Attachment 1 — Statement of Work

REQUEST FOR TENDER Independent Assessment Panel

REFERENCE NUMBER - 1000724626

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

Contents

1. Statement of Work (SoW)

1.1. Purpose

1.2. Background

1.3. Summary of the Panel arrangements

1.4. Panel Services

1.5. Assessment Services

1.6. Locations for Assessments

2. Requirements for Assessors 10

2.1. Professional Qualifications and Experience 10

2.2. Training Requirements 11

2.3. CodeofEthics 12

2.4. Standards 13

2.5. Working with Vulnerable People and Children 13

2.6. Police Checks 14

2.7. Debriefing / Counselling Options 14

2.8. Gender, religious and cultural sensitivity 15

2.9. Substitution of Assessor 15

3.1. Purpose of Assessments 16

3.2. Functional Capacity Assessment Tools 16

3.3. The Assessments 17

3.4. Appointment Bookings for Assessment Services - Timeframes 18

3.5. Use of Interpreters 19

3.6. Requirements for Supplier premises 20

3.7. Assessment duration 20

3.8. Appeals Processes 21

3.9. Complaints Process 21

3.10. Service Levels 21

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

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Page Contents

3.11. Quality Assurance Process

22

3.12. Information and Communication Technology

22

3.13. Work Health and Safety

22

3.14. Incident Management

234. Assessment Reports

4.1. Submission of Reports

24

4.2. Report Types and Delivery Timeframes

24

4.3. Errorsand Amendments

24

4.4. Handling of Assessment Information

24

5. Other Requirements

6. Glossary of Terms

Attachments:

• Attachment A: Estimated assessments in 2020-21 (page 24)
• Attachment B: Service Delivery Area to LGA Mapping (page 26)
• NDIA Independent Assessment Panel — Attachment 1 — Statement of Work (pages 27, 31, 34)

1. Statement of Work (SoW)

Note to Tenderers: Words in this SoW such as “must”, “shall”, “minimum” and “intend to“ indicate our requirements for the provision of the Services, but do not indicate mandatory requirements for participation in this RFT process. We intend that this SoW will become a Schedule in the Panel Agreement describing the Services (but we may need to make some changes following our evaluation of Tenders).

1.1. Purpose

This Statement of Work (SOW) outlines the range and scope of Services that are to be supplied under the Independent Assessment Panel (Panel). The Services include:

(a) Panel Services to be provided by the successful Supplier (including Services in relation to the engagement, training, and ongoing management of Assessors and providing reporting and other Services to the NDIA); and

(b) Assessment Services which are independent assessment services to be provided by the Supplier’s Personnel, (together the Services).

Note to Tenderers: Some terms used in this SoW have particular meanings - see the glossaries at the end of this SOW, and within the Draft Panel Agreement (for example the National Disability Insurance Agency (NDIA) is also referred to in the RFT documents as “we”, “us” or “our’.)

1.2. Background

The National Disability Insurance Scheme (the Scheme) is a way of providing support for people with disability, their families and carers in Australia. The Scheme represents a fundamental shift in the way support is provided to, and funded for, Australians who have a significant and permanent disability. Individuals who meet the eligibility criteria for, and who receive funding under, the Scheme are referred to as Scheme participants (Participants). The Scheme provides Participants with the reasonable and necessary supports they need to enjoy an optimal level of functioning and to participate in employment and the community.

The National Disability Insurance Agency (NDIA) is the Commonwealth entity responsible for implementing the Scheme. It is the NDIA’s responsibility to deliver the Scheme in a way that builds confidence and trust amongst Participants, carers, the community, the disability services market and other stakeholders.

The objectives of the National Disability Insurance Scheme Act 2013 (Cth) include:

• facilitating the independence and social and economic participation of people with disability;
• providing reasonable and necessary supports, including early intervention supports;
• enabling people with disability to exercise choice and control in the pursuit of their goals and the planning and delivery of their supports;
• facilitating the development of a nationally consistent approach to the access to, and the planning and funding of, supports for people with disability;

• promoting the provision of high quality and innovative supports that enable people with

disability to maximise independent lifestyles and full inclusion in the mainstream community; and

• raising community awareness of the issues that affect the social and economic participation of people with disability, and facilitating greater community inclusion of people with disability.

Summary of the Panel arrangements

In support of the Scheme’s objectives, the NDIA is establishing the Panel to facilitate the provision of Assessment Services. The NDIA wishes to ensure there is an efficient and effective process which will allow Assessment Services to be provided as and when required by the NDIA, both for Australians who are seeking to become Participants (Prospective Participants), and for those individuals who are already Participants.

The NDIA intends that it will initially require Assessment Services under the Panel for all

Prospective Participants. Throughout the term of the Panel (which is intended to be from August 2020 to 30 June 2023), it is possible that the number of Assessment Services required for Prospective Participants may increase (including to reflect potential changes in the legislative requirements for the conduct of Assessment Services in connection with the Scheme). It is also possible that Assessment Services may be required in future for all existing Participants, including on an ongoing basis as their life circumstances change.

The NDIA estimates that it will require the following number of Assessments throughout the term of the Panel:

• 82,200 in 2020-21;

• 193,000 in 2021-22; and O 252,000 in 2022-23.

Note to Tenderer: Tenderers should not rely on the estimates as indicating that they will receive any, or any volume, of referrals for Assessment Services during the term of the Panel. Furthermore, the COVID-19 pandemic may impact the total number and/or timing of Assessments required over the term of the Panel.

Note to Tenderers: Contractual arrangements in the Draft Panel Agreement allow for a ‘transition-in period’ during which successful Tenderers will finalise their Personnel arrangements, and provide their Personnel with the required training before providing Assessment Services.

The NDIA intends the Panel to facilitate the provision of Assessment Services throughout all of Australia, including in metropolitan areas, regional centres, rural towns and remote communities. Each Panellist will be allocated one or more defined Service Delivery Areas in which they must provide Assessment Services if required by the NDIA

(and Panellists must not provide Assessment Services for individuals outside their allocated Service Delivery Areas without written approval from the NDIA). However, a particular Service Delivery Area may have more than one Panellist at any time.

In light of the current COVID-19 pandemic, Tenderers are asked to provide information about their

current Telehealth capabilities. Under this Panel, the NDIA may permit the use of Telehealth to provide the required Services as a temporary arrangement in response to the physical distancing or isolation measures that may be required for some Potential Participants or Participants. We acknowledge however that Telehealth services may be logistically constrained in some areas, due to the availability of suitable technology.

Notes to Tenderers:

The NDIA does not require Tenderers to have Telehealth capabilities in order to submit a Tender.

Tenderers are asked to indicate with a “tick” when filling out Tender Response Form 3 in Table 1.1.whether they are able to provide Telehealth or other remote service capabilities in the particular Local Government Area for which they are tendering to provide Services.

The NDIA intends that the Assessment Services will provide the NDIA with standardised information about Prospective Participants and Participants (obtained through the use of a set of Functional Capacity Assessment Tools which are nominated by the NDIA), which will assist the NDIA to make objective, equitable decisions relating to Scheme access and plan funding for Prospective Participants and Participants.

1.4. Panel Services

The Panel Services which must be provided by the Supplier include:

• providing a single point of contact for the purposes of administration, account management, and answering non-clinical questions by the NDIA relating to the Services, including Assessments;
• engaging and maintaining a sufficient number of Personnel to conduct individual Assessments of Prospective Participants and Participants in the Supplier’s allocated Service Delivery Areas, and to provide Assessment Reports to the NDIA with the outcome of the Assessments;

• undertaking all other transition-in tasks required for the provision of the Services (including establishing ICT infrastructure and software as needed to access the NDIA’s ICT systems - see paragraph 3.12 of this SoW for further details);

• accepting referrals of Prospective Participants and Participants from the NDIA, and booking appointments for those individuals with the Supplier’s Assessors

(see paragraph 3.4 of this SoW for further details);

• ensuring that Assessment Services are provided in relation to referred Prospective Participants and Participants, which meet the requirements of this SoW and the Draft Panel Agreement (see paragraphs 2 and 3 of this SoW for further details);

• ensuring that Assessors submit completed Assessment Reports to the NDIA through a secure portal or other medium provided by the NDIA (see paragraph 4.1 of this SoW for further details);

Note to Tenderer: The Draft Panel Agreement has further terms and conditions about the use of the NDIA’s ICT systems by the Supplier or any of the Supplier’s Personnel.

• providing the reporting and meeting the other Panel management requirements, set out in this SoW (including the incident management requirements described in paragraph 3.14 of this SoW); and

• participating in evaluation activities (e.g. short periodic surveys on clinician experience).

Panel Services do not include providing recommendations on the support needs of Participants or Prospective Participants, or providing any clinical or other professional advice to Participants or Prospective Participants.

Suppliers must be flexible and able to cater to unpredictable or varying demand for Assessment Services during the term of the Panel. The NDIA does not guarantee that any, or any particular volume, of Assessment Services will be required from any Supplier during the term of the Panel.

Note to Tenderer: Attachment A to this SoW contains estimates of the number of referrals in Service Delivery Areas across Australia, together with an indication of the percentage falling within rural and remote areas. However, Tenderers should not rely on those numbers or percentages as indicating that they will receive any, or any volume, of referrals for Assessment Services during the term of the Panel if they are a successful Tenderer.

1.5. Assessment Services

The Supplier must provide Assessments to any Participant or Prospective Participant which is referred to the Supplier, irrespective of the Participant or Prospective Participant’s age, disability, cultural background or other sub-grouping. Disabilities may be attributable to one or more intellectual, cognitive, neurological, sensory, physical or psychiatric impairments. If the NDIA requires the Supplier to provide Assessment Services in respect of a Participant or Prospective Participant (and the NDIA has issued an appropriate Work Order under the Panel Agreement), the NDIA will give the Supplier a referral request (Referral Form) containing details about the required Assessment Services.

The Supplier must:

• promptly confirm receipt of the Referral Form and indicate if the Supplier is unable to provide the required Assessment Services;

• select an appropriate Assessor to deliver the Assessment Services for the referred Prospective Participant or Participant, having regard to the relevant attributes of the Prospective Participant or Participant;

• make a booking with the referred Prospective Participant or Participant for an appointment for the required Assessment (see paragraph 3.4 of this SoW for more details);

• ensure that an Assessment is undertaken for the referred Prospective Participant or

Participant;

• ensure that an Assessment Report is undertaken for the referred Prospective Participant or Participant (see paragraph 4.4); and

• submit the Assessment Report in accordance with paragraph 4.2 of this SoW.

These Services must be provided in accordance with the requirements of the Referral Form, this SoW, the Draft Panel Agreement, and the Supplier Guidelines.

Note to Tenderers: The NDIA may issue Supplier Guidelines which set out more details of the processes and requirements for the provision of the Services. The NDIA intends to consult with relevant peak bodies and other suitable organisations as it considers appropriate before issuing Supplier Guidelines. The Draft Panel Agreement requires Suppliers to agree to provide the Services in accordance with any Supplier Guidelines issued by the NDIA from time to time (see the Draft Panel Agreement).

