Chapter 9
Agency, Board and Advisory Council
The National Disability Insurance Agency
9.1
The Bill establishes the National Disability Insurance Scheme Launch
Transition Agency (agency) under the Commonwealth Authorities and Companies Act
1997. The primary function of the agency is 'to deliver the National
Disability Insurance Scheme'.[1]
9.2
Clause 118 outlines the prescribed functions of the agency.[2]
The agency will play a central role in assessments and plan management, the
appointment of nominees, the registration of providers, referral services, and
provision and acquittal of funding.
Employment within the agency
9.3
The committee heard that the agency could provide, where suitable,
employment opportunities for people with disabilities. Australia's Disability
Discrimination Commissioner Mr Innes put forward a compelling case for ensuring
that the agency employs people with disabilities:
I would come from the position that an organisation that
represents the whole community and the diversity of our community is a much
stronger, more effective and more inclusive organisation and, from the
perspective of clients of the organisation, a more representative organisation.
And if we are talking about an organisation that delivers services to people
with a disability, given the far lower levels of employment of people with a
disability in our workforce—54 per cent, I think, as against 83 per cent of the
general population participating in employment—then the situation cries out for
some fairly drastic measures.
I was not, until several years ago, a supporter of targets or
quotas in this sense. But I have come to the view, supported by situations in
the Public Service, where I see that the level of employment of people with a
disability has in the last six months dropped below two per cent and is now 1.9
per cent, that the only way to give people with a disability a fair go and to
balance the major disadvantage they face in the workforce—in the same way that
women have in the past and still do in some areas—is to set targets or quotas.
And if you are going to have a quota or a target anywhere, why wouldn't you
have it in the agency delivering services to people with disability?
I would assert that a quota or target like that would not
cause a significant problem with respect to the merit principle. I think the
merit principle is in fact often relied upon to disadvantage diverse groups
within our community—because of the narrow way it is interpreted. If you
interpret merit as including lived experience of disability, you would have to
think the NDIS would be the first place you should start with such a quota or
target.[3]
9.4
The committee heard that recruiting people with disabilities was one of
the ways in which the agency could model supporting people with disabilities
through employment opportunities.[4]
9.5
The committee was assured by the CEO of the National Disability
Insurance Scheme Launch Transition Agency that the agency is striving to be a
model employer and is encouraging people with a lived experience of disability
to apply:
As the Agency builds its workforce, people with disabilities
are being specifically encouraged to apply for employment. As positions are
advertised, the job vacancy information packs contain relevant information
encouraging people who have an understanding or lived experience with
disability to apply and noting that the Agency is being established as a model
employer.[5]
Chief Executive Officer
9.6
The bill outlines in some detail the role and powers of the agency CEO.
Many of the powers of the CEO, such as those in relation to plans, registration
of providers, nominees, litigation, review and advocacy are discussed elsewhere
in the report. This section provides a general discussion of the scope and use
of power vested in the CEO. The department provided the committee with some
guidance on why the role of the CEO has been articulated as it is in the bill:
The Bill reflects the judgement that it is more transparent,
and ultimately protects the rights of people with disability to a greater
extent, to have the powers of the Agency CEO clearly specified. This ensures
that where appropriate the CEO’s exercise of these powers can be scrutinised by
external review bodies. In simple terms, specifying what the CEO is able to do
also allows the law to be clear as to what the CEO is not able to do and
therefore provides important protections to people with disability who are, or
want to be, participants in the scheme.[6]
Powers of the Chief Executive
Officer
9.7
The committee heard concerns that the expansive powers of the CEO
perpetuated the top-down approach that has previously characterised disability
services, with Mr Owen from DANA noting:
My experience is largely with state based programs; in the
disability area most people's experience is—where the role of the secretary or
the director-general has a similar sort of presence as this legislation does.
