint National Disability Insurance Scheme Committee Secretariat and printed by the Senate Printing Unit, Parliament House, Canberra. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Australia License. The details of this licence are available on the Creative Commons website: http://creativecommons.org/licenses/by-nc-nd/3.0/au/ ii MEMBERSHIP OF THE COMMITTEE 44th Parliament Committee Members The Hon Mal Brough MP, Chair (until 23 September 2015) QLD, LP The Hon Bruce Billson MP, Chair (from 13 October 2015) VIC, LP Senator Alex Gallacher, Deputy Chair SA, ALP Senator Matthew Canavan (until 15 June) QLD, NATS Senator Linda Reynolds WA, LP Senator Rachel Siewert WA, AG Senator Zed Seselja ACT, LP Senator Anne Urquhart TAS, ALP Dr David Gillespie MP NSW, NATS Ms Jill Hall MP NSW, ALP Mr Steve Irons MP (until 23 September 2015) WA, LP Ms Joanna Lindgren (from 15 June) QLD, LNP The Hon Jenny Macklin MP VIC, ALP Mr Russell Matheson MP (from 13 October 2015) NSW, LP The Hon Amanda Rishworth MP SA, ALP Secretariat Mr Mark Fitt, Committee Secretary Mr Gerry McInally, Principal Research Officer Ms Natasha Rusjakovski, Acting Principal Research Officer Ms Fiona Gardner, Senior Research Officer Ms Ruth Edwards, Administrative Officer Mr Simon Jones, Administrative Officer Ms Sarah Batts, Administrative Officer Ms Hannah Dunn, Administrative Officer Ms Louise Kelly, Administrative Officer iii TERMS OF REFERENCE The Joint Standing Committee on the National Disability Insurance Scheme (NDIS) was established on 2 December 2013 when the Senate agreed to a resolution from the House of Representatives, passed on 21 November 2013. The committee is composed of six Members and six Senators. The committee is tasked with: a. reviewing the implementation of the NDIS; b. reviewing the administration and expenditure of the NDIS; c. reviewing any matter in relation to the NDIS referred to the committee by a resolution of either House of the Parliament; The committee's focus is therefore on the implementation and administration of the scheme. Unless otherwise stated, the committee will only accept submissions and correspondence that are directly and principally related to the implementation and administration of the NDIS. The committee has not been established to inquire into the case for having the NDIS. These issues have already been addressed by the Community Affairs Legislation Committee as part of its inquiry into the NDIS Bill 2012. The committee does not have the ability to examine, advise on, or advocate for individual cases. People with concerns about these matters should contact the National Disability Advocacy Program. After 30 June each year, the committee has been asked to present an annual report to the Parliament on the activities of the committee during the year. The report should include reference to the National Disability Insurance Scheme Board quarterly and annual reports provided by the Standing Council on Disability Reform. v Table of Contents MEMBERSHIP OF THE COMMITTEE ...................................................... iii TERMS OF REFERENCE ................................................................................ v ABBREVIATIONS ............................................................................................ xi RECOMMENDATIONS ................................................................................ xiii Committee Chair ............................................................................................... xv Chapter 1.............................................................................................................. 1 Introduction .............................................................................................................. 1 Structure of this report ............................................................................................ 1 The committee's focus ............................................................................................ 5 The committee's activities ...................................................................................... 6 Chapter Two ........................................................................................................ 9 Trial sites ................................................................................................................... 9 Highlights of the trial sites ..................................................................................... 9 The planned roll-out ............................................................................................. 10 Table 2.1: Planned NDIS roll-out ......................................................................... 10 The trial sites ........................................................................................................ 10 Progress in the trial sites ....................................................................................... 13 Table 2.2: Key statistics of all NDIS trial sites – as of 30 June 2015 .................. 14 Table 2.3. NDIA – Participant plans by primary disability support category ...... 16 Table 2.4. My Way – Participant plans by primary disability support category.. 16 Figure 2.1: Distribution of annualised support costs ............................................ 17 Trial sites commenced 1 July 2014 ...................................................................... 18 Table 2.5: Transition arrangements in the ACT trial site for 2014-15 ................. 19 Table 2.6: Key statistics of the new trial sites (after 1 year) ................................ 19 Table 2.7: WA NDIS My Way estimated participant population ........................ 20 Table 2.8: Key statistics of the new trial sites (after 1 year) ................................ 21 Table 2.9: 2014-15 My Way participation figures and associated data ............... 22 Table 2.10: Key statistics of the new trial sites (after 1 year) .............................. 24 Table 2.11 Northern Territory NDIS bilateral agreement participant numbers ... 25 Table 2.12 Cost of Northern Territory NDIS supports ........................................ 25 Committee view .................................................................................................... 26 Chapter 3............................................................................................................ 27 Participants and planning ...................................................................................... 27 Background ........................................................................................................... 27 The planning process ............................................................................................ 29 Table 3.1: Trends in plan management ................................................................ 37 Table 3.2: WA NDIS My Way trends in plan management ................................ 37 Local Area Coordination (LAC) .......................................................................... 41 Committee view .................................................................................................... 44 Chapter 4............................................................................................................ 47 Provider issues ........................................................................................................ 47 Table 4.1: Current NDIS service provider characteristics and market profile ..... 47 Background ........................................................................................................... 48 Sector readiness – strategic direction ................................................................... 48 Sector Development Fund .................................................................................... 51 Table 4.2: Sector development funds to states and territories .............................. 53 Transition assistance for existing providers ......................................................... 56 Indicators and approaches to ensure supply of supports in critical areas ............. 62 Developing effective pricing ................................................................................ 70 Committee view .................................................................................................... 74 Chapter 5............................................................................................................ 79 viii Conclusions.............................................................................................................. 79 Governance and strategic directions ..................................................................... 79 Systemic issues ..................................................................................................... 85 Committee conclusion .......................................................................................... 89 Appendix 1 ......................................................................................................... 91 Public Hearings ......................................................................................................