Depending on the disability type, Assessments will need to be conducted by an Assessor who holds the relevant experience and qualification for the Assessor Category (the Assessor Category required for an Assessment will be specified in the Referral Form). The Assessor Categories include:

• speech pathologist;

• occupational therapist; ¢ physiotherapist;

• — social worker; ¢ clinical psychologist; and ¢ rehabilitation counsellor.

The NDIA expects that most Assessors will hold qualifications in one of the Assessor Categories described above, but may consider additional Assessor Categories in certain circumstances, for example in rural and remote regions. Tenderers wishing to tender for additional Assessor Categories must clearly indicate their proposed professions in the Tender Response Forms.

Note to Tenderers: Tenderers should indicate in their Tender Response Forms the Assessor Categories for which they are tendering, for each LGA for which they are tendering, and include pricing for each applicable Assessor Category in that LGA.

1.6. Locations for Assessments

The Supplier must provide Assessment Services for all Prospective Participants and Participants who reside anywhere within their allocated Local Government Area(s), or who otherwise wish to receive the Assessment Services within those Local Government Area(s).

Notes to Tenderers: The Service Delivery Areas and the LGAs within those Service Delivery Areas are set out in Attachment B to Attachment 1 (Statement of Work).

For clarity, Tenderers can tender to provide Assessment Services in more than 5 different Service Delivery Areas (e.g. across an entire State or Territory, or the whole of Australia), further details are set out in the Request for Tender (RFT) document at Mandatory Requirements - sections 34 - 35.

The Supplier must ensure that when making an appointment booking, each referred Participant or Prospective Participant is given the ability to choose to have their Assessment conducted by the Supplier’s Assessor:

• within the Participant or Prospective Participant’s own home, or at other private premises chosen by the Participant or Prospective Participant; or

• at premises which are provided or made available by the Supplier,

unless the Supplier has received prior written approval from the NDIA to conduct Assessments using a Telehealth service or other remote method, in which case, the Supplier may only give the Participant or Prospective Participant the option of having a remote Assessment. The NDIA intends to permit the use of a Telehealth service or other remote method during the period that physical distancing or isolation measures are required by the Australian Government in response to the COVID-19 pandemic.

The Supplier may only use a Telehealth service or other remote method to conduct an Assessment in limited circumstances where distance to a rural town or remote community would make face-to-face Assessment Services impractical, or where physical distancing or isolation measures are required by the Australian Government in response to the COVID-19 pandemic,and in either case, the Supplier has received the NDIA’s prior written approval. The NDIA intends that any approval for the use of Telehealth because of physical distancing or isolation measures that are in place in response to the COVID-19 pandemic, would be outlined in the relevant Work Order or Referral Form issued to the relevant Supplier.

Notes to Tenderers: The NDIA seeks Suppliers who are able to offer suitable locations for the provision of Assessments throughout their nominated Service Delivery Areas — after the COVID-19 pandemic ends, Telehealth services and other remote methods for Assessments should only be offered as an exception, rather than as the usual offering within a Service Delivery Area. Tenderers should provide details of any such proposed remote Assessments in their Tender.

More details about the requirements for Suppliers premises, and for the conduct of Assessments in the Participant’s or Prospective Participant’s home or other nominated location, are set out in paragraph 3.6 of this SoW.

The Supplier’s initial allocated Service Delivery Areas will be set out in the Panel

Agreement

If at any time the Supplier is, or becomes an NDIS Local Area Coordinator (LAC), Early Childhood Early Intervention (ECEI) partner, or NDS provider (registered or unregistered), the Supplier must notify the NDIA. The NDIA will not issue any Work Orders or referrals for Assessment Services for Participants or Prospective Participants in Local Government Areas in which the Supplier is engaged to deliver LAC and/or ECEI services.

Note to Tenderers:

In the Tender, Tenderers must provide evidence that they have, or have plans to engage, a workforce of sufficient size to undertake Assessments in each Local Government Area in respect of which they submit a Tender. This information includes the number of Assessments that can be administered per month (split by Assessor qualification and Assessor Category), with acknowledgment of any limitations in geographic coverage. Any subcontracting arrangements must be clearly described in your Tender, noting that you do not need to provide information about individual Assessors that you intend to subcontract to deliver Assessment Services under the Panel.

2. Requirements for Assessors

2.1. Professional Qualifications and Experience

The Supplier must ensure that, before an Assessor delivers Assessment Services, the Assessor meets all of the following requirements:

• the Assessor must be a health professional in an Assessor Category described in paragraph 1.5 of this SoW, or approved by the NDIA;
• the Assessor must hold a User Level B credential from Pearson Clinical Australia’;

Notes to Tenderers:

This credential ensures integrity in the use of the required Functional Capacity Assessment Tools. It is met if an Assessor has the professional qualifications required for the relevant Assessor Category (e.g., occupational therapists, physiotherapists, registered psychologists and speech pathologists). Other professionals may or may not need to undertake specific additional training provided by Pearson Clinical Australia to meet this requirement, and any such training requirements will be at the Supplier’s cost.

• the Assessor must have completed the training required by the NDIA, including that required for each specific Assessment tool to be used by that Assessor (see also paragraph 2.2 below);
• the Assessor must hold any ongoing professional registration which they are required to hold in order to practice their profession (as described in the first dot point above) for the relevant Assessor Category, and the Assessor must not be the subject of any current disciplinary investigation by a governing body for their profession;
• the Assessor must have an appropriate level of experience and clinical supervision for the applicable Assessor Category so that they are able to properly and professionally deliver the Assessment Services; and

Further details on the requirements are provided at: https:/Awww.pearsonassessments.com/professionalassessments/ordering/how-to-order/qualifications/qualifications-policy html.

• the Assessor must meet any other requirements for Assessors which are specified in the Supplier Guidelines.

Note to Tenderers: Tenderers should demonstrate in their Tender Response Form that their Assessors have, or will have, experience working across a range of disabilities and have, or will have, undertaken appropriate internal training by the Supplier in the following areas:

• child protection and safe practices when working with children;

• cultural sensitivities and considerations when working with Culturally and Linguistically Diverse (CALD) and Aboriginal and Torres Strait Islander people; and

• Privacy and confidentiality.

If required by the NDIA, the Supplier must provide satisfactory evidence that any particular Assessor used, or to be used, by the Supplier meets the requirements described above. The NDIA may require Suppliers or their Assessors to provide a declaration (including when submitting an Assessment Report, or on an annual or other regular basis) that an Assessor meets all of the above requirements.

2.2. Training Requirements

The NDIA will make training packages available to the Supplier, including training:

c¢ that incorporates content provided by the publishers of the Functional Capacity Assessment Tools which must be used by Assessors;

¢ for managing administrative processes associated with the supply of Services under the Panel (including the use of NDIA ICT systems for providing Assessment Reports); and

¢ for providing Assessment Services to different cultural groups, including Aboriginal and Torres Strait Islander people.

The training will be designed to enable recipients of the training to further train the Supplier’s other Personnel who will be involved in the provision of the Services (i.e., it will be “train-the-trainer” training). The NDIA training may be made available to the Supplier through online methods. The Supplier must ensure that at least one suitable Personnel undertakes all of the NDIA training packages prior to commencement of Assessment Services and throughout the term of the Panel.

Note to Tenderers It will be the successful Tenderer’s responsibility to ensure that all required training for Assessors is completed before commencement of Assessment Services.

The Supplier must ensure that all relevant Personnel (including its Assessors) receive the content of the NDIA training (and any other training required to ensure provision of the Services in accordance with this SoW, the Panel Agreement and the Supplier Guidelines) before provision of Assessment Services.

Note to Tenderers

The NDIA expects that the likely time commitment for the provision of the required NDIA training will be up to one day per Assessor prior to commencement of Assessment Services. It is anticipated that training will be conducted through a web portal.

The Supplier must also comply with any requirements in the Supplier Guidelines to redeliver refresher training to its Personnel at periodic intervals, to ensure continuing quality assurance and interrater reliability.

The training to Assessors may be delivered by the Supplier face to face or online. Completion of each training area must be completed by all Assessors annually with dates recorded.

The NDIA will also provide the Supplier with additional training for managing administrative processes, using the “train the trainer” model.

The Supplier must ensure all Assessors have received internal training sufficient to ensure Assessors have adequate knowledge for risk management including child protection training and mandatory reporting requirements, risk and hazard identification and emergency procedures (see paragraphs 3.13 and 3.14).

Note to Tenderers

Suppliers may be required to provide proof to the NDIA that Assessors have completed the required training before delivering the Assessment Services.

Tenderers should include any information relevant to their internal risk management policies and the training provided to their personnel and Assessors in their Tender Response Forms.

Tenderers are encouraged to demonstrate their experience in providing services to Aboriginal and CALD communities in the Service Delivery Area(s) (and Local Government Area(s)) that they are tendering for.

2.3. Code of Ethics

When delivering the Assessment Services, the Supplier must ensure each Assessor complies with any Professional Code of Ethics that applies to the Assessor’s profession in their normal course of work.

2.4. Standards

The Supplier must comply with, and ensure that all of its Assessors comply with, any Australian and New Zealand Standard Classification of Occupations (ANZSCO) standard that applies to any of the Services delivered under the Panel.

2.5. Working with Vulnerable People and Children

The Supplier must ensure that all Personnel performing Assessment Services, or management or administration functions in connection with the Services, have signed a Deed of Confidentiality (as provided in Attachment 3: Draft Panel Agreement).

The Supplier must also ensure that all security requirements specified in this SoW or in the Supplier Guidelines are met, including that:

• all Assessors must, at all times during their engagement by the Supplier, hold a Working with Vulnerable People registration in the States/Territories in which they are providing Assessment Services; and

the Supplier must have undertaken Working with Children Checks for all Assessors, in all applicable States/Territories in which the Assessor will provide Assessment Services (see Table 1 below).

Note to Tenderers: The Draft Panel Agreement contains obligations on Suppliers in relation to working with vulnerable people including children.

Suppliers are responsible for the costs of undertaking or meeting all registrations, checks, and security requirements needed to provide the Services in accordance with this SoW and the Panel Agreement.

Table 1: Working with Children and Vulnerable People Legislative Requirements

State or Territory	Link to jurisdictional WCVP check application webpage
Northern Territory	Working with children clearance: apply Care and Protection of Children Act
Territory and renew (external website) 2007; Working with Vulnerable __ People;
[Australian Background Checking] Act 2011 Capital Working with vulnerable people;
WWYVP registration (external website);
Queensland Blue Card Services (external website); Working with Children Risk Management and Screening Act 2000; Screening Checks (external website); Working with Children Check (external website);
South Australia Children and Young People Safety Act 2017;
Western Australia Working with Children Working with Children Criminal Record Checking Act 2004;
Tasmania Working with Children Registration Work with Vulnerable People Act 2013;
New South Wales Working with Children Child Protection Working with Children Act 2012;
Victoria Working with Children Act 2005;

2.6. Police Checks

Suppliers are required to ensure that all Personnel, including all Assessors involved in undertaking Assessments, undergo a Police Check before delivering any Assessment Services, and every two years during the term of the Panel that the Assessor or personnel is engaged to provide the Assessments. Suppliers are responsible for the costs of the Police Checks.

