Disability Support Services – Provider Forums Oct 14

1. Disability Support Services – Provider Forums Oct 14

2. Introduction DSS Updates on • New Staff • New Model • Enabling Good Lives • Pricing Project • UN Examination Toni Atkinson Group Manager Disability Support Services

4. The New Model -background • 2005-06: Concerns about support services for people with disabilities. • 2008: Social Services Select Committee inquiry report. • 2010: New Model approved. Disabled people included in planning and implementation. • 2014: Elements of New Model moving to “business as usual”, other parts currently being evaluated.

5. What makes up the New Model? • Local Area Coordination • Enhanced Individualised Funding • Choice in Community Living • Supported Self Assessment • Funding Allocation Tool

6. Local Area Coordination LACs walk alongside disabled people and their families/whānau to assist them to live good, everyday lives within welcoming communities.

7. LACs are now working in the Eastern and Western Bay of Plenty, Lakes, Hutt Valley and Southland. • More than 500 people have worked with an LAC in the Bay of Plenty area. • We have recorded more than 5,000 direct contacts with disabled people, families/whānau and community members. • We have established new models through NASCs in two areas – Hutt Valley and Southland

8. LAC Evaluation Results – March 2014 Key Findings • LAC is valued by disabled people and their whanau – through developing own goals, increasing confidence to achieve, building networks, taking action • Take up has been lower than expected – due to lack of knowledge, wariness of new supports that may disappear, reluctance to refer people, other similar services already in the area • People feel more “in charge” of their lives through the support of an LAC – the LAC was visible but not at the forefront of peoples lives.

9. ‘It all comes back to LAC’ for Tanya ‘(LAC) Larissa has helped me to fill in the gaps in my life. I’m really excited about the future now.’

10. Leanne gets active in her community ‘If it wasn’t for LAC, I wouldn’t be who I am today. I’ve come a long way.’

11. LAC puts Stephen in charge ‘Life for me now is definitely better. I’m not under my Mum and Dad’s feet all the time and I have always got (LAC) Jenny who I can turn to if I get a bit stuck on something.’

12. What’s next for LAC? • The programme has been moved into ‘business as usual’ in the Bay of Plenty and Lakes regions. • Imagine Better was selected as the successful organisation to provide LAC in this region going forward. • On the recommendation of the National Reference Group, LAC is also being trialled in two NASCs (due to be evaluated in 2016). • Following an evaluation of these new models for LAC, a decision will be made on national roll out of LAC across the country.

13. Enhanced Individualised Funding

14. Individualised Funding gives disabled people more choice in how they pay for the home and community support services they receive. It is available throughout New Zealand (to include respite from 1 Nov). • EIF takes IF one step further. It lets disabled people spend their funding on disability supports that helps them achieve their goals, rather than on a menu of services. • EIF is currently available in the Bay of Plenty. • 213 people are currently on EIF. • EIF will be evaluated at the end of this year so that a decision can be made on extending the programme outside of Bay of Plenty.

15. EIF gives Yi freedom ‘I’m working towards my dreams every day, one by one, step by step. With the support I have from EIF and my friends, family and the community – I think I can achieve them.’

16. Toni feels more independent with EIF ‘We’re finding for Toni’s benefit and our purposes, EIF is working really well.’ - Toni's Mum

17. New Model ‘best thing since sliced bread’ With EIF, George can employ people he can trust to do his shopping, pay his bills and people who don’t baulk at filling up buckets of water from the river when his water supply breaks down.

18. Choice in Community Living CiCL offers disabled people in Auckland and Waikato the opportunity to move out of their family home or a residential facility and into their own home. It also offers choice and control of how people are supported in their own home and community.

19. CiCL is being demonstrated in Auckland and Waikato. • 92 people have now chosen to live independently in the community through CiCL. • Finding suitable housing remains the single biggest issue facing this demonstration. • The programme is being evaluated at the end of this year so that a decision can be made about extending this to other regions.

