NATIONAL DISABILITY INSURANCE AGENCY Quarterly Report to Standing Council: July – September 2013 Quarterly Report to Standing Council 2013/14 Qtr. 1 1 Note: Data extracted on 2 October, 2013 (Report contains data as at 30 September, 2013). Published: 23 October, 2013 Contact: David Bowen Chief Executive Officer Key definitions: State Based on the participant’s home address Access request status Includes all responses; is not unique to single participants Eligible Participant Participants whose most recent decision code in Siebel is 'eligible' Participants with an approved funded support package Participants with an approved funded supports package in Siebel CALD Country of birth is not Australia, UK, USA, Canada or South Africa, or primary language spoken at home is not English Indigenous (ATSI) Response of: - Aboriginal but not TSI; or - Australian Aboriginal; or - Torres Strait Islander Approved Cost Calculated package cost, derived from all approved plan items. Costs are for duration of approved plan. Approved package cost = unit cost x quantity x number of frequency periods. EI Early Interventions Plans in Progress Plans under the Plan Header or Funded Support Header created, or are awaiting delegate approval. Access Determinations underway Plans whose current determination is In Progress. Annualised Package Cost Approved Package Cost, prorated over a 12 month period to allow like-for-like comparisons. This value does not represent the expected true cost of a package. Quarterly Report to Standing Council 2013/14 Qtr. 1 2 Contents Contents ............................................................................................................................................................................................... 3 Progress against Statement of Strategic Guidance ............................................................................................................... 5 Reporting under the Integrated NDIS Performance Reporting Framework ...................................................................... 9 Executive summary ................................................................................................................................................................... 10 Background ............................................................................................................................................................................. 10 Data Considerations.............................................................................................................................................................. 10 Overview of Participant Information ................................................................................................................................. 11 Summary of National Performance ................................................................................................................................... 11 1. Participant Outcomes ................................................................................................................................................................. 12 1.1.1. Information about participants (total active participants) ............................................................................................... 12 1.1.2. Support needs for participants ......................................................................................................................................... 13 1.1.3. Plans requiring early review (%) ........................................................................................................................................ 14 1.2.1. Delivery of agreed supports as planned ............................................................................................................................ 15 1.2.2. Proportion of participants with support packages within expected ranges (reference +/- x %) ...................................... 16 1.2.3. Support funded by type (Tier 2 and Tier 3) ....................................................................................................................... 17 1.2.4. Average days from access request to support approval ................................................................................................... 18 1.2.5. Agreed support received / not received by support type ................................................................................................. 19 1.2.6. Service provider characteristics and market profile ......................................................................................................... 20 1.3.1. Trends in proportion of participants using each or a combination of plan management options ................................... 21 1.3.2. Access requests made ....................................................................................................................................................... 22 1.3.3. Access requests accepted for funding............................................................................................................................... 23 1.3.4. Reviews of decisions ......................................................................................................................................................... 24 1.3.5. Total appeals by outcome and average processing time .................................................................................................. 25 1.3.6. Appeals by Category .......................................................................................................................................................... 26 1.3.7. Complaints by outcome and average resolution time ...................................................................................................... 27 1.3.8. Complaint type .................................................................................................................................................................. 28 1.3.9. Participant/Carer satisfaction with the Agency and the experience................................................................................. 29 2.1.1. Total payments ($, in kind) ................................................................................................................................................ 30 2.1.2. Operating Expenses Ratio (% total costs) .......................................................................................................................... 