A “Police Check’ is a formal inquiry made to the relevant police authority in each Australian State or Territory, to obtain details of a person’s criminal conviction or a finding of guilt within or outside Australia, in areas it is known that the person has resided. A person who has committed a criminal offence or has a court record (other than a spent conviction) must not provide Assessment Services without NDIA’s written approval.

2.7. Debriefing / Counselling Options

Suppliers must have a system in place that provides free access to debriefing/counselling services, if requested by Assessors who provide Assessment Services.

2.8. Gender, religious and cultural sensitivity

Suppliers are required to ensure that Assessors and any other Personnel involved in undertaking the Assessment Services are culturally responsive and sensitive in their dealings with the NDIA and Prospective Participants or Participants. Suppliers must work with the NDIA and Participants or Prospective Participants in a culturally sensitive manner.

Suppliers must take into consideration the individual circumstances of a Participant or Prospective Participant (e.g. gender, religious or cultural sensitivities) when selecting an appropriate Assessor to provide the Assessment Services, in accordance with the Supplier Guidelines.

The NDIA may provide in the Referral Form, for example, that a Prospective Participant or Participant has requested a male or female Assessor. The Supplier is required to meet any such requirement.

In small culturally and linguistically diverse communities, people may have concerns with confidentiality and privacy, and may be reluctant to speak through an interpreter from the same community (see also paragraph 3.5 of this SoW in relation to the use of interpreters) or use an Assessor who they know or who is from the same community. This is particularly the case when discussing issues related to disability, where misconceptions about disability are common and not openly discussed. Suppliers must take these requirements into account, if applicable to a particular Referral Form.

The NDIA may at any time, for any Assessment for any Participant or Prospective Participant, request a specific Assessor to provide, or reject a specific Assessor from providing, that Assessment. A Supplier will be required to promptly advise the NDIA if they are unable to provide a specific Assessor. If the NDIA has previously rejected a specific Assessor, the Supplier must not use the Assessor to provide Assessments under the Panel.

2.9. Substitution of Assessor

If the Assessor who is booked to provide an Assessment is unable to attend the appointment (for any reason), the Supplier must use its best endeavours to find a replacement. The replacement

Assessor Requirements

The Assessor must meet, and comply with, the requirements for Assessors and Assessments, outlined in this SoW.

If the Supplier is unable to provide a replacement Assessor, it must:

• notify the NDIA and the applicable Prospective Participant or Participant, giving as much notice as is possible;
• unless notified otherwise by the NDIA, seek to book another appointment for the Prospective Participant or Participant, as soon as possible.

Purpose of Assessments

The purpose of an Assessment is to provide the NDIA with information which will allow it to consider a Participant or Prospective Participant’s Functional Capacity for the purposes of the Scheme. This concept is complex with many unique constraints that must be considered to ensure a fair, equitable and consistent approach by the NDIA. In the absence of a single standardised assessment tool that meets all of the required criteria at this point in time, the NDIA has determined that a suite of Functional Capacity Assessment Tools will be used.

In determining the suite of Functional Capacity Assessment Tools the NDIA has considered that it must be:

• underpinned by the National Disability Insurance Scheme Act 2013 (Cth) which outlines the need to assess all aspects of Functional Capacity and not just those that are assumed because of a specific disability or impairment profile, as many Participants and Prospective Participants have unique presentation and multiple disabilities;
• aligned with the World Health Organisation International Classification of Function framework, and measure ‘function’ as defined by the World Health Organisation, which considers not only the impairment (alteration of body functions and structures) but also the activities and participation of an individual, and the environmental and personal factors that impact on day to day function;
• aligned with the Scheme’s purpose of informing access, funding and planning decisions and ensuring the delivering of such is administered reliably by suitably qualified independent assessors; and
• appropriate to assess capacity (what can a person do), performance (what does a person do) and environmental (e.g., transport) in addition to the individual’s personal attributes (e.g. age) that impact the person’s day to day function; and
• be aligned with a range of other considerations, including reliability, efficiency and cost-effectiveness.

Functional Capacity Assessment Tools

Assessments must be undertaken by Assessors using the Functional Capacity Assessment Tool or Tools specified by the NDIA.

Each Assessment of a Participant or Prospective Participant will typically require a functional capacity Assessment using three Functional Capacity Assessment Tools chosen by the NDIA on the basis of age.

The following is an indicative (but not exclusive) list of the Functional Capacity Assessment Tools that may be specified on the online portal or in a Referral Form for an Assessment under this Panel:

• Vineland Adaptive Behaviour Scales, Third Edition (Vineland-3) Domain version.
• The Paediatric Evaluation of Disability Inventory - Computer Adaptive Test (PEDICAT).
• The Paediatric Evaluation of Disability Inventory - Computer Adaptive Test with ASD scales (PEDI-CAT ASD).
• World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) 36 item version.
• Participation and Environment Measure - Children and Youth (PEM-CY).
• Young Children’s Participation and Environment Measure (YC-PEM).
• The Craig Hospital Inventory of Environmental Factors (CHIEF).
• Lower Extremity Functional Scale.

The NDIA will ensure that the Supplier’s nominated Assessor for a particular Assessment has rights to access and use each assessment tool specified in a Referral Form (at no cost to the Supplier). The Supplier will be responsible for ensuring that it does all things necessary to access and use the Functional Capacity Assessment Tools (for example, by downloading or otherwise installing any necessary software, and/or providing the required internet connection needed to access or use the assessment tool).

A continuing review of the Functional Capacity Assessment Tools being used by the NDIA is a vital part of its approach to the conduct of the Assessments, and the NDIA may add additional Functional Capacity Assessment Tools to, or remove Functional Capacity Assessment Tools from, the above list. The NDIA will make clear which Functional Capacity Assessments Tools must be used for individual Prospective Participants and Participants on an online portal, which will be made available to the Supplier by the NDIA, based on age and disability type.

3.3. The Assessments

To undertake the Assessment, the Assessor must:

• undertake a 20 minute (minimum) interaction or observation session with the Participant or Prospective Participant, in which they will take summary notes to include in the Report (as required by paragraph 4.1 of this SoW);

• use and complete the nominated Functional Capacity Assessment Tools with information about the referred Participant or Prospective Participant;

• complete the Assessment Report, with information about the referred Participant or Prospective Participant, drawn from the interaction/observation session and the results of the use of the Functional Capacity Assessment Tools; and

• submit the Assessment Report to the NDIA (as required by paragraph 4.2).

Assessors’ Clinical Judgment

Assessors must use clinical judgment when undertaking Assessments to ensure that the results appropriately reflect the individual’s circumstances and functioning. The Supplier must consider this requirement in ensuring that its workforce is suitably experienced to undertake the Assessments.

For clarity, the Assessor must not provide clinical services or advice to the Participant or Prospective Participant during the Assessment.

Skills and Experience Requirements

Suppliers must ensure that the Assessors possess the requisite skills and experience to exercise clinical judgement in their ability to assess whether an Assessment should be discontinued and rescheduled due to the Participant or Prospective Participant’s physical and/or mental state.

Note to Tenderers:

Tenderers should demonstrate in their Tender what policy frameworks they will have in place to guide Assessors in making judgements around when to discontinue an Assessment.

Appointment Bookings for Assessment Services - Timeframes

After referral by the NDIA, the Supplier must endeavour to contact the Participant or Prospective Participant to organise and book a suitable appointment for the Assessment.

The Supplier must attempt to contact the Participant or Potential Participant within two Business Days of receiving the Referral Form from the NDIA to schedule an appointment for an Assessment.

If the Participant or Prospective Participant is unable to be contacted within two Business Days, then the Supplier must make at least two additional attempts at different times of the day, within the following five Business Days. If an appointment is still unable to be made after this time, the Supplier must immediately contact the NDIA (by returning the Referral Form to the NDIA) for further follow-up.

Assessments must be completed and returned to the NDIA within 10 Business Days of the Supplier confirming receipt of the Referral Form, notwithstanding that the Participant or Prospective Participant may request to cancel or delay a booked appointment to meet their own needs, or may not attend a booked appointment. If a Participant or Prospective Participant requests a delay or does not attend a booked appointment, the Supplier must use its best endeavours to still provide the Assessment Report within the 10 Business Day timeframe (or as soon as possible afterwards). Any Assessment Report not submitted within the 10 Business Day timeframe should explain the reasons for the delay. If, after twenty Business Days of confirming receipt of a Referral Form, the Assessor is unable to complete and submit an Assessment Report (for example, the Supplier has been unable to schedule or reschedule an appointment, or the Participant or Prospective Participant has not attended an appointment, or the Assessor has used their clinical judgement to discontinue an Assessment), the Supplier must return the Referral Form to the NDIA.

The Supplier will be required to report to the NDIA on all contacts and bookings for referred Participants and Potential Participants, and on Assessment timeframes, in the format required by the NDIA, including explanations if the timeframes set out in this SoW were not met.

Flexibility Requirements

Suppliers must be flexible to cater to unpredictable or varying demand for Services. On the request of a Supplier, the NDIA may also be flexible in periods of unusually high demand.

Note to Tenderers:

Tenderers must provide details of their flexibility to undertake appointments outside of normal business hours to cater to the needs of Participants and Prospective Participants.

Use of Interpreters

The Supplier must ensure that an interpreter is used during an Assessment if:

• a Referral Form indicates that the assistance of an interpreter is required by a Participant or Prospective Participant in relation to the Assessment Services, or

• the Participant or Prospective Participant requests an interpreter when booking an appointment for an Assessment (and the NDIA has approved the use of an interpreter); or

• the Supplier otherwise considers that an interpreter is required by a Participant or Prospective Participant in order for the Supplier to properly provide the Assessment Services (and the NDIA has approved the use of an interpreter).

In the above cases, the Supplier must arrange for:

• the NDIA to supply an interpreter at the relevant booked appointment (and if the NDIA supplies an interpreter, this will be no cost to the Supplier); or

• the supply of an interpreter at the booked appointment (the NDIA will reimburse the Supplier for the cost of the interpreter’s services, if Supplier has obtained the NDIA’s prior written approval of the proposed interpreter and the associated cost).

Note to Tenderers: The Supplier must ensure that interpreters it supplies comply with the Australian Institute of Interpreters and Translation (AUSIT) Code of Ethics and Code of Conduct. Any Auslan interpreters must comply with the Australian Sign Language Interpreters Association (ASLIA) Code of Ethics and Guidelines for Professional Conduct.

Before approving an interpreter, the NDIA may require evidence that the interpreter has been NAATI certified or has the endorsement or relevant peak body where NAATI certification does not apply. The NDIA prefers interpreters hold level 2, 3 or 4 certification.

