March 2018 NDIS Performance Report - NAT · Early Intervention supports for early childhood...

National - 31 March 2018

Quarterly Performance ReportDisability Reform Council

COAG

COAG Disability Reform Council Performance Report - National 31 March 2018 2

This report is the seventh quarterly report during the NDIS Transition period, which commenced on 1 July 2016.

PARTICIPANTS & PLANNING

PROVIDERS & MARKETS

COMMITTED SUPPORTS & PAYMENTS

INFORMATION, LINKAGES &

CAPACITY BUILDING

MAINSTREAM INTERFACE

FINANCIAL SUSTAINABILITY

Overview

Executive summary


SummaryParticipants and Planning

Committed Supports and Payments

Financial Sustainability

Providers and Markets

Information, Linkages and Capacity Building

Mainstream Interface

19,228 additional participants with plans this quarter.

As at 31 March 2018, plans approved and ECEI referrals represent:• 70% of year to date bilateral estimate met (1 July 2017 - 31 March 2018)• 78% of scheme to date bilateral estimate met (1 July 2013 - 31 March 2018)

Satisfaction rating remained high with 84% of participants surveyed in the quarter rating their satisfaction with the Agency's planning process as either good or very good.

$6.4 billion has been paid to providers and participants since Scheme inception.

Overall, • 64% of committed supports were utilised in 2013-14, • 75% in 2014-15,• 75% in 2015-16,• 66% in 2016-17.2017-18 experience is still emerging.

Lower utilisation in 2016-17 is predominantly driven by the large number of participants who received their first plan in this year. Participants utilise less of their first plan compared with their second and subsequent plans, as it takes time to familiarise with the NDIS and decide which supports to use.

14,271 approved providers, a 16% increase for the quarter.

80-90% of payments made by the NDIA are received by 25% of providers.

43% of service providers are individual/sole traders.

The NDIS Insurance approach allows pressures on the scheme to be identified early and management responses put in place to respond to these pressures. This actuarial monitoring occurs continuously and allows management to put in place strategies as required.

Specific strategies include: - Participant and provider pathway review- Early Childhood Early Intervention (ECEI) - Typical support packages- Increased risk-based quality assurance - Increased staff training.

The NDIA is developing an ILC Investment Strategy aimed at ensuring ILC funds are used most effectively in supporting people with disability in the community to guide ILC investment from full scheme in 2019-20.

A second national readiness grants round and a grant round for the delivery of ILC activities in NSW, SA and the ACT from 1 July 2018 was run in late 2017, with announcements due by the end of May.

91% of active participants with a plan approved in 2017-18 Q3 access mainstream services.


PART 1

Participants and Planning

As the transition phase to full scheme continues, the NDIS nationally continues to grow with 19,228 additional participants with approved plans this quarter.

PART 1 - Participants and Planning


The NDIS is transitioning to full-scheme according to phasing schedules bilaterally agreed by State/Territory and Commonwealth governments.

Summary

Key Statistics

ACCESS DECISIONS IN 2017-18 Q3 (INCLUDING BOTH ACCESS MET AND ACCESS NOT MET)

37,373INITIAL PLANS APPROVED IN 2017-18 Q3

OF THE 19,228 INITIAL PLANS APPROVED THIS QUARTER, 3,220 WERE PREVIOUSLY CONFIRMED AS ECEI AT 31 DECEMBER 2017

19,228ADDITIONAL CHILDREN WITH A CONFIRMED ECEI GATEWAY REFERRAL IN 2017-18 Q3

4,186

OF SCHEME TO DATE BILATERAL ESTIMATE MET (1 JULY 2013 - 31 MARCH 2018)

78%OF PARTICIPANTS WITH AN INITIAL PLAN APPROVED IN 2017-18 Q3 HAVE A REPORTED PRIMARY DISABILITY OF AUTISM

28%OF PARTICIPANTS WITH AN INITIAL PLAN APPROVED IN 2017-18 Q3 ARE CHILDREN AGED 7 TO 14 YEARS

21%OF TRANSITION TO DATE BILATERAL ESTIMATE MET (1 JULY 2016 - 31 MARCH 2018)

75%

OF YEAR TO DATE BILATERAL ESTIMATE MET (1 JULY 2017 - 31 MARCH 2018)

70%



Of the 26,429 participants deemed 'eligible' this quarter 54% entered from an existing State/Territory program.

Of the 19,228 plan approvals this quarter, 61% had transitioned from an existing State/Territory program, 85% entered with a permanent disability and 3,220 were previously confirmed as ECEI at 31 December 2017.

