Amergin’s General Manager, Tony Dempsey presented to members of the Professional Counselling Association (PCA) for Sydney and the ACT on Saturday 13th of April.
Counsellors (and many other allied health professionals) have unique challenges when trying to navigate the NDIS and understand how they can operate viably as a provider.
While the NDIS broadly covers the requirements of business looking to register and operate in the Scheme, the more detailed information around ‘how does it relate to my business’ is not quite as clear.
Adding to what can be a confusing and complex registration process, each allied health profession faces very unique registration and operating challenges. This inadvertently creates a sense of ‘it’s all too hard’ and means those businesses who could be leading in the market are waiting to see what happens.
Tony Dempsey commented on the situation for counsellors, and more broadly allied health professionals, “We speak to businesses every day who are often keen but deterred by the process and other things like the registration and audit costs. It’s not surprising that many are often reluctant to throw their hat in the ring without a clear way to know if it’s the right (and a viable) option for them.”
Over 65% of registered NDIS providers are registered to deliver ‘therapeutic supports’, a registration group aligned with the delivery of allied health services and supports.
Amergin partners with the Australian Counselling Association (ACA) who support over 5,000 members across Australia and works closely to deliver tailored and specific information to help their members register and operate in the NDIS.
This morning, Prime Minister Scott Morrison announced the Terms of Reference that will guide a 3-year investigation into abuse, violence, neglect and exploitation of Australians with a disability.
While the announcement of a Royal Commission was expected, the Terms of Reference are important because they outline the detail around how the Commission will be established and importantly, how it will actually work.
Christine Dempsey says, “the Royal Commission is a win for those living or caring for someone with a disability, a win for all Australians, and is another step towards making sure we’re proactively stopping abuse or neglect in our society.”
The Royal Commission will be led by former NSW Supreme Court Judge, Ronald Sackville, but also assisted by 5 other Commissioners. Christine added, “We are really pleased that the Commissioner will be assisted by other Commissioners who have lived experience with a disability”.
Key points about the Royal Commission:
- the Commissioners are tasked with finding out how these groups can protect people with a disability;
- it will look at all groups that provide services to people with disability such as the government and large institutions (including NDIS Providers);
- it will run for 3 years with the final report due April 2022;
- it will cost $527.9m; and
- there will be a dedicated website launched in the coming months.
The Terms of Reference have been made public and cover what will be done to:
- prevent, and better protect, people with disability from experiencing violence, abuse, neglect and exploitation;
- achieve best practice in reporting and investigating of, and responding to violence, abuse, neglect and exploitation; and
- promote a more inclusive society that supports the independence of people with disability and their right to live free from violence, abuse, neglect and exploitation.
For more information, visit the Department of Social Services website.
Scott Morrison, Robert De Luca (CEO NDIA) and Graeme Head (NDIS Commissioner) all walk in to a bar…
Ok so it doesn’t quite work like that but you could be mistaken for thinking a night on the gin and tonics has made for several positive outcomes for NDIS service providers and their workforce.
Just last week the Federal Government announced an increase to price limits for therapy, attendant care and community participation under the National Disability Insurance Scheme (NDIS), effective 1 July 2019. The media release from the Assistance Minister noted these price increases will inject more than $850 million into the NDIS market in 2019-20, and the new prices include a minimum increase of almost $11 per hour for therapists and up to a 15.4 percent price increase to the base limit for attendant care and community participation.
At the same time the NDIS Commission released a grant opportunity that offers a funding pool of $5.6m in its first round (with more rounds to follow) to attract, retain and optimise the NDIS workforce as the market sets to more than double in the new few years.
The grant coupled with the price increase is definitely a positive step in the right direction to build the disability sector capacity and service provider readiness in the transition.
The role you play as one part of a support team
The NDIS Eligibility checklist:
- Do you live in Australia and have Australian residency?
- Do you usually need support from a person because of a permanent and significant disability?
- Do you need some supports now to reduce your future needs?
- Are you aged between 7 and 65?
Are you aged between 7 and 65?
What about those in one of our most vulnerable populations?
Well you are in luck.
Under the National Disability Insurance Scheme, children under the age of 6 can access early childhood intervention supports to maximise their development. There are also supports available for parents, carers and family of a child with developmental delay or a disability to help them in their daily living with a child or sibling with a disability.