31 2.1.3. Average length of time from application to commencement of services ......................................................................... 32 2.1.4. Cash payments to providers and participants, split by support type ................................................................................ 33 2.1.5. Value of and number of approved packages by client group ........................................................................................... 34 2.1.6. Number of participants receiving cash payments and/or in-kind supports by client group ............................................. 35 2.1.7. Ratio of cash to in-kind services by client group ............................................................................................................... 36 2.1.8. Number of plans with single supports .............................................................................................................................. 37 2.1.9. Real, average and median costs of individual support packages ...................................................................................... 38 2.1.10. Client numbers (Tier 2 and Tier 3) ................................................................................................................................ 39 Quarterly Report to Standing Council 2013/14 Qtr. 1 3 2. 2.1.11. Total cost of supports funded – Tier 2, Tier 3 ............................................................................................................... 40 2.1.12. Total number of Tier 3 plans developed ....................................................................................................................... 41 2.2.1. Proportion of participants with early intervention supports ............................................................................................ 42 2.2.2. Total and average cost of Investment in research and innovation ................................................................................... 43 Community Inclusion .................................................................................................................................................................. 44 3.1.1. Proportion of participants accessing mainstream services .................................................................................................. 44 3.3.2. Community capacity building activities undertaken by funded NGOs within the period .................................................... 45 Measures documented in Level 2 Performance Reporting Framework not included in this report ........................ 48 Definition of measures reported in Quarterly Report to Standing Council .................................................................... 50 Quarterly Report to Standing Council 2013/14 Qtr. 1 4 PART 1 Progress against Statement of Strategic Guidance Quarterly Report to Standing Council 2013/14 Qtr. 1 5 Background On 28 June 2013, the former Commonwealth Minister for Disability Reform issued a Statement of Strategic Guidance to the National Disability Insurance Agency (NDIA) Board. The Statement was issued on behalf of all governments in accordance with section 125 of the National Disability Insurance Scheme Act 2013 (NDIS Act) and outlined the expectations of the NDIA Board for the duration of the launch phase of the NDIS and transition to full scheme. The Statement of Strategic Guidance specified key deliverables to be achieved by the Board, including timeframes for achievement. The Statement also requested that the NDIA Board address progress in achieving the time-specific deliverables in its quarterly report. Key deliverables and their progress are outlined in the table below. Achievements Last Quarter Deliverable: Status: 1. Meet all statutory obligations: The Board provided its first quarterly report to the Standing Council (s174 NDIS Act) The Corporate Plan is currently being finalised by the NDIA Board and will be provided to the Standing Council as soon as practicable (s177 NDIS Act)Financial information for 2012-13 was provided in the Annual Report for the Department of Social Services (s9 CAC Act) The Board provided a statement of compliance with the CAC Act to the relevant Commonwealth Ministers (s16 CAC Act) The Board has established an Audit and Risk Committee (s32 CAC Act) 2. Maintain best practice governance: The Board has appointed a Scheme Actuary (s180A NDIS Act) The Board has nominated the Australian Government Actuary as the Reviewing Actuary (s180D NDIS Act) The Board established a Sustainability Committee to closely monitor actuarial advice and the long-term sustainability of the NDIS The NDIA is preparing a risk management and fraud framework. All Board meetings are run in accordance with the CAC Act and the ANAO Public Sector Governance Better Practice Guides. Quarterly Report to Standing Council 2013/14 Qtr. 1 6 Deliverable: Status: All Board members have received training by the Australian Institute of Company Directors in corporate and boardroom responsibilities to ensure they operate with a high degree of diligence, care and skill 3. Statement of Intent The Statement of Intent is currently being finalised by the NDIA Board and will be provided to the Standing Council as soon as practicable (Statement of strategic Guidance) 4. Transition plan for participant phasing in accordance with the NDIS Rules and bilateral schedules; 5. Transition plan agreed with each host jurisdiction for management of in-kind programs; and 6. Transition participants into the NDIS in accordance with the client phasing schedules agreed with all jurisdictions. 