2017-18 Q3

Quarterly Intake

9,684

14,318

2,427

New

State/Territory

Commonwealth

Participant Entry point

ACC

ESS

MET

PLAN

AP

PRO

VALS

5,335

11,775

2,118

4,186

New

State/Territory

Commonwealth

ECEI

Participant Entry point

2,854

16,374

4,186

Early Intervention

Permanent Disability

ECEI

Participant Pathway type

access decisions

37,373

access met

26,429

planapprovals(excluding ECEI)

19,228

ECEI4,186



Plan approval numbers have increased from 132,742 at the end of 2017-18 Q2 to 151,970 by the end of 2017-18 Q3, an increase of 19,228 approvals.

As at 31 March 2018 there were 10,253 children with a confirmed ECEI referral bringing the total number to 162,223. Overall, 3,017 participants with approved plans have exited the Scheme.

Of the 10,253 children with a confirmed ECEI referral as at 31 March 2018, 6,067 were previously confirmed as ECEI at 31 December 2017 and an additional 4,186 entered the gateway this quarter.

Change in plan approvals between 31 December 2017 and 31 March 2018

Plan approvals as at 31 March 2018

Quarterly Intake Detail

In the quarter of 2017-18 Q3 there were 30,362 plan reviews. This figure relates to all participants who have entered the scheme.

19,228

132,742151,970

10,253

162,223

-3,017

159,206

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

180,000

Participantplans approved

as at31 December

2017

Plan approvalsin

2017-18 Q3

Total participantplans approvedas at 31 March

2018

ECEI confirmedas at

31 March 2018

Participantplans approved

(includingECEI) as at 31

March 2018

Total exits as at

31 March 2018

Activeparticipants

with approvedplans (including

ECEI) as at31 March 2018



Plan approvals as at 31 March 2018

Cumulative plan approvals compared with bilateral estimate

As at the end of 2017-18 Q3, the cumulative total number of participants receiving support was 162,223 (including 10,253 children supported through the ECEI gateway). Of these, 93,305 transitioned from an existing State/Territory program and 13,720 transitioned from an existing Commonwealth program.

In addition, 28,993 participants were awaiting a plan as at 31 March 2018.

Overall, since 1 July 2013, there have been 217,894 people with access decisions.

Cumulative Position

of scheme to date bilateral estimate met (1 July 2013 - 31 March 2018)

78%

plan approvals to date; 162,223 including 10,253 ECEI confirmed

151,970

Cumulative position reporting is inclusive of trial participants for the reported period and represents participants who have or have had an approved plan.

30,27937,861

63,461

77,988

96,760

119,493

142,265

162,223

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

180,000

200,000

ECEI

Total (excluding ECEI)

Bilateral estimate as at 31 March 2018

93,305

13,720

44,945

10,253

010,00020,00030,00040,00050,00060,00070,00080,00090,000

100,000

Plan approvals by participant referral pathway

of year to date bilateral estimate met (1 July 2017 - 31 March 2018)

70%

of transition to date bilateral estimate met (1 July 2016 - 31 March 2018)

75%



Of the individuals receiving existing State/Territory services, 2,430 did not meet the access criteria and 13,625 could not progress to planning for other varied reasons, such as being unable to contact. This means there were 48,463 State/Territory clients available to progress to planning.

As at 31 March 2018 there were 3,169 access decisions in progress and 11,071 participants with access met but yet to receive an approved plan. An additional 7,531 State/Territory clients who were due to receive a plan in other quarters received an approved plan during this period. Thus, there were 41,754 State/Territory clients who received an approved plan in 2017-18 to date.

Lastly there were 23,498 New and Commonwealth clients that received an approved plan during this period bringing the total plan approvals in 2017-18 to date to 65,252 (70% of the bilateral estimate for 2017-18).

Breakdown of cumulative 2017-18 bilateral progress

There have been 65,252 plans approved in the 2017-18 year to date, including ECEI. This represents 70% of the 2017-18 bilateral estimate to 31 March 2018.

Progress against bilateral estimates

59,843

33,851

59,8434,675 2,430

13,625

48,463 3,16911,071

7,531 41,754

23,498 65,252

93,694

(70%)

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

100,000

End of Q3S/T

bilaterals

Recordsprovided inexcess ofbilaterals

Access notmet

Could notbe

contacted,declined orwithdrew

S/T clientsavailable

toprogress

to planning

Access inprogress

Accessmet but

plan still tobe

approved

Approvalsin 2017/18for prior &

futurequarters

End of Q3Plan and

ECEIapprovals

New/CwthPlan and

ECEIapprovals

Approvalsas at 31

Mar 2018

End of Q3combinedbilaterals

State/Territory (S/T) New/Commonwealth (New/Cwth)

Access and planning in progress

Prior and future clients

approved

State/Territory clients unavailable to progress

to access



Note: The age eligibility requirements for the NDIS are based on the age as at the access request date. Participants with their initial plan approved aged 65+ have turned 65 since their access request was received.