20. Glen and Alex fulfill their flatting dream ‘It’s been awesome flatting with Glen, doing our own cleaning chores, rosters, having a fun time and chilling out.’ – Alex

21. CiCL gives Teresa more time with whānau ‘I’m learning to do things how I used to. It gives me a chance to do and try things more than ever. It’s just a really good thing for me to be in my own home and out in my community.’

22. Amy’s confidence soars with CiCL 'I've seen her grow in her confidence, in her independence, in wanting to solve things herself and not wanting to rely on other people, but also thinking beyond what she's always known.’ – Amy’s key worker Bridget

23. Supported Self Assessment • Disabled people who have been referred to or are being reassessed by Support Net in the Bay of Plenty are using Supported Self Assessment (SSA). • SSA means that people can complete a form, titled Understanding You and Your Situation, at a time, place and pace that suits them, with whoever they want to support them. • About 360 people have used SSA so far. • The SSA is linked to the new Funding Allocation Tool which is being trialled alongside the SSA. This programme is also currently being evaluated to provide information to make a decision about extending this trial.

24. Enabling Good Lives Enabling Good Lives (EGL) is a broader initiative than the New Model, involving the Ministries of Education, Health and Social Development • Involves pooled funding and resources so that disabled people have the support to plan and fund supports from one personal budget. • The three-year EGL demonstration started in Christchurch in mid 2013, involving disabled school leavers aged between 18 and 21 years, with high or very high ORS funding. • Over 50 people were involved in phase 1, with further development underway for phase 2 • In July 2014, this demonstration was extended to Waikato – currently in the planning stage, to commence in July 2015.

25. Enabling Good Lives – Christchurch Workstreams • Navigation – MSD lead • Person Driven Planning – MOE lead • Provider Development – MOH lead • Working with Schools – MOE lead • Funding Allocation – MOH lead • Purchasing Options – MOH lead • Financial Sustainability – MSD/MOH lead • Accountability – MOH lead • System Transformation – MSD/MOH lead • Phase Two Participants – MSD lead

26. EGL – Impact on Providers Opportunities • For providers to do things differently • New, more flexible purchasing options • Providers can ‘market’ their services to disabled people, rather than agencies Challenges • Some providers need support to ‘price’ new, individual services • Lack of flexibility in current contracts • Number of workarounds required to achieve goals (including some difficulty in processing payments)

27. Enabling Good Lives - Waikato • Waikato EGL Leadership Group established in 2012 • Representation from disabled people, familyand providers, supported by local officials from the three Ministries • We are keen to ensure the work in this region has its own particular look and builds on community strengths • Directors appointed last month – Chris Potts and Kate Cosgriff • Planning underway to start in June 2015 and build on the New Model work in CiCL

28. Pricing Project – Where are we at? • Price increases for Personal Care, Household Management and Supported Living will be implemented in November 2014 • Work is continuing to further extend Fee-For-Service Facility based respite and increase occupancy rates • DSS is working with Carers NZ on looking at options to increase the flexibility of the Carer Support payment • Work is underway on further testing of the planned changes to the residential pricing model including planning for implementation

29. UN Examination – Geneva Sept 14 UN Convention has 33 Articles – what do they cover? • 6/7 - Women / Children with disabilities • 8 – Raising awareness • 9 – Accessibility • 10 – Right to life • 12 – Equal recognition before the law • 13 – Access to justice • 16 – Freedom from abuse • 19 – Living independently • 24 – Education • 25 – Health • 27 – Employment • 29 – Political and public life

30. What was the process? • The first review of NZ’s implementation of the convention has been completed followed by a meeting with a NZ government delegation • NZ representation from Health, MSD, ACC, MBIE, Education, Crown Law • Disability sector representatives including DPO and the Human Rights Commission also had an opportunity to talk directly with the Committee • UN Committee made up of 18 members from Jordan, Thailand, Chile, Korea, Tunisia, Hungary, Uganda, Turkey, Guatemala, Spain, Serbia, Ecuador, Germany, Mexico, UK • The committee asked 83 questions over two days • On 4 October the Committee published its recommendations (34)

31. End - Any Questions? • Any questions?