7. Support the implementation of national communications protocols (as set out in the Intergovernmental Agreement for the NDIS launch); and 8. Effectively communicated with potential participants and providers to ensure that they understand how the roll-out of the NDIS will affect them. Transition plans for in-scope programs and existing clients have been agreed with each jurisdiction and are being implemented. Phasing Rules have been agreed for each launch jurisdiction to give effect to bilateral agreements. Participants are being brought into the scheme progressively in accordance with phasing Rules. Development of bilateral agreements for transition plans are progressing on schedule for jurisdictions coming on stream in July, 2014 (Australian Capital Territory, Northern Territory and Western Australia). Quarterly Report to Standing Council 2013/14 Qtr. 1 The NDIA has produced a variety of communication materials and conducted communication and engagement activities to support the NDIS. Prior to 1 July launch the communications and media roles of the NDIS were carried jointly by a partnership between the Agency, NDIS Task Force and FaHCSIA Communications & Media Branch. In accordance with the NDIA / DSS Memorandum of Understanding the Agency assumed direct control over all operational communications and media functions from 1 October 2013. An overarching integrated communications and engagement strategy for the NDIA has been prepared by the Agency for consideration by the NDIA Board at its November meeting. Key communications and engagement outputs since launch: o Produced two booklets—‘My Pathway, My Choices, My Goals—Information for Participants; and ‘One Big Difference to Lots of Lives—An Introduction to DisabilityCare 7 Deliverable: Status: o o o o o o o o o 9. Initial implementation risks have been identified to governments. Quarterly Report to Standing Council 2013/14 Qtr. 1 Australia’ five case studies that use situational examples to assist different target audiences navigate the NDIS one brochure—‘Information About DisabilityCare Australia’, a general guide to the NDIS 3 videos that provide information about the Scheme 40 fact sheets targeting participants and providers providing information on a variety of topics Monthly external newsletter sent via e-mail to more than 17 000 subscribers Developed several presentations tailored to specific and varied stakeholder groups including people with disability, families, carers, support providers and the general public. advertorial material for local and regional press linked to stakeholder engagement opportunities primarily in launch sites Manage, maintain and develop the NDIS web site (www.ndis.gov.au) with more than 1,150,000 visits (815,512 unique visitors) since its launch on 4 June 2013. Since the end of the national advertising campaign in July visits to the web site have stabilised at 5,000 per day Delivered more the 850 separate engagement activities (across all Agency staff) since 1 January 2013 with more than 250 separate engagement events since 1 July launch An Independent Program Assurance role has been established for launch and an initial three month stabilisation phase to September 2013, in order to identify initial implementation risks. This work will now be built on by the Audit and Risk Committee, which will develop a comprehensive risk management framework. Should significant risks emerge these will be highlighted to the Board and identified to governments. 8 PART 2 Reporting under the Integrated NDIS Performance Reporting Framework Quarterly Report to Standing Council 2013/14 Qtr. 1 9 Executive summary Background This is the National Disability Insurance Agency’s (NDIA) quarterly report for the period 01July to 30 September, in the 2013/14 financial year. The quarterly report details the NDIA’s actual and expected performance against the full set of Performance Indicators agreed under the Inter-Governmental Agreement. The NDIA’s performance reporting framework includes performance measures which contribute directly to the achievement of the National Disability Insurance Scheme (NDIS) Outcome Goals, as agreed by the Standing Council. Three key design elements for the Scheme have been to ensure that the Scheme i) enhances choice and control for participants, ii) operates on insurance principles, and iii) fosters a wide range of community based and mainstream supports for people with disabilities. These outcome areas are integral to the performance reporting framework, and have been summarised as Participant Outcomes, Financial Sustainability and Community Inclusion respectively. National Disability Insurance Scheme Outcome Areas Participant Outcomes Financial Sustainability Community Inclusion The Executive Summary contains summary participant information and a summary of national performance across each of the outcome areas identified above. The main body of the report contains detailed analysis for each of the performance indicators agreed under the Inter-Governmental Agreement for presentation to the Standing Council. This analysis includes both aggregated national performance, as well as jurisdiction performance. Data Considerations The contents of this report are subject to access and availability of quality data. Some measures in this report are not considered to be reliable at this stage, due to the relatively small number of participants and evolving data entry procedures. It is expected that reporting will become more reliable as the number of participants grows and the Agency’s systems evolve. Consistent with the decision of the Standing Council regarding the Performance Reporting Framework, and the progressive delivery of measures as they become available, some measures expected in this report are currently not available. Specific measures omitted are listed in Appendix 1, with reasons for exclusion are included in Appendix 2. In general, measures excluded from this report fall into the following categories: Further development time is required o Many measures in the performance monitoring framework relate to outcomes or longitudinal trends. In the first year of the Scheme, these comparisons of current performance to history will not be possible, due to the absence of any baselines. o In some cases, there is insufficient data available. Inclusion of these measures would have been inaccurate or misleading. Quarterly Report to Standing Council 2013/14 Qtr. 1 10 Insufficient data integrity – o Throughout the launch period, development will continue within the National Disability Insurance Agency’s IT systems and business processes. During the early stages of the Scheme, reporting is particularly vulnerable to data integrity issues. Where these issues may lead to inaccurate o misleading results, they have been excluded. Overview of Participant Information Tables 1 and 2, below, provide an overview of activity in relation to participants joining the National Disability Insurance Scheme, and associated costs. Table 1: Demographics of participants entering the National Disability Insurance Scheme, September Quarter, 2013 Gender Cost of individual supports Eligible Participants Approved Participants Average cost of Participants $ ‘000 Age Total ATSI CALD M F X 0-4 5-14 15-24 25-44 45-64 65+ 2029 1.2% 1.8% 57% 43% 0% 20% 18% 24% 19% 18% 1% 921 2% 2% 57% 43% 0% 26% 12% 26% 17% 19% 0% 46 56 34 45 48 0 20 18 66 