Active participants with a plan approved in the quarter of 2017-18 Q3 by age group

% of active participants with a plan approved by age group

Around 21% of participants entering in this quarter are aged 0 to 6 years. This is higher compared to 12% in prior quarters.

Around 21% of participants entering in this quarter are aged 7 to 14 years. This is lower compared to 26% in prior quarters.

Demographic profile of active participants with a plan approved in the quarter of 2017-18 Q3, compared with plan approvals as at 31 December 2017, by age group.

Participant Profiles by Age Group

3,979

4,098

1,322

1,412

1,642

1,637

2,234

2,708

180

0 1,000 2,000 3,000 4,000 5,000

0 to 6

7 to 14

15 to 18

19 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65+

12%

26%

9%

10%

10%

9%

11%

11%

2%

21%

21%

7%

7%

9%

9%

12%

14%

1%

0% 10% 20% 30%

0 to 6

7 to 14

15 to 18

19 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65+

% of active participants with a plan approved in prior quarters% of active participants with a plan approved in 2017-18 Q3



Note: Of the 4,492 active participants identified as having an intellectual disability, 606 (13%), have down syndrome.

Demographic profile of active participants with a plan approved in the quarter of 2017-18 Q3, compared with plan approvals as at 31 December 2017, by disability group.

% of active participants with a plan approved by disability group

Active participants with a plan approved in the quarter of 2017-18 Q3 by disability group

28% of participants entering in the quarter of 2017-18 Q3 have a primary disability group of Autism, slightly lower than prior quarters.

In this quarter, 10% entered with Psychosocial Disability as their primary disability group, compared to 7% in previous quarters.

Participant Profiles by Disability Group

5,398

4,492

1,984

1,323

980

839

752

638

632

613

468

302

281

244

233

33

0 2,000 4,000 6,000

Autism

Intellectual Disability

Psychosocial disability

Developmental Delay

Other Neurological

Other Physical

Cerebral Palsy

Hearing Impairment

Acquired Brain Injury

Visual Impairment

Multiple Sclerosis

Global Developmental Delay

Stroke

Other Sensory/Speech

Spinal Cord Injury

Other

29%

29%

7%

4%

5%

4%

5%

3%

3%

2%

2%

1%

1%

2%

1%

0%

28%

23%

10%

7%

5%

4%

4%

3%

3%

3%

2%

2%

1%

1%

1%

0%

0% 20% 40%

Autism


Psychosocial disability

Developmental Delay

Other Neurological

Other Physical

Cerebral Palsy

Hearing Impairment


Visual Impairment

Multiple Sclerosis


Stroke


Spinal Cord Injury

Other

% of active participants with a plan approved in prior quarters% of active participants with a plan approved in 2017-18 Q3



For participants with a plan approval in the current quarter: • 31% of active participants had a relatively high level of function• 44% of active participants had a relatively moderate level of function • 25% had a relatively low level of function

These relativities are within the NDIS participant population, and not comparable to the general population.

Demographic profile of active participants with a plan approved in the quarter of 2017-18 Q3, compared with plan approvals as at 31 December 2017, by level of function.

% of active participants with a plan approved by level of function

Participant Profiles by Level of Function

2%

0.2%

5%

8%

15%

14%

8%8%

1%

11%

5%

15%

5%

3%

0.0%

8.6%

0.3%

7% 7%

9%

16%

7%

8%

0.6%

12%

3%

15%

5%

1%0.0%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

% of active participants with a plan approved in prior quarters 2017-18 Q3

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Medium level of function Low level of functionHigh level of function



Demographic profile of active participants with a plan approved in the quarter of 2017-18 Q3, compared with plan approvals as at 31 December 2017, by gender.

The majority of participants are males.

Participant Profiles by Gender

61%

11,755+

38%

7,332+

0.7%

+ 125

63%

81,759

37%

47,572

0.3%

410

GENDER

Mal

eFe

mal

eIn

dete

rmin

ate

2017-18 Q3Up to 31 December 2017


998

16,987

1,227

382

18,830

1,430

17,778

4


Demographic profile of active participants with a plan approved in 2017-18 Q3, compared with plan approvals as at 31 December 2017.

Of the participants with a plan approved in 2017-18 Q3:

• 5.2% were Aboriginal or Torres Strait Islander, compared with 5.1% for prior periods.

