NDIS Planning Final Report
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Joint Standing Committee on the National Disability Insurance Scheme NDIS Planning Final Report December 2020 © Commonwealth of Australia 2020 ISBN 978-1-76093-139-1 (Printed Version) ISBN 978-1-76093-139-1 (HTML Version) 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/. Printed by the Senate Printing Unit, Parliament House, Canberra Committee Membership Chair Hon Kevin Andrews MP Menzies, VIC Deputy Chair Senator Carol Brown ALP, TAS Members Senator Wendy Askew LP, TAS Senator Anthony Chisholm ALP, QLD Ms Libby Coker MP Corangamite, VIC Mr Steve Georganas MP Adelaide, SA Senator Hollie Hughes LP, NSW Dr Fiona Martin MP Reid, NSW Senator Jordon Steele-John AG, WA Mr Andrew Wallace MP Fisher, QLD Former Committee Member Ms Alicia Payne MP (23 July 2019 to 2 September 2020) Canberra, ACT Committee Secretariat Bonnie Allan, Committee Secretary Antony Paul, Acting Principal Research Officer (from September 2020) Alan Raine, Principal Research Officer (July 2019 to April 2020) Ros Hewett, Senior Research Officer Andrew McIntyre, Senior Research Officer Nicole Baxter, Administration Officer iii Table of Contents Committee Membership .................................................................................................................. iii Executive summary ............................................................................................................................ xi Abbreviations .................................................................................................................................... xv List of Recommendations ............................................................................................................. xvii Chapter 1—Introduction .................................................................................................................... 1 Conduct of the inquiry ........................................................................................................................ 2 Background to the NDIS ..................................................................................................................... 2 Background to planning...................................................................................................................... 3 Interim report by this committee ....................................................................................................... 6 Supported Independent Living inquiry ............................................................................................ 6 Review of the NDIS Act and the new NDIS Participant Service Guarantee (Tune Review) .... 6 Structure of this report ........................................................................................................................ 7 Note on evidence provided to this inquiry ...................................................................................... 7 Note on terminology and references ................................................................................................. 7 Acknowledgements ............................................................................................................................. 8 Chapter 2—Issues raised in the interim report ............................................................................. 9 Standardised terminology .................................................................................................................. 9 Planner training .................................................................................................................................. 10 Plan flexibility and funding for transport ...................................................................................... 12 Draft plans and joint planning ......................................................................................................... 13 Joint planning introduced ...................................................................................................... 14 Government response ............................................................................................................ 16 The Tune Review .................................................................................................................... 17 Current status .......................................................................................................................... 18 Plan gaps ............................................................................................................................................. 19 Plan reviews ........................................................................................................................................ 22 The Tune Review .................................................................................................................... 26 Administrative Appeals Tribunal reviews ..................................................................................... 30 First plan approvals and complex support needs ......................................................................... 30 Children with acquired injuries and complex care needs ............................................................ 32 v Committee view ................................................................................................................................. 32 Chapter 3—Plan funding ................................................................................................................. 35 Impacts of reduced funding ............................................................................................................. 36 Legislative framework guiding funding decisions ....................................................................... 38 Lack of transparency in funding decisions .................................................................................... 39 The Tune Review .................................................................................................................... 42 The NDIA’s position............................................................................................................... 43 Unexplained funding decreases after plan reviews ...................................................................... 43 Participants being forced to choose between supports ................................................................ 48 Plan inconsistencies ........................................................................................................................... 49 Proposed solutions ................................................................................................................. 51 The Australian National Audit Office (ANAO) report ..................................................... 51 The Tune Review .................................................................................................................... 52 The NDIA’s position............................................................................................................... 53 Issues with funding for assistive technology (AT) ........................................................................ 53 Planners recommending cheaper supports ................................................................................... 55 Funding for support coordination ................................................................................................... 56 The Tune Review .................................................................................................................... 58 Funding rejected for specific types of supports ............................................................................. 59 NDIA response ........................................................................................................................ 61 Funding inflexibility .......................................................................................................................... 61 Funding for transport and travel ..................................................................................................... 62 Crisis and emergency funding ......................................................................................................... 63 NDIA response ........................................................................................................................ 64 Funding for advocacy and independent assistance with planning ............................................ 65 Other issues ......................................................................................................................................... 68 Committee view ................................................................................................................................. 69 Chapter 4—Informal supports and the role of families ............................................................ 71 Plans over-relying on the concept of parental responsibility ...................................................... 72 Caregivers being unable to work ..................................................................................................... 74 Older caregivers ................................................................................................................................. 75 Respite and short-term accommodation