Monday 12 April 2021

How the Morrison Government subverted and perverted an independent review of the National Disability Insurance Scheme (NDIS)

 

The Sydney Morning Herald, 6 April 2021:


Secret documents have cast doubt on the independence of a wide-ranging review into the National Disability Insurance Scheme that recommended the most radical overhaul of the $25 billion program since it was established.


Emails and draft copies of the 2019 report, written by former senior public servant David Tune, show National Disability Insurance Agency officials inserted an entire chapter into the review of the scheme’s legislation, and made substantial changes to almost every part of the document.


The review was used by the Morrison government to introduce independent assessments for NDIS participants, where health professionals employed by one of eight providers paid by the government will review users’ eligibility for the scheme. Disability advocates have labelled the measure a cost-cutting measure to reduce the number of people in the program.


More than 900 pages of documents, released under freedom of information laws, show emails from NDIA officials and Department of Social Services staff prioritising the NDIA board’s topics, “talking points” and inserting a multitude of changes to the draft versions of Mr Tune’s report.


One email, from an NDIA official, apologised that the changes to the document were “hideous – almost unreadable”.


The tracked changes appear to show the entire chapter devoted to introducing independent assessments – which was initially recommended by the Productivity Commission in 2011 – was also inserted by a public servant…..


The government is pushing ahead with the plan despite the fact a parliamentary inquiry is still examining the policy…..


The parliamentary inquiry is expected to hold hearings this month where a wide array of critics will probably give evidence…..


Read the full article here.


The altered December 2019 David Tune Review Of The National Disability Insurance Scheme Act 2013: Removing Red Tape And Implementing The NDIS Participant Service Guarantee can be found at:

https://www.dss.gov.au/sites/default/files/documents/01_2020/ndis-act-review-final-accessibility-and-prepared-publishing1.pdf


The last Australian Parliament Joint Standing Committee on the National Disability Insurance Scheme’s General issues around the implementation and performance of the NDIS report of December 2020 stated:


2.49 However, the majority of submitters to the inquiry opposed the introduction of mandatory independent assessments as part of access and planning processes.


In particular, submitters were concerned that assessments:


will add complexity, stress and trauma for people with disability;

will be of little utility in terms of understanding a person's disability and support needs; and

have been rolled out without proper consultation with the disability sector.


2.50 These concerns were reflected in a statement by the Australian Autism Alliance, and in an address by the National Manager, Government and Stakeholder Relations for OTA, to the 2020 OTA online conference.


2.51 Some submitters asserted that the rollout of mandatory independent assessments should be paused to allow time for deeper consultation with the sector and a more thorough investigation of the issues associated with the assessment framework. Other submitters went further, asserting that the scheme should be discarded entirely. For example, the Victorian Mental Illness Awareness Council (VMIAC) stated:


The NDIA's proposed Independent Assessment process is conceptually flawed, unfit for purpose and needs to be scrapped and redesigned. It needs full collaboration and consultation with disabled people, their families, supporters and the disability sector, to ensure that confidence and safety in how the NDIS operates is restored….


2.59 As well as raising concerns about the potential for independent assessments to create stress and trauma for people with disability, submitters expressed doubt that independent assessments will be a reliable, accurate measure of a person's functional capacity. Consequently, submitters expressed concern that using the results of an assessment for access and planning decisions will lead to adverse outcomes for people with disability….


2.69 The First Peoples Disability Network (FPDN) raised concern that the independent assessments model, including the time allocated to an assessment, will not allow assessors to build trust in communities or gain sufficient knowledge of the circumstances of the person being assessed. This is of particular concern to Aboriginal and Torres Strait Islander peoples, noting the importance of trust and relationship-building to positive care and support outcomes. The FPDN also expressed concern that the assessments will not provide equitable access for Aboriginal and Torres Strait Islander peoples. In this respect, the FPDN noted that:


there may be no access to the technology required to conduct the assessment or communicate with the NDIA—particularly in remote areas;

without an established relationship of trust, Aboriginal and Torres Strait Islander peoples with disability are more likely to disengage from the assessments process, or to choose not to pursue access at the outset; and

while the NDIA has advised that a person undergoing an independent assessment may have a support person present, this is not realistic for many Aboriginal and Torres Strait Islander peoples with disability.


How one journalist sees behind the scenes reshaping of the independent report.....


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