• 2.0% were young people in residential aged care, compared with 1.3% for prior periods.

• 7.4% were culturally and linguistically diverse, compared with 7.2% for prior periods.

Young people in residential aged care

Young people not in residential aged care

Culturally and Linguistically Diverse

Not Culturally and Linguistically Diverse

Not Stated

Aboriginal & Torres-Strait Islander status

Aboriginal and Torres Strait Islander

Not Aboriginal and Torres Strait Islander

Not Stated

Young people in residential aged care status

Culturally and Linguistically Diverse Status

5.1%

91.0%

3.8%

5.2%

88.4%

6.4%

Prior Quarters

2017-18 Q3

2017-18 Q3 % of active participants


1.3%

98.7%

2.0%

98.0%

Prior Quarters2017-18 Q3

Participant Profiles


7.2%

92.0%

0.8%

7.4%

92.5%

0.0%

Prior Quarters2017-18 Q3



The proportion of participants who are fully or partly self-managing their plan was higher in 2017-18 Q3 (22%) compared with the prior quarters of transition (19%).

41% of participants who have had a plan approved in 2017-18 Q3 have support coordination in their plan, compared with 37% in prior quarters during transition.

Plan Management Support Co-ordination

9.6% 9.5% 14.0% 66.9%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

10.7% 11.6% 20.6% 57.1%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Self Managed fully Self Managed Partly

Plan Managed/Agency Managed Fully Agency Managed

2017-18 Q3

Prior quarters (transition only)

Support Co-ordination

2017-18 Q3 Prior quarters

41% 37%



Note: Given that plans approved since 2017-18 Q1 are relatively new, it is too early to examine the duration to plan activation for these plans and hence these have been excluded from the charts.

Plan activation refers to the amount of time between plan approval and the commencement of the participant receiving support.

The percentage of plans activated within 90 days of approval were: • 74% of plans approved in prior quarters• 77% of plans approved in 2017-18 Q1.

Plan Activation

Plan activation can only be approximated using data on payments. As there is a lag between when support is provided and payments made, these statistics are likely to be conservative. That is, it is likely that plan activation is faster than presented. Further, in-kind supports have been excluded from the calculation, which further contributes to the conservative figures.

Duration to Plan activation for initial plans

51.8% 14.4% 7.4%

4.5%

8.5% 13.4%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2017-18 Q1

Prior Quarters (Transition Only)

57.3% 13.9% 6.0%

3.1%

5.0%

14.8%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Less than 30 days 30 to 59 days 60 to 89 days90 to 119 days 120 days and over No payments



Selected key baseline indicators for participants

• 66% of participants aged 0 to before school are able to make friends outside of family/carers, compared to 63% of participants from school age to 14• 56% of participants aged 0 to before school are engaged in age appropriate community, cultural or religious activities, compared to 32% - 36% for other age groups• 55% of participants from school age to 14 attend school in a mainstream class, compared to 28% of participants aged 15 to 24• 26% of participants aged 25 and over have a paid job, compared to 18% of participants aged 15 to 24• 62% of participants aged 25 and over choose what they do every day, compared to 44% of participants aged 15 to 24

Baseline outcome measures were collected from 99% of participants receiving their initial plan since 1 July 2016.

Participant Outcomes

66%

56%

63%

35%

55%

32%28%

18%

44%

36%

26%

62%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% able to makefriends outside offamily (or carers)

% in age appropiatecommunity, culturalor religious activities

% attending schoolin mainstream class

% with a paid job % that choose whatthey do every day

0 to before school School to 14 15 to 24 25 and over


Selected key baseline indicators for families and carers of participants


The percentage of participants' family/carers:• working in a paid job was highest for participants aged 15 to 24 (48%)• able to advocate for their child/family member was highest for participants aged 0 to 14 (78%)• who have friends and family they can see as often as they like was highest for participants aged 25 and over (46%)• who feel in control selecting services was highest for participants aged 25 and over (43%)• who support/plan for their family member through life stage transitions was highest for participants aged 0 to 14 (86%)

Family/Carers Outcomes

46%

78%

45%

86%

48%

74%

45%41%

43%

33%

70%

46%43%

38%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% working in a paidjob

% able to advocatefor their child/family

member

% with friends andfamily they see asoften as they like

% who feel in controlselecting services

% who support/planfor their family

member through lifestage transitions

0 to 14 15 to 24 25 and over


"Has the NDIS helped?" questions for participants


Perceptions of whether the NDIS has helped.

Participants who entered the Scheme in the first three quarters of 2016/17 and a plan review approximately one year later were asked questions about whether the NDIS had helped them.

