Moving from ‘Charity to Entitlement’ with the NDIS
The original intention of government funded support services for people with disabilities was well meant, but the funding limitations generated a charity service philosophy of long waiting lists, few service providers and central, despotic-bureaucratic, placement control. Captive market services where the consumer has to consistently fight for services, service level and service quality, or accept the charity hand-out as they were given.
People with disabilities and their stakeholders have, from time immemorial, suffered the indignity of the charity-hand-out philosophy of captive market services, especially from government direct services.
Whereas, the NDIS intended service provision in a competitive market environment intended to lead to a strong focus being put on the quality of the services provided and the need for continuous improvement within disability services, driving evidence-based practice and effective service delivery within service intent.
The NDIS is intended to bring a change in direction for many aspects of service delivery. Mainly that of changing the power relation between services and consumers (people with disabilities and their stakeholders).
For far too long, service providers, especially government direct, have lorded-it over consumers who have frequently been treated like they were a disruption to the service – “If you don’t like what we do, take your person away!”
We question how long such an entrenched and undesirable lore/culture will take to abate, given it has been prevalent since time immemorial, to that of the consumer being fully respected, always treated as right and having real choice, control and quality of life care and support.
This is about greater choice, voice, and control for people with disability, their families and carers as key partners in the design and delivery of care and support.
The million dollar question is, are we going to see all this good intention in reality and within a reasonable time frame – Or will it be, in many areas of service, little more than more of the same.
Extra 1: Abuse Submission – “Trilogy of Issues” by JacksonRyan Partners, September 2015.
Extra 2: NDIS Consumer Choice & Control – But not for group home residents!
Extra 3: Victoria’s Double Disability Standards with Residential Charges
Extra 4: Quality of Life Care by the University of Kent, and La Trobe Uni
Extra 5: Quality of Life Care : Not Minder-Care - The brians ability to fine alternative pathways
Extra 6: NOTE – Mr Vern Hughes appears to be using the ‘NDIS Image and logo’ to promote his civil society venture.
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