SIL Archives - Queensland Advocacy Incorporated

Supported Independent Living – Position Paper

QAI has released a Position Paper on Supported Independent Living (SIL) arrangements. The below Position Statement is an extract from the paper.

You can read the full document here.

Position Statement

The following position statement is based on the values, beliefs and aspirations that Australians with disability can have a good but ordinary life when they have personal power, control and are
supported to exercise their autonomy and rights as other citizens.

Supported Independent Living (SIL) has become the mechanism for the proliferation of the archaic block funded group home. Rather than enabling a person to live ‘independently in their home’, it is in reality shared care in a congregated setting, often not of the person’s choosing but instead organised, negotiated, and created by the NDIS system and the service providers.
A dearth of truthful information about the inflexibility of SIL, has reinforced the misconception that a person with high and or complex support needs must therefore enter a SIL arrangement. Most people do not have any independent unbiased information about SIL and have the mistaken belief that because they live in shared accommodation they must continue in the existing arrangements.
People formerly living alone and supported for 24 hours of support, 7 days per week under the state system, are pressured by NDIA Planners as unwilling participants into SIL arrangements and costing Plans accordingly.
In most instances, the avoidance of information about alternatives and benefits of accessing the NDIS with a non-SIL funded Plan, and lack of transparency regarding the over-inflation of SILS quotes is forcing more people back to the archaic model of group or shared home living.
If a participant wants to share with another person and articulates a desire to share
some supports with their chosen housemate, (ie: overnight support only, or a combination of one or two activities), each person is very possibly able to obtain a Plan that is not only going to meet their needs but also be less restrictive, more flexible should either housemate wish to relocate, and is possibly more efficient and effective.
The solution to the abovementioned is to abolish Supported Independent Living (SIL) from Plans.
Replace it with individualised NDIS Plans for everyone including people who wish to share accommodation and support. When and where people who choose to live together, wish to share supports they merely state that intention in their Plans.

Submission to the NDIS Workforce Inquiry

In April QAI made a submission to the Joint Standing Committee on the National Disability Insurance Scheme Workforce Inquiry.

Below is an excerpt from the submission with our key recommendations. You can read the full submission here.

QAI’s Recommendations

Abolishment of Supported Independent Living (SIL) from plans. SIL funding for NDIS
participants should be replaced by open and individualised funding for everyone,
including people who wish to share accommodation and support.
Restructure pricing for supports at the top and bottom of the market with particular
emphasis on mental health supports, therapy supports and services for people with
complex needs.
Restructure pricing for regional, rural and remote regions to strengthen service delivery
which has higher overhead costs than their urban counterparts.
Provide adequate funding to participants in regional, rural and remote regions to enable
delivery of service.
Work with Indigenous councils to train service providers and staff to deliver services, by
building the capacity of local people.
The NDIA ensure each state and territory has a well-equipped, well trained and person-centered human rights based ‘provider of last resort’.
Provide both financial and physical support to participants to learn how to self-manage
their plan to enable maximum flexibility.
Provide support and guidance to self-managing participants to understand Australian
Taxation Office rules, Fair Work rules and other employment issues resulting from
directly employing staff.
Provide information to the mainstream and community on services that can be provided
under the NDIS to encourage mainstream services in a disability setting.
The NDIA (and Quality and Safeguards Commission) provide assistance to providers
and sole traders to participate in the auditing process which can be timely, costly and a
hindrance to staying in the NDIS market.
The Quality and Safeguards Commission to scrutinise service providers providing
housing and supports and restrict registration to ensure no provide is able to provide
both functions.

NDIS Planning Submission

QAI made a submission to the Joint Standing Committee on the National Disability Insurance Scheme on NDIS Planning.