The percentage responding 'Yes' was highest for the domain of:• Daily Living (91%), for participants aged 0 to before school• Daily Living (52%), for participants of school age to 14• Choice and control (62%), for participants aged 15 to 24• Daily Living (72%), for participants aged 25 and over

Has the NDIS helped? Participants

91%

73%

60%

52%

43% 44%

60%

54%57%

21%

62%

72%

54%

61%

20%

68%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Daily Living Relationships Social, communityand civic participation

Work Choice and control

0 to before school School to 14 15 to 24 25 and over


"Has the NDIS helped?" questions for families and carers of participants


Perceptions of whether the NDIS has helped.

Families and carers of participants who entered the Scheme in the first three quarters of 2016/17 and a plan review approximately one year later were asked questions about whether the NDIS had helped them.

The percentage responding 'Yes' was higher in all areas for family/carers of participants aged 0 to 14 than participants aged 15 and over.

The NDIS has helped families and carers of participants most with accessing services, programs and activities, and with life stage transitions.

Has the NDIS helped? Family/Carers

55%

63%66%

69%

39%

46%

57% 57%

34%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Families/carers knowtheir rights and can

advocate

Families/carers feelsupported

Families/carers areable to access

services, programsand activities

Families/carers helpwith life stage

transitions

Families/carers enjoyhealth and wellbeing

0 to 14 15 and over



Proportion of participants describing satisfaction with the Agency's planning process as good or very good - by quarter

84% of participants rated their satisfaction with the Agency's planning process as either good or very good in the current quarter. This is approximately the same as the last quarter.

The Participant Pathway Review aims to improve the participant experience.

Participant Satisfaction

Participant satisfaction continues to be high, but has dropped during transition, compared with trial site experience.

94% 96% 98%93%

100%95%

85% 84%88%

84% 84% 83% 84%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prop

ortio

n of

Par

ticip

ants

%

Quarter


PART 2


Both committed and paid supports to participants are increasing in line with the growing scheme.To date funding committed to participants with an approved plan amounts to $15.0 billion (including support periods in the future), of which $6.4 billion has been paid.

PART 2 - Committed Supports and Payments

^Note: The $7.2 billion in respect of 2017-18 only includes approved plans to date.*Note: The $3.0 billion committed in future years is due to current plans in place that have an end date past 30 June 2018.COAG Disability Reform Council Performance Report - National 31 March 2018 23

This section presents information on the amount committed in plans and payments to service providers and participants.

Summary

Key Statistics

BILLION OF SUPPORTS HAS BEEN COMMITTED TO 151,970 PARTICIPANTS

$15.0

BILLION HAS BEEN PAID TO PROVIDERS & PARTICIPANTS

$6.4 OVERALL, 64% OF COMMITTED SUPPORTS WERE UTILISED IN 2013-14, 75% IN 2014-15, 75% IN 2015-16 AND 66% IN 2016-17.

THE 2017-18 EXPERIENCE IS STILL EMERGING.

BILLION OF SUPPORTS IN RESPECT OF PRIOR FINANCIAL YEARS INCLUDING TRIAL

$4.8BILLION OF SUPPORTS IN RESPECT OF 2017-18^

$7.2BILLION OF SUPPORTS IN RESPECT OF LATER YEARS*

$3.0



Committed and paid by expected support year

Committed amount by year that the support is expected to be provided, compared with committed supports that have been used (paid).

Of the $15.0 billion that has been committed in participant plans, $6.4 billion has been paid to date.

In particular, for supports provided in:2013-14: $85.3m has been paid2014-15: $370.4m has been paid2015-16: $702.2m has been paid2016-17: $2,125.1m has been paid2017-18 to date: $3,129.0m has been paid


0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

2013-14 2014-15 2015-16 2016-17 2017-18 2018-19 andbeyond

$ M

illion

s

Total paid Total committed

$Million 2013-14 2014-15 2015-16 2016-17 2017-182018-19

and beyond

Total

Total committed 132.8 496.8 939.4 3,210.3 7,243.6 2,968.7 14,991.6Total paid 85.3 370.4 702.2 2,125.1 3,129.0 0.0 6,412.0



A higher proportion of initial plan approvals in 2017-18 Q3 have average annualised committed supports between $10,001 and $20,000 compared with participants who entered in prior quarters when participants with shared supported accommodation (SSA) supports are included.

This is also the case when SSA participants are excluded.

Committed Supports by Cost Band

0%

5%

10%

15%

20%

Distribution of average annualised committed supports by cost band (including SSA)

0%

5%

10%

15%

20%

Distribution of average annualised committed supports by cost band (excluding SSA)

As at Q2 2017-18 Q3 2017-18



Note: The age eligibility requirements for the NDIS are based on the age as at the access request date. Participants with their initial plan approved aged 65+ have turned 65 since their access request was received.

