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South Australia - 31 December 2017 Quarterly Performance Report Disability Reform Council COAG

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South Australia - 31 December 2017

Quarterly Performance ReportDisability Reform Council

COAG

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 2

This report is the sixth quarterly report during the NDIS Transition period, which commenced on 1 July 2016.

PARTICIPANTS & PLANNING

PROVIDERS & MARKETS

COMMITTED SUPPORTS & PAYMENTS

INFORMATION, LINKAGES &

CAPACITY BUILDING

MAINSTREAM INTERFACE

FINANCIAL SUSTAINABILITY

Overview

Executive summary

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 3

Participants and Planning

Committed Supports and Payments

Mainstream InterfaceProviders and Markets

1,526 approved providers, a 15% increase for the quarter.

75-95% of payments made by the NDIA are received by 25% of providers.

34% of service providers are individual/sole traders.

92% of active participants with a plan approved in 2017-18 Q2 access mainstream services.

The proportion of participants entering in the current quarter accessing mainstream services is higher compared to prior quarters.

$271.8 million has been paid to providers and participants since Scheme inception.

Overall, • 53% of committed supports were utilised in 2013-14, • 61% in 2014-15, • 61% in 2015-16, • 56% in 2016-17.2017-18 experience is still emerging.

1,735 additional participants with plans this quarter, with 120 of those previously confirmed as ECEI at 2017-18 Q1.

270 additional children have a confirmed referral to the ECEI gateway this quarter.

As at 31 December 2017, plans approved and ECEI referrals represent:• 85% of year to date bilateral estimate met (1 July 2017 - 31 December 2017)• 101% of transition to date bilateral estimate met (1 July 2016 - 31 December 2017)• 92% of scheme to date bilateral estimate met (1 July 2013 - 31 December 2017)

75% of participants surveyed in the quarter rated their satisfaction with the Agency's planning process as either good or very good.

Summary

South Australia - 31 December 2017

PART 1

Participants and Planning

As the transition phase to full scheme continues, the NDIS in South Australia continues to grow with 1,735 additional participants with approved plans this quarter.

PART 1 - Participants and Planning

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 5

The NDIS is transitioning to full-scheme in line with phasing schedules bilaterally agreed by State/Territory and Commonwealth governments.

Summary

Key Statistics

ACCESS DECISIONS IN 2017-18 Q2

(INCLUDING BOTH ACCESS MET AND ACCESS NOT MET)

3,636INITIAL PLANS APPROVED IN 2017-18 Q2

OF THE 1,735 INITIAL PLANS APPROVED THIS QUARTER, 120 WERE PREVIOUSLY CONFIRMED AS ECEI AT 2017-18 Q1

1,735ADDITIONAL CHILDREN WITH A CONFIRMED ECEI GATEWAY REFERRAL IN 2017-18 Q2

270OF YEAR TO DATE BILATERAL ESTIMATE MET (1 JULY 2017 - 31 DECEMBER 2017)

85%

OF SCHEME TO DATE BILATERAL ESTIMATE MET (1 JULY 2013 - 31 DECEMBER 2017)

92%OF TRANSITION TO DATE BILATERAL ESTIMATE MET (1 JULY 2016 - 31 DECEMBER 2017)

101%OF PARTICIPANTS WITH AN INITIAL PLAN APPROVED IN 2017-18 Q2 HAVE A REPORTED PRIMARY DISABILITY OF INTELLECTUAL DISABILITY

33%OF PARTICIPANTS ENTERING IN 2017-18 Q2 ARE AGED OVER 15 YEARS OLD

75%

PART 1 - Participants and Planning

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 6

2017-18 Q2

Of the 3,164 participants deemed 'eligible' this quarter 71% entered from an existing State/Territory program.

Of the 1,735 plan approvals this quarter, 60% had transitioned from an existing State/Territory program, 83% entered with a permanent disability and 120 were previously confirmed as ECEI at 2017-18 Q1.

