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National Disability Summit

Suzanne Punshon

15 March 2016

NSW

An Update on the NDIS

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NDIS in 2016: Trial to Transition

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• People with disability have the same right as other

members of the community to realise their potential

• People with disability, their families and carers

should have certainty they will receive the care and

support they need

• People with disability should be supported to

exercise choice in the pursuit of their goals and the

planning and delivery of their supports

• The role of families and carers in the lives of people

with disability is to be acknowledged and respected

NDIS principles

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How things are changing

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From 1 July 2016

• Central Coast

• Northern Sydney

• South Western Sydney

• Southern NSW

• Western Sydney

• Remaining populations of Hunter

New England and Nepean Blue

Mountains

From 1 July 2017

• Illawarra Shoalhaven

• Mid North Coast

• Murrumbidgee

• Northern NSW

• South Eastern Sydney

• Sydney

• Western NSW

• Far West

NSW rollout

1 July 2018

The NDIS is operating state-wide

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To access assistance from

the NDIS a person must have

permanent disability which

has a significant impact on

everyday life and on their

ability to participate in the

community, and will mean

they will need ongoing

supports.

Disability requirements

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Early intervention is for both children and adults.

To meet the early intervention requirements a person must:

Have an impairment that is, or is likely to be, permanent.

AND

Early intervention requirements

There is evidence that receiving

supports now (early interventions) will

help:

• Reduce the level of support

needed, now and in the future

OR

• Assist their family and carer to

keep providing support

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Early Childhood

Early Intervention Approach

• Will help children with developmental delay or disability and their families

achieve better long-term outcomes through support services in their local

community, regardless of diagnosis.

• Provide timely, comprehensive and well-integrated early intervention

support for children and their families.

• Families will work with existing early childhood intervention service

providers, who will act as an NDIS access partner.

• Currently being implemented in Nepean Blue Mountains for children under

six.

• The approach will be rolled out nationally in line with Bilateral Agreements.

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Local Area Coordination

• Local Area Coordinators (LACs) will support participants and their families

to join in and contribute to the life of their community and assist with the

planning process, plan implementation and community participation.

• The NDIA has partnered with Uniting and St Vincent de Paul Society NSW

to deliver NSW LAC services during transition from January 2016 – 30 June

2018.

• LACs will support participants through all steps on the pathway, except

access.

• LACs will assist all NSW participants transition to the NDIS, except

participants living in large residential centres.

• Most participants (60%) will also have an LAC assist with plan

implementation, others (30-40%) may need more frequent and funded

support coordination.

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Participant Pathway

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• The NDIS is not intended to replace the supports or services provided by

other mainstream systems

• Wherever possible we assist participants to access mainstream systems

• Key principles determine whether the

NDIS or another system is more

appropriate to fund particular supports

• A participant’s plan may include a

range of supports provided by informal,

mainstream and community networks.

Some of these may be funded by the

NDIS.

How the NDIS works with mainstream

systems

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Funded supports must:

• Assist the participant to pursue the goals objectives and aspirations

• Assist the participant’s social and economic participation

• Represent value for money

• Be, or likely to be, effective and beneficial for the participant

• Takes into account of what is reasonable to expect families, carers, informal networks and the community to provide

• Be appropriate for the NDIS to fund or provide

What NDIS will not fund supports:

• Not related to the participant’s disability

• Related to day to day living costs

• Likely to cause harm to the participant or others

Funded supports

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Reasonable and necessary criteria

The NDIS Act (s34) sets out criteria for decisions.

‘Supports for Participants’ Rule expands the criteria:

(a) Whether there are comparable supports which would achieve the same outcome at a substantially lower cost.

(b) Whether there is evidence that the support will substantially improve the life stage outcomes for, and be of long-term benefit to, the participant.

(c) Whether funding or provision of the support is likely to reduce the cost of the funding of supports for the participant in the long term (for example, some early intervention supports may be value for money given their potential to avoid or delay reliance on more costly supports).

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• A key component of the NDIS insurance model.

• Contributes to the sustainability of the scheme by

building the capacity of the community, people with

disability, their families and carers, and fosters

greater community inclusion.

• ILC supports will be delivered through five streams

of activity:

• Information, linkages and referrals

• Capacity building for mainstream services

• Community awareness and capacity building

• Individual capacity building

• Local area coordination

Information and Community Linkages

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Outcomes framework and

support category Support

purpose

Outcomes framework domain Support category

Core Daily living Assistance with daily life at home in the community, education and at workSupported Independent LivingTransport to access daily activities

Capacity Building

Daily livingHomeHealth and wellbeingLifelong learningWorkSocial, community participation RelationshipsChoice and control

Improved daily living skillsImproved living arrangementsImproved health and wellbeingImproved learningGet and keep a jobIncreased social and community activitiesImproved relationships Improved life choices

Capital Daily living Assistive technologyVehicle modifications

Home Home modifications

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Provider Registration

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Visit: www.ndis.gov.au/nsw

Phone: 1800 800 110

Email: provider.support@ndis.gov.au

Questions?