Highlights from the Community and Human Services Reform Conference: Building better lives for Victorians in need The Hon. Mary Woolridge MP Minister for Mental Health Minister for Community Services Minister for Disability Services and Reform Together, over recent years, the case has been made for change. Some of you will have come to today with some curiosity, some with some anxiety but I believe and hope that all, with a shared vision. That we can genuinely achieve client-centred, effective services and support for vulnerable Victorians and acknowledge that we do, in order to get to that point, fundamental reform is required. I think today is a bit of a historic day. This coming together and it’s, no doubt, the springboard for many exciting discussions, challenges and opportunities to come. [Title: On 9 December 2013, around 200 leaders from more than 150 Victorian organisations and areas of government came together to rethink the future of human services. Over the course of the day, there were workshops and panel discussions with sector and government representatives.] [Title: On reform:] Micaela, Cronin President, VSOSS & CEO, MacKILLOP FAMILY SERVICES I mean, I think that the case for change has been very clearly articulated. It was very clearly voiced by the sector throughout the Shergold process and, I think, that what we need to do now, is very clearly start to articulate what are the outcomes that we want and define those much more sharply than, I think, we often do and, I think, that we are all pretty clear, and if we had a conversation about it, but agreed outcomes for the system that we are then going to hold ourselves accountable to. Gill Callister Secretary, Department of Human Services Some of the challenges that we’re facing aren’t dissimilar to those that many of us have faced in our entire careers. Some of these challenges have been around for generations. Read any annual report from the Department for the last century or reports from VCOSS since 1946 and they outline challenges such as fragmentation, silo structures, workforce and demand. Micaela, Cronin President, VSOSS & CEO, MacKILLOP FAMILY SERVICES And I think we need to build from what Ron talked about, which is our proud history of strong service delivery in Victoria. Muriel Bamblett CEO, Victorian Aboriginal Child Care Agency I think that we do have the answers for Aboriginals and I think we need to be much more involved in solutions, rather than being the recipients of constant and being seen as a people to be managed or serviced or done to, and I think that there are many people in this room we’ve worked with in the past and I look forward to a reform agenda that is truly about bringing about better outcomes for all Victorians and, particularly, for the first peoples of this country. Sandie De Wolf CEO, Berry Street How is this demonstration the Shergold principles? Is this progressing the Aboriginal selfdetermination and how is this contributing to better outcomes? We need the time to commit to this process and every single person in this room would be working at more than 110% already, so it’s a real challenge for us about how we capture those minutes in the tiny bit of spare time that we have and Simon talked about innovation often happens when people work around systems. I think it’s much more than that. I think, in fact, the good will is the glue that makes it work, not as well as we would all like but as well as it does, given the constraints under which we’re all working and, if we don’t have that glue, and if we don’t have that good will, we might have a terrific reform process on paper but it won’t be substantive and it won’t make any difference to people on the ground. The Hon. Mary Woolridge MP Minister for Mental Health Minister for Community Services Minister for Disability Services and Reform Reform is challenging, complex, unsettling but very, very needed. I think we’ve begun that thousand mile journey and, I think, together, we’ll look forward to sharing each and every step along the way together to make such a significant difference in the lives of vulnerable families in this state but, I think, at its heart, if we continue to keep focused on our joint objectives for positive outcomes for vulnerable children and families, we will always keep grounded in what’s important. And the combination of that, putting the individual in the family at the centre of our discussions with the principles to guide us in terms of the way that happened and the structures and approaches and the strategies that we have in place will mean that we are exceptionally well-placed to, not only think about, but importantly now, drive and implement and see and realise the changes that we know we need to see. Gill Callister Secretary, Department of Human Services And we’re looking to a much stronger focus on outcomes and we talk about this a lot, and we know how difficult it is to change the system from an output-driven system to an outcome-driven system and that, in fact, we’ll probably need both. That we can’t necessarily trade all outputs for outcomes but we need a better understanding of how we get sustained improvements for our efforts. [Title: On Professor Shergold’s Service Sector Report Project…] The Hon. Mary Woolridge MP Minister for Mental Health Minister for Community Services Minister for Disability Services and Reform I sort of see that Services Connect is the ‘what’ we need to and Shergold is the ‘how’ we need to do it. Now, an important part of Shergold, was a set of principles and these principles are fundamentally important. There’s ten principles but I think they sort of summarise up into four key themes. First of all, genuine client choice and control. Secondly, how we work with families on their full range of needs. Thirdly, how we tailor services to the needs of local communities and fourthly , and very importantly, how we work with and respect each other in our respective roles. The government signed up to these principles, in terms of how we want to work through the reform process and how we want to work with the community sector and I hope that you too will sign up to the principles. Paul Bird CEO, Youth Support and Advocacy Service In my eighteen years back in Melbourne, I would have seen at least a hundred different trial programs. Some brilliant programs that address gaps, some brilliant programs that usually start off with philanthropic funding, don’t usually get picked up with government funding, but most of you would have experienced this. They’ve brilliant innovations. Now, by having a community placed based approach, with resources allocated at community, with that accountability, that, for me, gives more credence to developing some of those and entrenching them and embedding them in the community and may be more sustainable on that basis and, the other thing that really excites me with the Shergold reforms is the fact that we, as agencies, can provide the key worker. I think our workers are the unsung heroes of our sector. They’re not just passionate and committed. I think they have a great level of therapeutic practice. I think the jobs they do – building up a level of trust with the people we support – and if I look to other states, I think is unsurpassed and, if we’re able to be the key worker; yes, with a single case plan; yes, with the systems and tools – I think it will be a great advantage