At that level it is not surprising but it is worryingly business as usual. I
would have hoped that across party lines and across jurisdictions if there was
one thing the NDIS was not going to be it was business as usual yet this is
straight out of central casting in the kinds of provisions that run top-down
programs determining what will happen to and for people.[7]
9.8
DANA concluded in this regard that 'we do not agree that the way to safeguard
a person with disability is to make the CEO responsible for all decisions.'[8]
9.9
A key point of contention was the discretion the bill grants the CEO in
a number of circumstances to make decisions that will significantly impact on
the lives of people with disabilities and their families. The department argued
that it was necessary in such a scheme as the NDIS that the CEO have the right
to make decisions, rather than the use of formulaic hurdle requirements:
The allocation of funding to individuals is ultimately the
responsibility of the Agency CEO. This is a responsibility that the Agency CEO
should exercise in close partnership with people with disability and their
families, carers and on occasion their advocates, but it is inevitably a
decision making power that the Agency CEO has to exercise.[9]
9.10
Furthermore:
As we said in our opening comments, there is still an element
where the CEO is going to have to be able to make rigorous decisions. We will
be looking at providing funding packages of $200,000 or $300,000 to a
significant number of people, and that is a very big decision that needs to
have some rigour around it. It is really a matter of getting the balance right.
It is not possible to run an insurance-based scheme where there is,
effectively, an entitlement to everybody who meets eligibility criteria without
having some rigour in being able to make some judgements.[10]
9.11
Activ Foundation questioned this assumption and suggested that the bill
should be amended to place the onus on the CEO to provide reasons why someone
is ineligible based on stated requirements, rather than leave such decisions up
to the discretion of the CEO:
Having a bill whereby, if you apply for access—and you may
request access and the CEO may disallow it, or the CEO has to be satisfied that
you are actually entitled to access—does not, to me, provide an entitlement
scheme at all, and I would encourage you to look at the bill and look at that
in terms of changing the tenor of the legislation. Surely we can actually get
some certainty, be it via the rules or via the bill, whereby we state certain
requirements that are necessary in order to be entitled and individuals can
actually meet those requirements—and they are entitled per se. Let the CEO, if
the CEO has a view, have the onus of actually saying, 'You are not entitled,
for these reasons', rather than the person having to apply, wait, and then have
to respond, if you like...To actually have the bill include the myriad
discretions that the CEO has does not give a sense of entitlement at all.[11]
9.12
At the heart of the issue appears to be the conflict between the
necessity of governments ensuring the proper expenditure of public funds, and
the concerns of many that people with disabilities will be disadvantaged
through granting large discretionary powers to the CEO who must ensure the
fiscal viability of the NDIS. As was noted by the Association for Children with
a Disability:
It is all about the balance of what is essentially public
funding and the importance of making sure that that is used effectively, but
people definitely have some control and choice within that.[12]
Committee view
9.13
The committee has in chapter 4 outlined its view that there is in fact
an entitlement-based framework in place in the bill. It also however accepts
that there needs to be a transparent and rigorous approach to the funding
package decisions, and that the bill sets out to achieve that. The committee
would definitely expect that reasons would be given for funding decisions;
indeed, in the event that anyone were to seek review or appeal of any of the
decisions covered by clauses 100 and 103, the reasons would be essential.
9.14
The committee recognises the concerns raised regarding granting the CEO
or the CEO's delegate discretionary powers, especially as it relates to access
to the NDIS. However, the committee believes that the flexible approach taken
by the bill will provide better individual outcomes than a prescriptive
approach. The committee believes that there is a greater risk with a prescriptive
approach that some people would be disallowed on technicalities and variances
between experts' opinions of ability.
Delegation
9.15
The department expressed concern that some stakeholders may have
misinterpreted the bill, and particularly the role of the CEO, as meaning that
all decisions will come back to one individual who is far removed from the
daily reality of the participant. The department assured the committee that
this was not the case and the references to the CEO throughout the bill refer
to the office of the CEO, and that most functions will be delegated to the
appropriate level:
The Bill and the rules speak of the CEO making all decisions
and requesting information. Some commentators are concerned that this suggests
all decisions may be made in Canberra and may even be made personally by the
Agency CEO. This is not the intention, indeed far from it. Clause 202 of the
Bill permits the CEO to delegate powers and functions under the legislation.