64 59 0 Table 2: Number of participants entering the National Disability Insurance Scheme and average support package costs by Primary Disability Type, September Quarter, 2013 Primary disability type Cost of individual supports Eligible Participants Approved Participants Average cost of Participants $ ‘000 Total Physical Intellectual/ Learning Neurological Psychiatric Sensory/ Speech 2029a 15% 59% 17% 2% 7% 921 4% 65% 22% 2% 6% 46 34 46 55 62 17 Summary of National Performance For the period ending September 2013, overall experience was broadly in line with expectations. Key results are summarised below: Participant Outcomes During the early stages of the Scheme, the major goals for this area include the management of access requests, planning, goal setting and delivery of supports as planned. Achievement of goals and progression towards increased independence, economic participation and social participation will not be able to be reported until at least the first quarterly report of 2014/15. Quarterly Report to Standing Council 2013/14 Qtr. 1 11 At the end of Quarter 1, over 3,000 access requests have been received, resulting in over 2,000 eligible determinations. With almost 1,000 participants having approved plans by September 2013, the strong baseline has been established for measuring achievement of participant goals in key life domains; over 90% of plans to date are actively supporting the achievement of participant goals in social domains. To date, only a very small percentage of approved supports have been claimed by providers or participants (<5%). Provider registrations have tracked to expectations, with a range of support types now available to participants, being offered by a range of predominantly statebased non-government organisations, and small and medium enterprises. The majority of active participants are choosing to have the Agency manage the administration of their plans, with 28% of participants nominating to partially or entirely self – manage their plan. To date, only one participant has engaged a professional plan manager. During the first quarter of the Scheme, participant satisfaction with the Agency is high, and there have been less than 21 complaints raised. Financial Sustainability Total claims, both cash and in-kind payments, are significantly lower than expected. In quarter one of the 2013/14 financial year, $116K has been claimed of the $35.7M of supports approved to have been provided by the end of September. As the duration of plans can vary participant-to-participant, the value of approved funded supports is discussed as an annualised figure; all plans are prorated to a12-month duration. At the end of September, the annualised average approval was $46,290. To date, $35.7M has been committed in 921 plans. The majority of this funding is to support needs in self-care, communication and community inclusion life domains, through the provision of assistive-type supports. Reflecting sound insurance principles, 60% of approved plans contain an investment in early intervention supports. Although too early to realise the benefits of these interventions, future reports to the Standing Council will document the impact of these investments on the longterm costs of participants. Close to $4 million has been invested in community capacity building activities, undertaken by non-government organisations. Community Inclusion In the first quarter of the Scheme, the major focus has been on transitioning participants onto plans, including the referral of active participants to mainstream supports where appropriate. To date, 95% active participants have been referred to mainstream. Quarterly Report to Standing Council 2013/14 Qtr. 1 12 Detailed Performance Indicators 1. Participant Outcomes 1.1. People with disability achieve their goals for independence, social and economic participation 1.1.1. Information about participants (total active participants). Gender Age Primary disability type Total ATSI CALD M F X 0-4 5-14 1524 2544 4564 65+ Physical Intellectual/ Learning Neurological Psychiatric Sensory/ Speech Unclassified NSW 259 # # 53% 47% 0% 8% # 10% # 38% 0% 5% 59% 24% # # # SA 145 # # 61% 39% 0% 95% # 0% # 0% 0% 3% 56% 21% # # # TAS 153 # # 59% 41% 0% 0% # 100% # 0% 0% 3% 75% 18% # # # VIC 364 # # 56% 44% 0% 23% # 16% # 20% 0% 5% 69% 23% # # # 921 2% 2% 57% 43% 0% 26% 13% 26% 17% 19% 0% 4% 65% 22% 2% 6% 0% State Total # = This cell is not populated as there is a risk of disclosure of personal information about one or more individuals and a resulting interference with privacy Quarterly Report to Standing Council 2013/14 Qtr. 1 12 1.1.2. Support needs for participants Support Domain Total Community Economic Education Health + Wellbeing Living Arrangements Social NSW SA TAS VIC 259 # 26 19 205 131 252 145 # 0 30 76 73 140 153 # 21 24 112 81 136 364 # 40 68 303 222 373 Total 921 State 2 87 141 696 507 901 # = This cell is not populated as there is a risk of disclosure of personal information about one or more individuals and a resulting interference with privacy Quarterly Report to Standing Council 2013/14 Qtr. 1 13 1.1.3. Plans requiring early review (%) State NSW Proportion 3.26% SA 11.11% TAS 9.30% VIC 3.29% Total 5.36% Quarterly Report to Standing Council 2013/14 Qtr. 1 14 1.2 Increased mix of support options and innovative approaches to provision of support in response to assessed need 1.2.1. Delivery of agreed supports as planned NSW Total Claimed in Plans $51,803 Prorated plan amount $1,387,885 % 3.73% SA $15,105 $325,877 4.64% TAS $8,528 $1,003,862 0.85% VIC $40,939 $1,533,605 2.67% Total $116,376 $4,251,229 2.74% Quarterly Report to Standing Council 2013/14 Qtr. 1 15 1.2.2. Proportion of participants with support packages within expected ranges (reference +/- x %) Planner Senior Planner Director State Manager NSW 57% 22% 17% 4% SA 77% 19% 5% 0% TAS 41% 38% 16% 5% VIC 50% 37% 10% 3% Total 55% 30% 12% 3% Expected 38% 40% 16% 6% Variance +17% -10% -4% -3% State Quarterly Report to Standing Council 2013/14 Qtr. 1 16 1.2.3. Support funded by type (Tier 2 and Tier 3) Tier 3 Total Plans Communication Community NSW 259 356 # Community - Social and Civic 263 SA 145 267 # TAS 153 176 VIC 364 Total 921 State Domestic Life Education Employment 94 # 19 General Tasks and Demands 73 27 7 # 0 # 190 48 # 510 # 353 164 1309 1 833 313 Interpersonal Relationships Learning and Knowledge Mobility Selfcare 64 11 100 453 29 15 30 114 145 22 46 24 18 70 211 # 33 136 82 41 274 737 42 74 284 185 100 558 1546 # = This