Chapter 3

The committee's work since the last General Issues report

3.1
This chapter provides a brief overview of the committee's work since the committee's last General Issues report was tabled in December 2020, and sets out the current status of the committee's inquiries and recommendations, as at November 2021.
3.2
The chapter also includes the committee's view on the Government's responses to some of the committee's previous recommendations, as noted in the text and tables throughout the chapter.

Overview of the committee's work since December 2020

3.3
Since the committee's last General Issues report, it has commenced, continued its work on or completed the following inquiries:
Inquiry into the NDIS workforce
Inquiry into the NDIS Quality and Safeguards Commission
Inquiry into independent assessments
Inquiry into current scheme implementation and forecasting for the NDIS
Inquiry into general issues around the implementation and performance of the NDIS.
3.4
The committee also continues to maintain a watching brief on the Government's work in response to the committee's recommendations from its reports tabled earlier in the 46th Parliament, namely:
The final report for the inquiry into Supported Independent Living, tabled in May 2020; and
The interim report for the inquiry into NDIS Planning, tabled in December 2019, and the final report for that inquiry, tabled in December 2020.
3.5
Table 3.1 sets out the committee's inquiries during the 46th Parliament, as at November 2021. See Appendices 1, 2 and 3 for more information on the status of recommendations from the committee's reports tabled in this Parliament. Further details on the committee's reports tabled since the last General Issues report is provided below.
3.6
The committee has held 18 public hearings during the 46th Parliament for its inquiry into general issues, which also included evidence related to the committee's other inquiries. In addition, since December 2020, the committee has held eight public hearings dedicated to its inquiry into independent assessments; one additional public hearing dedicated to its inquiry into the NDIS Quality and Safeguards Commission; and two additional public hearings dedicated to its inquiry into the NDIS Workforce.
Table 3.1:  Committee inquiries during the 46th Parliament
Inquiry
Date inquiry commenced
Public submissions
Reports
Supported Independent Living
1 August 2019
51 submissions
May 2020
NDIS Planning
1 August 2019
157 submissions
December 2019 (interim report)
December 2020 (final report)
NDIS Workforce
6 February 2020
58 submissions
December 2020 (interim report)
December 2020 (final report)
NDIS Quality and Safeguards Commission
23 June 2020
75 submissions
November 2021
Independent Assessments
10 December 2020
374 submissions
October 2021
NDIS Implementation and Forecasting
6 October 2021
47 submissions
Final report scheduled for 2022
General Issues
See resolution establishing the committee
97 submissions
December 2020 (first report)
November 2021 (second report)

Inquiry into general issues around the implementation and performance of the NDIS – 2020 Report