because it gives that key worker more authority to link into other sectors. There isn’t a day that goes by that our workers don’t say look, ‘we’re doing a great job in our system but we just can’t get other systems because they’re all so constrained’. Now, this, the authority of the key worker, I’m really hoping gives that authority and that accountability to go back to that person we’re supporting and say, ‘yes, we can get you into better housing’ or ‘yes, we can get you into training places’ or ‘yes, we can get you into another service’ and, for me, that’s the excitement of taking that holistic approach and I think we already do. Gill Callister Secretary, Department of Human Services I think it’s about adding to the repertoire of the frontline and making them more empowered and developing them into even better and more skilled staff, rather than suddenly seeing it as diluting into a sort of genericism what they’re capable of. [Title: On Services Connect…] The Hon. Mary Woolridge MP Minister for Mental Health Minister for Community Services Minister for Disability Services and Reform So, we very much see the individual reforms that have happened across different areas of the sector, aggregating up to an overall Services Connect approach, with using the information, advice and guidance that the Shergold report has provided us to work out how to get it implemented and how to get it achieved. And, over the past two years, we have been designing and testing a new approach. Now, the reality of Services Connect is that, up until now, it has been largely DHS-driven. The reason for this is that we actually thought it was most appropriate that we test it on ourselves, not on anyone else. Simon Phemister Executive Director, Department of Human Services The idea of Services Connect is that people do not come and approach us for programs to address their problems. So, no longer, in a Services Connect environment, would we ask people to selfdiagnose and ring that right phone number and then have that phone number that they happen to dial, dictate their service experience but, rather, sweep up access and provide good, solid information to the thousands of Victorians who seek to access our services but never do every year, provide good interface with mainstream and universal service platforms and, where appropriate, capture information so that we can facilitate the client transitioning through the service system and they don’t have to repeat that information when they reach the next stage of development. So, we have been testing the model in lead sites – Dandenong, Geelong, and the South West coast – you all know that. Preston and Shepparton have been online since late 2013 and, as the Minister mentioned today, more sites are coming on-stream next year. We’re looking to up the ante on sector engagement. The Minister mentioned there’s a few resources around to help make that happen and we’re looking through the evolution of our lead sites to engage that sector in far more meaningful ways, as we put the end-to-end platform on the ground. Our focus, so far, has been on designing the parts of the model and testing it with our workforce but today is a very, very clear line in the sand, where we are publicly launching into the sector. Now, my colleagues in divisions have been doing this. People have been having the conversation for a long time but it is a moment for me where we ask you to move from interested observer to participants of the design and building the body around this framework that I’ve presented. [Title: On working together…] The Hon. Mary Woolridge MP Minister for Mental Health Minister for Community Services Minister for Disability Services and Reform What I used to hear was that we’re very defensive, that we’re guarded and that we don’t engage and, you know, I think, we’ve been working very hard to try and be very frank and engaged and open and have some really honest and, often, difficult conversations about where we need to go and what it’s going to take to get there. So, it was wonderful to hear the comment from Warwick that he thought it had been a refreshingly frank conversation and, I think, it’s going to take those frank conversations to get us where we need to go because we are going to have to continue to have those difficult discussions. Sandie De Wolf CEO, Berry Street So, taking the design principles of co-design very seriously and saying, okay, how do we involve the sector? Micaela, Cronin President, VSOSS & CEO, MacKILLOP FAMILY SERVICES And it’s not just about the community sector reforming ourselves. It’s not just about government reforming itself, which, I think, DHS has very much started and implemented a significant process around. It’s about the relationships and how we relate to each other. Paul Smith Executive Director of the Mental Health, Drugs and Regions Division Department of Health The best approach to that kind of relationship is that respectful dialogue that is mostly well-intended between the Department and our many stakeholders and sometimes gets a bit rocky but is a place to have and sustain good conversations, including conversations that are hard to have and feedback that is hard to hear. So, our kind of version of what that looks like, is not only working closely with our peak bodies and creating the right sorts of environments for good conversations to be had about policy and program directions but, really importantly for us in Mental Health and Drugs, I think we’re better at it in Mental Health than we are in Alcohol and Drugs, is the formal dialogue with service users themselves so that we can be confident that it’s not a relationship only between service deliverers and the Department but it’s a kind of triangle with consumers and carers service users that is the vital kind of link in that relationship as well. Gill Callister Secretary, Department of Human Services The role of State and Commonwealth governments – the Commonwealth is the owner/operator of the system, in its current configuration, and the role of State government and Commonwealth governments will fundamentally alter. The set of dynamics and things that are driving the commissioning, if you like, and the purchasing, the accountability, the growth and expansion or contraction and decommissioning is a fundamentally different set of relationships than we’re all used to. [Title: 2014 and beyond…] Simon Phemister Executive Director, Department of Human Services With all shoulders to the wheel, this could be a very special reform for us. The challenge is we either have a crack and get this right or, basically, we go down as another generation of leadership that has produced a lot of nice reports that someone in twenty years’ time can stand up, probably at this very podium and say ‘guys, the story hasn’t changed but today, boy, we’ve got a real opportunity to change’. So, challenge to you, challenge to us – thank you for today and I’m really looking forward to keeping the conversation going. The Hon. Mary Woolridge MP Minister for Mental Health Minister for Community Services Minister for Disability Services and Reform It is a big year coming up, it’s an exciting year and I know that the energy that we will collectively get from each other will sustain us to drive the changes that we all want to see. [Title: The community and human services reform conference: Building better lives for Victorians in need]