Challenges with NDIS Supported Independent Living approval processes and funding

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Joint Standing Committee on the National

Disability Insurance Scheme Inquiry into

Prepared by Samaritans Foundation

Date: September 2019

Contents

Introduction ………………………………………………………………………….. 3

Approval Process …………………………………………………………………… 3

Vacancy Management ……………………………………………………………… 4

Funding ………………………………………………………………………………. 5

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Introduction

Samaritans is an NDIS registered charity which has been operating disability

services for 35 years. In the 2018 financial year, Samaritans provided a

range of services to nearly 1000 people with disabilities in Newcastle, the

Hunter, Central Coast and Mid-North Coast of NSW. As such, the

organisation has extensive experience working with people at all stages of

their plans and with the delivery of services under those plans.

Samaritans response to this inquiry represents the experiences of our staff

in relation to NDIS Supported Independent Living (SIL) processes and their

reflections on the challenges experienced with approval processes, SIL

funding and management of vacancies.

Approval Process

Participants are not often aware of the processes for having SIL funding

approved. Discussion during the development of a Participant ’s plan should

include:

  • exploration of current and future housing needs,
    • likely timeframe that needs will change (for example if they have aging

parents), and

  • education around the SIL approval and placement processes and availability of properties.

Samaritans observes that Participants often come to us requiring SIL

urgently, but they do not have SIL in their plans and are unaware of the

process to access SIL. Samaritans can proceed through the vacancy

management process but is unable to move the person in until their SIL is

approved. The approval process often spans several months, creating issues

for the Participant around security, consistency and comfort.

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  1. Provide education to Participants around the approval process for SIL funding, including discussion during planning around current and

future housing needs.

  1. Include exploration of SIL during planning as standard for all Participants so those with possible need in the future can access the

funding when they need it.

Vacancy Management

Vacancy Management processes are for the most part managed under

individual agencies own policies and procedures. There is varying success

between agencies in their management of vacancies and subsequent impacts

in terms of costs. Samaritans has a thorough matching process , which often

means the organisation carries vacancies for a longer period where it is

unable to match an individual to an appropriate home and housemates.

There are also occasions where homes have multiple existing residents who

have lived together for some time and are in stable and comfortable

environments. Where there are vacancies in these properties, often coupled

with complex needs of the existing residents, it would usually be unsuitable

to introduce a new resident to the home. The challenges and delays getting

the SIL plans varied for those Participants mean we are carrying vacancies

indefinitely.

The requirement to have SIL approved and reviewed individually for each

Participant of a home creates unnecessary duplication and administrative

burden and further increases delays having plans approved.

The Housing Hub website is a helpful platform for advertising vacancies only

however it is not well known among participants and their families or

guardians.

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  1. Implement suitable mechanisms and automation that allow f or streamlined approval and review, including collective review and

approval of changes for multiple Participants of the same residence

where appropriate.

Funding

Samaritans believes the funding is generally adequate and simple for

Participants with standard to moderate support needs. Where there are more

complex support needs, funding often doesn’t consider the implications of

higher needs for the service provider. For example, ensuring the safety of

employees under Work, Health and Safety legislation mea ns two staff are

required to lift a Participant out of bed; but filling two roles is not possible

under the funding.

Additional barriers are faced for people with disabilities around availability of

suitable and affordable housing in their area. Changes to their needs as they

age, and lack of suitable and affordable housing mean they are forced into

unsuitable housing or to move further away, separating them from existing

social and support networks and activities.

Authorised by: Brad Webb, CEO

Authored by: Emma Granger, Executive Officer

Contributors: Tammie Lawler, General Manager NDIS

For more information: ceo@samaritans.org.au

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