Quarterly Intake

531

2,243

390

New

State/Territory

Commonwealth

Participant Entry point

ACC

ESS

MET

PLAN

AP

PRO

VALS

477

1,040

218

270

New

State/Territory

Commonwealth

ECEI

Participant Entry point

290

1,445

270

Early Intervention

Permanent Disability

ECEI

Participant Pathway type

access decisions

3,636

access met

3,164

planapprovals(excluding ECEI)

1,735

ECEI

270

PART 1 - Participants and Planning

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 7

Plan approvals as at 31 December 2017

Plan approval numbers have increased from 12,993 at the end of 2017-18 Q1 to 14,728 by the end of 2017-18 Q2, an increase of 1,735 approvals.

As at 31 December 2017 there were 349 children with a confirmed ECEI referral bringing the total number to 15,077. Overall, 454 participants with approved plans have exited the Scheme.

Of the 349 children with a confirmed ECEI referral as at 31 December 2017, 79 were previously confirmed as ECEI at 30 September 2017 and an additional 270 entered the gateway this quarter.

Change in plan approvals between 30 September 2017 and 31 December 2017

Quarterly Intake Detail

In the quarter of 2017-18 Q2 there were 4,283 plan reviews. This figure relates to all participants who have entered the scheme.

1,735

12,99314,728

349

15,077

-454

14,623

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

Participantplans

approved as at30 September

2017

Plan approvalsin

2017-18 Q2

Totalparticipant

plansapproved as at31 December

2017

ECEIconfirmed

as at31 December

2017

Participantplans

approved(including

ECEI) as at 31December

2017

Total exits as at

31 December2017

Activeparticipants

with approvedplans

(includingECEI) as at

31 December2017

The high number of plan reviews in this quarter reflects the large intake of participants which occurred in the second quarter of 2016-17.

PART 1 - Participants and Planning

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 8

As at the end of 2017-18 Q2, the cumulative total number of participants receiving support was 15,077 (including 349 children supported through the ECEI gateway). Of these, 5,617 transitioned from an existing State/Territory program and 680 transitioned from an existing Commonwealth program.

In addition, 5,122 participants were awaiting a plan as at 31 December 2017.

Overall, since 1 July 2013, there have been 21,763 people with access decisions.

Plan approvals as at 31 December 2017

Cumulative plan approvals compared with bilateral estimate

Cumulative Position of year to date bilateral estimate met

(1 July 2017 - 31 December 2017)

85%

of scheme to date bilateral estimate met (1 July 2013 - 31 December 2017)

92%

plan approvals to date; 15,077 including ECEI confirmed

14,728

Cumulative position reporting is inclusive of trial participants for the reported period and represents participants who have or have had an approved plan.

of transition to date bilateral estimate met (1 July 2016 - 31 December 2017)

101%

7,1187,878

10,30711,081

12,112

13,227

15,077

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

ECEI

Total (excluding ECEI)

Bilateral estimate as at 31 December 2017

5,617

680

8,431

3490

1,0002,0003,0004,0005,0006,0007,0008,0009,000

Plan approvals by participant referral pathway

PART 1 - Participants and Planning

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 9

Note 1: There are a low number of participants aged 19 and over who entered the Scheme in prior quarters.

Note 2: The age eligibility requirements for the NDIS are based on the age as at the access request date. Participants with their initial plan approved aged 65+ have turned 65 since their access request was received.

Around 12% of participants entering in this quarter are aged 0 to 6 years, and 12% of participants are aged 7 to 14 years, significantly lower compared to prior quarters.

Due to the phasing schedule around 75% of participants entering in this quarter are aged over 15 years old. This is compared to 19% in prior quarters.

Demographic profile of active participants with a plan approved in 2017-18 Q2, compared with plan approvals as at 30 September 2017, by age group.