cell is not populated as there is a risk of disclosure of personal information about one or more individuals and a resulting interference with privacy Quarterly Report to Standing Council 2013/14 Qtr. 1 17 1.2.4. Average days from access request to support approval State Av days access request to plan approval NSW 41 SA 41 TAS 25 VIC 37 Total 37 Quarterly Report to Standing Council 2013/14 Qtr. 1 18 1.2.5. Agreed support received / not received by support type State Economic Education Health + Wellbeing Living Arrangements Social NSW 0% 0% 18% 15% 7% SA TAS 0% 0% 12% 0% 1% 0% 7% 0% 11% 0% VIC 0% 0% 6% 3% 3% Total 0% 4% 7% 5% 5% Quarterly Report to Standing Council 2013/14 Qtr. 1 19 1.2.6. Service provider characteristics and market profile Disability care Allied health Disability equipment Plan management providers Other Total 515 427 513 491 2 Local 0 0 0 State 495 410 489 National 20 17 24 0 465 26 0 2 0 704 0 691 13 NGO 188 125 116 208 0 215 SME 309 283 372 261 2 467 Total Other private 3 4 13 6 0 4 Public 15 15 12 16 0 18 Previously providing Department of Social Services Not previously providing Department of Social Services 347 357 Quarterly Report to Standing Council 2013/14 Qtr. 1 20 1.3 People with disability are able and supported to exercise choice 1.3.1. Trends in proportion of participants using each or a combination of plan management options NSW SA TAS VIC Agency Managed Combination Plan Management Provider 64.4% 86.8% 74.8% 70.9% 30.2% 7.9% 19.4% 28.0% # # # # Self-Managed # # # # 72.2% 24.1% 0.1% 3.6% Total # = This cell is not populated as there is a risk of disclosure of personal information about one or more individuals and a resulting interference with privacy Quarterly Report to Standing Council 2013/14 Qtr. 1 21 1.3.2. Access requests made Total numbers Total Closed Eligible In Progress Ineligible Not Determined Revoked Withdrawn NSW 1009 # 603 268 80 # # 50 SA 522 # 292 201 19 # # 10 TAS 401 # 248 68 3 # # 82 VIC 1290 # 886 336 33 # # 33 Total 3222 2 2029 873 135 2 6 175 Total Closed Eligible In Progress Ineligible Not Determined Revoked Withdrawn 1009 # 59.8% 26.6% 7.9% # # 5.0% SA 522 # 55.9% 38.5% 3.6% # # 1.9% TAS 401 # 61.8% 17.0% 0.7% # # 20.4% VIC 1290 # 68.7% 26.0% 2.6% # # 2.6% Total proportions NSW 0.1% 63.0% 27.1% 4.2% 0.1% 0.2% 5.4% Total 3222 # = This cell is not populated as there is a risk of disclosure of personal information about one or more individuals and a resulting interference with privacy Quarterly Report to Standing Council 2013/14 Qtr. 1 22 1.3.3. Access requests accepted for funding State NSW Accepted 259 SA 145 TAS 153 VIC 364 Total 921 Quarterly Report to Standing Council 2013/14 Qtr. 1 23 1.3.4. Reviews of decisions NSW Number Affirmed 0 Revised 0 Total 0 SA Number Affirmed 0 Revised 0 Total 0 TAS Number Affirmed 0 Revised 0 Total 0 VIC Number Affirmed 0 Revised 0 Total 0 Total Number Affirmed 0 Revised 0 Grand Total 0 Quarterly Report to Standing Council 2013/14 Qtr. 1 Average Days Average Days Average Days Average Days Average Days 24 1.3.5. Total appeals by outcome and average processing time NSW Number Approved 0 Denied 0 Total 0 SA Number Approved 0 Denied 0 Total 0 TAS Number Approved 0 Denied 0 Total 0 VIC Number Approved 0 Denied 0 Total 0 Total Number Approved 0 Denied 0 Grand Total 0 Quarterly Report to Standing Council 2013/14 Qtr. 1 Av days Av days Av days Av days Av days 25 1.3.6. Appeals by Category Total NSW 0 SA 0 TAS 0 VIC 0 Total 0 Category 1 Quarterly Report to Standing Council 2013/14 Qtr. 1 Category 2 Category 3 Category 4 Category 5 Category 6 26 Category 7 Category 8 1.3.7. Complaints by outcome and average resolution time NSW Closed - referred to another agency Closed - resolved Open Total Av days 0 0 1 13 1 6 Closed - referred to another agency Closed - resolved Open Total Number Av days 0 0 0 0 0 0 Closed - referred to another agency Closed - resolved Open Number Av days 0 0 3 1 0 0 3 Quarterly Report to Standing Council 2013/14 Qtr. 1 Closed - referred to another agency Closed - resolved Open Number Av days 0 0 8 15 6 20 14 National Office Closed - referred to another agency Closed - resolved Open Total 0 TAS VIC Total 2 SA Total Number Number Av days 1 1 0 0 1 7 2 Total Closed - referred to another agency Closed - resolved Open Total Number Av days 1 1 12 11 8 17 21 27 1.3.8. Complaint type Administration Behaviour Uncategorised Agency 5 5 1 0 Provider 1 1 1 0 0 Total 6 6 2 Administration Behaviour Uncategorised Administration Behaviour Uncategorised Agency 0 0 0 Agency 0 0 0 Provider 0 0 0 Provider 1 1 0 Total 0 0 0 Total 1 1 0 TAS Administration Behaviour Uncategorised Total Administration Behaviour Uncategorised Agency 2 0 0 Agency 8 5 1 Provider 0 1 0 Provider 3 3 1 Total 2 1 0 Grand Total 11 8 2 NSW Administration Behaviour Uncategorised Agency 1 0 0 Provider 1 0 Total 2 SA Quarterly Report to Standing Council 2013/14 Qtr. 1 VIC National Office 28 1.3.9. Participant/Carer satisfaction with the Agency and the experience (Note: Satisfaction is reported on a scale of -2 extremely dissatisfied to +2 extremely satisfied, with 0 = neutral) Participant Satisfaction Experience satisfaction Avg Score Avg Score NSW 1.91 0.10 SA 1.46 0.20 TAS 1.91 0.30 VIC 1.68 0.20 Total 1.67 0.20 State Quarterly Report to Standing Council 2013/14 Qtr. 1 29 Financial Sustainability 2.1. Effective estimation and management of short-term and long term costs 2.1.1. Total payments ($, in kind) State CASH IN-KIND Total NSW $51,803 $0 $51,803 SA $8,750 $6,355 $15,105 TAS $8,528 $0 $8,528 VIC $29,131 $11,808 $40,939 Total payments $98,213 $18,163 $116,376 Quarterly Report to Standing Council 2013/14 Qtr. 1 30 2.1.2. Operating Expenses Ratio (% total costs) % Operating expenses ratio Quarterly Report to Standing Council 2013/14 Qtr. 1 84.6% 31 2.1.3. Average length of time from application to commencement of services State NSW Average Days After Access Request VIC 58 65 48 63 Total 60 SA TAS Quarterly Report to Standing Council 2013/14 Qtr. 1 32 2.1.4. Cash payments to providers and participants, split by support type Support Category Assess-Skill, Ability, Needs Assist Prod-Personal Care/Safety Participant Service Provider Agency Total $0 $6,655 $0 $6,655 $7,273 $1,230 $1273 $9,777 Assistive Equip-Recreation $449 $0 $0 $449 Assist-Life Stage, Transition $0 $3,150 $0 $3,150 Assist-Personal Activities $4,447 $16,278 $0 $20,725 Assist-Travel/Transport $115 $0 $0 $115 Behaviour Support $0 $656 $0 $656 $3,184 $0 $0 $3,184 Daily Tasks/Shared Living $0 $0 $0 $0 