Agenda

CONFERENCE DAY ONE
Thursday 15th September 2011

DAY ONE | DAY TWO

8.30 Registration & Coffee

9.00 Opening Remarks from the Chair
Arthur Rogers, Executive Director, Disability Services Division, Department of Human Services Victoria

9.10 KEYNOTE ADDRESS: DisCo DDA NDS and NDIS: The Landscape Post Productivity Commission Report
This presentation will examine the effect of the Productivity Commission recommendations on the broader human rights and disability landscape.
Graeme Innes AM, Disability Discrimination Commissioner

9.50 What Do We Know? How are Governments Progressing Against the National Disability Agreement?

Under the National Disability Agreement, Australia's governments have affirmed, among other things, that people with disability and their carers have an enhanced quality of life and participate as valued members of the community. The COAG Reform Council has been given the task of assessing how well State, Territory and Commonwealth Governments' meet the objectives under the National Agreement.

This presentation will:

• Discuss the importance of accountability to improving outcomes for people with disability and their carers, including its challenges and opportunities
• Outline the findings of the COAG Reform Council's second performance report on the National Disability Agreement - in particular, the presentation will highlight the council's findings from its comparison of service delivery across the States and Territories
• Discuss the gaps and areas for improving the performance reporting framework
• Consider the implications of the National Disability Strategy for the council’s reports

Amelia Sapre, Adviser - Health & Disability, COAG Reform Council

10.30 Morning Tea

11.00 Tweezers for this Titanic: Raising a National Disability Insurance Scheme

• Big ticket reforms - The challenges in getting the manner of scheme funding legislated
• People with a disability who languish on the outskirts of service provision
• Inclusion and exclusion guidelines for disability support – Brain Injury Australia’s constituents who survive outside the existing disability services system
• Addressing the thinking that people with a disability somehow comprise a coherent population who know both their disability and their needs
• The need for cohesion within the disability sector

Nick Rushworth, Executive Officer, Brain Injury Australia

STATE UPDATES: FUNDING AND SUPPORT FOR DISABILITY SERVICES
Part One

11.40 Towards a National Disability Insurance Scheme

• An outline of how Victoria is well placed to move to a National Disability Insurance Scheme (NDIS)
• An outline of many of the elements of a person centered approach to support which are in place in Victoria
• Victoria's strong system of protections and safeguards in place for people with a disability
• The preparatory work for an NDIS occurring in Victoria

Arthur Rogers, Executive Director, Disability Services Division, Department of HumanServices Victoria

12.20 Lunch

1.30 Enabling Queenslanders with Disability - Delivering a Ten Year Plan

• Embracing an Enabling Agenda
• Partnering for change across sectors and systems
• Driving reform and making progress

Michael Hogan, Deputy Director-General, Disability & Community Care Services & Multicultural Affairs Queensland, Department of Communities

2.10 An Insurance Industry Perspective - How the Experience of General Insurance Can Assist with the Long Term Financial Viability of the NDIS

• The benefit of commercially underwritten insurance for certain specific programs such as early intervention, employment placement
• Development of services/products such as Disability Support Organisations
• Governance
• Opportunities for cost effective synergies between NDID and NIIS-Data collection, analysis and best practice models

Chris McHugh, EGM Commercial Insurance, Suncorp General Insurance

2.50 Afternoon Tea

3.20 Keynote New Zealand Case Study: Managing the Cost and Delivering the Outcomes

How does a funder manage the fine balance between delivering valued client outcomes to people with disabilities at an affordable rate and sustainable to the tax and levy payers? New Zealand’s Accident Compensation Scheme 24 hour Comprehensive No-Fault Accident Cover provides a compelling case study as to how this can be done. The National Serious Injury Service (NSIS) has been operating within ACC for the past 4 years and is demonstrating significantly improved financial performance and client outcomes. This has required a sustained change management programme, a focus on client outcomes and detailed attention to the cost drivers and managing those drivers. This presentation will cover how the NSIS has managed to balance outcomes and costs and continues to deliver sustained and improving performance.

Liz Cairns, Manager National Serious Injury Service, Accident Compensation Corporation, New Zealand
Dr Maree Dyson, Principal Consultant on the Management of Serious Injury, Dyson Consulting

4.00 Measuring Performance: Incorporating Outcome Reporting and Monitoring in to Day-to-Day Practice

This paper provides a philosophy, model and strategies by which organisations can build service evaluation and outcome reporting into their day-to-day practice. The paper has been informed by the presenter’s design of a database that supports individualised person-centred case management, service management to outcomes and performance reporting with the National Serious Injury Service, New Zealand. The drive to individualised funding and market competition means organisations require regular, better data with which to profile their organisation and provide information to clients and tax payers. Locating the data collection within day-to-day practice means affordable reporting.