There will be delegation of the CEO powers to Agency employees at all launch sites.
The policy is to have all decisions made by employees situated as close to NDIS
participants, prospective participants, carers, nominees, support providers and
other stakeholders as possible.[13]
9.16
Recognising this, some stakeholders took the next step to ask how the
powers are going to be delegated in practice, and with what effect. For
example, PWDA queried:
The reality will be that these powers are delegated – it
[does] not actually mean the CEO, it means a delegate – so how is decision
making at the local level going to happen? How is that delegation going to be
exercised?[14]
9.17
Similarly, the Carers Alliance queried how complex or contested
decisions would be escalated internally within the agency:
For all intents and purposes it will be bureaucrats who will
be making decisions. Accordingly, additional safeguards must be in place to
ensure that prohibitive decisions can be escalated up the chain so that the CEO
can give a fair hearing.[15]
9.18
The evidence received by this committee did not explicitly answer these
queries, however the committee is hopeful that the lessons learnt from the launch
sites will provide evidence of any emerging governance problems that need to be
addressed in a national implementation.
Board of the agency
9.19
Chapter 6 Part 2 of the bill would establish a board that has oversight
of the agency. Clause 124 outlines the functions of the board, namely to ensure
the 'proper, efficient and effective performance of the Agency's functions',
and to provide strategic direction in line with strategic guidance from the minister.[16]
The board will also be responsible for appointing the second and subsequent CEOs
of the Agency.[17]
Board membership and structure
9.20
The board comprises a chair and eight other members. Subclause 127(2)
outlines the eligibility criteria for appointments to the board:
A person is eligible for appointment as a Board member only
if the Minister is satisfied that the person has the skills, experience or
knowledge in at least one of the following fields: (a) the provision or use of
disability services; (b) the operation of insurance schemes, compensation
schemes and schemes with long-term liabilities; (c) financial management; (d)
corporate governance.
9.21
In making appointments, the bill requires the minister to ensure that
'the board members collectively possess an appropriate balance of skills,
experience or knowledge in the fields mentioned in subclause two (see above).[18]
9.22
It was put to the committee by the NPWDCC that the board should also
play a role in reflecting the NDIS's mission to advance the rights of people
with disabilities and include adding 'demonstrated knowledge of and commitment
to disability rights' to the areas of knowledge, skills and experience listed
in subclause 127(2).[19]
9.23
A common concern regarding the future composition of the board was the
lack of a requirement in the bill that the board include people with
disabilities. It was argued to the committee that:
The board recruitment process should actively seek to
identify people with disability who possess the skills, knowledge and lived
experience required to be members of the to be members of the NDIS Board.[20]
9.24
Similarly, the Council of Social Service New South
Wales (COSSNSW) argued, 'we believe that people with disabilities could sit
on the board and do have the skills, expertise and knowledge to sit on the
board.'[21]
Noting the importance of people with disabilities having a voice on the board,
Blind Citizens Australia argued that:
People with a disability should not have those positions
simply because they have a disability but because they have developed the
skills and knowledge as well as the first-hand experience necessary to
comprehend the nature and consequences of decisions made for people who have
disabilities, and the long-term sustainability of an NDIS.[22]
9.25
While emphasizing the importance of having disabled people represented
on the board, Mr Abrahams of Ai-Media informed the committee of the risk of
creating a two-tiered board if its constituency was regulated by quotas:
I do share the concerns about putting a quota in place simply
on the basis that, once you have a quota in place, there can be an appearance
of two classes of directors appointed to a board and therefore someone with a
disability who is perfectly qualified to be on the board in and of their own
right will then perhaps be questioned as to whether they are only there in
order to fill a particular quota.[23]
9.26
Mr Bowen of the National Disability Insurance Scheme Launch Transition
Agency emphasized to the committee that although it is not mandatory to have board
members with disabilities, it is a factor that the minister would take into
account:
For both the board and the advisory council the selection
criteria specifically include knowledge of and lived experience of disability.