3.7
The committee tabled its first general issues report in December 2020. The report made ten recommendations.

3.8
Key issues that the committee examined in its first general issues report included:
Independent assessments;
The COVID-19 pandemic, its effect on people with disability and their families, and the Government's response for the disability sector;
Financial sustainability, pricing and funding issues;
Issues affecting particular cohorts, such as children in the Early Childhood Early Education pathway, people with psychosocial disability, culturally and linguistically diverse people with disability and people with disability in school settings;
Aboriginal and Torres Strait Islander people with disability;
People with disability who are homeless;
Access issues;
Thin markets;
NDIA communication with participants and providers; and
End of life issues.
3.9
The Australian Government provided a response to the committee's first general issues report in May 2021, in which it stated that it supported eight of the committee's recommendations and noted two recommendations (both concerning homelessness).1 Table 3.2 sets out the Government's response to particular committee recommendations from the last General Issues report that the committee has concerns or reservations about. The committee urges the Government to revisit the evidence base for these recommendations and reconsider its position.
3.10
The committee is pleased to note that since it recommended that the NDIA provide information for family members and carers after the death of a participant, the NDIA has established a new national Bereavement Support team 'to improve interactions and support for family members' after a participant's death.2
Table 3.2:  Government response to particular recommendations in the first General Issues report
Recommendation
Reason for the recommendation
Government response
Committee view
Recommendation 3
The committee recommends that the National Disability Insurance Agency regularly and systemically engage with people with psychosocial disability and representative organisations to better understand the needs of people with psychosocial disability and mental illness.
In light of the measures progressed by the NDIA, and the consideration given to relevant issues in the committee's other inquiries, the committee proposed to maintain a watching brief in relation to issues facing people with psychosocial disability. However, irrespective of these matters, the committee considered that the NDIA should regularly consult with the psychosocial disability sector, to better understand and address the issues facing people with psychosocial disability seeking to access the NDIS and obtain reasonable and necessary supports. The committee also strongly encouraged the NDIA to incorporate any feedback from this engagement in policy and program design.
Supported
‘The NDIA engages regularly with people with psychosocial disability and mental illness, including through the Mental Health Sector Reference Group, established on 9 December 2014, to develop a strong working partnership between the mental health sector and the NDIA.
The Participant Reference Group also provides advice to the NDIA about the needs and experiences of NDIS participants, including people with psychosocial disability and mental illness.
In addition, the NDIA engages with participants with psychosocial disability and mental illness through targeted national public consultation. For example, national consultation is scheduled for February 2021 on the Psychosocial Recovery Coach Framework.’
The committee remains concerned about the extent to which the NDIA is consulting with people with psychosocial disability and implementing changes in response to this feedback, particularly in light of the evidence that the committee received about the impact independent assessments could have on people with psychosocial disability. The committee encourages the NDIA to continue consulting with people with psychosocial disability, including through forthcoming co-design processes, and to put in place robust measures to ensure that it is not just listening to what people from this cohort say in consultations, but also taking action.
Recommendation 7
The committee recommends that the National Disability Insurance Agency develop a strategy to engage with people with disability who are homeless and to work with this cohort or participants once their access requests have been approved.
Evidence to the committee suggested that an unknown, but significant, number of people with disability experiencing homelessness may not be accessing the NDIS or may be struggling to meet access requirements because of their lack of documentation, informal supports and involvement with the allied health sector. This group of people is especially marginalised, with limited existing supports to introduce them to the NDIS in the first instance, and to help them with an application and support them once they have been approved. Without access to housing and basic needs, there may be challenges for these participants in accessing and implementing supports.
The committee therefore considered that, at a minimum, the NDIA should develop a strategy to engage with people with disability who are homeless, and to work with them once their access requests have been approved.
Noted
‘All governments have agreed to the "Principles to determine the responsibilities of the NDIS and other service systems", including Applied Principles and Tables of Support (Applied Principle). Applied Principle 8 outlines housing and community infrastructure responsibilities with homelessness related services primarily the responsibility of states and territories. This includes homelessness prevention, outreach and access to temporary and long term housing for people who are homeless, or at risk of homelessness.
The Commonwealth, states and territories developed the National Housing and Homelessness Agreement (NHHA) which commenced on 1 July 2018 and includes $129 million set aside for homelessness services in 2020–21. Under the NHHA, to receive funding, state and territory governments are required to have publicly available housing and homelessness strategies and contribute to improved data collection and reporting.’
While the committee acknowledges the role of states and territories in the provision of housing and homelessness services to individuals experiencing homelessness, the committee is of the view that issues with accessing housing should not prevent individuals with a disability experiencing homelessness from engaging with the NDIS and using the supports that the scheme has to offer.
The committee will also continue to examine issues regarding the interfaces of mainstream service provision, such as housing and homelessness services, and the provision of NDIS supports in its inquiry into NDIS Implementation and Forecasting (see Chapter 5)
Recommendation 8
The committee recommends that the National Disability Insurance Agency introduce Liaison Officers to work with homelessness organisations and related services to facilitate improved National Disability Insurance Scheme (NDIS) access and planning for people with disability who are homeless and eligible for the NDIS.
The committee was of the view that the NDIA should introduce Homelessness Liaison Officers to help coordinate services for this group, modelled on existing Justice Liaison Officers (JLOs). The committee recognised that the Complex Support Needs Pathway goes some way towards providing specialist planners for participants who are homeless, but liaison officers would take this initiative a step further by coordinating with existing homelessness services that may already have a relationship with the participant and may be able to provide specialist advice.
Noted
‘The Government notes the recommendation to implement homelessness Liaison Officers for the NDIS, but recognises that homelessness services remain the responsibility of state and territory governments. The NDIA currently has a network of Health and [JLOs] who support both participants and mainstream systems to understand and connect to the NDIS, including participants who have experienced, or may be experiencing, homelessness.
In addition, the NDIA undertakes a range of community and mainstream engagement activities, including with homelessness services. NDIA Local Area Coordinators (LACs) also work with mainstream and community services to support potential and existing participants to access the NDIS and supports.’
See above.
Source: Australian Government, Australian Government response to the Joint Standing Committee on the National Disability Insurance Scheme report: Inquiry into general issues, May 2021.

