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13 March 2007

Disability Services and Ageing

Disability Policy Summary | Ageing Policy Summary

FROM THE OFFICE OF Andrew Constance
NSW Shadow Minister for Disability Services
NSW Shadow Minister for Ageing

DISABILITY POLICY SUMMARY

Disability touches the lives of nearly a million people in NSW, either directly or as family members or carers.

One in every 10 of us provides support or direct care to some one with a disability.

We all want to make choices. We all want opportunities to create valued relationships and we all want the ability to build security for the future.

To have a disability in NSW is to relinquish all of your important life decisions to bureaucrats who will tell you what services you may have, where you will get them, who will provide them, and when you will get them.

These services very often determine where you will live, whom you will live with and what recreations you will enjoy.

A future Liberals Nationals Government will aim to deliver equality for all.

Almost every service in the sector now operates under great pressure. Respite services are sinking into crisis. One third of respite beds are taken up by permanent clients who have been relinquished by desperate families who feel that they have no choice. Families have no choice but make do with a reduced level of respite.

Waiting lists for vital services such as attended care and the high needs pool are growing.

In 2005/06 there were 1,339 people were eligible for only 96 supported accommodation places. That is 1,243 applicants missed out. But the Government doesn’t keep a waiting list. They don’t even publish realistic statistics to enable the community to benchmark the availability of services against the prevailing demand.

Government statistics suggest that at least one person with a disability is assaulted every day in Government funded group homes.

The devolution program and the growth of supported accommodation have been gridlocked by indecision about accommodation models.

Over a thousand people are receiving incredibly poor accommodation in some licensed boarding houses because the Labor Government won’t take the advice it paid for to update the relevant legislation. There are also an unknown number of people with disabilities living without adequate support in unlicensed boarding houses, which the government ignores completely.

Disability services need more resources. Clients and carers need greater transparency, more flexibility and greater choice.

Key Liberal/National Initiatives:

Stronger Together Funding

  • A NSW Liberals Nationals Government will deliver the Stronger Together Funding on budget and on time.
  • This package will provide $1.3 billion of new funding to address the shortfall in respite, supported accommodation and attendant care places throughout NSW.

Assisting Carers

  • Ageing Carers Network
    The NSW Liberals/ Nationals will provide $250,000 a year to support the development of an Ageing Carers Network in New South Wales.
    The Ageing Carers Network will work to formalise relationships between people with disabilities, their carers and other members of the community. Such a network will not replace formal government services but work to supplement this support by providing a group of people who share a common concern for the individual's welfare.
    A network meets regularly and practically members of these networks can advocate on the individuals behalf, monitor other paid services, act as an executor or trustee or simply provide social support.

  • Companion Card
    The NSW Liberals/Nationals will introduce a Companion Card to enable free entry for carers onto transport, gymnasiums and entertainment venues when they accompany eligible people with disabilities to services with participating providers. The Card will be the same as the one that has been developed in Victoria so that these rights will be fully transferable across State boundaries and the card will be issued free of charge to people who are certified as eligible by a medical practitioner.

Equipment Needs

  • Program of Appliances for Disabled People (PADP) $52 Million
    The NSW Liberals/ Nationals will increase the funding for the PADP by $13 million a year for four years. This will deliver vital aids and equipment to those who need assistance.

Accessing Services

  • Application Procedures
    The Liberals/Nationals will introduce a simpler and more transparent application procedure for eligible people with disability who require a significant funded service from the NSW Government.

    In place of the confusing jumble of entry points for funding and assistance, there will be one obvious and accessible entry point into the disability services system. Access should be by a simpler and transparent process that enables providers and clients to know where they stand.

    The current system has no transparent access point or process to manage applications. The NSW Ombudsman has criticised DADHC for the ad hoc nature of this administration and applicants are often turned away without details being taken or stored.

    In contrast to the Government, which refuses to keep waiting lists this new application procedure would create one. It will create a system that is manageable and fair. Instead of applying separately for each possible vacancy, applicants should only have to apply once.
    Details of the number of applications and the number of applicants will be published annually. The Minister will be obliged to make a presentation to Cabinet every year outlining the circumstances of those who just missed out on funding due to limited resources. This happens in Western Australia and it is no surprise that new resources for additional supported accommodation places and attended care packages are allocated every year.

  • Local Area Co-ordinators
    The NSW Liberals/Nationals will expand and enhance the Local Area Coordination scheme to address the lack of disability services in NSW. Local Area Coordinators are not case managers. They will not be in DADHC offices. They will be located in the community in shopping centres, arcades and community halls, where they are visible and accessible.

    Local Area Coordinators assist people with disability to access formal and informal support in their own local communities. They enable them to live independent, positive lives.

    Communities are the best source of support to any person regardless of whether or not they have a disability. Local Area Coordinators will assist people with disabilities and their carers to access these informal and free community supports.

    They will also offer ongoing advice about government and private services and be available for as long as they are needed.

    While not an extensive list, the sorts of services they can provide to people with disability and their families include:
    • Help a person with disability leave home and find links to services in their local community.
    • Help a family moving to a new suburb get in touch with local support networks.
    • Helping parents develop an action plan for a child’s smooth transition into school.
    • Link a young person into sport and recreational activities.
    • Help a family caring for a person with disability respond to a crisis.
    • Develop parent or carers support group.
    • Provide a small cash grant to help a family overcome a temporary setback or develop a skill to enhance their capacity to cope independently.

      Local Area Coordinators will be there to assist struggling families so that they are not alone and unsupported.

  • Country Services Directorate
    People with disabilities living in rural areas of NSW do not have the same access to specialist services that people can access in metropolitan areas. Increasing numbers of people from rural areas who have disabilities are choosing to access mainstream services in the community rather than specialist disability service providers because they have no other choice.