That does not go to the extent of mandating that, but it does make it clear
that it is an important factor to take into account.[24]
9.27
The committee noted that even if a requirement was include to include a
number of members with disabilities, they would still have to meet the quality
criteria laid out in subclause 127(2) requiring a board member to have the
'necessary skills, experience and knowledge'. No-one could be on the board
simply because they had a disability.
9.28
MS Society Western Australia expressed concerns that there are no
guarantees of state representation on the board in the bill.[25]
Although subclause 127(4) requires the minister 'seek the support of all the
host jurisdictions for the appointment' to the board, the minister is only
required to be satisfied that the appointment is supported by 'a majority of
the group consisting of the Commonwealth and the host jurisdictions.'[26]
The importance of proper geographic representation was further emphasized by
National Disability Services' Western Australia branch:
In relation to the governance provisions of the bill as it
currently stands, there are no provisions to ensure that the composition of
either the board or the advisory council includes experience and knowledge of
the diverse conditions across Australia; for example, state and territory
differences, Indigenous issues, rural and remote service delivery et cetera.
The current provisions, as they stand, could allow membership of both the board
and the advisory council to be drawn from a fairly homogenous pool in which
those sorts of issues are not properly understood. We believe that there is
need to ensure that the criteria for appointments to those bodies properly
reflect the diversity of communities around Australia. Clearly, this is a
particular issue for WA, with its remoteness from Canberra and its diverse and
dispersed population.[27]
9.29
The Centre for Cerebral Palsy posited that the lack of guaranteed
representation of states and territories was an oversight 'since the success of
the NDIS will depend on the financial contribution of State/Territories and
also their knowledge, networks and goodwill'.[28]
9.30
The LCA also queried board appointments being limited by the provisions
of subclause 127(2), arguing that:
[C]apable and responsible Board Members could be appointed
from a range of other fields, including disability and health advocates,
medical experts and administrators, legal and regulatory experts, consumer
representatives, business leaders, etc.[29]
9.31
The bill also specifies some procedures for the minister to follow when appointing
board members, and lists a range of people who are ineligible to be appointed:
these include members of any parliament, legislature or local council, and any
employee of any government, including any local council. Initial appointments
are for a period of no more than three years.
Committee view
9.32
The committee is of the view that it is important that the minister
recruit talented people with disability to the board. Although aware that
concerns raised regarding mandating board membership and the assurances that
the minister would take into account the desirability of including people with
lived experience of disability on the board, the committee considers it prudent
to remove all doubt about the importance of having people with disabilities on
the board. The general underrepresentation of people with disabilities on
governance boards nationally compared with the number of people with
disabilities in the community points towards the benefit, at least for the time
being, that legislation assures their inclusion.
Recommendation 28
9.33
The committee recommends that at least three members of the Board are
people with disability.
Conflict of interest provisions
9.34
Disability Directory queried why the bill contains no provisions relating
to conflict of interest of a board member, even though it contains such provisions
relating to advisory council members.[30]
The committee understands that the Commonwealth Authorities and Companies Act
(the CAC Act) places relevant responsibilities and constraints on board
members.[31]
In contrast, the advisory council is not governed by the CAC Act and as a
consequence needs governance provisions to be in the NDIS bill.
9.35
However, NPWDCC was concerned that the CAC Act
protections were not sufficient in the circumstances. In particular, they
argued that:
While Government organisations generally rely on the
provisions of the CAC Act to deal with potential conflicts, the Council believes
that given the scale of the NDIS, the fact that it is creating a more commercially
driven market for providers in the transition to full implementation and that
it will be the subject of significant political scrutiny over time, it is
better to deal with the issue of governance conflict of interest in the NDIS
legislation.[32]
9.36
It was further argued by NPWDCC that:
[The] Council believes that there is an endemic conflict of
interest for any person who is already a Board member or executive with a
service provider organisation likely to receive funding from the scheme (via
participants), or who is a participant of the scheme, to be a NDIS Board
member. This is because of the commercially and politically sensitive nature of
documents that board members would see and the perceived advantage that would
accrue to board members.[33]
9.37
The LCA similarly expressed concern that:
Board members must not be conflicted and/or hold any other
position which could result in a financial advantage for them or their employer
from the operation of the NDIS.[34]
9.38
While the committee recognises the importance of avoidance of conflict
of interest, it has concerns that some proposals – such as that by NPWDCC – may
inadvertently act to exclude people with disabilities from board roles. The
committee heard from a number of witnesses that it was important to ensure that
there is adequate representation of people with disabilities on the board, and
excluding all participants is likely to directly contradict this objective.