Inquiry into NDIS planning – Final report

3.11
The committee tabled its final report for the NDIS Planning inquiry in December 2020. The report had 42 recommendations to address long-standing issues with the planning process, including:
Major inconsistencies in plan funding between participants with the same disability type;
Plans not including funding for particular supports for the reason that a participant already has informal supports, despite the participant stating that they have no informal supports;
Plans not including funding for particular supports for the reason that these should be available in another service system, such as health, without the NDIA first checking to determine whether the supports are indeed available and the participant is eligible for them;
Planner errors, including listing the wrong disability type on participant plans;
The experience, expertise and qualifications of planners;
Planners ignoring or changing expert recommendations from allied health professionals about the supports appropriate for a particular participant;
The planning process for particular cohorts, including participants with psychosocial disability, Aboriginal and Torres Strait Islander people with disability, children and young people, and participants in custodial settings;
Issues with external appeals to the Administrative Appeals Tribunal (AAT), and allegations that the NDIA was not offering participants new plans in the form that the AAT had ordered following an appeal; and
Problems with communication from and by the NDIA, including slow or non-existing responses to queries, and participants not being invited to their own planning meetings.
3.12
The Government provided a response to the Final Planning report in February 2021. The Government supported seventeen recommendations, supported in principle nine recommendations, and noted sixteen recommendations.3 The committee notes that the Government has implemented considerable reforms, such as the Participant Service Guarantee and joint planning, since the Planning inquiry received evidence.
3.13
The following table sets out the Government's response to particular committee recommendations from the final Planning report that the committee continues to have concerns or reservations about. The committee urges the Government to revisit the evidence base for these recommendations as outlined in that report and reconsider its position.
Table 3.3:  Government response to particular recommendations in the final Planning report
Recommendation
Reason for the recommendation
Government response
Committee view
Recommendation 2
The committee recommends that the Australian Government implement Recommendation 3 of the Review of the National Disability Insurance Scheme Act 2013 (the Tune Review).
The committee agreed with the Tune Review that the Commonwealth should provide additional funding for people with disability to navigate the NDIS, following concerns raised that advocacy groups ‘are stretched beyond breaking point’ with limited funding, meaning that ‘they are only able to help those most in crisis’.
Supported in principle
‘The Government agrees with the intent of Mr Tune's recommendations in relation to ensuring participants are supported to navigate the NDIS. …
In addition:
• the NDIA is currently reviewing the Local Area Coordination (LAC) framework to ensure the Partners in the Community provide effective outreach and referrals.
• $20 million has been committed to expand the NDIS Community Connectors Program to assist hard to reach communities to navigate the NDIS…
• Under the Department of Social Services, more than $75 million will be made available in 2020–21 and 2021–22 through two new grant opportunities under the Information, Linkages and Capacity Building (ILC) program...
The Government will monitor the effectiveness of these reforms before considering whether further investment is needed.’
The committee encourages the Government to monitor the effectiveness of its current measures in relation to funding for advocacy services.
Recommendation 7
The committee recommends that the National Disability Insurance Agency develop, publish and implement a strategy for engaging with participants in custody to ensure that these participants are not unfairly disadvantaged in planning; and are assigned to planners who have the expertise to work with them.
Justice Liaison Officers (JLOs) help to ensure participants in custody have supports to help them transition, but core planning work may be beyond the scope of their role. Evidence highlighted factors that negatively impact the ability of participants in custody to self-advocate (such as limited documentation, lack of support, a history of homelessness, and a history of substance abuse, trauma and mental illness) along with the challenges involved in planning for a group of participants who are involved in multiple service systems. This evidence underlined the importance of planners being equipped to work with this cohort.
Noted
‘The NDIA has committed resources to overcome the challenges custodial settings present for supporting people with disability to navigate the NDIS, while appreciating the clear state and territory responsibility for criminal justice settings... This includes the introduction of [Justice Liaison Officers] in all jurisdictions, undertaking awareness raising activities, and better promotion of standard practices and information sharing in the criminal justice space.
In addition, the NDIA is developing an external resource, Our Guideline – Justice System… This guideline is due for publishing before 30 June 2021.'
The committee encourages the Government to reexamine whether its current measures to engage with participants in custody are sufficient, particularly in light of evidence received by the Disability Royal Commission.
Recommendation 18