Requirements for Supplier premises

The Supplier is responsible for taking all reasonable steps to ensure the safety of both the Assessor and the Prospective Participant or Participant during the provision of Assessment Services (irrespective of the location that the Assessment is undertaken). At any time, the NDIA may require the Supplier to demonstrate that:

• the Supplier has undertaken a recent risk assessment in relation to the provision of Assessment Services, taking into account the risks and mitigation strategies it has in place to ensure the safety of both the Assessor and the Prospective Participant or Participant; and

• the Supplier has appropriate risk management policies in place to ensure the safety of both the Assessor and the Prospective Participant or Participant.

The Supplier must have suitable, locally available premises available for the conduct of Assessments, throughtout its allocated Local Government Areas. These premises must be used for business or government purposes (that is, not private residences). Participants or Prospective Participants should not have to travel more than 2 hours from their usual residence to attend an appointment.

Assessments must be provided face-to-face, except in limited circumstances in rural and remote areas where Telehealth services or other remote methods have been approved by the NDIA, or where use of a Telehealth service or other remote methods has been approved by the NDIA as a temporary arrangement due to physical distancing or isolation measures required by the Australian Government in response to the COVID-19 pandemic., .

Assessments for children must not be undertaken in school environments without approval from the NDIA, which will not usually be given due to additional school-specific requirements. The Supplier must ensure that it holds, or that Assessors and Participants and Prospective Participants are covered by, the appropriate levels of insurance, as required by the Panel Agreement, in respect of Assessments conducted on those premises.

All premises made available by the Supplier for undertaking Assessments must meet the physical accessibility standards as described in the Disability (Access to Premises - Buildings) Standards 2010 of the Disability Discrimination Act 1992 (Cth).

Notes to Tenderers: Tenderers should specify in their Tender their proposed locations for provision of Assessments, and note any issues regarding accessibility to buildings/office locations with proposed alternatives. Tenderers must provide details of any proposed Telehealth service or any other remote methods proposed for delivery the Services in rural and remote regions.

Suppliers may be required to provide proof, on request, that any premises intended for the use of Assessment is a licensed business/government premise with the required minimum levels of insurance in place.

Interaction/observation session

interaction/observation session and then completing the written observation Report. It does not include travel time to or from the place of Assessment (if different to the Supplier’s premises).

The duration of each set of Assessments will vary, and may be shorter or longer than 2.5 to 3 hours, according to individual circumstances.

Appeals Processes

Participants and Prospective Participants will have the right to challenge the results of their Assessment if, for whatever reason, they are unsatisfied with the Assessment.

In support of this, the NDIA may require the Supplier to provide (at no additional cost to the NDIA) any or all information used in the relevant Assessment process (including in the production of the

Assessment Report), and an Assessor(s) may be required to provide information and assistance to the NDIA in relation to any appeals process.

The NDIA may require the Supplier or an Assessor to act as an expert witness in connection with any court, tribunal, or government inquiry. If so, the NDIA must give the Supplier reasonable notice to provide written or oral testimony in relation to the relevant Assessment (and any required Services will be treated as Additional Services under the Panel Agreement).

Complaints Process

The Supplier must develop and implement a complaints management process, which details how complaints from Participants or Prospective Participants and their representatives will be received and managed by the Supplier. This process must be agreed to by the NDIA prior to commencement of Assessment Services.

The Supplier must promptly respond, and where possible resolve, any complaint by a Participant or Prospective Participant which is notified by the NDIA to the Supplier. If any complaint is unable to be resolved by the Supplier within 10 Business Days the Supplier must notify the NDIA. The Supplier must cooperate in any investigation conducted by the NDIA (or any other regulatory body) in relation to any complaint by a Participant or Prospective Participant.

Note to Tenderers: Tenderers should provide details in the Tender Response Forms about how it intends to manage compiaints.

Service Levels

Note to Tenderers: We are still considering our requirements for performance management (including any applicable Service Levels). We plan to issue an update to this RFT setting out our requirements, as soon as possible after this RFT is resumed after its suspension.

Quality Assurance Process

The Supplier must comply, and ensure its Assessors comply, with the NDIA’s Quality Assurance Framework for the Panel, which the NDIA intends will be developed and provided to the Supplier.

The Framework will include quantitative and qualitative analysis by the NDIA, to ensure the validity of assessment results and inter-rater reliability between Assessors. The NDIA may require that

NDIA Independent Assessment Panel - Attachment 1 - Statement of Work

Information and Communication Technology

The Supplier is responsible for providing, at its cost, all Information and Communications Technology (ICT) infrastructure it requires for the provision of the Services.

Without limiting this, the Supplier must ensure that their Assessors have access to appropriate ICT to enable the provision of the Assessment Services, including laptops and tablets with internet connectivity for Assessments completed away from normal business premises.

The Supplier must ensure that it is compliant with the provisions of the Draft Panel Agreement in relation to its use of the NDIA’s ICT systems.

Note to Tenderers: The Supplier must do all things necessary to ensure that it complies with the Privacy Act 1988 (Cth) and the National Disability Insurance Scheme Act 2013 (Cth) in respect of all information held in connection with the provision of the Services, including on computers or mobile devices.

Work Health and Safety

The Supplier must develop and implement a suitable Work Health and Safety Plan (WH&S Plan) that covers the provision of the Services, including the Assessment Services. The WH&S Plan must detail the Supplier’s processes for receiving and addressing concerns and/or complaints by Assessors, and managing safety concerns regarding Assessment locations or individuals.

The WH&S Plan must be approved by the NDIA before provision of any Assessment Services. Additionally, it must be included in the Supplier’s training to Assessors prior to an Assessor undertaking any Assessments. However, approval of the WH&S Plan by the NDIA does not reduce or remove the Supplier’s responsibility to ensure the safety of both the Assessor and the Prospective Participant or Participant during the provision of Assessment Services (as described in paragraph 3.6 of this SoW).

Note to Tenderers: Tenderers must demonstrate in their Tender that it has or is developing, a WH&S Plan. Successful Tenderers must have an appropriate WH&S Plan prior to the execution of the Panel Agreement.

Incident Management

The Supplier must implement and maintain a system to record and manage certain incidents that happen in connection with providing the Services.

The incidents that must be recorded and managed are:

• incidents that have, or could have, caused harm to a Participant or Prospective participant receiving Services under the Panel;

• acts by a person with disability that happen in connection with the provision of Services and that have caused serious harm, or a risk of serious harm, to another person; and

• reportable incidents that are alleged to have occurred in connection with the provision of supports or Services.

The incident management system must set up procedures for identifying, assessing, managing and resolving such incidents. These procedures must specify things such as the people to whom incidents must be reported, how people with disability affected by an incident will be supported and involved in resolving the incident and when corrective action is required.

The Supplier must keep records about incidents, and must document any incident in their incident management system. Copies of the documented system must be available to certain people, including workers and persons with disability receiving supports or services from the provider. The NDIA reserves its right to audit this information through the term of the Panel.

Note to Tenderers: Successful Tenderers must have an Incident Management Plan that is approved by the NDIA, prior to the execution of the Panel Agreement to deliver Services.

4. Assessment Reports

4.1. Submission of Reports

The Supplier must ensure that its Assessors complete an Assessment Report for each Assessment and submit the Assessment Report to the NDIA securely through the online portal which is made available by the NDIA.

The Supplier must use any alternative method of Assessment Report capture and transmission, as prescribed by the NDIA (including in the Supplier Guidelines), if the portal is not available for any reason.

Upon submission of the Assessment Report, the relevant Assessor must declare (by selecting the relevant indication on the screen) that, in conducting the Assessment Service, the Assessor meets the required qualifications and experience, as required by sections 2.1 and 2.2 of this Statement of Work.

4.2. Report Types and Delivery Timeframes

Unless otherwise specified in the Referral Form, a Supplier will be required to complete and return the completed Assessment Report to the NDIA within 10 Business Days.

The NDIA will provide Participants or Prospective Participants with copies of their Assessment Reports, either through the NDIS Participant Portal or on request from the Prospective Participant or Participant.

Assessors must not provide Participants or Prospective Participants with copies of the

Assessment Reports or discuss results or outcomes with Participants or Prospective Participants in any way. Assessors should direct all questions or concerns, about the Assessment Report from Prospective Participants or Participants, to the NDIA.

4.3. Errors and Amendments

If the NDIA finds an error or omission in an Assessment Report it will be returned for immediate remediation by the Supplier, who must ensure that the Assessment Report is promptly rectified and resubmitted it to the NDIA, within 5 business days at no additional cost to the NDIA.

4.4. Handling of Assessment Information

Any information:

• provided to the Supplier or its Personnel by the NDIA, Participant, Prospective Participant, family member, carer or other representative in relation to the Services (including the Assessment Services); or

• generated by the Supplier or its Personnel (including in the Functional Capacity Assessment Tools and Assessment Report),

will be subject to the Privacy Act 1988 (Cth), the NDIA’s own policies (e.g. the NDIA’s Information Handling Operational Guideline located at https://www.ndis.gov.au/aboutus/operational-guidelines/information-handling-guide/informationhandling-collection-information) and legislative requirements (e.g. the National Disability Insurance Scheme Act 2013 (Cth)).

Note to Tenderers: Further information and requirements for information handling including issues around Privacy and security, are detailed in the Draft Panel Agreement (included in the RFT package)

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work 23

5. Other Requirements

None.

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

24

Glossary of Terms

Item

Description

Assessment Report A report written by an Assessor, after conducting an Assessment with a Prospective Participant or Participant, which meets the requirements of this SoW.

Auslan Australian Sign Language

Australian Institute of Interpreters and Translators (AUSIT) AUSIT is the national association for the translating and interpreting profession. Members adhere to a strict Code of Ethics and follow continuous professional development.

Australian Sign Language Interpreters’ Association (ASLIA) ASLIA is a not-for-profit body and is the national peak organisation representing Auslan/English Interpreters and Deaf Interpreters in Australia.

Functional Capacity Functional capacity refers to a person’s ability to execute tasks or actions (Activities) and their involvement in life situations (Participation).

Functional capacity also includes environmental and personal factors as well as a person’s impairments and health conditions and the term recognises the complex interactions between all these components.

Functional Capacity Assessment Tools The functional capacity assessment tools are tools within a toolbox of assessment tools to determine the ability of a person to execute tasks or actions (Activities) and their involvement in life situations (Participation). The tools will be chosen by the NDIA and updated from time to time.

Incident Management Plan Means the plan to be developed by the Supplier as described in this SoW, and which describes the processes that the Supplier will use to in the event of an incident occurring in the delivery of the Services under the Panel.

National Accreditation Authority for Translators and Interpreters (NAATI) NAATI is a not-for-profit company, and is the standards and certifying authority for translators and interpreters in Australia.

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

Panellists

means successful Tenderers who sign the Panel Agreement and agree to supply the Services under the Panel.

Item Description

Participant have the meaning in paragraph 1.2 of this SoW.

References to ‘Participant’ include references to a carer, guardian, advocate or nominee of the Participant who is representing or assisting the Participant in connection with the Services.

Participation and Environment Measure — Children and Youth (PEM-CY)

The PEM-CY is a measurement tool designed to help parents, service providers and researchers better understand the participation of children and youth. The PEM-CY measures participation in the home, school and community, along with environmental factors within each of these settings. The PEM- CY can be used for children and youth aged 5 to 17 years, with or without disabilities.

