Transcript New Model for Supporting Disabled People demonstration

Disability Support Services
– Provider Forums Oct 14
Introduction
DSS Updates on
New Staff
New Model
Enabling Good Lives
Pricing Project
UN Examination
Toni Atkinson
Group Manager
Disability Support Services
The New Model -background
• 2005-06: Concerns about support services for people
with disabilities.
• 2008: Social Services Select Committee inquiry report.
• 2010: New Model approved. Disabled people included
in planning and implementation.
• 2014: Elements of New Model moving to “business as
usual”, other parts currently being evaluated.
What makes up the New Model?
• Local Area Coordination
• Enhanced Individualised Funding
• Choice in Community Living
• Supported Self Assessment
• Funding Allocation Tool
Local Area Coordination
LACs walk alongside disabled people and their
families/whānau to assist them to live good, everyday
lives within welcoming communities.
• LACs are now working in the Eastern and Western Bay
of Plenty, Lakes, Hutt Valley and Southland.
• More than 500 people have worked with an LAC in the
Bay of Plenty area.
• We have recorded more than 5,000 direct contacts
with disabled people, families/whānau and community
members.
• We have established new models through NASCs in
two areas – Hutt Valley and Southland
LAC Evaluation Results – March 2014
Key Findings
 LAC is valued by disabled people and their whanau – through developing
own goals, increasing confidence to achieve, building networks, taking
action
 Take up has been lower than expected – due to lack of knowledge,
wariness of new supports that may disappear, reluctance to refer people,
other similar services already in the area
 People feel more “in charge” of their lives through the support of an LAC
– the LAC was visible but not at the forefront of peoples lives.
‘It all comes back to LAC’ for Tanya
‘(LAC) Larissa has helped me to fill in the gaps in my life. I’m
really excited about the future now.’
Leanne gets active in her community
‘If it wasn’t for LAC, I wouldn’t be who I am today. I’ve come a
long way.’
LAC puts Stephen in charge
‘Life for me now is definitely better. I’m not under my Mum and
Dad’s feet all the time and I have always got (LAC) Jenny who I
can turn to if I get a bit stuck on something.’
What’s next for LAC?
 The programme has been moved into ‘business as usual’ in
the Bay of Plenty and Lakes regions.
 Imagine Better was selected as the successful organisation
to provide LAC in this region going forward.
 On the recommendation of the National Reference Group,
LAC is also being trialled in two NASCs (due to be evaluated
in 2016).
 Following an evaluation of these new models for LAC, a
decision will be made on national roll out of LAC across the
country.
Enhanced Individualised
Funding
 Individualised Funding gives disabled people more choice in how they
pay for the home and community support services they receive. It is
available throughout New Zealand (to include respite from 1 Nov).
 EIF takes IF one step further. It lets disabled people spend their funding
on disability supports that helps them achieve their goals, rather than on
a menu of services.
 EIF is currently available in the Bay of Plenty.
 213 people are currently on EIF.
 EIF will be evaluated at the end of this year so that a decision can be
made on extending the programme outside of Bay of Plenty.
EIF gives Yi freedom
‘I’m working towards my dreams every day, one by one, step by
step. With the support I have from EIF and my friends, family
and the community – I think I can achieve them.’
Toni feels more independent with EIF
‘We’re finding for Toni’s benefit and our purposes, EIF is
working really well.’ - Toni's Mum
New Model ‘best thing since sliced bread’
With EIF, George can employ people he can trust to do his shopping,
pay his bills and people who don’t baulk at filling up buckets of water
from the river when his water supply breaks down.
Choice in Community Living
CiCL offers disabled people in Auckland and Waikato the opportunity
to move out of their family home or a residential facility and into
their own home. It also offers choice and control of how people are
supported in their own home and community.
 CiCL is being demonstrated in Auckland and Waikato.
 92 people have now chosen to live independently in
the community through CiCL.
 Finding suitable housing remains the single biggest
issue facing this demonstration.
 The programme is being evaluated at the end of this
year so that a decision can be made about extending
this to other regions.