Active participants with a plan approved in the quarter of 2017-18 Q2 by age group

% of active participants with a plan approved by age group

Participant Profiles by Age Group

213

213

101

216

255

184

256

278

19

0 100 200 300

0 to 6

7 to 14

15 to 18

19 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65+

25%

56%

13%

1.34%

1.26%

1.02%

1.10%

1.05%

0.10%

12%

12%

6%

12%

15%

11%

15%

16%

1%

0% 20% 40% 60%

0 to 6

7 to 14

15 to 18

19 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65+

% of active participants with a plan approved in prior quarters% of active participants with a plan approved in 2017-18 Q2

PART 1 - Participants and Planning

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 10

Note: Of the 578 active participants identified as having an intellectual disability, 54 (9%), have down syndrome.

33% of participants entering in the quarter of 2017-18 Q2 have a primary disability group of Intellectual Disability. This is higher than previous quarters.

23% of participants entering this quarter have a primary disability of Autism compared to 48% in prior quarters. This reflects the phasing schedule, with younger participants having been phased into the scheme in prior quarters.

Demographic profile of active participants with a plan approved in 2017-18 Q2, compared with plan approvals as at 30 September 2017, by disability group.

% of active participants with a plan approved by disability group

Active participants with a plan approved in the quarter of 2017-18 Q2 by disability group

Participant Profiles by Disability Group

578

393

118

99

86

74

61

60

55

54

37

30

30

30

29

1

0 200 400 600

Intellectual Disability

Autism

Other Physical

Acquired Brain Injury

Developmental Delay

Cerebral Palsy

Visual Impairment

Other Neurological

Multiple Sclerosis

Hearing Impairment

Other Sensory/Speech

Global Developmental Delay

Psychosocial disability

Spinal Cord Injury

Stroke

Other

17%

48%

2%

1%

8%

4%

1%

2%

0%

3%

7%

4%

0%

0%

0%

1%

33%

23%

7%

6%

5%

4%

4%

3%

3%

3%

2%

2%

2%

2%

2%

0%

0% 20% 40% 60%

Intellectual Disability

Autism

Other Physical

Acquired Brain Injury

Developmental Delay

Cerebral Palsy

Visual Impairment

Other Neurological

Multiple Sclerosis

Hearing Impairment

Other Sensory/Speech

Global Developmental Delay

Psychosocial disability

Spinal Cord Injury

Stroke

Other

% of active participants with a plan approved in prior quarters% of active participants with a plan approved in 2017-18 Q2

PART 1 - Participants and Planning

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 11

For participants with a plan approval in the current period: • 28% of active participants had a relatively high level of function• 50% of active participants had a relatively moderate level of function • 22% had a relatively low level of function

These relativities are within the NDIS participant population, and not comparable to the general population.

Demographic profile of active participants with a plan approved in 2017-18 Q2, compared with plan approvals as at 30 September 2017, by level of function.

% of active participants with a plan approved by level of function

Participant Profiles by Level of Function

1.8% 0.0%3%

10%

36%

16%

11%

2% 0%2%

8%

3%

6%

1% 0.0%

2.8%

0.1%

10%

5%

11%

20%

5%

10%

0.6%

14%

3%

16%

2% 2% 0.0%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of active participants with a plan approved in prior quarters% of active participants with a plan approved in 2017-18 Q2

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Medium level of function Low level of functionHigh level of function

PART 1 - Participants and Planning

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 12

Demographic profile of active participants with a plan approved in 2017-18 Q2, compared with plan approvals as at 30 September 2017, by gender.

A larger proportion of females entered in 2017-18 Q2 when compared to prior quarters.

The majority of participants are males.

Participant Profiles by Gender 61%

+

39%

676+

0.4%

7

70%

8,810

29%

3,649

0.6%

80

GENDER

Mal

eFe

mal

eIn

dete

rmin

ate

2017-18 Q2Up to 30 September 2017

1,052

+

PART 1 - Participants and Planning

53

1,656

26

6

1,729

106

1,629

0

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 13

Aboriginal and Torres Strait Islander

Not Aboriginal and Torres Strait Islander

Not Stated

Not stated

Young people in residential aged care status

Culturally and linguistically diverse status

Culturally and linguistically diverse

Not culturally and linguistically diverse

Young people in residential aged care

Young people not in residential aged care

Aboriginal & Torres-Strait Islander status

Demographic profile of active participants with a plan approved in 2017-18 Q2, compared with plan approvals as at 30 September 2017.