The committee recommends that the Australian Government amend the National Disability Insurance Scheme (Supports for Participants) Rules 2013 to require the CEO of the National Disability Insurance Agency (or their delegate) to take into account any expert advice developed specifically for a participant when deciding whether a support would, or would likely, be effective and beneficial for that participant.
A large body of evidence suggested that some planners were ignoring or changing recommendations from experts.
Under the current Rules, the CEO or their delegate is required to be satisfied that a ‘support will be, or is likely to be, effective and beneficial for the participant, having regard to current good practice’, and should ‘take into account, and if necessary seek, expert opinion’ as to whether a support would be, or is likely to be, effective and beneficial for a participant. Evidence from multiple sources suggested that these requirements did not go far enough.
Noted
‘From late 2021, the outcomes of independent assessments will be a key input into deciding the value of a plan budget. This will mean that the current approach to creating a participant's plan budget will change, with the amount of funding in a participant’s plan informed by their functional capacity as determined through an independent assessment, not a listing of individual reasonable and necessary supports…’
Given the Government has announced that independent assessments and Personalised Budgets in their proposed form will not proceed, the committee urges the Government to revisit this recommendation and its response to it.
Recommendation 26
The committee recommends that the National Disability Insurance Agency:
• increase its family violence training for planners in how to identify family violence and what appropriate referral services exist;
• ask participants before their planning meetings if they have a preference for a planner with a particular gender;
• create a team of specialised planners within the Complex Support Needs pathway who are specially trained in how to plan for participants experiencing family violence; and
• ensure that planners and Local Area Coordinators are able to refer participants who they suspect are experiencing family violence to this pathway.
In-camera and public evidence highlighted concerns from stakeholders that the rate and severity of violence against women with disabilities is high, but current planning processes may be unable to pick up on whether a participant is experiencing family violence – particularly if the participant relies on a family member for communication and perpetrators are present at planning meetings. The NDIA indicated it had online training in place for all staff. However, given that such participants may have little interaction with the community, a more proactive response to domestic violence may be needed on the part of the NDIA, given that some participants may not directly reveal that they are subject to domestic violence or may feel uncomfortable asking for a planner of a specific gender.
Noted
‘The NDIA upholds the Commonwealth, state and territory governments' shared responsibility for effectively responding to family violence and child abuse. As such all new starters in the NDIA complete a mandatory suite of eLearning which includes a module on Family and Gender Based Violence Prevention. Given that the training is mandatory for all those coming into contact with participants, a team of specialised planners in this regard is not judged necessary.
If a participant self identifies as someone experiencing family violence, the Partner in the Community or planner will support them to the correct external pathway, for example Police and/or emergency services. Participants are also able to request a different planner should they not be comfortable for whatever reason including if they have a preference for a planner with a particular gender.’
Given that the government response did not identify proactive measures in addition to online training currently undertaken by the NDIA in relation to identifying participants at risk of experiencing family violence, the committee encourages the Government to reexamine whether its current procedures and training on family violence are adequate to support participants experiencing family violence in the planning process.
Recommendation 34
The committee recommends that the National Disability Insurance Agency develop and publish de-identified summaries of key themes arising from settlement outcomes in the Administrative Appeals Tribunal.
Recommendation 35
The committee recommends that the Australian Government ensure that the National Disability Insurance Agency is sufficiently resourced to carry out the functions outlined in Recommendation 34
The committee also made this recommendation in its interim report. The NDIA’s response was to state that it would be an inefficient use of resources.
Publishing settlement outcomes would be in line with the NDIA’s commitment to transparency. It would also aid the NDIA to identify consistent themes in decisions that may be arising because it has not made changes to policy and procedure.
Multiple inquiries have now suggested that the NDIA needs to do better in how it makes use of AAT decisions to ensure consistency in its decision-making.
Noted
‘The AAT generally publishes decisions in relation to the NDIS in accordance with its publication of decisions policy... AAT settlements are not precedent-setting, and all cases are considered on their individual merits.
The Government is committed to appropriately resourcing the NDIA so the agency can undertake all its legislated functions.’
The committee calls upon the Government to reconsider its position on this matter.
Source: Australian Government, Australian Government Response to the Joint Standing Committee on the National Disability Insurance Scheme (NDIS) Final Report: Inquiry into NDIS Planning, February 2021.