The Paediatric Evaluation of Disability Inventory- PEDI-CAT

measures abilities in three functional domains: Daily Computer Adaptive Test | Activities, Mobility and Social/Cognitive. An additional PEDI- (PEDI-CAT) CAT Responsibility domain measures the extent to which the caregiver or child takes responsibility for managing complex, multi-step life tasks. It is designed for use with children and youth (birth through 20 years of age) with a variety of physical and/or behavioural conditions.

Personnel

means, in relation to a party, any natural persons who are employees, officers, agents, contractors, subcontractors or professional advisers of that party.

Prospective Participant

has the meaning in paragraph 1.3 of this SoW.

References to ‘Prospective Participant’ include references to a carer, guardian, advocate or nominee of the Prospective Participant who is representing or assisting the Prospective Participant in connection with the Services.

Referral Form

The Referral Form will is the form of request from the NDIA to a Supplier, to undertake an assessment for a referred Participant or Prospective Participant. It will include personal details (name, age, disability), contact details, the Assessments to be carried out, and any specific requirements (e.g. gender or cultural).

Item

Description

Telehealth

Telehealth services use information and communications technologies (ICTs) to deliver health services and transmit health information over both long and short distances, including by videoconference over the internet. It has traditionally be used to provide access to health services for people living in rural or remote areas. It is about transmitting voice, data, images and information rather than moving care recipients, health professionals or educators. Video-conferencing is one of the main ways in which telehealth is improving access to healthcare services for patients who live in regional, rural and remote areas. Telehealth services can also limit unnecessary exposure of Participants, Prospective Participants and the Supplier’s Personnel to COVID-19 or other infectious diseases.

User Level B means the level of that name issued by Persons Clinical Australia (see paragraph 2.1 of this SoW).

The Vineland Adaptive Behaviour Scales, Third Edition: Interview Form (Vineland 3)

The Vineland-3 is an individually-administered measure of adaptive behaviour that is widely used to assess individuals with intellectual, developmental, and other disabilities. The three administration formats help describe each client’s profile from al different and important point of view. The Interview Form (for ages 0O—90+) uses a semistructured interview technique to elicit information about the examinee’s adaptive functioning from a parent or caregiver.

WHODAS 2.0 (36-item)

The WHODAS 36 is a questionnaire that asks a person about difficulties that they experience due to health conditions. The questionnaire asks the respondent to think back over the past 30 days and answer the questions thinking about how much difficulty they had doing the 36 listed activities.

Working with Vulnerable People

means the registration required to work with vulnerable people as described at paragraph 2.5 of this SoW.

YC-PEM - Young Children’s Participation and Environment Measure

The YC-PEM is an assessment tool that looks at the different activities of children aged 0-5 years by evaluating the level of participation and qualities of the environment in which these activities take place. The PEM-CY allows parents and service providers to understand more about a child/youth’s current level of participation, while

Item

Description

encouraging problem solving strategies around changeable elements within each setting to better support further participation.

Attachment A: Estimated assessments in 2020-21

The following table provides an estimated number of assessments from 1 July 2020 to 30 June 2021 in NDIS Service Delivery Areas based on NDIA modelling.

Note to Tenderer: Tenderers should not rely on the estimates or percentages as indicating that they will receive any, or any volume, of referrals for Assessment Services during the term of the Panel. Tenderers should note that these estimates were prepared before the occurrence of the COVID-19 pandemic in Australia, and do not take into account any impact of the COVID-19 pandemic on these estimates.

The NDIA uses the Modified Monash Model (MMM) 2019 location codes for geographical classification for the purposes of the modelling in this Attachment A. More information about the MMM location codes is available on the Department of Health’s website. redacted?

The percentage of each Modified Monash Model geographical classification falling within Service Delivery Areas is provided in the table, to indicate where remoteness may need to be considered.

Table 2 Estimated assessments for 2020-214

The table below contains the Number and proportion by Service Delivery Area and Modified Monash Model (MMM) classifications: Metropolitan Areas (MM 1); Regional Centres (MM 2); Large Rural Towns (MM 3); Medium Rural Towns (MM 4); Small Rural Towns (MM 5); Remote Australia (MM 6); Very Remote (MM 7)

; ; MM 1 MM | MM | MM | MM | Service Delivery Area Number 2 3 4 5 6 7 NSW Central Coast 1,400 99% 1% 0% 0% 0% 0% Far West 100 3% 0% | 75% | 0% | 16% 1% 4% Hunter New England 4,9904,200 | 63% 3% | 16% | 9% 9% 0% 0% Illawarra Shoalhaven 1,500 66% 4% | 17% | 10% | 3% 0% 0% sps SSS a oe 3% | redacted% | 9% = a i SSE Zit iin 3% | redacted% | 9% = a a Mid North Coast 1,000 2% 0% | 58% | 23% | 16% | 0% 0% Murrumbidgee 1,100 2% 23% | 31% | 19% | 25% | 0% 0% Nepean Blue Mountains 1,500 87% 4% 2% 4% 2% 0% 0% elses — — 3% | redacted% | 9% o— — —

? Geographical classifications are described with examples in the Department of Health Fact Sheet: hhttps://www._health.gov.au/sites/default/files/documents/2019/12/modified-monash-mode!l-—fact-sheet pdf

? Access hhtp://www.health.qov.au/health-workforce/health-workforce-classifications/modified-monash-model and hhttp://www_health.gov.au/resources/apps-and-tools/health-workforce-locator/health-workforce-locator for further information.

The NDIA estimates that it may require the following number of Assessments throughout the term of the Panel: 82,200 in 2020-21; 193,000 in 2021-22; and 252,000 in 2022-23.

NDIA Independent Assessment Panel - Attachment 1 - Statement of Work

Service Delivery Area Number 2 3 4 5 6 7 North Sydney 1,700 99% 1% 0% 0% 0% 0% Northern NSW 1,200 22% 5% | 44% | 11% | 18% | 0% 0% South Eastern Sydney 1,700 99% 0% 0% 0% 0% 0% South Western Sydney 3,400 90% 3% 5% 0% 3% 0% 0% Southern NSW 700 19% 3% | 18% | 24% | 36% | 0% 0% Sydney 1,300 100% | 0% 0% 0% 0% 0% 0% Western NSW 1,100 2% 0% | 53% | 15% | 24% | 5% 1% Western Sydney 2,800 100% 0% 0% 0% 0% 0% 0% Victoria

Barwon 1,600 74% | 15% | 1% 7% 3% 0% 0% Bayside Peninsula 2,600 99% 1% 0% 0% 0% 0% 0% Brimbank Melton 1,400 97% 2% 0% 0% 0% 0% 0% Central Highlands 900 2% 69% | 9% 7% | 14% | 0% 0% Goulburn 800 8% 5% | 42% | 20% | 26% | 0% 0% Hume Moreland 1,400 100% | 0% 0% 0% 0% 0% 0% Inner East Melbourne 1,600 100% | 0% 0% 0% 0% 0% 0% Inner Gippsland 800 2% 0% | 47% | 26% | 25% | 0% 0% Loddon 1,000 1% 53% | 4% | 22% | 20% | 0% 0% Mallee 400 2% 0% | 59% | 18% | 20% | 0% 0% North East Melbourne 2,000 98% 2% 0% 0% 0% 0% 0% Outer East Melbourne 1,500 93% 5% 0% 0% 2% 0% 0% Outer Gippsland 500 2% 0% 0% | 57% | 40% | 1% 0% Ovens Murray 500 1% 42% | 23% | 13% | 21% 0% 0% Southern Melbourne 2,100 97% 2% 0% 0% 1% 0% 0% Wimmera South West 700 2% 0% | 46% | 21% | 31% | 1% 0% Western Melbourne 1,900 98% 2% 0% 0% 0% 0% 0% Queensland

Beenleigh 1,700 93% 5% 0% 0% 2% 0% 0% Brisbane 3,200 100% | 0% 0% 0% 0% 0% 0% Bundaberg 500 1% 89% | 0% 0% | 10% | 0% 0% Caboolture/Strathpine 2,200 94% 6% 0% 0% 0% 0% 0% Cairns 900 2% 62% | 0% | 16% | 14% | 2% 4% Ipswich 1,300 72% 9% 0% 6% | 13% | 0% 0% Mackay 500 2% 66% | 0% | 11% | 18% | 2% 0% Maroochydore 1,800 66% | 16% | 13% | 0% 5% 0% 0% Maryborough 700 3% 41% | 28% | 9% | 20% | 0% 0% Robina 1,600 99% 1% 0% 0% 0% 0% 0%

NDIA Independent Assessment Panel - Attachment 1 - Statement of Work

Rockhampton

• Service Delivery Area Number: 2: 800 (1%)
• Service Delivery Area Number 3: 44%
• Service Delivery Area Number 4: 29%
• Service Delivery Area Number 5: 9%
• Service Delivery Area Number 6: 12%
• Service Delivery Area Number 7: 2%

Toowoomba

• Service Delivery Area Number: 2: 1,100 (2%)
• Service Delivery Area Number 3: 60%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 13%
• Service Delivery Area Number 6: 21%
• Service Delivery Area Number 7: 2%

Townsville

• Service Delivery Area Number: 2: 1,000 (2%)
• Service Delivery Area Number 3: 76%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 8%
• Service Delivery Area Number 6: 4%
• Service Delivery Area Number 7: 6%

South Australia

Adelaide Hills

• Service Delivery Area Number: 2: 300 (23%)
• Service Delivery Area Number 3: 25%
• Service Delivery Area Number 4: 48%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 5%
• Service Delivery Area Number 7: 0%

MM | MM | MM | MM | MM | MM

Barossa, Light and Lower North

• Service Delivery Area Number: 2: 300 (50%)
• Service Delivery Area Number 3: 13%
• Service Delivery Area Number 4: 3%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 33%
• Service Delivery Area Number 7: 0%

Eastern Adelaide

• Service Delivery Area Number: 2: 600 (100%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0%
• Service Delivery Area Number 7: 0%

####### Eyre and Western

• Service Delivery Area Number: 2: 200 (2%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 43%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0%
• Service Delivery Area Number 7: 45%; 10%

######## Far North (SA)

• Service Delivery Area Number: 2: 100 (1%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 70%
• Service Delivery Area Number 6: 4%
• Service Delivery Area Number 7: 8%; 17%

######### Fleurieu and Kangaroo Island

• Service Delivery Area Number: 2: 200 (3%)
• Service Delivery Area Number 3: 8%
• Service Delivery Area Number 4: 51%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 31%
• Service Delivery Area Number 7: 1%; 7%

############ Limestone Coast

• Service Delivery Area Number: 2: 200 (2%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 61%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 36%
• Service Delivery Area Number 7: 1%; 0%

############## Murray and Mallee

• Service Delivery Area Number: 2: 300 (3%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 33%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 63%
• Service Delivery Area Number 7: 1%; 0%

################ Northern Adelaide

• Service Delivery Area Number: 2: 2,300 (99%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0%
• Service Delivery Area Number 7: 0%

