Development and Principles of the National Disability Insurance Scheme

Walsh, John; Johnson, Sarah

doi:10.1111/j.1467-8462.2013.12032.x

Cited by 39 publications

(32 citation statements)

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“…; NDIS ). The insurance approach is a unique dimension to the NDIS and, in theory, means that the Australian Government covers the lifetime costs of disability‐related care for eligible individuals (Walsh and Johnson, ). The insurance model is said to be premised on accident and compensation approaches in Australia and New Zealand (Walsh and Johnson ).…”

Section: The Australian National Disability Insurance Schemementioning

confidence: 99%

“…The insurance approach is a unique dimension to the NDIS and, in theory, means that the Australian Government covers the lifetime costs of disability‐related care for eligible individuals (Walsh and Johnson, ). The insurance model is said to be premised on accident and compensation approaches in Australia and New Zealand (Walsh and Johnson ). Given that these principles have not been used in the context of social policy or traditional welfare policy areas previously, it is unclear how they will translate (or not) into areas such as disability (Needham and Dickinson , forthcoming).…”

Section: The Australian National Disability Insurance Schemementioning

confidence: 99%

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The Vexed Question of Market Stewardship in the Public Sector: Examining Equity and the Social Contract through the Australian National Disability Insurance Scheme

et al. 2017

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Personalized care and market-based approaches to public service provision have gained prominence in a range of Organisation for Economic Co-operation and Development countries. Australia has recently joined this trend, launching a complex and expansive programme of individualized care funding for disability through the National Disability Insurance Scheme. Public sector markets (i.e. where governments either directly fund a market by way of competitive tendering, or through personal budgets) have been embraced by actors at different points of the political spectrum and for a range of reasons, including efficacy and efficiency gains, empowerment of citizens and efforts to cater for diversity. Despite the growing dominance of public sector markets and individualized funding, many questions about the role and responsibility of governments in managing and regulating these markets remain unanswered. In this article we outline different roles governments might assume in the creation and management of public sector markets, based on the types of risks governments are willing to take responsibility for. We argue that to fulfil the social contract between government and citizens, governments need to ensure that markets are properly stewarded and embedded in broader social safety nets. This, we contend, can ensure citizens receive the gains of market models while being protected from market failures or market-produced inequities.

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Section: The Australian National Disability Insurance Schemementioning

confidence: 99%

Section: The Australian National Disability Insurance Schemementioning

confidence: 99%

The Vexed Question of Market Stewardship in the Public Sector: Examining Equity and the Social Contract through the Australian National Disability Insurance Scheme

et al. 2017

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“…Firstly, the geographical spread outstrips that of other countries. Secondly, the Australian scheme is combined in an insurance approach [18]. Hence the scale of the NDIS is broader and deeper than its international counterparts running at a cost of over $22 billion a year, offering important opportunities for learning.…”

Section: Introductionmentioning

confidence: 99%

A longitudinal study of the implementation experiences of the Australian National Disability Insurance Scheme: investigating transformative policy change

Carey

Dickinson

2017

BMC Health Serv Res

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BackgroundInternationally there has been a growth in the use of publicly funded service markets as a mechanism to deliver health and social services. This has accompanied the emergence of ‘self-directed care’ in a number of different policy areas including disability and aged care – often referred to as ‘personalisation’ (Giaimo and Manow, Comp. Pol Stud 32:967–1000, 1999; Needham, Public Money Manage 30:136–8, 2010; [Hood], [The Idea of Joined-up Government: A Historical Perspective], [2005]; Klijn and Koppenjan, Public Manage 2:437–54, 2000, Greener, Policy Polit 36:93–108, 2008). These reforms are underpinned by an idea that individuals should be placed in control of their own service needs, given funding directly by government and encouraged to exercise choice and control through purchasing their own services. A major challenge for governments in charge of these reforms is determining the best way to structure and govern emerging service markets markets. Given the growing international embrace of market-based reform mechanisms to provide essential services to citizens, finding ways to ensure they promote, and not diminish, people’s health and wellbeing is vital.MethodsThe Australian National Disability Insurance Scheme (NDIS) is Australia’s first national approach to the use of personalised budgets. The program of research outlined in this paper brings together streams from a range of different studies in order to investigate the implementation of the NDIS longitudinally across different administrative levels of government, service providers and scheme participants.ConclusionThis programme of research will make a contribution to our understanding of the Australian scheme and how individualised funding operates within this context, but will also generate much needed evidence that will have relevance to other jurisdictions and help fill a gap in the evidence base.

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“…The purpose of the NDIS, which currently being established throughout the nation in stages following regional pilot programs, is to fund supports for Australians who have a disability so they might more equitably participate in social and economic activities, exercise choice and control over their lives, and increase their skills and overall independence . The NDIS is based on a social insurance model with services funded by the Australian, state and territory governments to reduce the lifetime cost of disability at both the population level and individual level . The NDIS places emphasis on capacity‐building, for example through engaging the services provided by an APD, to empower the participant to live more independently and rely less upon funded support …”

Section: Introductionmentioning

confidence: 99%