Development-Life Skills $0 $2,605 $0 $2,605 Communication & Info Equipment Early Childhood Supports $0 $847 $0 $847 Equipment Special Assess Setup $328 $1,831 $585 $2,744 Home Modification $510 $0 $0 $510 Household Tasks $200 $17 $0 $217 $2,961 $0 $0 $2,961 $323 $14,497 $0 $14,820 $2,195 $6,360 $725 $9,280 $674 $683 $0 $1,357 Therapeutic Supports $1,920 $16,239 $0 $18,159 Total $24,580 $71,050 $2,583 $98,213 Other Innovative Supports Participate Community Personal Mobility Equipment Physical Wellbeing Quarterly Report to Standing Council 2013/14 Qtr. 1 33 2.1.5. Value of and number of approved packages by client group Physical 39 Total committed costs $1,126,251 Intellectual/Learning 599 $23,045,342 $46,487 Neurological 203 $9,643,283 $54,623 Sensory/Speech 22 $1,059,955 $17,314 Psychiatric 54 $782,655 $61,542 Unclassified 4 $70,216 $19,868 921 $35,727,705 $46,290 Primary Disability Number Total Quarterly Report to Standing Council 2013/14 Qtr. 1 Average annualised cost $34,130 34 2.1.6. Number of participants receiving cash payments and/or in-kind supports by client group State Cash In-kind Cash and in-kind Total NSW 45 0 0 45 SA 12 6 1 19 TAS 3 0 0 3 VIC 33 0 1 34 Total 93 6 2 101 Quarterly Report to Standing Council 2013/14 Qtr. 1 35 2.1.7. Ratio of cash to in-kind services by client group State Cash services In-kind services NSW 100% 0% SA 58% 42% TAS 100% 0% Vic 71% 29% Total 84% 16% Quarterly Report to Standing Council 2013/14 Qtr. 1 36 2.1.8. Number of plans with single supports Single supports State Yes No Ratio VIC 12 22 11 36 250 123 142 327 4.6% 15.2% 7.2% 9.9% Total 81 842 8.8% NSW SA TAS Quarterly Report to Standing Council 2013/14 Qtr. 1 37 2.1.9. Real, average and median costs of individual support packages Actual expenditure total $51,803 Average annualised committed $50,800 Median annualised committed $25,500 SA $15,105 $23,300 $15,800 TAS $8,528 $66,000 $46,700 VIC $40,939 $46,300 $27,400 Total $116,376 $46,290 $26,200 State NSW Quarterly Report to Standing Council 2013/14 Qtr. 1 38 2.1.10. Client numbers (Tier 2 and Tier 3) Tier 2 TABLE 1: THIS TABLE IS INTENTIONALLY BLANK: THERE IS INSUFFICIENT DATA AVAILABLE TO PRODUCE MEANINGFUL REPORTING AGAINST THIS MEASURE AT THE TIME OF PUBLICATION Gender State Total ATSI CALD M F Age X 0-4 5-14 1524 Primary disability type 2544 4564 65+ Physical Intellectual/ Learning Neurological Psychiatric Sensory/ Speech Unclassified NSW SA TAS VIC Total Tier 3 Gender Age Primary disability type State Total ATSI CALD M F X 0-4 5-14 1524 2544 4564 65+ Physical Intellectual/ Learning Neurological Psychiatric Sensory/ Speech Unclassified NSW 259 # # 53% 47% 0% 8% # 10% # 38% 0% 5% 59% 24% # 6% # SA 145 # # 61% 39% 0% 95% # 0% # 0% 0% 3% 56% 21% # 20% # TAS 153 # # 59% 41% 0% 0% # 100% # 0% 0% 3% 75% 18% # 1% # VIC 364 # # 56% 44% 0% 23% # 16% # 20% 0% 5% 69% 23% # 2% # Total 921 2% 2% 57% 43% 0% 26% 13% 26% 17% 19% 0% 4% 65% 22% 2% 6% 0% # = This cell is not populated as there is a risk of disclosure of personal information about one or more individuals and a resulting interference with privacy Quarterly Report to Standing Council 2013/14 Qtr. 1 39 2.1.11. Total cost of supports funded – Tier 2, Tier 3 State Committed funds NSW $11,569,224 SA $1,719,876 TAS $7,688,988 VIC $14,749,617 Total $35,748,817 Quarterly Report to Standing Council 2013/14 Qtr. 1 40 2.1.12. Total number of Tier 3 plans developed State Tier 3 plans NSW 259 SA 145 TAS 153 VIC 364 Total 921 Quarterly Report to Standing Council 2013/14 Qtr. 1 41 2.2.1. Proportion of participants with early intervention supports State Ratio NSW 51% SA 79% TAS 51% VIC 63% Total 60% Quarterly Report to Standing Council 2013/14 Qtr. 1 42 2.2.2. Total and average cost of Investment in research and innovation State Total # Total $ Average investment NSW 0 $0 $0 SA 0 $0 $0 TAS 0 $0 $0 VIC 0 $0 $0 Total 0 $0 $0 Quarterly Report to Standing Council 2013/14 Qtr. 1 43 2. Community Inclusion 3.1 People with disability are able to access support from mainstream services 3.1.1. Proportion of participants accessing mainstream services Total participants Participants accessing mainstream services Proportion accessing mainstream services 88% 100% 90% 100% 95% NSW 259 SA 145 TAS 153 VIC 364 231 145 138 363 TOTAL 921 877 Quarterly Report to Standing Council 2013/14 Qtr. 1 44 3.3.2. Community capacity building activities undertaken by funded NGOs within the period TOTAL Activities undertaken Funding $ 5 $3,955,067 Quarterly Report to Standing Council 2013/14 Qtr. 1 45 Appendix 1 Measures documented in Level 2 Performance Reporting Framework not included in this report Quarterly Report to Standing Council 2013/14 Qtr. 1 48 For reasons detailed in Appendix 2, not all measures documented in the Intergovernmental Agreement were able to be reported on for 2013/14 Q1. These are listed below: 1. People with disability lead lives of their choice People with disability achieve their goals for independence, social and economic participation Proportion of participants achieving their life goals as specified in their plan Proportion of participants achieving their plan goals (total) Proportion of participants achieving their plan goals in one or more specific domains: o Economic o Social o Education o Health and well-being o Living arrangements Planning and goal setting completed on time (%) Trends in proportion of participants using different approaches to decision supports Carer satisfaction with agency 2. NDIS is a financially sustainable, insurance-based scheme Growth in future commitments Average support package growth rate (%) Management of prudential risk Provision of supports Average cost of supports per assessor Current and future funding resources Current expenditure compared to projections Projected expenditure compared to projected revenue Long term cost trends (population, price and wage growth) Average client lifetime cost of support Number of Tier 2 supports with LAC funding and purpose of funding Average cost of internal reviews Average cost of appeals Proportion of participants with reduced needs after intervention supports Greater community inclusion of people with disability People with disability are able to access support from mainstream services Successful referrals to mainstream / generic disability services (Tier 2 and Tier 3) Community awareness activities undertaken within the period Community capacity building activities undertaken by LACs within the period 3. Quarterly Report to Standing Council 2013/14 Qtr. 1 49 Appendix 2 Definition of measures reported in Quarterly Report to Standing Council Quarterly Report to Standing Council 2013/14 Qtr. 1 50 Title 1 1.1.1. Participant Outcomes Information about participants (total active participants) 1.1.2. Support needs for participants n/a Proportion of participants achieving their life goals as specified in their plan n/a Proportion of participants achieving their plan goals (total) n/a Proportion of participants achieving their plan goals in one or more specific domains n/a Planning and goal setting completed on time (%) 1.1.3. Plans requiring early review (%) Quarterly Report to Standing Council 2013/14 Qtr. 1 Page Brief Description Included in 2013-14 Q1 report? 