################### Southern Adelaide

• Service Delivery Area Number: 2: 1,600 (99%)
• Service Delivery Area Number 3: 1%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0%
• Service Delivery Area Number 7: 0%

#################### Western Adelaide

• Service Delivery Area Number: 2: 700 (100%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0%
• Service Delivery Area Number 7: 0%

######################## Yorke and Mid North

• Service Delivery Area Number: 2: 300 (2%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 26%
• Service Delivery Area Number 6: 69%
• Service Delivery Area Number 7: 3%; 0%

Western Australia

####### Central North Metro

• Service Delivery Area Number: 2: 800 (100%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0%
• Service Delivery Area Number 7: 0%

######### Central South Metro

• Service Delivery Area Number: 2: 900 (100%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0%
• Service Delivery Area Number 7: 0%

########## Goldfields-Esperance

• Service Delivery Area Number: 2: 100 (2%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 57%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 4%; 30%
• Service Delivery Area Number 7: 7%

############ Great Southern

• Service Delivery Area Number: 2: 200 (21%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 36%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 43%; 0%
• Service Delivery Area Number 7: 0%

################ Kimberley-Pilbara

• Service Delivery Area Number: 2: 200 (11%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0%; 60%
• Service Delivery Area Number 7: 29%

################### Midwest-Gascoyne

• Service Delivery Area Number: 2: 200 (17%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 48%; 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0%; 26%
• Service Delivery Area Number 7: 9%

######################## North East Metro

• Service Delivery Area Number: 2: 1,000 (96%)
• Service Delivery Area Number 3: 2%
• Service Delivery Area Number 4: 1%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 1%; 0%
• Service Delivery Area Number 7: 0%

############################# North Metro

• Service Delivery Area Number: 2: 800 (92%)
• Service Delivery Area Number 3: 7%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 1%; 0%
• Service Delivery Area Number 7: 0%

################################ South East Metro

• Service Delivery Area Number: 2: 800 (100%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0%
• Service Delivery Area Number 7: 0%

########################################## South Metro

• Service Delivery Area Number: 2: 1,200 (96%)
• Service Delivery Area Number 3: 4%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0;
• Service Delivery Area Number 7: 0%

################################################### South West

• Service Delivery Area Number: 2: 600 (1%)
• Service Delivery Area Number 3: 29%
• Service Delivery Area Number 4: 33%
• Service Delivery Area Number 5: 10%
• Service Delivery Area Number 6: 26%; 0%
• Service Delivery Area Number 7: 0%

######################################################## Wheat Belt

• Service Delivery Area Number: 2: 100 (3%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 0%; 23%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 69%; 5%
• Service Delivery Area Number 7: 0%

Tasmania

TAS North

• Service Delivery Area Number: 2: 600 (1%)
• Service Delivery Area Number 3: 77%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%; 22%
• Service Delivery Area Number 6: 0;
• Service Delivery Area Number 7: 0%

TAS North West

• Service Delivery Area Number: 2: 600 (2%)
• Service Delivery Area Number 3: 0%
• Service Delivery Area Number 4: 82%; 1%
• Service Delivery Area Number 5: 0%; 12%
• Service Delivery Area Number 6: 3%; 0%
• Service Delivery Area Number 7: 0%

TAS South East

• Service Delivery Area Number: 2: 500 (2%)
• Service Delivery Area Number 3: 88%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%; 9%
• Service Delivery Area Number 6: 1%; 0%
• Service Delivery Area Number 7: 0%

####### TAS South West

• Service Delivery Area Number: 2: 600 (2%)
• Service Delivery Area Number 3: 88%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%; 10%
• Service Delivery Area Number 6: 0;
• Service Delivery Area Number 7: 0%

ACT

ACT

• Service Delivery Area Number: 2: 1,500 (99%)
• Service Delivery Area Number 3: 1%
• Service Delivery Area Number 4: 0%
• Service Delivery Area Number 5: 0%
• Service Delivery Area Number 6: 0%
• Service Delivery Area Number 7: 0%

Northern Territory

Barkly

• Service Delivery Area Number: 2: 50 (4%);
• Service Delivery Area Number 3: 1%; 0%
• Service Delivery Area Number 4: 0%; 0%
• Service Delivery Area Number 5: 0%; 0%
• Service Delivery Area Number 6: 0; 95%

Central Australia

• Service Delivery Area Number: 2: 100 (4%)
• Service Delivery Area Number 3: 0%; 0%
• Service Delivery Area Number 4: 0%; 0%
• Service Delivery Area Number 5: 0%; 87%; 9%

Darwin Remote

	0%
Darwin Remote 50	4%
86%

Darwin Urban

	93%
Darwin Urban 400	2%
0%

East Arnhem

	91%
East Arnhem 50	8%
0%

Katherine

	30%
Katherine 50	12%
58%

TOTAL

TOTAL 82,200

Attachment B: Service Delivery Area to LGA Mapping

Note to Tenderers: Tenderers should note that each row in the second column in Table 3 below does not necessarily represent a separate Service Delivery Area. For example, the Service Delivery Area of “Central Coast” has two Local Government Areas within it, but it is a single Service Delivery Area.

Tenderers should take this into consideration when selecting Local Government Areas within different Service Delivery Areas in their Tenders Response Forms, for the purposes of ensuring that they meet the Mandatory Requirements (see section 34 — 35 of the RFT document).

Table 3:

The following table specifies the LGAs falling within each NDIA Service Delivery Area.

State and Territory	Service Delivery Area	Local Government Area Name®
ACT	ACT Unincorporated	ACT
NSW Central Coast	Gosford	(C)
NSW Central Coast	Wyong	(A)
NSW Far West	Balranald	(A)
NSW Far West	Broken Hill	(C)
NSW Far West	Central Darling	(A)
NSW Far West	Wentworth	(A) Armidale Dumaresq
NSW Hunter New England	Cessnock	(C)
NSW Hunter New England	Dungog	(A) Glen Innes Severn
(A)
NSW Hunter New England	Gloucester	(A)
NSW Hunter New England	Great Lakes	(A)

The Australian Statistical Geography Standard (ASGS) status types are:

New South Wales: Cities (C) and Areas (A)

Victoria: Cities (C), Rural Cities (RC), Boroughs (B) and Shires (S)

Queensland: Cities (C), Shires (S), Towns (T) and Regional Councils (R)

Western Australia: Cities (C), Towns (T) and Shires (S)

Tasmania: Cities (C) and Municipalities (M)

Northern Territory: Cities (C), Towns (T), Municipalities (M) and Shires (S)

South Australia: Cities (C), Rural Cities (RC), Municipalities/Municipal Councils (M), District Councils (DC), Regional Councils (RegC), Towns (T) and Aboriginal Councils (AC)

State and Territory Service Delivery Area Local Government

Area Name®

NSW

Hunter New England Gunnedah (A)

Hunter New England Guyra (A)

NSW Hunter New England Gwydir (A)

NSW Hunter New England Inverell (A)

NSW Hunter New England Lake Macquarie (C)

NSW Hunter New England Liverpool Plains (A)

NSW Hunter New England Maitland (C)

NSW Hunter New England Moree Plains (A)

NSW Hunter New England Muswellbrook (A)

NSW Hunter New England Narrabri (A)

NSW Hunter New England Newcastle (C)

NSW Hunter New England Port Stephens (A)

NSW Singleton (A)

Tamworth Regional

NSW Hunter New England (A)

NSW Hunter New England Tenterfield (A)

Upper Hunter Shire

NSW Hunter New England (A)

NSW Hunter New England Uralla (A)

NSW Hunter New England Walcha (A)

NSW Illawarra Shoalhaven Kiama (A)

NSW Illawarra Shoalhaven Shellharbour (C)

NSW Illawarra Shoalhaven Shoalhaven (C)

NSW Illawarra Shoalhaven Wollongong (C)

NSW Mid North Coast Bellingen (A)

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

NSW

NSW Mid North Coast

• Coffs Harbour (C)
• Kempsey (A)
• Nambucca (A) Port MacquarieHastings

NSW Mid North Coast (A)

NSW Murrumbidgee

• Albury (C)

• Berrigan (A)

• Bland (A)

• Boorowa (A)

• Carrathool (A)

• Conargo (A)

• Coolamon (A)

• Cootamundra (A) Murrumbidgee Corowa Shire *(A)

• Deniliquin (A) Greater Hume Shire *(A)

NSW Murrumbidgee

• Griffith (C)
• Gundagai (A)
• Harden (A)
• Hay (A)
• Jerilderie (A)
• Junee (A)
• Leeton (A)
• Lockhart (A) NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

NSW

NSW Murrumbidgee Murray (A)

NSW Murrumbidgee Murrumbidgee (A)

NSW Murrumbidgee Narrandera (A)

NSW Murrumbidgee Temora (A)

NSW Murrumbidgee Tumbarumba (A)

NSW Murrumbidgee Tumut Shire (A)

NSW Murrumbidgee Urana (A)

NSW Murrumbidgee Wagga Wagga (C)

NSW Murrumbidgee Wakool (A)

NSW Murrumbidgee Young (A)

NSW Nepean Blue Mountains Blue Mountains (C)

NSW Nepean Blue Mountains Hawkesbury (C)

NSW Nepean Blue Mountains Lithgow (C)

NSW Nepean Blue Mountains Penrith (C)

NSW North Sydney Hornsby (A)

NSW North Sydney Hunters Hill (A)

NSW North Sydney Ku-ring-gai (A)

NSW North Sydney Lane Cove (A)

NSW North Sydney Manly (A)

NSW North Sydney Mosman (A)

NSW North Sydney North Sydney (A)

NSW North Sydney Pittwater (A)

NSW North Sydney Ryde (C)

NSW North Sydney Warringah (A)

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

NSW NSW NSW North Sydney Willoughby (C) NSW Northern NSW Ballina (A)

Northern NSW Byron (A)

Northern NSW Clarence Valley (A) NSW Northern NSW Kyogle (A) NSW Northern NSW Lismore (C) NSW Northern NSW Richmond Valley (A) NSW Northern NSW Tweed (A) NSW South Eastern Sydney Botany Bay (C) NSW South Eastern Sydney Hurstville (C) NSW South Eastern Sydney Kogarah (C) NSW South Eastern Sydney Randwick (C) NSW South Eastern Sydney Rockdale (C) NSW South Eastern Sydney Sutherland Shire (A) NSW South Eastern Sydney Waverley (A) NSW South Eastern Sydney Woollahra (A) NSW South Western Eastern Sydney Bankstown (C) NSW South Western Easters-Sydney Camden (A) NSW South Western Eastern Sydney Campbelltown (C) NSW South Western Eastern Sydney Fairfield (C) NSW South Western Sasters-Sydney Liverpool (C) NSW South Western Sasters-Sydney Wingecarribee (A) NSW South Western Eastern Sydney Wollondilly (A) NSW Southern NSW Bega Valley (A)