Of the participants with a plan approvedin 2017-18 Q2:

• 3.1% were Aboriginal or Torres Strait Islander, compared with 4.7% for prior periods.

• 0.3% were Young people in residential aged care, compared with 0.0% for prior periods.

• 6.1% were Culturally and linguistically diverse, compared with 6.0% for prior periods.

2017-18 Q2 % of active participants

2017-18 Q2 % of active participants

4.7%

89.0%

6.3%

3.1%

95.4%

1.5%

Prior Quarters

2017-18 Q2

0.0%

100.0%0.3%

99.7%Prior Quarters

2017-18 Q2

Participant Profiles

6.0%

92.1%

1.9%

6.1%

93.9%0.0%

Prior Quarters2017-18 Q2

2017-18 Q2 % of active participants

PART 1 - Participants and Planning

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 14

The proportion of participants who are fully or partly self-managing their plan was lower in 2017-18 Q2 (23%) compared with prior quarters of transition (25%). 46% of participants who have had a plan approved in 2017-18 Q2 have support coordination in their plan, compared to 45% in prior quarters of transition.

Plan Management Support Co-ordination

11.5% 13.9% 11.3% 63.3%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

10.4% 12.4% 10.8% 66.5%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Self Managed fully Self Managed Partly

Plan Managed/Agency Managed Fully Agency Managed

2017-18 Q2

Prior quarters (transition only)

Support Co-ordination

2017-18 Q2 Prior quarters

46% 45%

PART 1 - Participants and Planning

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 15

Plan activation refers to the amount of time between plan approval and the commencement of the participant receiving support.

The percentage of plans activated within 90 days of approval were: • 62% of plans approved in prior quarters• 70% of plans approved in 2017-18 Q1.

Note: Given that plans approved in 2017-18 Q2 are relatively new, it is too early to examine the duration to plan activation for these plans and hence these have been excluded from the charts.

Plan Activation

Plan activation can only be approximated using data on payments. As there is a lag between when support is provided and payments made, these statistics are likely to be conservative. That is, it is likely that plan activation is faster than presented. Further, in-kind supports have been excluded from the calculation, which further contributes to the conservative figures.

Duration to Plan activation for initial plans

49.7% 14.7% 5.2%

2.6%

1.0%

26.9%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Less than 30 days 30 to 59 days 60 to 89 days90 to 119 days 120 days and over No payments

38.1% 14.7% 9.5% 5.7% 13.0% 19.1%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2017-18 Q1

Prior Quarters (Transition Only)

PART 1 - Participants and Planning

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 16

Selected key baseline indicators for participantsBaseline outcome measures were collected from 99% of participants receiving their initial plan since 1 July 2016.

• 66% of participants aged 0 to before school are able to make friends outside of family/carers, compared to 69% of participants from school age to 14• 63% of participants aged 0 to before school are engaged in age appropriate community, cultural or religious activities, compared to 33% - 46% for other age groups• 71% of participants from school age to 14 attend school in a mainstream class, compared to 33% of participants aged 15 to 24• 36% of participants aged 25 and over have a paid job, compared to 18% of participants aged 15 to 24• 72% of participants aged 25 and over choose what they do every day, compared to 45% of participants aged 15 to 24

Participant Outcomes

66%63%

69%

46%

71%

33% 33%

18%

45%40%

36%

72%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% able to makefriends outside offamily (or carers)