Average annualised committed supports increase steeply up to age 25, stabilises to age 55 and then reduces at older ages.

The average annualised committed supports for participants was lower in 2017-18 Q3 compared to previous quarters for most age groups.

Average annualised committed supports by age band

Committed Supports by Age Band

0

20,000

40,000

60,000

80,000

100,000

120,000

0 to 6 7 to 14 15 to 18 19 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+

As at Q2 2017-18 Q3 2017-18



Average annualised committed supports by primary disability group

Participants with Spinal Cord Injury, Cerebral Palsy and Acquired Brain Injury have the highest average annualised committed supports.

Participants with an intial plan approval in 2017-18 Q3 had lower average annualised committed supports across most disability types when compared with participants who entered in prior quarters.

Committed Supports by Disability Group

0 20,000 40,000 60,000 80,000 100,000 120,000 140,000


Autism

Cerebral Palsy

Developmental Delay


Hearing Impairment


Multiple Sclerosis

Psychosocial Disability

Spinal Cord Injury

Stroke

Visual Impairment

Other Neurological

Other Physical


Other

As at Q2 2017-18 Q3 2017-18



Note 1: Average annualised committed supports are not shown if there are insufficient data in the group.Note 2: High, medium and low function is relative within the NDIS population and not comparable to the general population.

Average annualised committed supports by level of function

The average annualised committed supports generally increase with lower levels of function.

The average annualised committed supports for participants with an initial plan approval in 2017-18 Q3 is lower compared with participants who entered in prior quarters for participants across low, medium and high levels of function.

Committed Supports by Level of Function

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

180,000

As at Q2 2017-18 Q3 2017-18

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Medium level of function Low level of functionHigh level of function



Utilisation of committed supports as at 31 December 2017 and 31 March 2018

Utilisation of committed supports by year that the support was expected to be provided as at 31 December 2017, compared with 31 March 2018.

As there is a lag between when support is provided and when it is paid, the utilisation in 2017-18 will increase.

Lower utilisation in 2016-17 is predominantly driven by the large number of participants who received their first plan in this year. Participants utilise less of their first plan compared with their second and subsequent plans, as it takes time to familiarise with the NDIS and decide which supports to use.

EXPERIENCE IS STILL EMERGING

The utilisation of committed supports in 2017-18 YTD is still emerging and the utilisation rate is expected to increase as there is a lag between when support is provided and when it is paid.

Utilisation of Committed Supports

64%

75%

75%

64%

75%

75%

66% 66%56%

59%

0

1,000

2,000

3,000

4,000

5,000

6,000

$ M

illio

n

Paid (as at 31 December 2017) Remaining (as at 31 December 2017)Paid (as at 31 March 2018) Remaining (as at 31 March 2018)


PART 3

Providers and MarketsThe scale and extent of the market continues to grow, with a 16% increase in the number of providers during the quarter to 14,271.

PART 3 - Providers and Markets


This section contains information on registered service providers and the market, with key provider and market indicators presented.

Summary

Key Statistics

OF SERVICE PROVIDERS ARE INDIVIDUAL/SOLE TRADERS

THERAPEUTIC SUPPORTS HAS THE HIGHEST NUMBER OF APPROVED SERVICE PROVIDERS, FOLLOWED BY HOUSEHOLD TASKS AND ASSISTANCE WITH TRAVEL/TRANSPORT ARRANGEMENTS

Provider registration

• To provide supports to NDIS participants, a service provider is required to register and be approved by the NDIA.

• Providers register with the NDIA by submitting a registration request, indicating the types of support (registration groups) they are accredited to provide.

How providers interact with participants

• NDIS participants have the flexibility to choose the providers who support them.

• Providers are paid for disability supports and services provided to the participants.

APPROVED PROVIDERS

OF PAYMENTS MADE BY THE NDIA ARE RECEIVED BY 25% OF PROVIDERS

14,271 80-90% 43%



Approved providers over time by type of provider

As at 31 March 2018, there were 14,271 registered service providers of which 6,175 were individual/sole trader operated business while the remaining 8,096 providers were registered as a company or organisation.

Providers over time

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

As at 30Jun 2016

As at 30Sep 2016

As at 31Dec 2016

As at 31Mar 2017

As at 30Jun 2017

As at 30Sep 2017

As at 31Dec 2017

As at 31Mar 2018

Individual / sole trader Company / organisation

The number of approved service providers increased by 16% from 12,328 to 14,271 in the quarter. Currently, 43% of approved service providers are individual/sole traders.