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

37

State and Territory Service Delivery Area

Local Government

Area Name®

NSW

NSW Southern NSW

• Bombala (A)
• Cooma-Monaro (A)
• Eurobodalla (A)
• Goulburn Mulwaree
• NSW Southern NSW (A)
• Palerang (A)
• Queanbeyan (C)
• Snowy River (A)
• Upper Lachlan Shire
• Yass Valley (A)

NSW Sydney

• Ashfield (A)
• Burwood (A)
• Canada Bay (A)
• Canterbury (C)
• Leichhardt (A)

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

NSW

Sydney Marrickville (A)

Sydney Strathfield (A)

NSW Sydney Sydney (C)

NSW Unspecified (NSW) Unincorporated NSW

Bathurst Regional (A)

NSW Western NSW

####### NSW Western NSW Blayney (A)

######## NSW Western NSW Bogan (A)

######### NSW Western NSW Bourke (A)

########## NSW Western NSW Brewarrina (A)

########### NSW Western NSW Cabonne (A)

############ NSW Western NSW Cobar (A)

############# NSW Western NSW Coonamble (A)

################ NSW Western NSW Cowra (A)

################# NSW Western NSW Dubbo (C)

################## NSW Western NSW Forbes (A)

################### NSW Western NSW Gilgandra (A)

#################### NSW Western NSW Lachlan (A) Mid-Western Regional

##################### NSW Western NSW (A)

######################## NSW Western NSW Narromine (A)

######################### NSW Western NSW Oberon (A)

############################ NSW Western NSW Orange (C)

############################# NSW Western NSW Parkes (A)

################################ NSW Western NSW Walgett (A)

################################# NSW Western NSW Warren (A) NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

Warrumbungle Shire

NSW Western NSW (A)

NSW Western NSW Weddin (A)

NSW Western NSW Wellington (A)

NSW Western Sydney Auburn (C)

NSW Western Sydney Blacktown (C)

NSW Western Sydney Holroyd (C)

NSW Western Sydney Parramatta (C)

NSW Western Sydney The Hills Shire (A)

NT Barkly Barkly (S)

NT Central Australia Alice Springs (T)

NT Central Australia Central Desert (S) NT Central Australia

MacDonnell (S)

NT Darwin Remote Roper Gulf (S)

NT Darwin Remote Tiwi Islands (S)

NT Darwin Remote Victoria-Daly (S)

NT Darwin Remote West Arnhem (S)

NT Darwin Urban Belyuen (S)

NT Darwin Urban Coomalie (S)

NT Darwin Urban Darwin (C)

NT Darwin Urban Litchfield (M)

NT Darwin Urban Palmerston (C)

NT Darwin Urban Wagait (S)

NT East Arnhem East Arnhem (S)

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

NT Katherine Katherine (T)

NT Unspecified (NT) Unincorporated NT

QLD Beenleigh Logan (C)

QLD Beenleigh Redland (C)

QLD Brisbane Brisbane (C)

QLD Bundaberg Bundaberg (R)

QLD Caboolture/Strathpine Moreton Bay (R)

QLD Cairns Aurukun (S)

QLD Cairns Cairns (R)

QLD Cairns Cassowary Coast (R)

QLD Cairns Cook (S)

QLD Cairns Croydon (S)

QLD Cairns Etheridge (S)

QLD Cairns Hope Vale (S)

QLD Cairns Kowanyama (S)

QLD Cairns Lockhart River (S)

QLD Cairns Mapoon (S)

QLD Cairns Napranum (S) Northern Peninsula

QLD Cairns Area (R)

QLD Cairns Pormpuraaw (S)

QLD Cairns Tablelands (R)

QLD Cairns Torres (S) Torres Strait Island (R)

QLD Cairns

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

QLD Cairns Weipa (T)

QLD Cairns Wuyjal Wuja! (S)

QLD Cairns Yarrabah (S)

QLD Ipswich Ipswich (C)

QLD Ipswich Lockyer Valley (R)

QLD Ipswich Scenic Rim (R)

QLD Ipswich Somerset (R)

QLD Mackay Isaac (R)

QLD Mackay Mackay (R)

QLD Mackay Whitsunday (R)

QLD Maroochydore Gympie (R)

QLD Maroochydore Sunshine Coast (R)

QLD Maryborough Cherbourg (S)

QLD Maryborough Fraser Coast (R)

QLD Maryborough North Burnett (R)

QLD Maryborough South Burnett (R)

QLD Robina Gold Coast (C)

QLD Rockhampton Banana (S)

QLD Rockhampton Barcaldine (R)

QLD Rockhampton Barcoo (S)

QLD Rockhampton Blackall Tambo (R) Central Highlands (R)

QLD Rockhampton

State and Territory Service Delivery Area

Local Government

Area Name®

• QLD Rockhampton Diamantina (S)
• QLD Rockhampton Gladstone (R)
• QLD Rockhampton Longreach (R)
• QLD Rockhampton Rockhampton (R)
• QLD Rockhampton Winton (S)
• QLD Rockhampton Woorabinda (S)
• QLD Toowoomba Balonne (S)
• QLD Toowoomba Bulboo (S)
• QLD Toowoomba Goondiwindi (R)
• QLD Toowoomba Maranoa (R)
• QLD Toowoomba Murweh (S)
• QLD Toowoomba Paroo (S)
• QLD Toowoomba Quilpie (S)
• QLD Toowoomba Southern Downs (R)

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

QLD Toowoomba Toowoomba (R)

QLD Toowoomba Western Downs (R) QLD Townsville Boulia (5)

QLD Townsville Burdekin (S)

QLD Townsville Burke (S)

QLD Townsville Carpentaria (S) QLD Townsville Charters Towers (R) QLD Townsville Cloncurry (S)

QLD Townsville Doomadgee (S) QLD Townsville Flinders (S)

QLD Townsville Hinchinbrook (S) QLD Townsville McKinlay (S)

QLD Townsville Mornington (S) QLD Townsville Mount Isa (C)

QLD Townsville Palm Island (S) QLD Townsville Richmond (S)

QLD Townsville Townsville (C)

SA Adelaide Hills Adelaide Hills (DC) SA Adelaide Hills Mount Barker (DC) SA Barossa, Light and Lower North Barossa (DC)

SA Barossa, Light and Lower North Gawler (T)

SA Barossa, Light and Lower North Light (RegC)

SA Barossa, Light and Lower North Mallala (DC)

SA Eastern Adelaide Adelaide (C)

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

SA Eastern Adelaide Burnside (C)

SA Eastern Adelaide Campbelltown (C) norwood payneham

SA Eastern Adelaide St Peters (C)

SA Eastern Adelaide Prospect (C)

SA Eastern Adelaide Unley (C)

SA Eastern Adelaide Walkerville (M)

SA Eyre and Western Ceduna (DC)

SA Eyre and Western Cleve (DC)

SA Eyre and Western Elliston (DC) franklin harbour (dc)

SA Eyre and Western

SA Eyre and Western

kimba (dc) lower eyre

SA Eyre and Western peninsula (dc) maringa tjarutja (ac)

SA Eyre and Western

SA Eyre and Western port lincoln (c)

SA Eyre and Western streaky bay (dc)

SA Eyre and Western tumby bay (dc)

SA Eyre and Western whyalla (c)

SA Eyre and Western wudinna (dc)

SA Eyre and Western unincorporated sa anangu pitjantjatjara

sa far north (sa) (ac) dia independent assessment panel — attachment 1 — statement of work

State and Territory Service Delivery Area Local Government

Area Name®

SA Far North (SA) Coober Pedy (DC) Flinders Ranges (DC)

SA Far North (SA)

SA Far North (SA) Port Augusta (C)

SA Far North (SA) Roxby Downs (M)

SA Fleurieu and Kangaroo Island Alexandrina (DC) Kangaroo Island (DC)

SA Fleurieu and Kangaroo Island

SA Fleurieu and Kangaroo Island Victor Harbor (C)

SA Fleurieu and Kangaroo Island Yankalilla (DC)

SA Limestone Coast Grant (DC)

SA Limestone Coast Kingston (DC)

SA Limestone Coast Mount Gambier (C) Naracoorte and

SA Limestone Coast Lucindale (DC)

SA Limestone Coast Robe (DC)

SA Limestone Coast Tatiara (DC)

SA Limestone Coast Wattle Range (DC) Berri and Barmera (DC)

SA Murray and Mallee Karoonda East Murray

SA Murray and Mallee (DC) Loxton Waikerie (DC)

SA Murray and Mallee

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work 46

State and Territory Service Delivery Area Local Government

Area Name®

• SA Murray and Mallee Mid Murray (DC)
• SA Murray and Malley Murray Bridge (RC)
• Renmark Paringa
• SA Murray and Mallee (DC)
• Southern Mallee (DC)
• SA Murray and Mallee
• SA Murray and Mallee The Coorong (DC)
• SA Northern Adelaide Playford (C)
• Port Adelaide Enfield
• SA Northern Adelaide (C)
• SA Northern Adelaide Salisbury (C)
• SA Northern Adelaide Tea Tree Gully (C)
• SA Southern Adelaide Holdfast Bay (C)
• SA Southern Adelaide Marion (C)
• SA Southern Adelaide Mitcham (C)
• SA Southern Adelaide Onkaparinga (C)
• SA Western Adelaide Charles Sturt (C)
• SA Western Adelaide West Torrens (C)
• SA Yorke and Mid North Barunga West (DC)
• Clare and Gilbert
• SA Yorke and Mid North Valleys (DC)
• SA Yorke and Mid North Copper Coast (DC)
• SA Yorke and Mid North Goyder (DC)

State and Territory Service Delivery Area Local Government

Area Name®

Mount Remarkable SA Yorke and Mid North (DC)

SA Yorke and Mid North Northern Areas (DC)

Orroroo/Carrieton (DC)

SA Yorke and Mid North SA Yorke and Mid North Peterborough (DC) Port Pirie City and Dists SA Yorke and Mid North (M) SA Yorke and Mid North Wakefield (DC) Yorke Peninsula (DC) SA Yorke and Mid North TAS TAS North Break O’Day (M) TAS TAS North Dorset (M) TAS TAS North Flinders (M) TAS TAS North George Town (M) TAS TAS North Launceston (C)

TAS — TAS North Meander Valley (M) Northern Midlands

TAS TAS North (M)

TAS TAS North West Tamar (M) TAS TAS North West Burnie (C)

TAS TAS North West Central Coast (M) TAS TAS North West Circular Head (M)

State and Territory Service Delivery Area Local Government

Area Name®

TAS TAS North West Devonport (C)

TAS TAS North West Kentish (M)

TAS TAS North West King Island (M)

TAS TAS North West Latrobe (M) Waratah/Wynyard (M)

TAS TAS North West

TAS TAS North West West Coast (M)

TAS TAS South East Brighton (M) Central Highlands (M)

TAS TAS South East

TAS TAS South East Clarence (C)

TAS TAS South East Derwent Valley (M) Glamorgan/Spring Bay

TAS TAS South East (M)

TAS TAS South East Sorell (M) Southern Midlands (M)

TAS TAS South East

TAS TAS South East Tasman (M)

TAS TAS South East\West Glenorchy (C)