Advisory council
9.39
The bill would also create an Independent Advisory Council (council) to
provide advice to the Board (Chapter 6 Part 3 of the bill).
Role of the council
9.40
Clause 144 outlines the functions of the council to provide advice to
the board about the way in which the agency:
Performs its functions relating to the National Disability
Insurance Scheme; and (b) supports the independence and social and economic
participation of people with disability; and (c) provides reasonable and
necessary supports, including early intervention supports, for participants in
the National Disability Insurance Scheme launch; and (d) enables people with
disability to exercise choice and control in the pursuit of their goals and the
planning and delivery of their supports; and (e) facilitates the development of
a nationally consistent approach to the access to, and the planning and funding
of, supports for people with disability; and (f) promotes the provision of high
quality and innovative supports to people with disability; and (g) raises
community awareness of the issues that affect the social and economic participation
of people with disability, and facilitates greater community inclusion of
people with disability.[35]
9.41
The bill also ensures that the advice provided by the council takes into
consideration significant persons in the lives of people with disabilities such
as carers and families.
9.42
The Consumers Health Forum of Australia welcomed the addition of the council:
The involvement of people with disabilities and their carers,
providers and other stakeholders will be crucial to the success of the system,
particularly in ensuring a smooth implementation process, providing advice on
technical, security and privacy issues and in expressing the consumer
experience and consumer needs.[36]
9.43
It was suggested by COSSNSW that the chair of
the advisory council should also be a member of the board to ensure a proper
connection between the two bodies.[37]
Council membership
9.44
The council would comprise a Principal Member and no more than 12 other
members.
9.45
Under clause 147, members would be required to include at least four
'people with disability who have skills, experience or knowledge relating to
disability services', at least two who are 'carers of people with disability
and have skills, experience or knowledge relating to disability services' and
at least one person 'who has skills, experience or knowledge in the supply of
equipment, or the provision of services, to people with disability'.
9.46
The committee heard divergent view regarding the ideal makeup of the council.
9.47
It was emphasized to the committee that it was important that the people
with disabilities on the council represented a number of different disability
groups:
I think it is important for the advisory committee to have
good representation from a number of disabilities...For instance, with spinal
cord injuries the physical disability needs for someone who is ventilator
dependent are very different from somebody who is a paraplegic, as it is
different for somebody who has a sight problem or is deaf or has an
intellectual disability. So it is really the context and the understanding
within the advisory committee around the range of needs. I think that is
critical.[38]
9.48
AFDO indicated that 'at a bare minimum, people with disability should
make up a clear majority on both bodies', but that there should be a sufficient
pool of experienced people with disability to provide all members of both board
and advisory council.[39]
Similarly, Physical Disability Australia thought that at least half of both
board and advisory council members should be people with disability.[40]
Blind Citizens Australia and the SACOSS both argued that there should be a
majority of council members with disabilities.[41]
Children with Disabilities Australia argued that the majority of people on the
council should have lived experience of disability (including family).[42]
It was also suggested by Disability Justice Advocacy for the entire board and council
to be made up of people with disabilities.[43]
9.49
While there was uniform support for strong representation of people with
disability on the council, other suggestions about Council membership were
highly fragmented. ARATA recommended that the advisory council include both a
person with 'experience or knowledge in the supply of equipment' and one with
experience in 'the provision of services' to people with a disability, rather
than a single person from either area, on the grounds that assistive technology
'will constitute a substantial part of the NDIS budget'.[44]
The Australian Lawyers Alliance made a similar recommendation.[45]
However, VICSERV argued the opposite, considering that reference to 'experience
or knowledge in the supply of equipment' should be removed, as this 'seems to