1.53AVERAGE NUMBER OF PROVIDERS PER

PARTICIPANT



Change in the activity status of providers.

As at 31 March 2018, 52% of providers were active and 48% were yet to have evidence of activity. Of the overall stock of providers, 2,258 providers began delivering new supports in the quarter.

Proportion of Active Providers

Active (52%)

Not yet active (48%)

PROPORTION OF ACTIVE / INACTIVE

PROVIDERS

2,258NUMBER OF PROVIDERS

DELIVERING NEW SUPPORTS



Therapeutic Supports has the highest number of approved service providers and has seen a 16% increase since the previous quarter.

The largest percentage increase in approved providers was for the Innovative Community Participation registration group in the quarter, increasing from 1607 as at 31 December 2017 to 1982 as at 31 March 2018. This was followed by Specialised Disability Accommodation, Interpreting and translation and Vehicle Modifications.

Approved providers by registration group and percentage change over the quarter

The number of approved providers has increased for most registration groups over the quarter.

Approved Registration Groups

14%0%

9%14%

11%10%9%

19%19%

9%16%

15%14%

14%13%

9%0%

14%0%

15%12%12%

16%8%

15%15%

23%9%

16%15%

20%19%

13%14%

5%2.7%

0 2,000 4,000 6,000 8,000

Accommodation / Tenancy AssistanceAssistance Animals

Assistance with daily life tasks in a group or shared living arrangementAssistance with travel/transport arrangements

Daily Personal ActivitiesGroup and Centre Based Activities

High Intensity Daily Personal ActivitiesHousehold tasks

Interpreting and translationParticipation in community, social and civic activities

Assistive equipment for recreationAssistive products for household tasks

Assistance products for personal care and safetyCommunication and information equipment

Customised ProstheticsHearing Equipment

Hearing ServicesPersonal Mobility Equipment

Specialised Hearing ServicesVision Equipment

Assistance in coordinating or managing life stages, transitions and supportsBehaviour Support

Community nursing care for high needsDevelopment of daily living and life skills

Early Intervention supports for early childhoodExercise Physiology and Physical Wellbeing activities

Innovative Community ParticipationSpecialised Driving Training

Therapeutic SupportsHome modification design and construction

Specialised Disability AccommodationVehicle Modifications

Management of funding for supports in participants planSupport Coordination

Assistance to access and/or maintain employment and/or educationSpecialised Supported Employment

Assi

stan

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ervi

ces

Assi

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chno

logy

Cap

acity

Bui

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Oth

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roup

s

As at 31 March 2018 As at 31 December 2017



Therapeutic Supports has the highest number of active service providers and has seen an 18% increase since the previous quarter.

The largest percentage increase in active providers was for the Innovative Community Participation registration group in the quarter, increasing from 771 as at 31 December 2017 to 952 as at 31 March 2018. This was followed by Interpreting and translation, Assistive products for household tasks and Community nursing care for high needs.

Active providers by registration group and percentage change over the quarter

The number of providers active in each registration group has increased for most registration groups over the quarter.

Active Registration groups

13%0%

9%13%

11%10%10%

17%23%

9%18%

20%17%

16%15%

8%0%

15%2%

12%12%

11%20%

9%16%

19%23%

9%18%

19%19%

14%14%

14%6%

4%

0 1,000 2,000 3,000 4,000 5,000

Accommodation / Tenancy AssistanceAssistance Animals

Assistance with daily life tasks in a group or shared living arrangementAssistance with travel/transport arrangements

Daily Personal ActivitiesGroup and Centre Based Activities

High Intensity Daily Personal ActivitiesHousehold tasks

Interpreting and translationParticipation in community, social and civic activities

Assistive equipment for recreationAssistive products for household tasks

Assistance products for personal care and safetyCommunication and information equipment

Customised ProstheticsHearing Equipment

Hearing ServicesPersonal Mobility Equipment

Specialised Hearing ServicesVision Equipment

Assistance in coordinating or managing life stages, transitions and supportsBehaviour Support

Community nursing care for high needsDevelopment of daily living and life skills

Early Intervention supports for early childhoodExercise Physiology and Physical Wellbeing activities

Innovative Community ParticipationSpecialised Driving Training

Therapeutic SupportsHome modification design and construction

Specialised Disability AccommodationVehicle Modifications

Management of funding for supports in participants planSupport Coordination

Assistance to access and/or maintain employment and/or educationSpecialised Supported Employment

Assi

stan

ce s

ervi

ces

Assi

stiv

e Te

chno

logy

Cap

acity

Bui

ldin

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Oth

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roup

s

As at 31 March 2018 As at 31 December 2017



Market share of the top 25% of providers by registration group.25% of service providers received 80-90% of the dollars paid for major registration groups.

