The presentation titled "NDIS after 10 years" focuses on evaluating the National Disability Insurance Scheme (NDIS) a decade after its implementation. It outlines the principles behind NDIS, emphasizing increased funding for disability through tax increases, and the process for individuals with disabilities to apply for support. The presentation reviews the system's needs assessment, highlighting that only a fraction of people with disabilities qualify for NDIS support. It addresses market failures, due to thin markets, leading to a failure of the NDIS in the current market economy. This has led to inequities, cost explosions and loss of workforce emphasizing the need for further investment and funding. The final sections suggest a change of focus from "choice" to "voice" in decision-making, strengthening public service infrastructure, and enhancing workforce development.

1. NDIS after 10 years
Olaf Kraus de Camargo

2. WHY NDIS?
Slide by Jake Pearson

3. WHY NDIS?
Slide by Jake Pearson

4. NDIS - Principles
ØTax increase results in more money being spent on disability
https://www.abc.net.au/news/2018-05-08/federal-budget-2018-sliced-diced-interactive/9723604#spending/breakdown/2017/health

5. NDIS - Principles
ØTax increase results in more money being spent on disability
ØPerson w/Disability applies for NDIS
https://www.abc.net.au/news/2018-05-08/federal-budget-2018-sliced-diced-interactive/9723604#spending/breakdown/2017/health

6. NDIS - Principles
ØTax increase results in more money being spent on disability
ØPerson w/Disability applies for NDIS
ØBased on diagnosis & needs, $ goes to the person
https://www.abc.net.au/news/2018-05-08/federal-budget-2018-sliced-diced-interactive/9723604#spending/breakdown/2017/health

7. NDIS - Principles
ØTax increase results in more money being spent on disability
ØPerson w/Disability applies for NDIS
ØBased on diagnosis & needs, $ goes to the person
ØPerson buys services (with the help of a service planner)
https://www.abc.net.au/news/2018-05-08/federal-budget-2018-sliced-diced-interactive/9723604#spending/breakdown/2017/health

8. NDIS - Principles
ØTax increase results in more money being spent on disability
ØPerson w/Disability applies for NDIS
ØBased on diagnosis & needs, $ goes to the person
ØPerson buys services (with the help of a service planner)
ØGovernment evaluates and monitors outcomes
https://www.abc.net.au/news/2018-05-08/federal-budget-2018-sliced-diced-interactive/9723604#spending/breakdown/2017/health

9. Needs Assessment

10. Needs Assessment
• Only 1 in 10 people with a disability will
qualify for NDIS
Need for eligibility criteria
• List of diagnoses
• Functional Capacity Assessment

11. Needs Assessment
Reviewed 33 measures of functional health (children & adults) including SIS & WeeFIM

12. Needs Assessment
Reviewed 33 measures of functional health (children & adults) including SIS & WeeFIM

13. Concerns
§ Level 1
§ Level 2
§ Level 3
§ Level 4
§ Level 5

14. Concerns

15. MARKET FAILURE
Slide by Jake Pearson

16. Market Failure
Bonyhady, B., & Paul, L. (2023). Working together to deliver the NDIS - Independent Review into the National Disability Insurance Scheme: Final Report.
Department of the Prime Minister and Cabinet - Commonwealth of Australia,. https://www.ndisreview.gov.au/resources/reports/working-together-deliver-ndis

17. Thin Markets
Ernst & Young. (2019). NDIS Thin Markets Project - Discussion Paper to inform consultation. https://engage.dss.gov.au/wp-
content/uploads/2019/04/Thin-Markets-Project-Discussion-Paper-2019-04-05.pdf

18. Thin Markets
Ernst & Young. (2019). NDIS Thin Markets Project - Discussion Paper to inform consultation. https://engage.dss.gov.au/wp-
content/uploads/2019/04/Thin-Markets-Project-Discussion-Paper-2019-04-05.pdf

19. Market Capacity Framework
Reeders, D., Carey, G., Malbon, E., Dickinson, H., Gilchrist, D., G., D., Chand., S., Kavanagh, A., &
Alexander, D. (2019). Market Capacity Framework – An approach to identifying markets in the NDIS

20. Market Capacity Framework
Reeders, D., Carey, G., Malbon, E., Dickinson, H., Gilchrist, D., G., D., Chand., S., Kavanagh, A., &
Alexander, D. (2019). Market Capacity Framework – An approach to identifying markets in the NDIS

21. Market Capacity Framework
Reeders, D., Carey, G., Malbon, E., Dickinson, H., Gilchrist, D., G., D., Chand., S., Kavanagh, A., &
Alexander, D. (2019). Market Capacity Framework – An approach to identifying markets in the NDIS

22. Market Capacity Framework
Reeders, D., Carey, G., Malbon, E., Dickinson, H., Gilchrist, D., G., D., Chand., S., Kavanagh, A., &
Alexander, D. (2019). Market Capacity Framework – An approach to identifying markets in the NDIS

23. Market Capacity Framework
Reeders, D., Carey, G., Malbon, E., Dickinson, H., Gilchrist, D., G., D., Chand., S., Kavanagh, A., &
Alexander, D. (2019). Market Capacity Framework – An approach to identifying markets in the NDIS

24. Market Capacity Framework
Reeders, D., Carey, G., Malbon, E., Dickinson, H., Gilchrist, D., G., D., Chand., S., Kavanagh, A., &
Alexander, D. (2019). Market Capacity Framework – An approach to identifying markets in the NDIS

