Funding and operation of the Commonwealth State/Territory Disability Agreement

Funding and operation of the Commonwealth State/Territory Disability Agreement

8 February 2007

© Commonwealth of Australia 2007
ISBN 978-0-642-71756-6

View the report as a single document - (PDF 742KB)


View the report as separate downloadable parts:

Membership of the Committee (PDF 22KB)
 
Recommendations (PDF 24KB)
 
Chapter 1 - Introduction (PDF 14KB)

Terms of reference
Conduct of the inquiry
Background

 
Chapter 2 - The agreements - intent and effect (PDF 75KB)

Background
Commonwealth State Disability Agreement (1991-1992 to 1996-1997)
  Major features
  Funding
  The views of consumers and service providers
  Impact of the first CSDA
Commonwealth State Disability Agreement (1997-1998 to 2001-2002)
  Funding
  Impact of the second CSDA
Commonwealth State Territory Disability Agreement (2002-2003 to 2006-2007)
Conclusion

 
Chapter 3 - Appropriateness of joint funding arrangements (PDF 285KB)

Introduction
  Bilateral Agreements
Joint funding arrangements
  Responsibilities
  Inflexible interfaces
  Commonwealth services - State/Territory services interface - transitions
  State/Territory services interface – portability
  Dual diagnosis and multiple disability
  Complexity and overlap
  Cost-shifting
  Whole of government coordination
A national approach?
  Competitive federalism
  A federal dilemma
Conclusion
Assessment
  Assessment and planning
  Application procedures
  A National Framework
  A Disability Assessment Team?
  The burden of multiple assessments
  Appropriate Assessment
Indexation of CSTDA funding
Demand funding
Growth Funding
Equity of funding distribution
  Possible solutions
Performance monitoring and reporting
  Input controls
  The burden of accountability
  Outcomes and quality based performance framework

 
Chapter 4 - Unmet needs (PDF 214KB)

Disability support services
Assessments of unmet need
Disability services data
  CSDA Minimum Data Set
  CSTDA National Minimum Data Set
  Improvements in datasets
  Conclusion
Continuing unmet need
  Accommodation support services
     Identification of unmet need for accommodation services
     Options for accommodation services
  Respite services
  Assistive technology
  Early intervention
  Employment services
  Transport
Continuing pressures on demand for services
Conclusion

 
Chapter 5 - The ageing/disability interface (PDF 97KB)

Introduction
Disability and ageing
People with a disability who are ageing
Jurisdictional overlap and inefficiency
  Aged care services
  Home and Community Care (HACC) Program
  Aged Care Assessment Program
  Community Aged Care Packages
  Extended Aged Care at Home (EACH) program
  Residential aged care
  Young people in aged care
  Impacts of the aged care/disability interface
  Innovative Pool Aged Care Disability Interface Pilot
     Support for the Pilot
  Ageing in place
Interface with health care
Ageing informal carers
  The importance of informal care
  Transitional arrangements for ageing carers
  Respite for ageing carers

 
Chapter 6 - Alternative funding arrangements for disability services (PDF 38KB)

Individualised funding
  Implementing a direct payment system
  Accountability
  Limitations of individualised funding
Vouchers
Insurance options
Accommodation and care options

 
Chapter 7 - Shared areas of responsibility (PDF 42KB)

Information services
Research and development
Advocacy
  Carers Advocacy
Consultation with the disability community
Occupational health and safety and paid carers

 
Appendix 1 - List of public submissions and tabled documents authorised for publication by the Committee (PDF 26KB)
 
Appendix 2 - Witnesses who appeared before the Committee at public hearings (PDF 22KB)

For further information, contact:

Committee Secretary
Senate Standing Committees on Community Affairs
PO Box 6100
Parliament House
Canberra ACT 2600
Australia

Phone: +61 2 6277 3515
Fax: +61 2 6277 5829
Email: community.affairs.sen@aph.gov.au