Market share oftop providers

25% of providers have received 85% of payments during the quarter of 2017-18 Q3 for Daily Personal Activities.

DAILY PERSONAL ACTIVITIES

(%)

EARLY INTERVENTION

SUPPORTS FOR EARLY CHILDHOOD

(%)

PARTICIPATION IN COMMUNITY,

SOCIAL AND CIVIC ACTIVITIES

(%)

ASSISTANCE WITH DAILY LIFE TASKS

IN A GROUP OR SHARED LIVING ARRANGEMENT

(%)

THERAPEUTIC SUPPORTS

(%)

85% 88% 83%

88% 86%


PART 4

Information, Linkages and Capacity BuildingThe focus of effort in Information Linkages and Capacity building will be to ensure that people with disability have the information they need to make decisions and are connected to appropriate

Furthermore, the intent is for them to have the skills and confidence to participate, contribute to and benefit from activities that everyone else in the community has access to.

PART 4 - Information, Linkages and Capacity Building


ILC has been implemented to date through a combination of open and direct grants processes and through supporting jurisdictions as they maintain existing ILC effort, as agreed in ILC Transition Plans. The NDIA is developing an ILC Investment Strategy which will guide ILC investment from full scheme in 2019-20. The Investment Strategy will be aimed at ensuring ILC funds are used most effectively in supporting people with disability in the community and supporting scheme sustainability.

A range of stakeholders will have input into the ILC Investment Strategy, including State and Territory governments. The NDIA is exploring several implementation options, including direct procurement, targeted procurement (e.g. for thin markets) and open or targeted grants rounds. All funding will be outcomes focused and funded organisations will be required to report against the relevant NDIS Outcomes and ILC Outcomes. A second national readiness grants round and a grant round for the delivery of ILC activities in NSW, SA and the ACT from 1 July 2018 was run in late 2017, with announcements due by the end of May.

Information, Linkages and Capacity Building (ILC)


PART 5


The proportion of participants entering in the current quarter accessing mainstream services is slightly higher compared to prior quarters.

PART 5 - Mainstream Interface


91% of active participants with a plan approved in 2017-18 Q3 access mainstream services, a slight increase from prior quarters. Participants are accessing mainstream services predominantly for health and wellbeing, lifelong learning and daily activities.


daily activities

0%health and wellbeing

0%lifelong learning

0%

2017-18 Q3

LIFELONG LEARNING

DAILY ACTIVITIES

PRIOR QUARTERS (TRANSITION ONLY)

8%49%

50%

12%

13%

HEALTH AND WELLBEING

8%

91%

% of active participants

accessing mainstream

supports

2017-18 Q3

90%In prior quarters (transition only)


PART 6


The NDIS Insurance approach allows pressures on the scheme to be identified early and management responses put in place to respond to these pressures.

Currently, the best estimate of the longer-term cost of a well-managed NDIS is $22 billion a year at full scheme. The Productivity Commission’s report on NDIS Costs, released on 19 October 2017, indicates that this remains appropriate and is consistent with the Commission’s own 2011 modelling after accounting for wage and

PART 6 - Financial sustainability


Specific strategies to address pressures on financial sustainability include:


Key Statistics

HIGHER THAN EXPECTED NUMBERS OF POTENTIAL PARTICIPANTS CONTINUING TO APPROACH THE SCHEME

HIGHER THAN EXPECTED NUMBERS OF CHILDREN ENTERING THE SCHEME

INCREASING PACKAGE COSTS OVER AND ABOVE THE IMPACTS OF INFLATION AND AGEING

A MISMATCH BETWEEN BENCHMARK PACKAGE COSTS AND ACTUAL PACKAGE COSTS

COMMITTED SUPPORT FOR PARTICIPANTS IN SHARED SUPPORTED ACCOMMODATION IS HIGHER THAN EXPECTED (FIRST PLAN) AMOUNT AND HIGHER THAN REVENUE RECEIVED

LOWER THAN EXPECTED PARTICIPANTS EXITING THE SCHEME

• The introduction of the Early Childhood Early Intervention (ECEI) which aims to support children within mainstream services and the community, with only the children requiring an individual support package gaining entry to the scheme.

• The introduction of typical support packages which establish a benchmark amount of support for participants with specific characteristics.

• Increased risk-based quality assurance at access and plan approval.

• Increased staff training.• Redesign of the participant pathway,

which will provide a stronger focus on participant outcomes and goals, and sustainability.

March 2018 NDIS Performance Report - NAT · Early Intervention supports for early childhood...

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