    The Liberals/Nationals will establish a Country Services Directorate within the Department of Disability Ageing and Home Care to coordinate health services for people with disabilities in rural and regional areas.

    A specialised country disability directorate can work to educate doctors, and other mainstream health professionals such as dentists, occupational and speech therapists in rural and remote areas to design and adapt health services so that they can appropriately meet the particular needs of people with disability.

    The kinds of professionals who would be involved in this directorate include health information coordinators, therapists, general practitioners, hospital liaison officers, and training officers.

    A team like this would be a particular help to families caring for children and young people with autism. These specialists would be available to work with and train school teachers, speech pathologists, occupational therapists and physiotherapists in the particular development needs of children with autism and other disabilities.

    A country services directorate will work to increase the number of health professionals in rural or remote areas who are able to assist and treat people with disabilities and compliment the services provided by Local Area Coordinators.

 

AGEING POLICY SUMMARY

NSW NEEDS AN AGEING PLAN
A NSW Liberal/Nationals Government will immediately sign up to developing a whole of Government approach, consulting with all stakeholders and finalising an ageing service delivery plan within the first three months of attaining office.

Unlike Labor the NSW Liberal/Nationals are committed to developing a whole of government strategy on ageing.

Retirees are increasingly government service dependent with health care facilities in particular put under increasing pressure to meet demand. We need a pro-active plan in NSW to manage the changing population demographics, particularly in the Hunter/Central Coast and the North and South Coasts.

The number of Australians aged 70 or over will double over the next 20 years and it is therefore important we develop a comprehensive approach to State Government service delivery to cater for these demographic changes.

A Fairer Go for Self-Funded Retirees

The NSW Liberal/Nationals Coalition will provide an annual NSW Seniors Concession Allowance of $300 a year to single self-funded retirees or $600 for couples who are holders of the Commonwealth Seniors Health Card.

The NSW Seniors Concession Allowance will assist eligible self-funded retirees to meet a number of government fees, costs and charges for which pensioners receive concessions, including private motor vehicle registration, electricity bills and council rates.

Improving the Standards of Dental Health in NSW

A NSW Liberal/Nationals Coalition Government will implement a comprehensive plan to dramatically cut dental waiting lists, attract and build expertise within the public system and provide better education on dental health.

It has been estimated that there are now 215,000 people on unpublished waiting lists for public dental care. The NSW Coalition will provide the resources needed to bring NSW in line with other states and address the serious deficiencies that have developed as a result of neglect by NSW Labor over nearly twelve years.

We will invest an additional $208.25 million for dental health over four years to reduce waiting lists by providing more dentists in the public dental health system.

Bringing Country Doctors Back

The NSW Liberal/Nationals Coalition has developed an Action Plan to breathe life back into country NSW health care and increase the number of country doctors and other health professionals.

We will reverse more than twelve years of under investment and neglect from the Labor Government and invest $53 million on a range of initiatives to get more doctors into regional and rural NSW.

Removing the CountryLink Pensioner Booking Fees

Many elderly people live far away from children, grandchildren, friends and medical services and CountryLink is often the only available public transport option.

A NSW Liberal/Nationals Coalition Government will abolish Labor’s unfair CountryLink booking fee for pensioners to make country public transport more affordable.

Rescuing the Health System

In addition to the health policies outlined above, the NSW Coalition is committed to getting resources to the frontline of our hospitals and health system, especially nurses to improve health care services.

Major commitments already announced include:

Implementing our ‘Getting Nurses Back’ Package

Nurses are the backbone of public hospitals. We will invest an additional $207.8 million to improve training, support and working conditions for nurses so we can retain existing nurses, fill the existing 1200 vacancies and recruit an additional 500 nurses.

Boost mental health services

Implement our $396 million mental health package to provide an additional 400 mental health places and 150 more caseworkers, the rebuilding of Callan Park Hospital at Rozelle, and boosting support for community mental health services.

Reduce health bureaucracy through District Health Boards

We will replace Labor’s bureaucratic and centralised Area Health Services with District Health Boards to return power to local level, and introduce clinical institutes and specialist administrative units to support local hospitals.

Greater choice and assistance for isolated communities

We will boost the Isolated Patients’ Travel and Accommodation Assistance Scheme (IPTAAS) so country people suffering cancer and other serious illnesses are able to choose their place of specialist treatment.

RECOGNISING THE CONTRIBUTION OF OLDER AUSTRALIANS

The NSW Liberals/ Nationals have announced a policy to encourage older Australians to mentor young people in our public schools as part of a broader policy package providing recognition for the contribution of older Australians in NSW.

The ‘Mentors in Schools’ program will develop a network of volunteer community mentors across NSW prepared to make a regular commitment to high school students who wish to learn about a particular subject or hobby:

  • Mentors will be encouraged to offer guidance and support in hobby activities, cultural interests, and special academic subjects;
  • A small co-ordinating team will be established within existing resources in the Department of Education to establish the necessary database and manage information and promotion; and,
  • The database will bring together interested ‘mentors’ and the subjects and hobbies they wish to share – with a register of schools and students who want to be involved.

$280,000 will be allocated to promotional materials such as brochures, a website, and information to volunteer community groups, hobby associations and university alumni.

The program will build on formal and informal arrangements already operating in some communities and schools, including current successful programs offered by the YWCA, welfare and church groups.

The program will be purely of discretionary interest to students, and not designed to satisfy any course requirements, and will not add to curriculum or teacher loads. Tele-mentoring could be used to connect mentors and students in remote locations.

The co-ordinating team will establish necessary child-protection measures with relevant agencies.

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this page updated 13 March 2007

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