% in age appropiatecommunity, culturalor religious activities

% attending schoolin mainstream class

% with a paid job % that choose whatthey do every day

0 to before school School to 14 15 to 24 25 and over

PART 1 - Participants and Planning

Selected key baseline indicators for families and carers of participants

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 17

The percentage of participants' family/carers:• working in a paid job was highest for participants aged 0 to 14 (47%)• able to advocate for their child/family member was highest for participants aged 0 to 14 (79%)• who have friends and family they can see as often as they like was highest for participants aged 25 and over (61%)• who feel in control selecting services was highest for participants aged 25 and over (53%)• who support/plan for their family member through life stage transitions was highest for participants aged 0 to 14 (88%)

Family/Carers Outcomes

47%

79%

54%

88%

45%

77%

51%

45% 46%

30%

77%

61%

53%

37%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% working in a paidjob

% able to advocatefor their child/family

member

% with friends andfamily they see asoften as they like

% who feel in controlselecting services

% who support/planfor their family

member through lifestage transitions

0 to 14 15 to 24 25 and over

PART 1 - Participants and Planning

"Has the NDIS helped?" questions for participants

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 18

Note: There was insufficient data for participants aged 25 and over

Perceptions of whether the NDIS has helped.

Participants who entered the Scheme in the first half of 2016/17 and had been in the Scheme long enough at plan review to give a meaningful answer were asked questions about whether the NDIS had helped them.

The percentage responding 'Yes' was the highest for the domain of:• Daily Living (93%), for participants aged 0 to before school• Daily Living (62%), for participants of school age to 14• Choice and control (63%), for participants aged 15 to 24

Has the NDIS helped? Participants

93%

83%

73%

62%

51%48%

56%

44%

59%

13%

63%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Daily Living Relationships Social, communityand civic participation

Work Choice and control

0 to before school School to 14 15 to 24

PART 1 - Participants and Planning

"Has the NDIS helped?" questions for families and carers of participants

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 19

Perceptions of whether the NDIS has helped.

Families and carers of participants who entered the Scheme in the first half of 2016/17 and had been in the Scheme long enough at plan review to give a meaningful answer were asked questions about whether the NDIS had helped them.

The percentage responding 'Yes' was higher in all areas for family/carers of participants aged 0 to 14 than participants aged 15 and over.

The NDIS has helped families and carers of participants most with life stage transitions and in feeling supported.

Has the NDIS helped? Family/Carers

61%

75% 73%77%

52%48%

65%61%

41%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Families/carers knowtheir rights and can

advocate

Families/carers feelsupported

Families/carers areable to access

services, programsand activities

Families/carers helpwith life stage

transitions

Families/carers enjoyhealth and wellbeing

0 to 14 15 and over

PART 1 - Participants and Planning

Note: Participant satisfaction results are not shown if there is insufficient data in the group.

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 20

Proportion of participants describing satisfaction with the Agency's planning process as good or very good - by quarter

75% of participants rated their satisfaction with the Agency's planning process as either good or very good in the current quarter. This has decreased since the last quarter.

The Participant Pathway Review aims to improve the participant experience.

Participant Satisfaction

Participant satisfaction continues to be high, but has dropped during transition, compared with trial site experience.

91%98% 98% 100% 100%

96%

73%

84% 86%83%

75%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prop

ortio

n of

Par

ticip

ants

%

Quarter

South Australia - 31 December 2017

PART 2

Committed Supports and Payments

Both committed and paid supports to participants are increasing in line with the growing scheme.

To date funding committed to participants with an approved plan amounts to $691.5 million (including support periods in the future), of which $271.8 million has been paid.

PART 2 - Committed Supports and Payments

^Note: The $275.4 million in respect of 2017-18 only includes approved plans to date, and not all of these plans cover the full 2017-18 year.*Note: The $60.3 million committed in future years is due to current plans in place that have an end date past 30 June 2018.COAG Disability Reform Council Performance Report - South Australia 31 December 2017 22

This section presents information on the amount committed in plans and payments to service providers and participants.

