Category: Health

  • Going Backwards

    Going Backwards

    How NDIS workforce arrangements are undermining decent work and gender equality
    by Fiona Macdonald

    The disability support workforce is central to the effectiveness and sustainability of the National Disability Insurance Scheme (NDIS).

    Hundreds of thousands of NDIS participants rely on this workforce to provide personal support and care on a daily basis.

    The NDIS workforce is large and growing, currently employing about a quarter of a million workers, mostly women. Pay, working conditions and career opportunities in the disability support workforce are critical to the future of women’s economic equality in Australia.

    It is a decade since the NDIS was first piloted, yet the promise for workers, that the scheme would translate into ‘greater pay, … better working conditions … (and) enough resources to do the job properly’ has not been fulfilled.

    Rather, conditions of work in the NDIS are poor and deteriorating.

    The design of the NDIS, with its market basis and poor and uneven regulatory oversight, has undermined fair pay and working conditions for disability support workers and is threatening workforce stability.

    This briefing paper reviews this evidence and argues for significant reforms to address urgent problems arising from these design flaws and regulatory failures.



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  • A Portable Training Entitlement System for the Disability Support Services Sector

    A Portable Training Entitlement System for the Disability Support Services Sector

    by Rose Ryan and Jim Stanford

    A new proposal for a portable training system for disability support workers under the NDIS would help to ensure the program achieves its goal of delivering high-quality, individualised services to people with disabilities. The proposal is developed in a new report from the Centre for Future Work.

    Under the plan, disability support workers would receive credit for one hour of paid training, for every 50 hours worked in NDIS-funded service delivery.  Those credits would be vested with each individual worker, allowing them to accumulate credits even if they work for multiple employers or directly (as sole traders) for NDIS participants.  The training system thus takes account of the very flexible and mobile nature of work in this growing sector. 

    The system would allow a typical disability support worker to access one three-day upgrading course per year. A corresponding system of advanced recognised qualifications (and matching job classifications) would provide specialised pathways allowing disability support workers to develop their careers over time, thus reducing the very high staff turnover that has bedevilled the roll-out of NDIS services.

    The proposal is detailed in a new 70-page report, A Portable Training Entitlement System for the Disability Support Services Sector, co-authored by Dr. Rose Ryan and Dr. Jim Stanford.

    The NDIS has the potential to enrich the lives of people with disabilities through customised individual packages of services. But to achieve that goal, the system must facilitate ongoing investments in specialised skills and qualifications, rather than relying on short-term ‘gigs’ performed by high-turnover, casualised workers.

    Most disability support workers are employed in part-time or casual jobs, and spending on staff training by established service providers has shrunk as the NDIS has been rolled out.  The NDIS is expected to spur massive job-creation in coming years, adding as many as 70,000 full-time-equivalent positions, but evidence is accumulating that the quality of many jobs is very poor, undermining stability of the workforce and the quality of delivered services.

    Cost estimates suggest the overall scheme would require $192 million per year in additional funding, which the authors suggest should be delivered through a separate state-Commonwealth funding stream (to avoid undermining the revenue base for delivered services). Compared to the $22 billion annual pricetag for the NDIS, the authors suggest this cost is modest: less than one cent on the dollar to support the development of a workforce with state-of-the-art knowledge and training.



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