12 12 Summary of demographics for active participants, defined as people eligible for funding as per the Act, who have an approved plan for funding in place. Yes 13 For active participants, identifies the life domains which supports are being funded to address identified need. Note: Approved funding may address more than one life domain. Yes - The outcome of a review of a participant's goals. Goals refer to the overarching, personal goals of participants. No - insufficient scheme development for any plan reviews. Reporting to commence in 2014/15. - The outcome of a review of a participant's plan objectives (plan goals). Plan objectives refer to the identified aims within a plan, for which funding is allocated to support the achievement. No - insufficient scheme development for any plan reviews. Reporting to commence in 2014/15. - The outcome of review of a participant's plan objectives (plan goals), with identification of the aggregated life domain the objective was related to. No - insufficient scheme development for any plan reviews. Reporting to commence in 2014/15. - 14 Reports the proportion of plan reviews that are completed on or before the previous plan's scheduled end date. Reports the proportion of plans that were, or are due to be, reviewed less than 12 months after the plan commenced No - insufficient scheme development for any plan reviews. Reporting to commence in 2014/15. Yes 51 Measure n/a Title Page Brief Description Included in 2013-14 Q1 report? Title Page Brief Description Included in 2013-14 Q1 report? - On plan review, number of participants who change the way funding is utilised to support their needs No - insufficient scheme development for any plan reviews. Reporting to commence in 2014/15. Active Participants (Tier 2 and Tier 3) n/a Availability of provider services (%) 1.2.1 Delivery of agreed supports as planned 15 1.2.2 Proportion of participants with support packages within expected ranges (reference +/- x %) 16 1.2.3 Support funded by type (Tier 2 and Tier 3) 1.2.4 Average days from access request to support approval - Proportion of identified support needs that have at least one registered provider servicing the residential area of the participant. Proportion of funds committed for supports planned to be delivered to date that have been claimed. This measure is not the total planned amount, but the planned amount prorated by the number of days that have passed at the time of reporting. Funding delegation levels are set using a reference package tool, using need and demographic information as inputs. This measure reports the delegation required to approve committed plans Yes - insufficient time for meaningful development Yes 17 Life domains for which supports have been funded. Note: A single plan can contain funding in multiple life domains Yes 18 Days taken from when Access Request is received until initial funded plan is approved. Yes Yes Yes 1.2.5 Agreed support received / not received by support type 19 Proportion of participants with funded supports in aggregated life domains that have had at least one claim for payment. 1.2.6 Service provider characteristics and market profile 20 Market profile of registered providers Quarterly Report to Standing Council 2013/14 Qtr. 1 No. Data is not currently available for this measure. 52 Page Brief Description Included in 2013-14 Q1 report? - At plan review, proportion of participants who choose to change the way their plan is managed No - insufficient scheme development for any plan reviews. Reporting to commence in 2014/15. Page Brief Description Included in 2013-14 Q1 report? 1.3.1 Trends in proportion of participants using each or a combination of plan management options 21 Split of plan management options being used by active participants Yes 1.3.2 Access requests made 22 Number of formal requests for access, with status of request. Yes 1.3.3 Access requests accepted for funding 23 Number of eligible access requests that have established plans for funding Yes Title n/a Measure Trends in proportion of participants using different approaches to decision supports Title 1.3.4 Reviews of decisions 24 1.3.5 Total appeals by outcome and average processing time 25 1.3.6 Appeals by Category 26 1.3.7 Complaints by outcome and average resolution time 27 1.3.5 Complaint type 28 Quarterly Report to Standing Council 2013/14 Qtr. 1 Number of decisions that have been formally requested to be reviewed by participants, providers or their agents. Number of appeals submitted Number of appeals submitted Number of complaints submitted by participants, providers, staff, and/or the general community Number of complaints submitted by participants, providers, staff, and/or the general community Yes Yes Yes Yes Yes 53 Title 1.3.9 Measure 2 n/a Participant/Carer satisfaction with the Agency and the experience Title Financial Sustainability Growth in future commitments Page Brief Description 29 On a scale of -2 extremely dissatisfied to +2 extremely satisfied, with 0 = neutral, self-reported satisfaction of participants and their carers. "Participant Satisfaction" reports satisfaction of participants with the Agency, and in particular, the planning process. "Experience Satisfaction" reports the overall satisfaction of a participant with their current life experience and outcomes. Page Partial - Data is not available at this time to report Carer Satisfaction Included in 2013-14 Q1 report? 