Inquiry into the NDIS workforce

3.14
The committee tabled an interim report in relation to its inquiry into the NDIS workforce in December 2020. The report contained 14 recommendations covering NDIS pricing, worker training and accreditation, employment opportunities for people with disability, maldistribution of allied health professionals, growing the Aboriginal and Torres Strait Islander workforce, and securing reliable workforce data to support workforce planning and policy development.
3.15
On 10 June 2021, the Australian Government launched the NDIS National Workforce Plan: 2021-2025 (Workforce Plan) on 10 June 2021. Aware that the Australian Government was developing a national plan for the NDIS workforce, the committee had highlighted several areas it thought the plan should address in its interim report. In July 2021 the committee called for supplementary submissions in relation to the Workforce Plan. As at December 2021 the committee had published 21 supplementary submissions. The committee held hearings in relation to workforce plan on 12 and 14 October 2021.
3.16
On 7 October 2021, the Australian Government tabled the Government response to NDIS Workforce inquiry interim report (Government response), noting three recommendations, supporting five and ‘supporting in principle’ another five recommendations.4
3.17
The consider will consider the new NDIS National Workforce Plan and the Government's response in detail in the final report for the NDIS Workforce Inquiry.

Inquiry into the NDIS Quality and Safeguards Commission

3.18
The committee tabled its report for its inquiry into the NDIS Quality and Safeguards Commission (Commission) on 31 November 2021. The report contained 31 recommendations in relation to the Commission's approach to quality and safeguarding for NDIS participants, as well as other quality and safeguarding matters. Key issues considered in the report included:
Communication and engagement by the Commission with participants and service providers.
Information sharing and coordination between the Commission and states and territories, and between the Commission and the NDIA.
Incorporating more proactive measures into the Commission's compliance and enforcement approach, including community visitors schemes.
Provider registration requirements, including the cost of registration audits.
National worker screening arrangements.
The Commission's complaints and reportable incidents processes.
The Commission's behaviour support function and national coordination work for the reduction and elimination of restrictive practices.
Staffing and resources of the Commission.
The development of resources and training materials on systemic factors that increase the risks to safety of people with disability.
Matters for consideration in the upcoming review of the NDIS Quality and Safeguarding framework including safeguarding responsibilities at the interfaces of NDIS and mainstream services and strengthening access to natural safeguards for people with disability.
3.19
Submissions to the general issues inquiry raised issues that were also raised in submissions to the committee's inquiry into NDIS Quality and Safeguards, including:
Concerns about uncertainty and misalignment of state-based legislative frameworks and NDIS funding for behaviour support;5
The burden of reporting requirements in relation to restrictive practices;6
Quality and safeguarding arrangements for unregistered providers providing support to self-managed participants;7 and
Delays in processing NDIS worker screening applications.8