Summary

Key Statistics

MILLION OF SUPPORTS HAS BEEN COMMITTED TO 14,728 PARTICIPANTS

$691.5

MILLION HAS BEEN PAID TO PROVIDERS & PARTICIPANTS

$271.8 OVERALL, 53% OF COMMITTED SUPPORTS WERE UTILISED IN 2013-14, 61% IN 2014-15, 61% IN 2015-16 AND 56% IN 2016-17.

THE 2017-18 EXPERIENCE IS STILL EMERGING.

MILLION OF SUPPORTS IN RESPECT OF PRIOR FINANCIAL YEARS INCLUDING TRIAL

$355.7MILLION OF SUPPORTS IN RESPECT OF 2017-18^

$275.4MILLION OF SUPPORTS IN RESPECT OF LATER YEARS*

$60.3

PART 2 - Committed Supports and Payments

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 23

Committed and paid by expected support year

Committed amount by year that the support is expected to be provided, compared with committed supports that have been used (paid).

Of the $691.5 million that has been committed in participant plans, $271.8 million has been paid to date.

In particular, for supports provided in:2013-14: $5.8m has been paid2014-15: $30.7m has been paid2015-16: $64.9m has been paid2016-17: $104.9m has been paid2017-18 to date: $65.4m has been paid

Committed Supports and Payments

0

50

100

150

200

250

300

2013-14 2014-15 2015-16 2016-17 2017-18 2018-19 andbeyond

$ M

illio

ns

Total paid Total committed

$Million 2013-14 2014-15 2015-16 2016-17 2017-18 2018-19 and beyond Total

Total committed 11.0 50.6 105.6 188.5 275.4 60.3 691.5Total paid 5.8 30.7 64.9 104.9 65.4 0.0 271.8

PART 2 - Committed Supports and Payments

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 24

A higher proportion of initial plan approvals in 2017-18 Q2 have average annualised committed supports greater than $20,000 compared with participants who entered in prior quarters when participants with shared supported accommodation (SSA) supports are included.

This is also the case when SSA participants are excluded.

Committed Supports by Cost Band

0%5%

10%15%20%25%30%35%

Distribution of average annualised committed supports by cost band (including SSA)

0%5%

10%15%20%25%30%35%

Distribution of average annualised committed supports by cost band (excluding SSA)

As at Q1 2017-18 Q2 2017-18

PART 2 - Committed Supports and Payments

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 25

Note: The age eligibility requirements for the NDIS are based on the age as at the access request date. Participants with their initial plan approved aged 65+ have turned 65 since their access request was received.

Average annualised committed supports increase at a declining rate up to age 25, and then stabilises to age 64.

The average annualised committed supports for participants aged 35 and over has increased in the current quarter. This is reflective of the phasing schedule.

Average annualised committed supports by age band

Committed Supports by Age Band

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

0 to 6 7 to 14 15 to 18 19 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65+

As at Q1 2017-18 Q2 2017-18

PART 2 - Committed Supports and Payments

Note: Average annualised committed supports are not shown if there are insufficient data in the group.

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 26

Participants with Multiple Sclerosis, Spinal Cord Injury and Stroke have the highest average annualised committed supports.

Participants with an initial plan approval in 2017-18 Q2 had higher average annualised committed supports across most disability types when compared to participants who entered in prior quarters. This reflects the phasing schedule, with more adults entering this quarter.

Average annualised committed supports by primary disability group

Committed Supports by Disability Group

0 20,000 40,000 60,000 80,000 100,000

Acquired Brain Injury

Autism

Cerebral Palsy

Developmental Delay

Global Developmental Delay

Hearing Impairment

Intellectual Disability

Multiple Sclerosis

Psychosocial Disability

Spinal Cord Injury

Stroke

Visual Impairment

Other Neurological

Other Physical

Other Sensory/Speech

Other

As at Q1 2017-18 Q2 2017-18

PART 2 - Committed Supports and Payments

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 27

Average annualised committed supports by level of function

The average annualised committed supports generally increase for participants with lower levels of function.