Glen and Alex fulfill their flatting dream
‘It’s been awesome flatting with Glen, doing our own cleaning
chores, rosters, having a fun time and chilling out.’ – Alex
CiCL gives Teresa more time with whānau
‘I’m learning to do things how I used to. It gives me a chance to
do and try things more than ever. It’s just a really good thing
for me to be in my own home and out in my community.’
Amy’s confidence soars with CiCL
'I've seen her grow in her confidence, in her independence, in wanting to
solve things herself and not wanting to rely on other people, but also
thinking beyond what she's always known.’ – Amy’s key worker Bridget
Supported Self Assessment
 Disabled people who have been referred to or are being
reassessed by Support Net in the Bay of Plenty are using
Supported Self Assessment (SSA).
 SSA means that people can complete a form, titled Understanding
You and Your Situation, at a time, place and pace that suits them,
with whoever they want to support them.
 About 360 people have used SSA so far.
 The SSA is linked to the new Funding Allocation Tool which is
being trialled alongside the SSA. This programme is also currently
being evaluated to provide information to make a decision about
extending this trial.
Enabling Good Lives
Enabling Good Lives (EGL) is a broader initiative than the New Model,
involving the Ministries of Education, Health and Social Development
 Involves pooled funding and resources so that disabled people have the
support to plan and fund supports from one personal budget.
 The three-year EGL demonstration started in Christchurch in mid 2013,
involving disabled school leavers aged between 18 and 21 years, with
high or very high ORS funding.
 Over 50 people were involved in phase 1, with further development
underway for phase 2
 In July 2014, this demonstration was extended to Waikato – currently in
the planning stage, to commence in July 2015.
Enabling Good Lives – Christchurch
Workstreams
1. Navigation – MSD lead
2. Person Driven Planning – MOE lead
3. Provider Development – MOH lead
4. Working with Schools – MOE lead
5. Funding Allocation – MOH lead
6. Purchasing Options – MOH lead
7. Financial Sustainability – MSD/MOH lead
8. Accountability – MOH lead
9. System Transformation – MSD/MOH lead
10. Phase Two Participants – MSD lead
EGL – Impact on Providers
Opportunities
 For providers to do things differently
 New, more flexible purchasing options
 Providers can ‘market’ their services to disabled people, rather than
agencies
Challenges
 Some providers need support to ‘price’ new, individual services
 Lack of flexibility in current contracts
 Number of workarounds required to achieve goals (including some
difficulty in processing payments)
Enabling Good Lives - Waikato
 Waikato EGL Leadership Group established in 2012
 Representation from disabled people, family and providers,
supported by local officials from the three Ministries
 We are keen to ensure the work in this region has its own
particular look and builds on community strengths
 Directors appointed last month – Chris Potts and Kate
Cosgriff
 Planning underway to start in June 2015 and build on the
New Model work in CiCL
Pricing Project – Where are we at?
• Price increases for Personal Care, Household Management
and Supported Living will be implemented in November
2014
• Work is continuing to further extend Fee-For-Service Facility
based respite and increase occupancy rates
• DSS is working with Carers NZ on looking at options to
increase the flexibility of the Carer Support payment
• Work is underway on further testing of the planned changes
to the residential pricing model including planning for
implementation
UN Examination – Geneva Sept 14
UN Convention has 33 Articles – what do they cover?
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6/7 - Women / Children with disabilities
8 – Raising awareness
9 – Accessibility
10 – Right to life
12 – Equal recognition before the law
13 – Access to justice
16 – Freedom from abuse
19 – Living independently
24 – Education
25 – Health
27 – Employment
29 – Political and public life
What was the process?
 The first review of NZ’s implementation of the convention
has been completed followed by a meeting with a NZ
government delegation
 NZ representation from Health, MSD, ACC, MBIE,
Education, Crown Law
 Disability sector representatives including DPO and the
Human Rights Commission also had an opportunity to talk
directly with the Committee
 UN Committee made up of 18 members from Jordan,
Thailand, Chile, Korea, Tunisia, Hungary, Uganda, Turkey,
Guatemala, Spain, Serbia, Ecuador, Germany, Mexico, UK
 The committee asked 83 questions over two days
 On 4 October the Committee published its recommendations
(34)
End - Any Questions?
• Any questions?