BUT what is Early Intervention?
Early intervention services for children living with disabilities is a comprehensive therapeutic approach that includes several therapy disciplines that assess a child, plan interventions, and develop participant and guardian-centred goals in order to achieve the best outcomes.
It takes a village to raise a child and a transdisciplinary team to provide Early Childhood Early Intervention.
The NDIA has defined the transdisciplinary approach as a team who works collaboratively, shares responsibility, and who sees the family as valued team members.
As a way to coordinate the delivery of services and to manage the links within a transdisciplinary team, families have the option of electing one professional as the main point of contact for families. This person is known as a Key Worker.
What this means for providers registering to provide ECEI under the NDIS.
When providing early childhood supports to NDIS participants service providers need to take a holistic approach with careful consideration of:
The Child – Service providers have a legal and ethical responsibility to ensure that thy have practices and processes in place that focus on creating a safe environment for children to learn and grow.
The Family – Service providers must recognise the importance family holds in a young person’s education and intervention. A family’s strengths, needs and priorities need to be recognised and respected.
Inclusion – Where every possible support should be provided with consideration and inclusion of a child’s daily routine and promote natural learning in a familiar environment.
Collaboration – Service providers must coordinate supports in a collaborative manner utilising the skills and knowledge of a child’s family and other relevant providers. Families have the option of engaging a key worker to scaffold this collaboration.
Capacity Building – Supports are planned and provided with the intention to build a child’s knowledge, skills and abilities in order to support a child’s learning.
Evidence – Informed Practice with an Outcome Based Approach– Service providers need to plan and offer supports that are based on validated practices, the best available research and relevant laws and regulations. As a matter of ongoing reflection, providers must ensure they have well documented assessments and plans that evaluate and report on intervention outcomes in a meaningful way.
As an ECEI provider it is your role to supports families to help children develop the skills they need to take part in daily activities and achieve the best possible outcomes throughout their life. Childhood is an important and influential time in a person’s life, early intervention leads to life time learning.
It is easier to build strong children than to repair broken men. – Frederick Douglass
Earlier this week, the NDIS Commission released a grant opportunity that offers a fund pool of $5.6m in its first round (with more rounds to follow).
The primary focus of the grant is to “attract, retain and optimise the workforce” as the market sets to more than double in the next few years. This means looking at skill development and making the NDIS an attractive proposition for a future workforce that it will need.
Amergin Director, Christine Dempsey says, “the grant will go a long way to promote capacity building for providers while also increasing the workforce in the NDIS. With many providers struggling to stay viable, initiatives like this will provide much needed relief to upskill existing staff or acquire more.”
Individual organisations can apply for up to $20,000 in funding – you can be an existing provider, currently going through the registration process or intending to register over the next 18 months.
The grant goes much further, extending to practical business supports such as professional services like consultancy to help new businesses register and existing providers make the transition to the new NDIS Quality and Safeguards Standards – of which VIC, NSW, TAS, NT and ACT will be doing from 1 July 2019.
Christine continues, “It’s an opportunity for providers look at (and invest in) their internal quality systems and ensure a ‘best practice’ service delivery model early on. With every provider now required to undergo some sort of audit under the new national system, this grant funding could help with important measures like ongoing compliance support”.
“Our expert team at Amergin can also help providers apply for the grant and effectively utilise the funds to enhance business viability and quality of services”.
Priority areas for this round include Aboriginal and/or Torres Strait Islander service providers, providers delivering to remote locations and/or other areas where there are NDIS service gaps.
We would like to welcome back our valued clients, friends and partners to another year that promises much excitement and change.
Taking a quick look back to 2018, it’s not hard to see why many organisations in the community sector are drawing a line in the sand and hoping 2019 will bring more favourable winds to push their ships towards better certainty and success. So, what can we expect in the next 12 months?
Well, even with a new disability system still in its infancy and an aged care sector at the centre of a Royal Commission, the light is starting to show at the end of the tunnel. How, you say?