The average annualised committed supports for participants with an initial plan approval in 2017-18 Q2 is higher compared with participants who entered in prior quarters for participants across low, medium and high levels of function.

Note 1: Average annualised committed supports are not shown if there are insufficient data in the group.Note 2: High, medium and low function is relative within the NDIS population and not comparable to the general population.

Committed Supports by Level of Function

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

1 3 5 7 9 11 13 15As at Q1 2017-18 Q2 2017-18

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Medium level of function Low level of functionHigh level of function

PART 2 - Committed Supports and Payments

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 28

Utilisation of committed supports as at 30 September 2017 and 31 December 2017

Utilisation of committed supports by year that the support was expected to be provided as at 30 September 2017, compared with 31 December 2017.

As there is a lag between when support is provided and when it is paid, the utilisation in 2017-18 will increase.

The utilisation of committed supports in 2017-18 YTD is still emerging and the utilisation rate is expected to increase as there is a lag between when support is provided and when it is paid.

Utilisation of Committed Supports

53%

61%

62%

53%

61%

61%

55% 56%

42%

47%

0

20

40

60

80

100

120

140

160

180

200

$ M

illio

n

Paid (as at 30 September 2017) Remaining (as at 30 September 2017)Paid (as at 31 December 2017) Remaining (as at 31 December 2017)

EXPERIENCE IS STILL EMERGING

South Australia - 31 December 2017

PART 3

Providers and Markets

The scale and extent of the market continues to grow, with a 15% increase in the number of providers during the quarter to 1,526.

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 30

PART 3 - Providers and Markets

This section contains information on registered service providers and the market, with key provider and market indicators presented.

Summary

Key Statistics

OF SERVICE PROVIDERS ARE INDIVIDUAL/SOLE TRADERS

THERAPEUTIC SUPPORTS HAS THE HIGHEST NUMBER OF APPROVED SERVICE PROVIDERS, FOLLOWED BY EARLY INTERVENTION SUPPORTS FOR EARLY CHILDHOOD AND ASSISTANCE PRODUCTS FOR PERSONAL CARE AND SAFETY

Provider registration

• To provide supports to NDIS participants, a service provider is required to register and be approved by the NDIA.

• Providers register with the NDIA by submitting a registration request, indicating the types of support (registration groups) they are accredited to provide.

How providers interact with participants

• NDIS participants have the flexibility to choose the providers who support them.

• Providers are paid for disability supports and services provided to the participants.

APPROVED PROVIDERS

OF PAYMENTS MADE BY THE NDIA ARE RECEIVED BY 25% OF PROVIDERS

1,526 75-95% 34%

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 31

PART 3 - Providers and Markets

Approved providers over time Type of provider

As at 31 December 2017, there were 1,526 registered service providers of which 514 were individual/sole trader operated business while the remaining 1,012 providers were registered as a company or organisation.

Providers over time

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

As at 31Mar 2017

As at 30Jun 2017

As at 30Sep 2017

As at 31Dec 2017

0

200

400

600

800

1,000

1,200

1,400

1,600

1,800

As at 31Mar 2017

As at 30Jun 2017

As at 30Sep 2017

As at 31Dec 2017

Individual / sole trader Company / organisation

The number of approved service providers increased by 15% from 1,331 to 1,526 in the quarter.

34% of approved service providers are individual/sole traders.

1.24AVERAGE NUMBER OF PROVIDERS PER

PARTICIPANT

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 32

Change in the activity status of providers.

PART 3 - Providers and Markets

As at 31 December 2017, 58% of providers have been active and 42% were yet to have evidence of activity. Of the overall stock of providers, 204 providers began delivering new supports in the quarter.

Proportion of Active Providers

Active (58%)

Not yet active (42%)

PROPORTION OF ACTIVE / INACTIVE

PROVIDERS

204NUMBER OF PROVIDERS

DELIVERING NEW SUPPORTS

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 33

Therapeutic Supports has the highest number of approved service providers and has seen a 9% increase since the previous quarter.

