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.....