Just like a bushfire can wipe out everything in single day, when you visit the same place a few months’ later, you’ll see regeneration; animals returning; and whole new ecosystems developing. Let’s take a closer look at what I’m talking about…
There are two major signs that this monumental disability reform that began rolling out in 2016 is finally starting to lose its training wheels as it heads towards a self-regulated marketplace beyond 2020:
- The participants and providers themselves are starting to get it – how it works; where the opportunities are; what still needs work; and very importantly, that you can’t go into business and survive in this industry without having a solid foundation. These two groups are the foundation of the system, which means the government needs to keep helping them to more easily navigate the system.
- The new ‘parent’ for service providers, called the NDIS Commission (currently overseeing South Australia and New South Wales) is responsible for bringing the other states under the same roof. With Victoria, Queensland, Tasmania, the ACT and the Northern Territory all about to make the same transition from 1 July, 2019, the Commission will have the oversight and control to guide the market where it needs to go.
Yes, the Royal Commission began in January 2019 and, let’s face it, we already know what’s coming. It won’t be pretty and will almost certainly hang a curtain of shame over Australia for years to come. This year we will see the true extent of what’s happened and how we have failed a generation of our most experienced, respected, knowledgeable, longest-living residents of this great country.
However, with failure comes learning. When the last ember has burnt, we know regeneration will follow. Maybe not tomorrow or the next day – but soon. This is an opportunity for us to acknowledge the past then recreate the future we want.
So, what’s Amergin’s focus for 2019? Quite simply, we want to continue doing what we’ve been doing since the beginning – help every organisation across the community sector be their very best, no matter how unpredictable the environment they operate in.
Our approach is very much about helping you understand so you know why it’s important (versus ‘here are the answers to the exam questions’). And this is important if you want to establish (and maintain) a strong foundation for the future. With innovative services like amerginhub transforming the landscape, we are making this a reality of every organisation operating across the country; and there’s much more to come.
We look forward to continuing our journey with you over the next 12-months and helping you take your organisation to the next level – wherever you are on your journey.
When was the last time you reviewed your Policies and Procedures… or even looked at them? Do you even have them?!
Cue the excuses: ‘I have a business to run!’ ‘I don’t have time!’ ‘We’re trying to deliver good quality services, not get bogged down in onerous paperwork!’ ‘It’s just too hard!’.
…Throw any excuse my way and I can guarantee I’ve heard it.
Unfortunately, excuses won’t protect you from the repercussions of a client being seriously harmed, a staff member being badly injured while on the job, a major privacy breach, financial fraud – or just straight out closure.
If you’re in this business to make a difference and want to be here for the long term, you have no choice but to keep up with your compliance requirements. It’s a responsibility you owe to your business, your staff, and most importantly, your clients. And it will make you a better provider, which can only be good for business.
Your Policies and Procedures and the checks and balances you use to make sure you adhere to them make up your Quality Management System – or QMS. As the name suggests, a QMS is the foundation of how you run a quality and safe business. And it doesn’t just cover NDIS or Aged Care legislation, it’s about managing every aspect of your business and how it operates. Because of this scope, your QMS should be reviewed and updated regularly, based on changes in industry and (local, state and federal) legislative requirements. It’s a BIG deal.
So, if you haven’t looked at your QMS lately, pull it down from the top shelf and dust it off, or hit Ctrl+F on the laptop. Put the time – and resources – into checking for updates frequently. They’ll quickly add up. Waiting until a few weeks before you’re audited – or better yet, waiting until your audit – then panicking that you’re not prepared, is no fun for anyone.
And trust me, you don’t want to find out at audit – or even worse, through a serious incident – that you’re not across your responsibilities.
There are a range of ways you can keep on top of changes in your compliance requirements, including subscribing to:
- Federal and State legislation updates;
- the NDIS newsletter;
- NDIS Commission updates;
- Department of Health updates;
- State Government Department disability and/or aged care updates;
- the Aged Care Quality Agency newsletter;
- the Fair Work Ombudsman newsletter; and
- State work health and safety updates.
Of course, amerginhub provides all this and more in one place. But, you also have to implement the changes.
Luckily, we can help you with that too. Just give us more than a week’s notice.
So, what are you waiting for?
December 2018 saw a boost of positivity towards the Aged Care sector with the Australian Government announcing an investment of $287 million dollars in order to provide an additional 10,000 Home Care Packages.
This funding is expected to increase the number of Level 3 and Level 4 high care packages to become available from Dec/Jan through to June 2019. It is also hoped that this will alleviate some of the pressure of the current wait list and boost the support available to those currently in receipt of Level 1 and 2 Packages waiting for higher care.