Here is an excerpt from the submission of our recommendations:

QAI Recommendations

LAC’s and Planners must have intensive training to understand the social and other impact of disability and what makes people with disability vulnerable. The NDIA must undertake intensive training for Planners and Plan reviewers to ensure that the Scheme is implemented as it was envisioned and not as a cost savings exercise. This training must also encompass respectful engagement with Participants and plan nominees to overcome the fear and distrust that is being experienced as a result of bullying by Planners.
The NDIA should hire people with lived experience of disability and or people with experience from the disability advocacy sector.
Invest in appropriate Pre-Planning (with independence from direct service provision organisations) so that there are fewer Plan Reviews and Appeals, and to enable LAC’s to return to their intended functions of linking and connecting people with generic and specialist services. Foster smaller and consultative community-based services that engage local staff particularly with pre-planning activities.
The NDIA must randomly audit Plans developed by NDIA Planners to determine consistency of content and supports.
Participants should be asked to submit a self-assessment about what they need in order to attain their goals and should be incorporated into the planning process. Planners must have skills in ‘active listening ‘rather than self-promotion of their own experiences or purported expertise.
Planners must focus on inclusive approaches to supports while respecting the wants and wishes of Participants.
Informal Supports must not be factored into Planning as a cost-savings exercise.
The NDIA should provide funding for translation services for CALD Participants in planning and to engage with support coordination services.
Abolish SIL from Plans.
Supports that Participants and nominees discuss and agree to at planning meetings must be included in the Plan.
Draft Plans should be sent to Participants and Nominees for agreement and or negotiation.
Abolish Typical Support Packages (TSPs) to reduce internal reviews, AAT appeals and Participant dissatisfaction.
Ensure that there are no service/support gaps and provide early intervention to Participants and Nominees to ensure that supports are not withheld even if funds are expended before end of Plans.
Plans must not be reduced unless Participants disclose they no longer require specific funds or support types.
The NDIA must cease the manipulation of reviews under Section 100 by either refusing the review request or instead attempting to thwart the process by deception and inserting the review under Section 48.
The NDIA must ensure equitable access to all forms including review request forms and not restrict word limitations by the use of PDF or other means.
The NDIA must ensure that reviews are free from conflict of interest and breaches of confidentiality by warranting that no staff members involved in the original decisions are involved. Strict penalties for breaches must apply.
Whitelist formal advocacy organisations to reduce red tape and better enable Advocates to assist Participants and Applicants.
NDIA should provide a readily available means to track progress of reviews for Advocates and Participants.
Mandate an enforceable maximum time frame within which the NDIA must respond to reviews.
Improved decision-making by the NDIA in the first instance to reduce review and AAT applications.
Improved liaison between the internal review team and the Early Response Team (ERT).
NDIA staff members provide advice to Participants at critical moments such as denial of review applications, how to best utilise current Plans and gather evidence to improve their next approaches.
NDIA staff give greater attention and consideration to the issues impacting Participants, Nominees and supporters in regional and remote areas particularly with issues and costs associated with transport, thin markets and alternatives to traditional service provision.

You can read the full submission here.

Inquiry into Supported Independent Living Submission

QAI made a submission to the Joint Standing Committee on the National Disability Insurance Scheme on the Inquiry into Supported Independent Living.

Here is an excerpt from the submission of our recommendations:

Recommendations

Provide clear, transparent and honest information about SILS. Clarify the restrictions that SILS imposes on ‘choice and control’. Explain that SILS pressures participants to share accommodation and support. Explain that SILS hinders planning and review.
Prohibit SILs payments from going to providers who own or manage a Participant’s housing. SILs is a key part of a de facto permit system for group homes, where the dwellings and their operators become the focus instead of people with disability.
Organisations that currently deliver both housing and supported services will need to separate their services.
Housing organisations that accept a transfer of stock from state and territory governments, and/or develop additional housing, will need to co-ordinate their housing with support services delivered by other organisations.
People with disability and their networks, housing organisations and disability support organisations need information about what separating housing and support means in practice, and about good practice in coordinating service delivery when housing and disability services are provided by different organisations.
Participants and/or families may participate and control the first plan, but regardless of their conflicts of interests, service providers tend to arrange subsequent plans and reviews and inflate quotes. This is problematic and must be addressed so that Participants control all of their Plans all of the time.
Although, SIL typically relates to participant’s in Supported Accommodation Services, i the NDIA cannot instruct NDIS participants to move into group homes as this is against the underlining principles of the NDIS Act 2013 as outlined in Sections 3 and 4 that also refers to the International Covenant on Civil and Political Rights.

KEY MESSAGE: The solution to the above-mentioned is to abolish Supported Independent Living (SIL) from Plans. Replace it with individualised NDIS Plans for everyone including people who wish to share accommodation and support.

You can read the full submission here.