“Confusion and distrust”: The disability community on the NDIS overhaul - podcast episode cover

“Confusion and distrust”: The disability community on the NDIS overhaul

Apr 23, 202615 minEp. 1890
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Episode description

The government says the NDIS has drifted too far from its original purpose, has grown too fast and too loosely, and that it now needs a major reset.

Health Minister Mark Butler says the changes, which will see eligibility tightened, participants reassessed and 160,000 people booted from the NDIS are about making the scheme sustainable and pulling it back to the people it was originally designed to support.

But for people with a disability, families and carers, the language has done little to calm anxiety – because this is just not a crackdown on fraud and dodgy providers. It's a change to who gets support, how that support is judged and what happens to people who no longer meet the new test.

Today, Australian Autism Alliance co-chair Jenny Karavolos on the government's NDIS overhaul and why it's causing so much apprehension across the community. 

 

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Guest: Australian Autism Alliance Co-Chair Jenny Karavolos

Photo: AAP Image/Mick Tsikas

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Transcript

Speaker 1

Now these are all hard decisions, but they're unavoidable, and they're urgent, and I'll be seeking passage of these immediate spending controls in the budget session of Parliament.

Speaker 2

We'll be working. The Government says the NDIS has drifted too far from its original purpose, has grown too fast and too loosely, and that it now needs a major reset.

Speaker 1

The NDIS, remember, was established to support people with significant and permanent disability, but its scope has expanded to cover many Australians with less significant support needs. The Thriving Kids reformed them.

Speaker 2

Mark Butler says the changes which will see eligibility tightened, participants reassessed and one hundred and sixty thousand people booted from the NDS are about making the scheme sustainable and pulling it back to the people it was originally designed to support.

Speaker 1

We can't afford for the NDIS to continue growing at its present rate, but far more importantly, we can't afford for the NDIS to part of the challenge.

Speaker 2

But for people with a disability, families and carers, the language has done little to calm anxiety. Because this is not just a crackdown on fraud and dodgy providers. It's a change to hugot support, how that support is judged and what happens to people who no longer meet the new test. I'm Daniel James and you're listening for seven am today Australian Autism Alliance co chair Jenny Carovolos from the government's innbas oberhor and why it's causing so much

apprehension across the community. It's Friday, April twenty four. Jenny, what did you make of Mark Butler's press conference on Wednesday?

Speaker 3

There was a lot to absorb.

Speaker 4

Actually, if I look for the positives in what was being said. It was great that it was being recogniz eyes that it was a system failure problem and it wasn't based on people with disability and in particular autistic people.

Speaker 1

The diagnosis gateway has funneled people onto a scheme that was never designed for them. Now that's not their fault. They've been told this is the only program available.

Speaker 4

And it was also great to hear that it was being said, which is something we've a spouse for a long time, that fraud is not being done by people with disability.

Speaker 1

When we talk about fraud in the NDIS, we're not talking about people with disability. We're not talking about families who've been put on a plan and offered support. They're not doing anything wrong.

Speaker 2

What struck you about the top of language he was using the.

Speaker 3

Language for me?

Speaker 4

There was a difference between when you hear about age care, which absolutely I support, it was about respect and investment, and when you heard about disability in the same context, you hear about costs.

Speaker 1

Slowing these rapid cost increases, clearer eligibility requirements and so importantly delivering high quality supports and services for participants. Because Australians expect the NDIS to support people with a disability in their families and to continue to transform their lives in the way we've seen happen over the.

Speaker 4

Past, and it was said that human rights was an achievement, which is great, but still everything was couched in terms of costs and making sure things were sustainable.

Speaker 2

These are huge announcements that me and the NDIS participants like your son will be reassessed and that over one hundred and sixty thousand people will be moved off the scheme, while others will have their budgets cut by as much as fifty percent. Can you explain just how significant. That is, it is huge.

Speaker 3

It is absolutely huge.

Speaker 4

I have a saying at the moment, and it's autistic peace will should not be the shock absorbers of systems. Governments have not yet fixed the issue here is the risk is losing what's been working before. Many people that they're referring to as a low and moderate support needs, they receive a great outcome because a little goes a long way in sustaining education and employment. Before the NDIS, there was no coherent system for people with mild to

moderate needs. Access and supports were inconsistent, and in fact, there was a Center inquiry into autism that confirm that systems were fragmented, complex and failing to deliver outcomes.

Speaker 3

The evidence is.

Speaker 4

Clear that autistic people experience poorer outcomes across the whole lifespan, education, employment, health and inclusion. Generic systems didn't deliver effective outcomes, and the NDIS has delivered real benefits. So if artis stick, people aren't in that scheme, what scheme were they meant to be in?

Speaker 2

You spoke a little b about the positives and about some of the risks. Well, were some of the negatives from your perspective about Mark Bola's announcement on Wednesday.

Speaker 4

Well, definitely the issue that it came across that there's all these initiatives which we absolutely support reform and that the need for the NDA is to be sustainable. But there's a capping, for instance, on supports, So as soon as there's capping on supports, it still means what happens to the need, So you can cup a budget, but that doesn't mean the need has disappeared, so there's still a huge amount of work to be done. The other thing was about eligibility and who would be getting access

and who wouldn't. They are all huge structural reforms. There is confusion and distrust about assessments.

Speaker 3

That's what community is telling us.

Speaker 4

People don't understand how decisions will be made about access. There strong anxiety about cap supports, as I said, versus real need and the spheres of gaps which are legitimate about falling through the cracks.