Inquiry into independent assessments

3.20
On 10 December 2020 the committee commenced an inquiry into independent assessments. The committee tabled its final report for the inquiry in October 2021. Key issues that the committee examined in the report included:
The rationale for introducing independent assessments;
A proposed new approach to personalised budgets, which would use the results of a participant's independent assessment to help determine an overall budget amount for participants, rather than line-by-line budget items;
Concerns raised about whether the tools proposed were fit-for-purpose;
Concerns raised by people with disability and their families, including about their experiences in the independent assessment trials/pilots;
Review rights and oversight;
How assessments would be carried out for Aboriginal and Torres Strait Islanders in remote communities;
The policy development process for independent assessments;
The principles of co-design;
How functional assessments are carried out in other contexts; and
The possibility of establishing a new Medicare Benefits Schedule item to fund consultations involving assessments.
3.21
The report had six recommendations, geared towards broader matters of financial sustainability, approaches to co-design and consultation, and bulkbilled appointments with medical and allied health professionals. The Government is due to provide a response to the independent assessments report by late January 2022.

Inquiry into current scheme implementation and forecasting

3.22
On 6 October 2021, the committee self-referred a new inquiry into current scheme implementation and forecasting for the NDIS, with a focus on how the NDIS is implemented and funded, and what supports are or should be available for people with disability in addition to the NDIS. The committee set two closing dates for submissions: 29 October 2021 and 28 February 2022. As at 26 November 2021, the committee had received 47 submissions.
3.23
Interim observations in relation to key evidence received in the initial submissions for this inquiry are discussed in Chapter 5.

Committee view

3.24
The committee thanks the Australian Government for its response to the committee's reports and the actions it has taken to address the issues highlighted in those reports.
3.25
However, the committee remains concerned about particular areas, including:
The extent to which the NDIA is consulting with people with psychosocial disabilities and relevant advocacy organisations and groups, and taking into account feedback arising from such consultation;
Support for people experiencing homelessness to access and benefit from the NDIS;
Whether funding for advocacy services is sufficient;
Participants and potential participants in criminal justice settings;
How the NDIA intends to make decisions about plans based on expert reports and recommendations, now that independent assessments in their proposed form will not proceed;
Support for participants experiencing family violence; and
How the NDIA is addressing systematic themes arising from cases appealed to the Administrative Appeals Tribunal.
3.26
The committee encourages the Australian Government to reconsider its position and its responses to the committee's recommendations in these areas, for the reasons outlined throughout this chapter.

Recommendation 1

3.27
The committee recommends that the Australian Government reconsider its responses to particular recommendations in the committee's previous reports, as outlined in this chapter.

  • 1
    See Australian Government, Australian Government response to the Joint Standing Committee on the National Disability Insurance Scheme report: Inquiry into general issues, May 2021.
  • 2
    Australian Government, Australian Government response to the Joint Standing Committee on the National Disability Insurance Scheme report: Inquiry into general issues, May 2021, p. 8.
  • 3
    See Australian Government, Australian Government Response to the Joint Standing Committee on the National Disability Insurance Scheme (NDIS) Final Report: Inquiry into NDIS Planning, February 2021.
  • 4
    See Australian Government, Australian Government Response to the Joint Standing Committee on the National Disability Insurance Scheme (NDIS) Interim Report: Inquiry into NDIS Workforce, October 2021.
  • 5
    Ms Jenny Madden, General Manager, Community Solutions, Proof Committee Hansard, 28 June 2021, pp. 1–2.
  • 6
    HammondCare, Submission 74, p. 6.
  • 7
    Ms Jenny Madden, General Manager, Community Solutions, Proof Committee Hansard, 28 June 2021, p. 2, and Ms Kerrie Mahon, Chief Executive Officer, Montrose Therapy and Respite Services, Proof Committee Hansard, 28 June 2021, pp. 3–4.
  • 8
    Ms Kerrie Mahon, Chief Executive Officer, Montrose Therapy and Respite Services, Proof Committee Hansard, 28 June 2021, p. 2. The NDIS Quality and Safeguards Commission responded to this evidence in July 2021. This response is discussed in the committee's report. See, Joint Standing Committee on the NDIS, NDIS Quality and Safeguards Commission, November 2021, pp. 107–108. See also, Correspondence from the NDIS Quality and Safeguards Commission – response to evidence given during a public hearing on 28 June 2021, 23 July 2021, p. 3.

 |  Contents  |