'Reasonable and necessary' care: The challenge of operationalising the NDIS policy principle in allocating disability care in Australia

Foster, Michele, Henman, Paul, Tilse, Cheryl, Fleming, Jennifer and Allen, Shelly (2016) 'Reasonable and necessary' care: The challenge of operationalising the NDIS policy principle in allocating disability care in Australia. Australian Journal of Social Issues, 51 1: 27-46.

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Name Description MIMEType Size Downloads
Author Foster, Michele
Henman, Paul
Tilse, Cheryl
Fleming, Jennifer
Allen, Shelly
Title 'Reasonable and necessary' care: The challenge of operationalising the NDIS policy principle in allocating disability care in Australia
Journal name Australian Journal of Social Issues   Check publisher's open access policy
ISSN 0157-6321
1839-4655
Publication date 2016-04
Sub-type Article (original research)
Volume 51
Issue 1
Start page 27
End page 46
Total pages 20
Place of publication Canberra, Australia
Publisher Australian Social Policy Association
Collection year 2017
Language eng
Formatted abstract
Disability reform in Australia centres on a National Disability Insurance Scheme (NDIS), which aims to provide lifelong, individualised support based on the principle of 'reasonable and necessary' care. As a universal rights‑based scheme it represents a historical shift in allocation principles in Australia's disability policy. Nonetheless, attention will be on determining who receives what care given the diversity of personal and family contexts. The aim of this paper is to discuss the operational complexities of a principle of reasonable and necessary care with reference to the findings of a three‑year study on the experiences and perspectives of disability care of 25 adults with acquired disability, their 22 nominated family members and 18 service providers. Evidence from this study suggests enacting the principle of reasonable and necessary care and support will be problematic, in particular as it relates to personalising the level and scope of services, balancing formal and informal care, and principles of equity. The paper contributes to the literature about allocation principles in social policy and the challenges of implementation. Further, it provides an empirically informed discussion of some of the specific policy implementation challenges concerning the NDIS.
Keyword Disability care
Policy allocation principles
National Disability Insurance Scheme
Evidence-based policy
Qualitative research
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

 
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Created: Tue, 17 May 2016, 17:01:06 EST by Dr Paul Henman on behalf of School of Social Science