Speaker 5

My reaction is one of shock and of deep sadness. The disability community knew that this announcement would be bad, but this is quite frankly terrifying for us and our families.

Speaker 2

So is there a real sense within the community that you represent the autism community that you are being targeted through these reforms.

Speaker 4

Absolutely, It's been referenced specifically that autism is the largest cohort in the ndis that reforms specifically do affect children undernine and as I said, mild to moderate autism. So the interpretation in community spaces is that autistic people are the ones being moved out.

Speaker 2

Your twenty year old son, Stephan is an autistic person on the INDs, how crucial is it for your lives and are you worried that he could be one of those who's affected by these cuts.

Speaker 3

Absolutely.

Speaker 4

It has played a role for my son, interestingly predominantly through education to help support him to be the best that he can be. And as a result of that it was said that he's teachable, he learns, and his progressors. For us, it means that we're going back into uncertainty. His next life stage would be employment, so what does that mean for us? And the other thing is I actually stepped out of a CEO role in order to support my child. Doing that meant I'm unless productive member

of the Australian economy. So the more pressure that is put on individuals and families, the more it impacts and we end up with that informal care economy, which currently costs seventy nine billion dollars.

Speaker 3

We've also worked out.

Speaker 4

That if something happens to us by the age of say seventy, although we would have provided for our son to have a home and to have an asset behind him, he would still need supports if he doesn't stay on his path and things break along the education to employment transition path. It'll cost government sixteen point five million dollars to sustain our.

Speaker 2

Sun coming up the NBIS cut that could see participants cut off from their communities. Jenny, The government has made a lot of noise about consultation and negotiating with the various communities that are impacted by this. Do you feel like you've been consulted with these reforms?

Speaker 4

With the reforms, there has been consultation about the new framework planning. In terms of the specific reforms that were called out, there hasn't been consultation, but that's been indicated by the Minister himself indicating there's a lot to be done.

He had stated that specifically with thriving kids, and there's still a lot to be done in terms of readiness and we strongly support being involved and being able to be part of the solution because it is our community with lived experience and the disability representative organizations and other support agencies that have that evidence base, research, evidence, in practice, lived experience, so that we can focus on real solutions.

Speaker 3

And make sure that we get it right.

Speaker 2

One of the cuts Mark Butler announced was a thirty we sent cut to the Social and Community butnticipation budget. Now two hundred million dollars is instead being allocated to a new Inclusive Communities Fund. But it does mean that the average ENDS participant will lose roughly seven thousand dollars in funding for the kinds of things that help them lead an ordinary life. How big an impact will that have?

Speaker 4

Oh, it's significant again for autistic people in particular, but all people with disability. Generalized supports don't work, so it's been about individualized supports. Already, people are excluded autistic people. It's been demonstrated. We had a Center inquiry on autism and people are completely socially isolated a significant portion because of their needs. So when education systems break down and you're at home, that means you don't get the social interaction.

When employment systems break down and you're not in meaningful employment to interact with others. Again, your social network breaks down, and then just having those supports to be part of the community are absolutely invaluable.

Speaker 2

The government says fraud inside the NDIS has become a major problem. How big a problem is it and what does it say about how the scheme has been policed.

Speaker 3

Fraud is a significant problem.

Speaker 4

I mean, I don't need to repeat or come up with different statistics to Minister Butler. He has indicated I mean, and this is a telltale sign that it has been a focus for criminal activity and fraudulent activity by not all providers, but some providers.

Speaker 1

The fraud in the NDIS is being perpetrated by low lives who are scanning both the taxpayer but more importantly people with a disability.

Speaker 4

But again, government is openly now saying that those critical controls and systems haven't been in place, the gates have been open and it's time to close them.

Speaker 3

So we absolutely agree.

Speaker 4

But what I am going to say is we're expecting that it is the systems that are being controlled and not individuals. The NDIS was set up about choice and control. We cannot lose that as a fundamental principle to people. That is what equity is about. That is what rights are about.

Speaker 2

And finally, Jenny, how much confidence do you have in the government and the systems that are required to change to make this thing work? How much confidence do you have that this reset will actually work?

Speaker 4

I have absolute confidence if the disability representative organizations and other support organizations across researchers, educators, lived experience are well working together to being part of the solutions, testing the assumptions and actually doing trials.

Speaker 3

If we do great.

Speaker 4

System testing and ensure clear on the outcomes and measuring them along the way, it will happen. If we do reform the way that's been done in the past, where we start making the changes before the system is ready, then all we've done is created a problem and it will reveal itself in other systems instead.

Speaker 2

Jenny, thank you so much for your time.

Speaker 3

Thank you.

Speaker 2

Also in the news, the states have already begun flagging issues with the federal government's INDIS overhaul. The New South Wales Premier Cesi's government won't be able to provide an equivalent level of care for those who are cut from the scheme. About a third of the one hundred and sixty thousand people said to be booted from the NDIS are expected to come from your South Wales and Kyle Santolance has been accused of rating radio listeners and bosses

makes spleedy ridden rants. Details of the alleged attacks have been revealed in court documents for aarn's defense against the eighty five million dollar claim filed by sant Lance. Kyle and Jackie Oh's former employer is also suing the pair, demanding they pay for the advertising loss by Kiss FM after their show was pulled off air. I'm Daniel James. Thanks for listening to seven AM. We'll be back tomorrow.

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