TAS TAS South East\West Hobart (C)

TAS TAS South £ast\West Huon Valley (M)

TAS TAS South East\West Kingborough (M) Unincorp. Other

UNINC Unincorporated Territories

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area

Local Government

Area Name®

VIC Barwon Colac-Otway (S)

vIC Barown Greater Geelong (C)

vic Barrown Queenscliffe (B)

vic Barrowm Surf Coast (S)

ile Bayside Peninsula Bayside (C)

vIC Bayside Peninsula Frankston (C)

VIC Bayside Peninsula Glen Eira (C)

VIC Bayside Peninsula Kingston (C)

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area

Local Government

Area Name®

• Mornington
• VIC Bayside Peninsula Peninsula (S)
• VIC Bayside Peninsula Port Phillip (C)
• vIC Bayside Peninsula Stonnington (C)
• vIC Brimbank Melton Brimbank (C)
• vic Brimbank Melton Melton (S)
• vic Central Highlands Ararat (RC)

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

vic Central Highlands Ballarat (C) vic Central Highlands Golden Plains (S) vic Central Highlands Hepburn (S) vIC Central Highlands Moorabool (S) VIC Central Highlands Pyrenees (S) Greater Shepparton (C)

VIC Goulburn vic Goulburn Mitchell (S) vIC Goulburn Moira (S) vIC Goulburn Murrindindi (S) vIC Goulburn Strathbogie (S) vIC Hume Moreland Hume (C) vic Hume Moreland Moreland (C) vic Inner East Melbourne Boroondara (C) vic Inner East Melbourne Manningham (C) VIC Inner East Melbourne Monash (C) Wile Inner East Melbourne Whitehorse (C) VIC Inner Gippsland Bass Coast (S) vIC Inner Gippsland Baw Baw (S) vIC Inner Gippsland Latrobe (C) ic Inner Gippsland South Gippsland (S) il Loddon Campaspe (S) WA WA WA WA WA NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

Central Goldfields (S)

VIC Loddon

vic Loddon Greater Bendigo (C)

vic Loddon Loddon (S)

VIC Loddon Macedon Ranges (S)

VIC Loddon Mount Alexander (S)

VIC Mallee Buloke (S)

VIC Mallee Gannawarra (S)

VIC Mallee Mildura (RC)

VIC Mallee Swan Hill (RC)

VIC North East Melbourne Banyule (C)

vIC North East Melbourne Darebin (C)

vic North East Melbourne Nillumbik (S)

vic North East Melbourne Whittlesea (C)

vic North East Melbourne Yarra (C)

VIC Outer East Melbourne Knox (C)

VIC Outer East Melbourne Maroondah (C)

VIC Outer East Melbourne Yarra Ranges (S)

VIC Outer Gippsland East Gippsland (S)

vIC Outer Gippsland Wellington (S)

vIC Ovens Murray Alpine (S)

vic Ovens Murray Benalla (RC)

vic Ovens Murray Indigo (S)

WA

WA

WA

WA

WA

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

53

State and Territory Service Delivery Area Local Government

Area Name® vic Ovens Murray Mansfield (S) vic Ovens Murray Towong (S) vic Ovens Murray Wangaratta (RC) vIC Ovens Murray Wodonga (RC) VIC Southern Melbourne Cardinia (S) VIC Southern Melbourne Casey (C) Greater Dandenong (C) vic Southern Melbourne vIC Unspecified (VIC) Unincorporated Vic VIC Wimmera South West Corangamite (S) vIC Wimmera South West Glenelg (S) vIC Wimmera South West Hindmarsh (S) ic Wimmera South West Horsham (RC) vic Wimmera South West Moyne (S) Northern Grampians VIC Wimmera South West (S) Southern Grampians VIC Wimmera South West (S) vic Wimmera South West Warrnambool (C) VIC Wimmera South West West Wimmera (S) VIC Wimmera South West Yarriambiack (S) VIC Western Melbourne Hobsons Bay (C) VIC Western Melbourne Maribyrnong (C) VIC Western Melbourne Melbourne (C) WA WA WA WA WA

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area

Local Government

Area Name

• VIC Western Melbourne Moonee Valley (C)
• VIC Western Melbourne Wyndham (C)
• WA Central North Metro Cambridge (T)
• WA Central North Metro Claremont (T)
• WA Central North Metro Cottesloe (T)
• WA Central North Metro Mosman Park (T)
• WA Central North Metro Nedlands (C) Peppermint Grove (S)
• WA Central North Metro
• WA Central North Metro Perth (C)
• WA Central North Metro Stirling (C)
• WA Central North Metro Subiaco (C)
• WA
• WA
• WA
• WA
• NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

WA Central North Metro Vincent (T)

WA Central South NeskMetro Cockburn (C)

WA Central South NeskJetro East Fremantle (T)

WA Central South NerthJetro Fremantle (C)

WA Central South NerthJetro Kwinana (T)

WA Central South NerthJetro Melville (C)

WA Central South Ness4Jetro South Perth (C)

WA Goldfields-Esperance Coolgardie (S)

WA Goldfields-Esperance Dundas (S)

WA Goldfields-Esperance Esperance (S) Kalgoorlie/Boulder (C)

WA Goldfields-Esperance

WA Goldfields-Esperance Laverton (S)

WA Goldfields-Esperance Leonora (S)

WA Goldfields-Esperance Menzies (S)

WA Goldfields-Esperance Ngaanyatjarraku (S)

WA Goldfields-Esperance Ravensthorpe (S)

WA Great Southern Albany (C)Broomehill-

WA Great Southern Tambellup (S)

WA Great Southern Cranbrook (S) Great Southern Denmark (S) Great Southern Gnowangerup (S)

WA

WA

WA

WA

WA NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area

Local Government

Area Name®

Great Southern Jerramungup (S) Great Southern Katanning (S) Great Southern Kent (S)

WA WA WA WA WA

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work 57

State and Territory Service Delivery Area Local Government

Area Name®

WA

Great Southern Kojonup (S) Great Southern Plantagenet (S)

WA Great Southern Woodanilling (S)

WA Kimberley-Pilbara Ashburton (S) Derby-West Kimberley

WA Kimberley-Pilbara (S)

WA Kimberley-Pilbara East Pilbara (S)

WA Kimberley-Pilbara Halls Creek (S)

WA Kimberley-Pilbara Port Hedland (T)

WA Kimberley-Pilbara Roebourne (S) Wyndham-East

WA Kimberley-Pilbara Kimberley (S)

WA Midwest-Gascoyne Carnamah (S)

WA Midwest-Gascoyne Carnarvon (S)

WA Midwest-Gascoyne Chapman Valley (S)

WA Midwest-Gascoyne Coorow (S)

WA Midwest-Gascoyne Cue (S)

WA Midwest-Gascoyne Exmouth (S) Geraldton-

WA Midlands-Gascoyne Greenough (C)

WA Midlands-Gascoyne Irwin (S)

WA

State and Territory Service Delivery Area Local Government

Area Name®

WA

WA Midwest-Gascoyne Meekatharra (S) WA Midwest-Gascoyne Mingenew (S) WA Midwest-Gascoyne Morawa (S) WA Midwest-Gascoyne Mount Magnet (S) WA Midwest-Gascoyne Mullewa (S) WA Midwest-Gascoyne Murchison (S) WA Midwest-Gascoyne Northampton (S) WA Midwest-Gascoyne Perenjori (S) WA Midwest-Gascoyne Sandstone (S) WA Midwest-Gascoyne Shark Bay (S) WA Midwest-Gascoyne Three Springs (S) Midwest-Gascoyne Upper Gascoyne (S) Midwest-Gascoyne Wiluna (S) Midwest-Gascoyne Yalgoo (S) North East Metro Bassendean (T) North East Metro Bayswater (C) North East Metro Kalamunda (S) North East Metro Mundaring (S)

WA North East Metro Swan (C)

WA North Metro Joondalup (C)

WA North Metro Wanneroo (C)

WA South East Metro Belmont (C)

WA

WA

WA

WA

WA

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

WA

WA South East Metro Canning (C) WA South East Metro Gosnells (C) WA South East Metro Victoria Park (T) WA South Metro Armadale (C) WA South Metro Mandurah (C) WA South Metro Murray (S) WA South Metro Rockingham (C) Serpentine- WA South Metro Jarrahdale (S) Augusta-Margaret WA South West River (S) WA South West Boyup Brook (S) Bridgetown- WA South West Greenbushes (S) WA South West Bunbury (C) WA South West Busselton (S) WA South West Capel (S) WA South West Collie (S) WA South West Dardanup (S) donnybrook- WA South West Balingup (S) WA South West Harvey (S) WA South West Manjimup (S) WA

WA

WA

WA

WA NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

State and Territory Service Delivery Area Local Government

Area Name®

WA

WA South West Nannup (S) WA South West Waroona (S) WA Wheat Belt Beverley (S) WA Wheat Belt Boddington (S) Wheat Belt Brookton (S) Wheat Belt Bruce Rock (S) Wheat Belt Chittering (S) Wheat Belt Corrigin (S) Wheat Belt Cuballing (S) Wheat Bell Cunderdin (S) Wheat Belt Dalwallinu (S)

WA Wheat Belt Dandaragan (S) WA Wheat Belt Dowerin (S) WA Wheat Belt Dumbleyung (S) WA Wheat Belt Gingin (S) WA Wheat Belt Goomalling (S) WA Wheat Belt Kellerberrin (S) WA Wheat Belt Kondinin (S) WA Wheat Belt Koorda (S) WA Wheat Belt Kulin (S) WA Wheat Belt Lake Grace (S) WA Wheat Belt Merredin (S) WA Wheat Belt Moora (S) WA Wheat Belt Mount Marshall (S)

WA

WA

WA

WA

WA

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

61

State and Territory Service Delivery Area Local Government

Area Name®

WA

WA

WA Wheat Belt Mukinbudin (S)

WA Wheat belt Narembeen (S)

WA Wheat Belt Narrogin (S)

WA Wheat Belt Narrogin (T)

WA Wheat Belt Northam (S)

WA Wheat Belt Nungarin (S)

WA Wheat Belt Pingelly (S)

WA Wheat Belt Quairading (S)

WA Wheat Belt Tammin (S)

WA Wheat Belt Toodyay (S)

WA Wheat Belt Trayning (S)

WA Wheat Belt Victoria Plains (S)

WA Wheat Belt Wagin (S)

WA Wheat Belt Wandering (S)

WA Wheat Belt West Arthur (S)

WA Wheat Belt Westonia (S)

WA Wheat Belt Wickepin (S)

WA Wheat Belt Williams (S)

WA Wheat Belt Wongan-Ballidu (S)

WA Wheat Belt Wyalkatchem (S)

WA Wheat Belt Yilgarn (S)

WA Wheat Belt York (S)

WA

WA

WA

WA

WA

NDIA Independent Assessment Panel — Attachment 1 — Statement of Work

• sassessment Panel —

-nent of Work

-State and Territory

-Service Delivery Area

-Local Government -Area Name®

-WA

-WA

-WA

-WA

-WA

-WA

-WA