The importance of evidence and understanding the scope and intent of the NDIS and its relationship to NDIS funding decisions
The National Disability Insurance Scheme (NDIS) operates on a framework that emphasises financial sustainability, evidence-based decisions, and providing value for money.
As part of this framework, the evidence provided by participants is critical in determining the continuation of funding. When this evidence is insufficient, or requests fall outside the scope of the type of support the NDIS funds, the scheme cannot provide the requested support.
The Role of the Legal Decision-Maker
The legal decision maker, often a family member or guardian, is entrusted with the responsibility of making decisions on behalf of the participant.
This includes understanding and interpreting the evidence presented to them and making informed choices that align with the participant’s best interests.
The ‘dignity of risk’ principle, a fundamental aspect of the NDIS, recognises that individuals with disabilities have the right to make their own choices and take risks. This principle is not about eliminating all risks, but about ensuring that risks are managed and that individuals are supported to make informed decisions. It places a significant responsibility on the legal decision-maker to ensure these choices are informed and the risks are managed.
The Responsibility of Allied Health Professionals
Allied health professionals are not just a part of the NDIS process; they are integral to it. Their thorough understanding of the NDIS, its scope, and its intent
is vital in ensuring robust evidence is provided, and the NDIS criteria are met. When these professionals fail to grasp these concepts, they inadvertently put their clients’ support at risk. They are responsible for ensuring that the evidence provided is robust and meets the criteria set by the NDIS.
An Evidence-Based System
The ‘minimum viable product principles’ refer to the basic level of support that the NDIS aims to provide. These principles guide the planning process, ensuring that the support provided is sufficient to meet the participant’s needs. The NDIS does not aim to provide the highest level of support, but rather a minimum level that is necessary for the participant’s well-being. When requests align with these principles, the planning process functions efficiently. However, when plans exclude requested items, it is often because the allied health professionals have not adequately guided families or set realistic expectations of what will likely be funded by the NDIS.
Expectation Management
Managing expectations is not just part of the responsibility when requesting NDIS funds—it is crucial. By effectively managing expectations and ensuring families understand the NDIS’s requirements and limitations, you can prepare them for the process and help them take a proactive approach.