30 - 2.1.1 Total payments ($, in kind) 30 2.1.2 Operating Expenses Ratio (% total costs) 31 n/a Average support package growth rate (%) 2.1.3 Average length of time from application to commencement of services Quarterly Report to Standing Council 2013/14 Qtr. 1 Brief Description Included in 2013-14 Q1 report? - 32 Reports growth in projected liabilities, as per actuarial modelling No - insufficient scheme experience for informed adjustment to actuarial model Total claims against plans, split by cash and in-kind. Note: This does not represent total expenditure (reported in Measure 2.1.17) Yes Operating Expenses as a proportion of total scheme costs Growth from previous quarter in average committed annualised costs Average time from when access request is submitted, to first invoice for support is received by NDIA Yes No - insufficient scheme development time to report growth Yes 54 Measure n/a 2.1.4 2.1.5 Title Page Management of prudential risk - Cash payments to providers and participants, split by support type Value of and number of approved packages by client group Reports liabilities and assets of the Agency 33 yes 34 Number of plans with approved funding, the total costs committed in those plans, and the average annualised cost of the plans. Yes Number of participants receiving cash payments and/or in-kind supports by client group 35 2.1.7 Ratio of cash to in-kind services by client group 36 Title Page Number of participants who have had claims against plans. This does not represent total expenditure (see Measure 2.1.17) Ratio supports claimed paid through cash or inkind arrangements Brief Description Average value of funds committed in plans per planner n/a Average cost of supports per assessor 2.1.8 Number of plans with single supports n/a Current and future funding resources - n/a Current expenditure compared to projections - Actual expenditure compared to actuarial projections n/a Projected expenditure compared to projected revenue - Comparison of projected expenditure to projected revenue Quarterly Report to Standing Council 2013/14 Qtr. 1 Included in 2013-14 Q1 report? No - insufficient scheme experience for informed adjustment to actuarial model Cash payments against plans, split by support type and payee. This does not represent total expenditure (See measure 2.1.17) 2.1.6 Measure Brief Description - 37 Number of plans approved that only contain a single type of support Current annualised costs of approved plans, and the unannualised committed value of plans Yes Yes Included in 2013-14 Q1 report? No - insufficient scheme experience for informed adjustment to actuarial model Yes No - insufficient scheme experience to compare expenditure to projections No - insufficient scheme experience to compare expenditure to projections No - insufficient scheme experience for informed adjustment to actuarial model 55 Measure n/a Title Long term cost trends (population, price and wage growth) Page - 2.1.9 Real, average and median costs of individual support packages n/a Average client lifetime cost of support - 2.1.10 Client numbers (Tier 2 and Tier 3) 39 38 Brief Description Monitors long term economic assumptions Reports total expenditure, compared with average and median annualised committed funds Average actuarial estimate of individual participants' future cost liabilities. Reports number of people accessing Tier 2 or Tier 3 Supports Reports annualised costs of supports committed to be funded for Tier 3 participants and for Tier 2 supports Number of supports with Tier 2 funding. Note: This is not the same as number of clients supports are not necessarily attached to individuals 2.1.11 Total cost of supports funded – Tier 2, Tier 3 n/a Number of Tier 2 supports with LAC funding and purpose of funding - Title Page Brief Description 41 Total number of plans that have been developed and approved. This measure includes plans that have now been superseded. Measure 2.1.12 Total number of Tier 3 plans developed 40 n/a Average cost of internal reviews - Average cost of administering internal reviews) n/a Average cost of appeals - Average cost of administering appeals Quarterly Report to Standing Council 2013/14 Qtr. 1 Included in 2013-14 Q1 report? No - insufficient scheme experience for informed adjustment to actuarial model Yes No - insufficient scheme experience for informed adjustment to actuarial model Partial - system for capturing Tier 2 activities was not implemented for 2013-14 Q1 Partial - system for capturing Tier 2 activities was not implemented for 2013-14 Q1 No - system for capturing Tier 2 activities was not implemented for 2013-14 Q1 Included in 2013-14 Q1 report? Yes No - system is not in place for capturing internal review costs for 2013-14 Q1 (No reviews to report) No - system is not in place for capturing appeal costs for 2013-14 Q1 (No appeals to report) 56 Measure n/a Title Proportion of participants with reduced needs after intervention supports Page Brief Description Included in 2013-14 Q1 report? - Reports growth in annual committed costs for participants who have had early intervention supports as part of the previous plans. No - insufficient scheme development for any plan reviews. Reporting to commence in 2014/15. Yes Yes 2.2.1 Proportion of participants with early intervention supports 42 Proportion of currently approved plans that have supports identified as early intervention supports - included to reduce long-term need for lifetime supports 2.2.2 Total and average cost of Investment in research and innovation 43 Costs for investment into research and innovation Quarterly Report to Standing Council 2013/14 Qtr. 1 57 Measure 3 Title Community Inclusion Page Brief Description 44 Proportion of participants with approved funded supports who are also accessing mainstream supports 3.1.1 Proportion of participants accessing mainstream services n/a Successful referrals to mainstream / generic disability services (Tier 2 and Tier 3) - Reports successful referral to mainstream supports by Local Area Coordinators n/a Community awareness activities undertaken within the period - Reports community awareness activities undertaken by LACs n/a Community capacity building activities undertaken by LACs within the period - Reports community capacity building activities undertaken by LACs 45 Reports funding provided to Non-Government Organisations to undertake community capacity building activities. 3.3.2 Community capacity building activities undertaken by funded NGOs within the period Quarterly Report to Standing Council 2013/14 Qtr. 1 Included in 2013-14 Q1 report? 44 Yes No - system not in place for recording Local Area Coordinator at 2013-14 Q1 No - system not in place for recording Local Area Coordinator at 2013-14 Q1 No - system not in place for recording Local Area Coordinator at 2013-14 Q1 Yes 58 This page has been intentionally left blank Quarterly Report to Standing Council 2013/14 Qtr. 1 59