The largest percentage increase in approved providers was for the Specialised Disability Accommodation registration group in the quarter. This was followed by Innovative Community Participation, Household Tasks and Interpreting and translation.

PART 3 - Providers and Markets

Approved providers by registration group and percentage change over the quarterThe number of approved providers has increased for most registration groups over the quarter.

Registration groups

6%0%

12%10%

12%10%11%

25%24%

8%22%

20%22%

17%5%

6%-10%

17%-5%

17%15%

12%18%

9%8%

5%26%

3%9%

10%37%

3%19%

15%14%

0.0%

0 100 200 300 400 500 600

Accommodation / Tenancy AssistanceAssistance Animals

Assistance with daily life tasks in a group or shared living arrangementAssistance with travel/transport arrangements

Daily Personal ActivitiesGroup and Centre Based Activities

High Intensity Daily Personal ActivitiesHousehold tasks

Interpreting and translationParticipation in community, social and civic activities

Assistive equipment for recreationAssistive products for household tasks

Assistance products for personal care and safetyCommunication and information equipment

Customised ProstheticsHearing Equipment

Hearing ServicesPersonal Mobility Equipment

Specialised Hearing ServicesVision Equipment

Assistance in coordinating or managing life stages, transitions and supportsBehaviour Support

Community nursing care for high needsDevelopment of daily living and life skills

Early Intervention supports for early childhoodExercise Physiology and Physical Wellbeing activities

Innovative Community ParticipationSpecialised Driving Training

Therapeutic SupportsHome modification design and construction

Specialised Disability AccommodationVehicle Modifications

Management of funding for supports in participants planSupport Coordination

Assistance to access and/or maintain employment and/or educationSpecialised Supported Employment

Assi

stan

ce s

ervi

ces

Assi

stiv

e Te

chno

logy

Cap

acity

Bui

ldin

g S

ervi

ces

Cap

ital

serv

ices

Oth

erR

egis

tratio

nG

roup

s

As at 31 December 2017 As at 30 September 2017

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 34

Market share of the top 25% of providers by registration group.25% of service providers received 75-95% of the dollars paid for major registration groups.

PART 3 - Providers and Markets

Market share oftop providers

DAILY PERSONAL ACTIVITIES

(%)

EARLY INTERVENTION

SUPPORTS FOR EARLY CHILDHOOD

(%)

PARTICIPATION IN COMMUNITY,

SOCIAL AND CIVIC ACTIVITIES

(%)

ASSISTANCE WITH DAILY LIFE TASKS

IN A GROUP OR SHARED LIVING ARRANGEMENT

(%)

THERAPEUTIC SUPPORTS

(%)

81% 87% 78%

93% 84%

South Australia - 31 December 2017

PART 4

Information, Linkages and Capacity Building

Information, Linkages and Capacity Building was covered in the national version of the COAG Quarterly Performance Report.

South Australia - 31 December 2017

PART 5

Mainstream Interface

The proportion of participants entering in the current quarter accessing mainstream services is higher compared to prior quarters.

COAG Disability Reform Council Performance Report - South Australia 31 December 2017 37

92% of active participants with a plan approved in 2017-18 Q2 access mainstream services, an increase from prior quarters. Participants are accessing mainstream services predominantly for lifelong learning, health and wellbeing and daily activities.

PART 5 - Mainstream Interface

Mainstream Interface

daily activities

0%health and wellbeing

0%lifelong learning

0%

2017-18 Q2

HEALTH AND WELLBEING

DAILY ACTIVITIES

PRIOR QUARTERS (TRANSITION ONLY)

8%37%

32%

32%

25%

LIFELONG LEARNING

7%

92%

% of active participants

accessing mainstream

supports

2017-18 Q2

89%In prior quarters (transition only)

South Australia - 31 December 2017

PART 6

Financial Sustainability

Financial Sustainability was covered in the national version of the COAG Quarterly Performance Report.