be a rather tenuous qualification'.[46]
The RIDBC similarly queried the inclusion of equipment suppliers, noting that:
We would indicate that a person who supplies equipment would
not necessarily have a broad understanding of a person with disability and
disability services and may not therefore be suitable for advisory council
membership.[47]
9.50
NDS argued for subparagraph 147(b)(iii) to be amended so as to account
for two Council seats, noting that:
A person skilled only in the supply of equipment would
not have the broad understanding of disability services to make them suitable
for Advisory Council membership. The essential knowledge base is disability
service provision. The very broad range of supports used by people with
disability (including early intervention therapies, equipment or assistive
technology, accommodation support and supported employment) indicate that
having only one person on the Advisory Council who has skills,
experience or knowledge in the provision of services is inadequate.[48]
9.51
The South Australian government recommended that the advisory committee
be required to have at least one person with experience or knowledge 'with
regard to people with disability in rural or remote communities' and another
with regard to 'the needs and service support for children and young people
with disability'.[49]
The Physical Disability Council called for the advisory council to have
'representation from a range of host jurisdictions, aboriginal communities,
aged services, regional and rural communities.'[50]
9.52
Other groups who argued for specific representation on the council or board
included: United Voice, who argued to the committee that the Council should include
trade union representation[51];
the National Ethnic Disability Alliance who called for someone from a
non-English speaking background with a disability and experience in the
multicultural disability advocacy field[52];
Muscular Dystrophy Australia suggested the inclusion of a paediatric early
intervention and care expert, and a geriatric care specialist[53];
and the Australian Services Union noted that 'the Advisory Committee will need
at least one representative of disability care workers'.[54]
Committee view
9.53
The evidence to the committee has clearly shown that there are a
multitude of views on the appropriate mix of skills, experiences, and qualifications
that should be on the council. Like all such bodies, it is necessary to balance
completeness and manageability. After considering the evidence, the committee
has concluded that first and foremost the council should have a majority of members
with a disability. The council composition recommended below takes into account
this consideration, as well as the importance of including the expertise of
carers and specialist knowledge of the needs of disabled people in
non-metropolitan areas. This last criterion is supported by the committee
because of committee members' extensive experience of the issues in health care
and service provision in regional and remote Australia, reflected in numerous
Community Affairs Reference Committee reports. In the case of the NDIS, there
are likely to be particular issues for non-metropolitan areas in meeting the
NDIS objective of ensuring the development of genuine choice for participants,
a fact reflected in numerous accounts contained in the committee's many
personal submissions to this current inquiry.
Recommendation 29
9.54
The committee recommends that subclause 147(5) be amended so as to read:
(5) In appointing the
members of the Advisory Council, the Minister must:
(a) have
regard to the desirability of the membership of the Advisory Council
reflecting the diversity of people with disability; and
(b) ensure
that all members are persons with skills, experience or knowledge that will
help the Advisory Council perform its functions; and
(c) ensure
that:
(i) a majority
of the members are people with disability; and
(ii) at
least two of the members are carers of people with disability; and
(iii) one
or more of the members is a person who has skills, experience or knowledge of
disability in rural or regional areas.
Note: Any
member may fulfil one or more criteria in 147(5)(c)
Senator Claire Moore
Chair
Qld, Australian Labor
Party |
Senator
Rachel Siewert
Deputy
Chair
WA, Australian Greens |
|
|
Senator Carol Brown
Tas, Australian Labor
Party |
Senator
Mark Furner
Qld, Australian Labor Party |
|
|
Senator Dean Smith
WA, Liberal Party of
Australia |
Senator
Bridget McKenzie
Vic, National Party of Australia |
|
|
Senator Sue Boyce
Qld, Liberal Party of
Australia |
Senator
Mitch Fifield
Vic, Liberal Party of Australia |
|
|
Senator David Fawcett
SA, Liberal Party of
Australia |
Senator
the Hon. Lin Thorp
Tas, Australian Labor Party |
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