Dr Maree Dyson, Principal Consultant on the Management of Serious Injury, Dyson Consulting

4.40 Closing Remarks from the Chair

4.50 Networking Drinks

CONFERENCE DAY TWO
Friday 16th September 2011

DAY ONE | DAY TWO

8.30 Registration & Coffee

9.00 Opening Remarks from the Chair

9.10 INTERNATIONAL KEYNOTE ADDRESS: UK Disability Services - From State Provision to Independent 'For Profit' Provision

The process of providing almost nothing other than institutional care for people changed with the implementation of The NHS and Community Care Act 1990. This began the proliferation of the UK 'for profit' sector in both home care and aged care providers in the UK. It shifted from a rigid care provision system, to an innovative, flexible, appropriate care services and the state became a purchaser of services where in particular, younger (under 65 years of age), disabled people were the greatest beneficiaries.

> The dark days 1948 – 1989
> The new world 1990 – 2009
> Case study: Trevor 1995 – 2008
> The hicupp and the vision

Angela Gifford has been involved in the UK care industry since 1980 working with all levels of Government. Angela writes regularly on care issues, was a Founding Member of the United Kingdom Home Care Association and a UK Law Society Care Expert with reference to personal injury claims since 1990.

STATE UPDATES: FUNDING and SUPPORT FOR DISABILITY SERVICES
Part Two

9.50 Community and Home Support SA - An Integrated Community Support System Across South Australia for Ageing, Disability and Carer Services

• Recent restructure leading to the creation of a new division; Community and Home Support SA
• State-wide community care system for all South Australians, regardless of age or reason for support. It provides a joined-up approach across government and non-government to enable people to access the advice and support to best meet their needs
• The reasons why SA is bringing together ageing and disability policy and services when it is being split at a national level

Zofia Nowak, Director Policy and Planning, Disability, Ageing and Carers Branch, Community and Home Support SA, Department for Families and Communities

10.30 Stretch and Bathroom Break

10.40 The Victorian Law Reform Agenda: The Reviews of Victoria's Guardianship, Mental Health and Powers of Attorney Laws

• The modern role of substitute decision-making
• The influence of the Disabilities Convention
• The proposed role of supported decision-making
• New developments to prevent abuse

Dr John Chesterman, Manager Policy & Education, Office of the Public Advocate

11.20 Morning Tea

11.50 Interactive Panel Discussion:
What Does the Future Look Like? Where to Now for the NDIS Post Release of the Productivity Commission's Inquiry Findings

12.40 Case Study: Community Rehabilitation for People with Brain Injury - Measuring the Social and Cost Benefits; Brightwater Care Group (Inc.) and the Insurance Commission of Western Australia (ICWA)

> Why a social cost benefit analysis?
> The methodology that was used
> Working together with ICWA and the benefits for them
> A case study - 'The cohort of twenty'
> What benefits the analysis has delivered to our organisation
> Where to now, stepping forward into the future

Jennifer Lawrence, General Manager Services For Younger People and Major Projects, Brightwater Care Group (Inc.)
Janet Wagland, Manager, Services For Younger People, Brightwater Care Group (Inc.)

1.20 Lunch

2.20 Realising the Potential of Individualisation

The move towards the individualising of funding and support is often framed as a transformative process for services to people with a disability; a way of enhancing quality of life and ensuring empowerment and self determination. For people who require cognitive support however more than simply individualising support packages is required if these aspirational goals are to be achieved. This presentation will reflect on case examples and some unexpected consequences on this path to individualisation and highlight essential policy and service system requirements necessary to realise the potential of individualisation e.g. the role of assessment and information in choice; how decisions are made – the involvement of families and service providers; the function of support staff.

Ian McLean, CEO, Golden City Support Services

3.00 Closing Keynote Address: A Future Disability Support System for Australia
> Aiming for an ordinary life for people with a disability
> Funding to provide entitlement to reasonable support
> Focus on support needs of each individual
> Provided by a broad-based support system
John Walsh, Former Associate Commissioner, Productivity Commission, Disability Care and Support

3.40 Closing Remarks from the Chair and Close of Summit

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