ndis quality and safeguards, jim simpson, senior advocate nsw cid
TRANSCRIPT
Getting it right for people with intellectual disability
Quality and safeguarding and the NDIS
How NSWCID got to its position
• Our experience and research• National Roundtable• Consultation with people with ID
Strong framework or light touch?
The NDIS provides more choice and control but• People with ID vulnerable• Families cautious to complain• Choice and control won’t just happen• People with ID over 60% of NDIS• NDIS systems, market and workforce will
develop slowly
So........
Start strong and review each five years.
The spending will be a good investment.
Some key themes for people with ID
Support and skills development to make choice and control real for people and families
‘People are unsure what to do because they’ve always been told what they can do.’
‘Practice, practice, practice.’
Foster and support self management
Some key themes
Focus on the fringe‘If I didn’t have family or friends, I’d be stuffed.’
People need information that is accessible to them and from people they trust
Advocacy is a key safeguard‘My advocate helps me say what I want to. And makes sure people listen to me.’
People with ID wanted
A say Support with information and decisionsTo choose their support workersA role in training staff of all agenciesA mobile phoneAccess to advocacy
Provider registration
Registration requirements should be related to risk but risk is not just about support type
Independent quality evaluation based on experiences and outcomes of consumers
‘The NDIS should have a star rating to help us choose.’
Complaints
Yes to provider complaints systems butIndependent complaints body needed50% of its resources focused on monitoring
and reviews – community visitors‘Speaking up makes me feel worried about the outcome.’
Focus on NDIA as well as providersFocus on quality of outcomes, not processes
No to abusive staff
Mandatory reporting of possible abuse and neglect
Working with vulnerable people clearances
Behaviour support and restrictive practices
‘They must NOT restrain me. It should be a forbidden practice.’
Build a workforce with the right skillsMaintain roles of State structuresInclude a focus on doctor skills
Mandatory reporting of possible abuse and neglect
Working with vulnerable people clearances
Restrictive practices should require independent approval
Mandatory reporting of restrictive practices + monitoring, review and spot audits
Don’t criminalise challenging behaviour
A Disability Commissioner
Deal with complaints, monitoring, mandatory reporting, staff clearances and restrictive practices
Oversight the NDIS and the NDSStand alone body
See NSWCID Position nswcid.blogspot.com.au/2015/05/nsw-cid-position-statement-ndis-quality.html