Another step forward for the NDIS, but details still missing

The Council of Australian Governments (COAG) has established an inter-governmental agreement that will form the framework for the initial phase of the National Disability Insurance Scheme (NDIS). But as in every step of the NDIS' implementation, the devil lies in the details of the roll out. People…

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The states have agreed to an initial agreement for the NDIS, but details of the first phase remain patchy.

The Council of Australian Governments (COAG) has established an inter-governmental agreement that will form the framework for the initial phase of the National Disability Insurance Scheme (NDIS). But as in every step of the NDIS' implementation, the devil lies in the details of the roll out.

People with disabilities, their families and advocates have lobbied hard for the scheme since the Productivity Commission first proposed the model in 2011. And new lobby groups were established to concentrate advocacy efforts in those states and territories where governments have not being entirely supportive.

While debate up to this point has focused on which states are on board and what their degree of commitment is, after the announcement following yesterday’s COAG meeting, the focus has shifted to how the first phase of the scheme will be mounted. Interestingly, the details provided only cover the administrative processes of the first phase and how it will inform the transition to the full scheme. They tackle three aspects of the NDIS.

The first focuses on how the states, territories and the Commonwealth will divide out roles and responsibilities for the full scheme. This can be interpreted as the Gillard government pre-empting politically divisive debates around funding.

When the NDIS was initially announced, Queensland and New South Wales argued that they couldn’t afford it. And Western Australia said it already gave enough to the central coffers via the GST. By prescribing a collaborative framework for the future policy development of the full scheme, states and territories can no longer use debates about the NDIS to leverage political arguments about fiscal constraint.

The second aspect of the agreement focuses on establishing a new Standing Council on Disability Reform, in which all jurisdictions will be represented. It mandates that all jurisdictions will make collaborative decisions about the implementation of the full scheme together, drawing on information from the trial sites.

One of the dangers of this approach is that if consensus can’t be reached, the scheme could potentially be substantially watered down through protracted negotiations.

Those states not fully behind the NDIS now, for instance, could argue against moving from the trial to the full roll out within this forum. We know from history that other disability initiatives have faced similar fates, particularly where regulatory impact is a consideration.

Consultation on the Commonwealth’s NDIS Bill 2012 will take place at the same time. Numerous issues related to the administrative and legislative apparatus are yet to be resolved, including how the NDIS will interact with state and territory legislation.

The final component of the new COAG agreement is focused on reviewing and evaluating the first stages. Clearly the terms of reference will have a powerful influence on the framing of the results, so the level of transparency in formulating the evaluation and whose views are canvassed are particularly crucial here.

It’s also critical that the disability movement is central to the development of this process rather than only those concerned with the NDIS' administrative and fiscal implications. Including a range of diverse disability voices within the evaluation is essential.

It’s difficult to ascertain if this new COAG agreement will, in practice, mean anything substantially different for the long-term administration of disability services and supports from what we have now. We should remember that the current National Disability Agreement does this very task – it divides out roles and responsibilities across the different layers of government.

This is a key consideration for the disability community and forces the question of whether Friday’s agreement takes us any further down the track of realising people with disabilities' call for a fairer, more sustainable and equitable system of support.

The Productivity Commission report argued for a nationally coordinated scheme where Australians with disabilities and their families could have confidence in a comprehensive system that responded to their individual needs where they lived. Given that some states remain on the outside, it’s unclear how this can be the case.

Nonetheless, Friday’s announcement was the good news in a week that brought a major setback in the international disability circuit. The US Senate voted down an opportunity to ratify the United Nations Convention on the Rights of People with Disabilities (UNCRPD). Conservative groups successfully lobbied Republicans to vote against the treaty, not on the grounds of disability rights, but because the UNCRPD reaffirms the right to free or affordable health care, including for sexual and reproductive health. The far right fringe of the Republican Party argued that the UNCRPD might open a back door to abortion rights.

The political landscape of US disability policy and politics feels far removed for most Australians with disabilities. Compared to the United States, we know that our disability service and health-care systems are both superior and fairer. But they are clearly still not good enough.

Disability supports are precarious for most people who need them and will be until there’s a fully-funded national scheme that provides universal access for all Australians with disabilities. While Friday’s announcement is a step forward in establishing disability supports for all, the detail needed to assess whether it’s adequate is yet to be revealed.

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9 Comments sorted by

  1. Sean OLeary

    Citizen

    If anyone thinks that this scheme has anything to do with helping people with a disability or their family, then they have no idea how, why or by whom this proposal was formulated. An essay on the NDIS is here:

    http://geocities.ws/ndis

    If "the conversation" website is genuine, then it will not censor this comment and will not remove the essay URL from this comment.

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    1. Ryan Struk

      logged in via Facebook

      In reply to Sean OLeary

      Why does this "essay" neglect to mention it's author or any other sources apart from news articles and a few links? That doesn't seem very genuine to me.
      Would a "Cap [on] "future care costs"" mentioned in the article also apply to recipients of bloated TAC funded payouts, even if they were the cause of their own injury? Seems pretty fair to place limits on that.

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  2. Comment removed by moderator.

    1. Carol Daly

      Director

      In reply to iuwe oaspd

      You show.no respect for People with Disabilities to post a commercial ad on this article.

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  3. Carol Daly

    Director

    Thanks, Karen and Leanne for your timely article.
    I would like to note that Julia Gillard's government is following up of the previous Labor government's signing Australia on to the UNCRPD in 2008.
    Followed by:
    National disability agreement with State ans Territory governments in 2009
    National Disability Strategy for 2010 to 2020 done in 2010, signed by allState and Territories
    Commissioned and received the Productivity Commission Report in 2011
    Budgeted for the policy and set up work to…

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  4. Simon Badenoch

    Blue collar

    If the Government has between 7b and 14b, or more, depending on who you ask, to spend helping the disabled I think it should go towards research science for drugs and therapies aiming towards cure. This would have compounding benefits that would flow through to the whole of society in many different ways.
    I believe the disability services sector is rife with red tape, incompetence and overcharging, and much of additional funds would be waste.

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    1. Ryan Struk

      logged in via Facebook

      In reply to Simon Badenoch

      So you are suggesting that the government should plough all this funding into research towards finding cures and disregard all the immediate needs of people with disabilities such as equipment and assistance? Simply pumping funding into something is certainly no guarantee of finding a cure.

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    2. Simon Badenoch

      Blue collar

      In reply to Simon Badenoch

      Ryan, I think the current pool of funds for equipment and assistance should be maintained at it's current level indefinitely, then, as cure is achieved for some, there will be proportionally more funds for those still requiring assistance. This would require some struggle in the short term ( the disabled getting by in the manner they currently are) but the longer term payoffs are massive, and not just for the disabled but for the whole Country.
      There are, however, some shortcomings in my knowledge of the research field, named what sort of impact this kind of funding would have on time lines in the search for cures.
      Perhaps if there is someone here who has a professional understanding of this could comment on how such funds would affect cure time lines (ballpark figures based on average/reasonable management and fund allocation?).
      If cure outcome time lines cannot be meaningfully reduced with such funds, then I would completely support the NDIS policy.

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  5. Craig E. Brewer

    Social Worker/Human Service Professional

    The Australian Government should be applauded for the implementation of a National Disability Insurance Scheme. The provision of effective and sustainable disability services is long over due to address the needs of people with disability and their families.

    With a high degree of focus on the role that the Community and Not-for-profit service providers of disability, social and welfare services will play raises issues around appropriate staffing and funding; however, very little detail has been…

    Read more