The new Aged Care Quality and Safety Committee have commenced operations as of 1 January 2019 to replace the Australian Aged Care Quality Agency and the Aged Care Complaints Commissioner.
Their role is to protect and enhance the safety, health, well-being and quality of life of clients receiving aged care. Through independent accreditation, assessments and monitoring aged care services (subsidised by the Australian Government) they aim to promote high quality care and services to safeguard clients receiving funded care.
Through engagement with and education for consumers and providers, they will work to ensure trust, empowerment and compliance with the quality standards. This is also promoted by the focus of the government to combine the auditing and complains management functionalities to support better engagement with consumers and providers and promote transparency.
It is also important to note that from 1 January 2020 the aged care provider applications and compliance functions will transfer across from the Department of Health to the new quality and safety committee.
Australia’s Aged Care Royal Commission has commenced its first Public Sitting on 19th January, to hear Commissioner Briggs’ and Tracey’s initial thoughts on how the Commission will operate.
Statements were also heard from Senior Council members on the future of the inquiry, and initial responses from the 83 largest Aged Care Providers asked to detail information about their services late December 2018.
The Royal Commission process initially commenced with 100 large aged care providers (residential and aged care) in Australia being asked to answer questions about how they treat their residents/clients, the quality of care they provide and any significant issues that have been raised as concerns over the past 5 years.
Patterns have already been noted in relation to residential care concerns, elder abuse, mismanagement of medication, issues of food safety and overuse of psychotropic medications and will be investigated further as part of the commission.
The Commissions first significant hearing will be on 11th February and public hearings, together with roundtable and community consultations will continue across each State and Territory through 2019, into 2020.
Today, Amergin Director Tony Dempsey had the pleasure of attending the Open Day for (now approved NDIS provider) Dependable Care.
The event was attended by Federal Minister, Ged Kearney and Victorian Minister, Robin Scott who were both present for the unveiling of additional facilities and services. Tony was able to discuss the challenges facing the sector and in particular the providers who work hard to deliver such important services to communities right around Australia.
Dependable Care deliver accomodation and other support services for people across Melbourne. The event was a great opportunity to meet the amazing staff and the incredible people they support every day.
If you have, or are considering, purchasing standardised policies and procedures for your organisation, it is unlikely you will pass government certification (audit). Here are three reasons why:
The ‘cookie cutter’ approach
Policies and procedures must reflect the individuality of the organisation’s they govern; and every organisation is fundamentally different, whether it be the types of services you offer, the way you offer them or even where you offer them. These documents form the fundamental basis of how you operate and for your staff to be able to follow them they need to be tailored and relevant to how you actually operate.
Government legislative changes
State and Federal governments continually review and update legislation to serve an ever-changing Australian society. In 2018 alone, the Victorian State Government has passed at least four major legislation changes (related to disability services). Each of these changes have considerably impacted the State Government’s minimum requirements with respect to NDIS policies and procedures.
It’s not enough to set out a policy and process. Your Policies and Procedures must clearly set out lines of reporting and who is responsible for what action in any given circumstance. This is incredibly important when dealing with high risk matters such as critical incidents. It also needs to be clear for any client or other stakeholder reading them, who in the organisation they can contact regarding particular matters.
While not many organisations look forward to an audit, they play a crucial role for the regulating body (the Government) – providing transparency on how a business operates, ensuring they are delivering services appropriately and ethically; and, the service provider – to guide their operations and help them identify gaps so they can improve their service delivery in accordance with a broader understanding of ‘best practice’.
In industries like aged care and disability services (the NDIS), providers are dealing with vulnerable people. Audits ensure that you, the service provider, are best equipped to deliver your services, mitigate risks, and improve your services to help you thrive.
Our team invests many hours keeping up-to-date with the state and government legislation that has the potential to impact your organisation. We continue to work alongside auditing bodies to further understand provider compliance requirements and importantly, make sure your documentation is well-received by auditors and meets all compliance expectations.
We know it can be time consuming and costly investing in tailored policies and procedures to govern your organisation. However, also consider the cost and delay of having to pay for them twice because the first ones weren’t adequate…
To find out more about your compliance requirements and getting support in your business, join amerginhub free!