Recommendations
Primary Recommendation
Recommendation 21
4.150 That
Commonwealth, State and Territory governments jointly commit as part of the
fourth CSTDA to substantial additional funding to address identified unmet need
for specialist disability services, particularly for accommodation services and
support.
Chapter 3
Recommendation 1
3.25 That
State and Territory governments provide a specific service that assists people
with disability transferring between jurisdictions to negotiate programs and
services to achieve a comparable level of support.
Recommendation 2
3.30 That
the next CSTDA clearly recognise the complex and interacting needs of, and
specialist services required by, people with dual and multiple diagnosis, and
people with acquired brain injury.
Recommendation 3
3.65 That
the next CSTDA should include –
- A whole of
government, whole of life approach to services for people with disabilities.
- A
partnership between governments, service providers and the disability community
to set policy priorities and improve outcomes for people with disability.
- A clear
allocation of funding and administration responsibilities based on the most
effective arrangements for the delivery of specialist disability services.
- A clear
articulation of the services and support that people with disability will be
able to access.
- A commitment
to regular independent monitoring of the performance of governments and service
providers.
- A
transparent and clear mechanism to enable people with disability and their
carers to identify and understand which level of government is responsible for
the provision and funding of services.
Recommendation 4
3.66 That
in the life of the next CSTDA, signatories agree to develop a National
Disability Strategy which would function as a high level strategic policy
document, designed to address the complexity of needs of people with disability
and their carers in all aspects of their lives.
Recommendation 5
3.79 That
the next CSTDA incorporate a nationally consistent assessment process to
objectively and comprehensively determine the support and care needs of each
person with a disability. These assessment processes should also assist people
with disability by making determinations of eligibility for services and
priority of need as well as facilitating access to appropriate services.
Recommendation 6
3.84 That
the Commonwealth, State and Territory governments ensure that:
- administrative
burdens of assessment procedures are reduced for those with lifelong and
permanent disabilities and their carers; and
- flexible
assessment options are available to people with disabilities who have needs
that may change rapidly.
Recommendation 7
3.98 Given
the reality that a large proportion of costs in disability services will always
be wages and salaries of care providers, the Committee strongly recommends that
the Commonwealth consider removing the efficiency dividend from the indexation
formula for funds allocated through the CSTDA.
Recommendation 8
3.101 That
the Commonwealth set an indexation level in line with the actual costs of
delivering services. This rate should be applied as a minimum indexation rate
by State and Territory Governments.
Recommendation 9
3.106 That
the next CSTDA incorporate appropriate benchmarks and annual targets in
relation to identified unmet need for specialist disability services.
Recommendation 10
3.111 That
the next CSTDA ensure 'matched funding' commitments do not provide a
disincentive for governments to provide additional funding for specialist
disability services.
Recommendation 11
3.119 That
the Commonwealth have responsibility in the lead up to the next CSTDA for
developing an equitable distribution formula of Commonwealth base funding which
takes into account differences between States and Territories in terms of
potential population and costs of service delivery.
Recommendation 12
3.120 That,
in addition to that funding "platform", arrangements be put in place
to allow specific services or programs to be initiated on the basis of
cost-sharing or matched funding between the Commonwealth and particular State
and Territory governments which commit additional funding for specialist
disability services.
Recommendation 13
3.134 That
realistic outcomes based performance reporting requirements be added to the
CSTDA.
Recommendation 14
3.135 That
the Commonwealth take the lead in developing consistent cross-jurisdictional
performance monitoring and reporting of specialist disability services to
promote greater coordination and accountability between jurisdictions.
Chapter 4
Recommendation 15
4.44 That
additional funding be made available under the next CSTDA to:
- enable
further analysis using the CSTDA data collections, to better inform policy
makers and the public about the effectiveness of disability services; and
- enable
jurisdictions and service providers to improve CSTDA NMDS data.
Recommendation 16
4.45 That
the Commonwealth ensure that outcomes data is included in the CSTDA National
Minimum Dataset.
Recommendation 17
4.103 That
the Commonwealth, State and Territory governments implement a national
equipment strategy as part of the next CSTDA.
Recommendation 18
4.108 That
the next CSTDA include a commitment of additional funding for early
intervention.
Recommendation 19
4.131 That
the Commonwealth increase the number of places in the Disability Employment
Network for people on the Disability Support Pension who do not have mutual
obligation requirements.
Recommendation 20
4.136 That
the importance of access to appropriate transport and Patient Assisted Travel
Schemes for people with disabilities be reflected in the terms of the next
CSTDA.
Recommendation 21
4.150 That
Commonwealth, State and Territory governments jointly commit as part of the
fourth CSTDA to substantial additional funding to address identified unmet need
for specialist disability services, particularly for accommodation services and
support.
Chapter 5
Recommendation 22
5.50 That
funding arrangements and eligibility requirements should be made to allow
supplemental aged care services to be made available to people with
disabilities who are ageing, allowing them to age in place. Administrative funding
arrangements should not impede access to aged care services for people with a
disability who are ageing.
Recommendation 23
5.57 Access
to generic services should continue to be a priority for the next CSTDA,
particularly access to health care services.
Recommendation 24
5.69 That
Commonwealth, State and Territory governments, as part of their commitment to
life long planning for people with disabilities, ensure:
- that
transitional arrangement options are available for people with disabilities who
are cared for by ageing family members; and
- that there
are adequate options for people with a disability and their carers to plan for
their futures.
Chapter 6
Recommendation 25
6.30 That
a review of alternative funding arrangements be undertaken through the research
and development program of the next CSTDA which specifically considers, amongst
other elements:
- the likely
costs and benefits of individualised funding;
- the issues
encountered in the introduction of alternative funding overseas;
- provisions and
alternatives to allow people with disabilities to choose the level of
self-sufficiency with which they are comfortable;
- the
provision of decision support tools and services to assist people with
disabilities, their families and carers.
That the findings of the review be reported to the relevant
Ministerial Council.
Chapter 7
Recommendation 26
7.10 That
additional funding for research and development should be committed under the
next CSTDA within agreed policy priorities.
Recommendation 27
7.21 That
the Commonwealth defer the implementation of its restructure of the national
disability advocacy program and incorporate planning for advocacy services,
including carers advocacy, in the negotiation of the next CSTDA.
Recommendation 28
7.26 That
the next CSTDA continue to incorporate a prominent role for disability and
carer advisory bodies as well as the new National Disability and Carer
Ministerial Advisory Council. These bodies should be able to provide advice to
government on service delivery, progress made in meeting objectives and
priorities and directions for research and development.
Recommendation 29
7.29 That
Commonwealth, State and Territory governments ensure that people with
disabilities and their families are not discouraged from accessing care services
in their homes because of potential occupational health and safety liability.
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