25. 2023 Results - Children
Bonyhady, B., & Paul, L. (2023). Working together to deliver the NDIS - Independent Review into the National Disability Insurance Scheme: Final Report.
Department of the Prime Minister and Cabinet - Commonwealth of Australia,. https://www.ndisreview.gov.au/resources/reports/working-together-deliver-ndis

26. 2023 Results - Costs
Bonyhady, B., & Paul, L. (2023). Working together to deliver the NDIS - Independent Review into the National Disability Insurance Scheme: Final Report.
Department of the Prime Minister and Cabinet - Commonwealth of Australia,. https://www.ndisreview.gov.au/resources/reports/working-together-deliver-ndis

27. 2023 Bottomline
Bonyhady, B., & Paul, L. (2023). Working together to deliver the NDIS - Independent Review into the National Disability Insurance Scheme: Final Report.
Department of the Prime Minister and Cabinet - Commonwealth of Australia,. https://www.ndisreview.gov.au/resources/reports/working-together-deliver-ndis

28. 2023 Next Phase
Bonyhady, B., & Paul, L. (2023). Working together to deliver the NDIS - Independent Review into the National Disability Insurance Scheme: Final Report.
Department of the Prime Minister and Cabinet - Commonwealth of Australia,. https://www.ndisreview.gov.au/resources/reports/working-together-deliver-ndis

29. INVEST and FUND!
Bonyhady, B., & Paul, L. (2023). Working together to deliver the NDIS - Independent Review into the National Disability Insurance Scheme: Final Report.
Department of the Prime Minister and Cabinet - Commonwealth of Australia,. https://www.ndisreview.gov.au/resources/reports/working-together-deliver-ndis
475 times mentioned in the report

30. INVEST and FUND!
Bonyhady, B., & Paul, L. (2023). Working together to deliver the NDIS - Independent Review into the National Disability Insurance Scheme: Final Report.
Department of the Prime Minister and Cabinet - Commonwealth of Australia,. https://www.ndisreview.gov.au/resources/reports/working-together-deliver-ndis
475 times mentioned in the report

31. INVEST and FUND!
Bonyhady, B., & Paul, L. (2023). Working together to deliver the NDIS - Independent Review into the National Disability Insurance Scheme: Final Report.
Department of the Prime Minister and Cabinet - Commonwealth of Australia,. https://www.ndisreview.gov.au/resources/reports/working-together-deliver-ndis
475 times mentioned in the report

32. INVEST and FUND!
Bonyhady, B., & Paul, L. (2023). Working together to deliver the NDIS - Independent Review into the National Disability Insurance Scheme: Final Report.
Department of the Prime Minister and Cabinet - Commonwealth of Australia,. https://www.ndisreview.gov.au/resources/reports/working-together-deliver-ndis
475 times mentioned in the report

33. INVEST and FUND!
Bonyhady, B., & Paul, L. (2023). Working together to deliver the NDIS - Independent Review into the National Disability Insurance Scheme: Final Report.
Department of the Prime Minister and Cabinet - Commonwealth of Australia,. https://www.ndisreview.gov.au/resources/reports/working-together-deliver-ndis
475 times mentioned in the report

34. INVEST and FUND!
Bonyhady, B., & Paul, L. (2023). Working together to deliver the NDIS - Independent Review into the National Disability Insurance Scheme: Final Report.
Department of the Prime Minister and Cabinet - Commonwealth of Australia,. https://www.ndisreview.gov.au/resources/reports/working-together-deliver-ndis
475 times mentioned in the report

35. NDIS after 10 years
§ Market failure with cost explosion
§ Drained the workforce
§ Dismantled existing structures
§ Increased bureaucracy
§ Detached Eligibility & Planning process
§ Inequity of services
§ Underfunded

36. WHY NDIS?
Slide by Jake Pearson, modified

37. WHY NDIS?
Slide by Jake Pearson, modified

38. WHY NDIS?
Slide by Jake Pearson, modified

39. WHY NDIS?
Slide by Jake Pearson, modified

40. WHY NDIS?
Slide by Jake Pearson, modified

41. WHY NDIS?
Slide by Jake Pearson, modified

42. WHY NDIS?
Slide by Jake Pearson, modified

43. WHY NDIS?
Slide by Jake Pearson, modified

44. From CHOICE toVOICE!
Considine, M. (2022). Conclusion - Choosing a Better System. In The Careless State - Reforming Australia’s
Social Services (pp. 184-211). Melbourne University Press.

45. From CHOICE toVOICE!
Considine, M. (2022). Conclusion - Choosing a Better System. In The Careless State - Reforming Australia’s
Social Services (pp. 184-211). Melbourne University Press.
National Disability Strategy:
ü Disability Tax
ü Strengthen public services infrastructure
ü Increase the Workforce

46. From CHOICE toVOICE!
Considine, M. (2022). Conclusion - Choosing a Better System. In The Careless State - Reforming Australia’s
Social Services (pp. 184-211). Melbourne University Press.
National Disability Strategy:
ü Disability Tax
ü Strengthen public services infrastructure
ü Increase the Workforce
Participatory Management:
ü Patients and caregivers need to be at the decision tables
ü Service providers need to be at the decision tables
ü Clinical engaged Leadership - “feel the pulse”

47. Q & A Session
Q A
&
ThankYou!