The NDIS is designed around individual participants, not around programmatic guidelines. The aim of the NDIS is to focus on a participant’s outcomes. Given that it’s all about individuals and achieving outcomes, how do organisations think about what service to provide and what the value proposition is for their service?

We have been helping organisations to think through these questions in the NDIS. And we haven’t found it easy. For a long time, the disability system has been structured around what a service looks like from the organisation’s perspective, not what the service looks like from the participant’s perspective.

In this series, we will share our approach to understanding what the NDIS can fund and what the value proposition is for each domain of services from the perspective of NDIS participants.

The seven domains of service in the NDIS that we have developed are:

  1. Maintain family relationships
  2. Gain skills and participate in education
  3. Live independently in my own home
  4. Engage socially and be part of my community
  5. Find and maintain employment
  6. Improve and maintain day-to-day functioning
  7. Make life decisions and have choice and control over services

maintain family#1: Maintain family relationships

Projected share of NDIS funds in full rollout: 0.16%  ($32 million)

Participant value proposition
Services that help me stay connected to my family, including helping my family sustainably manage their care for me so we get to spend quality time together.

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Scope of NDIS funding
The NDIS will be funding parental training in how to care for a child with disability; day programs and respite care; and in-home assistance to families to support their care for a person with disability.

The NDIS will only be funding in-home assistance for families when the support is needed because of the participant disability-specific needs. Age and community expectations of caring play a critical role in deciding how much care the NDIS will fund – for example, while all children aged less than 1 year require a carer to present at all times, an 18 year old child would not usually require a caregiver to be present which justified NDIS funding to support the caregiver.

Service types covered

Parental training in caring for a child with disability (only if specific to the child’s disability needs).
Day programs and respite care for children.
In-home assistance to families with a child with disability.
One-off and general training on how to parent children with disability*

Advice for service design
Organisations should begin with the value proposition of creating sustainable family care and design services that enable families to maximise the quality time they spend together. When providing services designed to have a ‘respite’ effect, organisations should be working towards a dual goal: making care sustainable for the carer while provide enriching activities for the person with disability.

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