Sneak Peek at the new NDIS Practice Standards

We are excited to see the NDIS Practice Standards, a key piece of the Quality and Safeguarding Framework, have finally been released. Yep, some of us at DSC are quality nerds!  

The National Disability Insurance Scheme (Provider Registration and Practice Standards) Rules 2018 outline the registration requirements for providers under the NDIS. They also cover the new NDIS Practice Standards and the Quality Indicators that must be met in order to provide services.

There is a huge amount of detail in these Rules released by Commissioner Designate of the NDIS Quality and Safeguards Commission, Mr Graeme Head and the Minister for Social Services, the Hon. Dan Tehan on Friday. In this article, we've broken it down to help you understand the key pieces of information in this massive announcement.

 

What are the New Practice Standards and Quality Indicators?

The NDIS Practice Standards  aim to prevent abuse and conflict of interest as well as ensure quality outcomes for people with disability. The Quality Indicators are the way in which providers will be measured against these Standards.

The standards and indicators are underpinned by a rights based approach, choice and control and person centred practice. Yay! They also emphasise strong governance and risk management.

Organisations delivering support will need to develop these processes and systems, and for higher risk services, staff will be interviewed to ensure they are imbedded in the organisation. The good news for most existing providers is that many will already be familiar with a lot of the quality indicators as they already have to meet similar existing State based quality standards.

The big difference comes in the form of the specialist modules, which will  impact those providers registered or wishing to register to provide these particular service types.  The indicators provide very clear requirements about how providers can meet the requirements of these standards.  

There are 4 core standards based on the National Disability Standards and they cover Rights and Responsibilities, Governance and Operational Management, Provision of Support and Support Provision Environment. Additionally, there are 5 Registration areas that have their own Modules to comply with, as outlined in the table below.

Part 9 also details the Qualitative Indicators that organisations must meet to be verified, covering the areas of Human Resource Management, Incident Management, Complaints Management and Risk Management. 

 

Verification vs Certification

Editor’s note: a lot has changed in the Quality and Safeguarding space since this article was written. Bodies corporate now require certification regardless of registration group.

Under the new Q&SF, there will be two pathways to registration: Verification and Certification. Each registration group has now been nominated as to which pathway prospective providers will follow.

Verification requires a desktop audit by an Independent Quality Auditor against the Verification Requirements .

Certification requires a desktop audit plus additional requirements such as site visits, interviews with participants and workers by an Independent Quality Auditor.

Code

Registration Group

Verification or Certification

Core Module Quality indicators 1 to 4

Modules

101

Accommodation / Tenancy Assistance

Verification

 

Part 9

102

Assist to access/Maintain employ/Ed (Assist Access/Maintain Employ)

Certification

Core Standards 1 to 4

 

103

Assistive products for personal care and safety

Verification

 

Part 9

104

High Intensity Daily Personal Activities (Assist Integrate School/Ed)

Certification

Core Standards 1 to 4

Module 1

105

Personal Mobility Equipment

Verification

 

Part 9

106

Assistance in coordinating or managing life stages, transitions and supports (Assist- Life Stage, Transition)

Certification

Core Standards 1 to 4

 

107

Daily Personal Activities (Assist Personal Activities)

Certification

Core Standards 1 to 4

 

108

Assistance with travel/transport arrangements

Verification

 

Part 9

109

Vehicle Modifications

Verification

 

Part 9

110

Behaviour Support

Certification

Core Standards 1 to 4

Module 2 and Module 2A

111

Home modification design and construction

Verification

 

Part 9

112

Assistive equipment for recreation

Verification

 

Part 9

113

Vision Equipment

Verification

 

Part 9

114

Community Nursing Care

Verification

 

Part 9

115

Assistance with daily life tasks in a group or shared living arrangement [Daily Tasks/Shared Living]

Certification

Core Standards 1 to 4

 

116

Innovative Community Participation

Verification

 

Part 9

117

Development of daily living and life skills

Certification

Core Standards 1 to 4

 

118

Early Intervention supports for early childhood

Certification

Core Standards 1 to 4

Module 3

119

Specialised Hearing Services (Equipment Special Assess Setup)

Verification

 

Part 9

120

Household tasks

Verification

 

Part 9

121

Interpreting and translation

Verification

 

Part 9

122

Hearing Equipment

Verification

 

Part 9

123

Assistive products for household tasks

Verification

 

Part 9

124

Communication and information equipment

Verification

 

Part 9

125

Participation in community, social and civic activities

Certification

Core Standards 1 to 4

 

126

Exercise Physiology and Physical Wellbeing activities (Physical Wellbeing)

Verification

 

Part 9

127

Plan Management

Verification

 

Part 9

128

Therapeutic Supports

Verification

 

Part 9

129

Specialised Driver Training

Verification

 

Part 9

130

Assistance Animals (Other Innovative Supports)

Verification

 

Part 9

131

Specialised Disability Accommodation

Certification

 

Module 5

131*

SDA and one or more other classes of support

Certification

Core Standards 1 to 4

Module 5

132

Support Coordination (Specialist)

Certification

Core Standards 1 to 4

Module 4

133

Specialised Supported Employment

Certification

Core Standards 1 to 4

 

134

Hearing Services

Verification

 

Part 9

135

Customised Prosthetics

Verification

 

Part 9

136

Group and Centre Based Activities

Certification

Core Standards 1 to 4

 

What must you be registered for?

You must be registered to provide services under NDIS if :

  1. You are providing services to Agency managed participants.

  2. You are providing services to a person subject to interim or ongoing regulated restrictive interventions

  3. You are providing specialist behavioural support

It is then decided whether you need to be Certified or Verified, and additional requirements are attached to this. Note: Regardless of registration group, you must be certified if you are a body corporate (a company incorporated under ASIC).

The rules also outline the suitability requirements of the provider plus key personnel and the types of checks that the Quality and Safety Commission will undertake to ensure suitable service providers.

Of interest is the fact that registered providers will need to notify the Commission within 28 days of a change of circumstances that materially affects the provider’s ability, or the ability of any of the provider’s key personnel, to provide the supports or services the provider is registered to provide.

 

Existing Providers transitioning: NSW and SA only

Existing Registered Providers will transition to new Quality and Safeguarding Framework from 1 July 2018. Unless notified in writing by the Commissioner, you will not need to change your registration requirements until your registration is due for renewal.

 

What's changing?

Despite the huge amount of detail in this announcement, there are still some unknowns about how the National Quality & Safeguarding Framework will look in practice. The table below summarises the key changes we have had confirmed to date:

Functions of the Commission

What is Changing?

Investigations, Compliance and Legal Advice

The Commissioner will monitor and investigate compliance and can implement bans and penalties

Policy, Strategy and Education

A new Code of Conduct, Orientation Module and Worker Screening will begin

Registration and Market Monitoring

Two pathways to Registration: Verification and Certification against the New NDIS Practice Standards

Complaints and Reportable Incidents

New online systems for recording and monitoring complaints and reportable incidents

Behavioural Support and Restrictive Interventions

A new system for recording and monitoring Behavioural Support interventions