Report on Government Services 2016

Chapter 14, Volume F

Services for people with disability

The Services for people with disability chapter (chapter 14) reports on the assistance funded by governments to people with disability and their carers, focusing on specialist disability services.

The National Disability Agreement (NDA), effective from 1 January 2009, provides the national framework and key areas of reform for the provision of government support and services for people with disability and their carers. The focus of this chapter is on the services and supports provided under this agreement.

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Key Facts
Indicator Framework
Indicator Results
Indigenous Data

In 2014-15, total government expenditure on specialist disability services was $8.0 billion — a real increase of 5.1 per cent from 2013-14. Of all specialist disability funding in 2014-15, 70.3 per cent came from State and Territory governments and 29.7 per cent came from the Australian Government.

Assistance is provided by governments to people with disability and their carers, through specialist disability services provided under the National Disability Agreement (NDA) and National Disability Insurance Scheme (NDIS).

Nationally in 2013-14 (2014-15 data were not available for this Report), the number of people with disability using NDA specialist disability services as a proportion of the estimated potential population was:

Accommodation support, 5.8 per cent
Community support, 23.2 per cent
Community access, 7.7 per cent
Respite, 16.4 per cent
Supported employment, 6.9 per cent
Open employment, 7.5 per cent of people who had an employment restriction.

In 2013-14, 4051 people who used disability support services under the NDA transitioned to the NDIS. As at 30 June 2014, there were 4883 NDIS participants who were existing State/Territory service users (that is, had transferred at some time from NDA services).

The Australian, State and Territory governments aim to ensure that people with disability and their carers have an enhanced quality of life and participate as valued members of the community.

The performance indicator framework provides information on equity, efficiency and effectiveness, and distinguishes the outputs and outcomes of government funded services for people with disability. The performance indicator framework shows which data are complete and comparable in the 2016 Report.

Indicator framework explained in the chapter

An overview of the Services for people with disability performance indicator results are presented. Information to assist the interpretation of these data can be found in the indicator interpretation boxes in the Services for people with disability chapter and attachment tables.

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Equity — Access to appropriate services on the basis of relative need indicators

Access to National Disability Agreement (NDA) accommodation support services

Proportion of potential population who used accommodation support services, 2013-14.

Most recent data for this measure are comparable and complete, subject to caveats (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
rate	5.6	4.7	5.4	6.1	11.1	9.5	5.7	5.6	5.8

Source: Attachment table 14A.19

Service use by severity of disability

Proportion of people using accommodation support services who need help with Activities of Daily Living, 2013-14

Most recent data for this measure are comparable and complete, subject to caveats (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
%	83.5	77.4	84.8	93.5	87.3	88.7	82.4	79.2	84.3

Source: Attachment table 14A.27

Service use by special needs groups

Proportion of Aboriginal and Torres Strait Islander Australians using accommodation support services per 1000 Aboriginal and Torres Strait Islander potential population, 2013-14

Most recent data for this measure are comparable and complete, subject to caveats (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
rate	40.7	24.5	42.8	67.7	117.4	31.7	43.2	100.1	51.5

Source: Attachment table 14A.40

Access to community accommodation and care services

Users of NDA community accommodation and care services as a proportion of all accommodation support service users , 2013-14

Most recent data for this measure are comparable and complete, subject to caveats (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
%	90.5	95.5	90.1	95.9	92.0	87.2	100.0	100.0	92.3

Source: Attachment table 14A.56

Assistance for younger people with disability in residential aged care

Rate of younger people admitted to permanent residential aged care per 10 000 potential population, 2014-15

Most recent data for this measure are comparable and complete, subject to caveats (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
rate	35.7	35.2	26.5	24.0	31.9	49.0	15.1	5.7	31.6

Source: Attachment table 14A.63

Effectiveness — Quality — Client and carer perception indicators

Client and Carer Satisfaction

Proportion of people with disability who are satisfied with the quality of assistance received, 2012

Most recent data for this measure are comparable and complete, subject to caveats (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
%	81.3±3.3	77.6±3.7	79.6±5.3	83.0±8.5	85.3±5.8	92.1±6.9	77.5±11.9	87.5±16.2	79.5±2.4

Source: Attachment table 14A.76

Proportion of primary carers who are satisfied with the quality of assistance received, 2012

Most recent data for this measure are comparable and complete, subject to caveats (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
%	65.0±8.1	68.4±12.8	74.9±14.0	61.4±19.9	67.3±14.6	82.5±22.1	60.2±18.2	100.0±–	69.0±5.0

Source: Attachment table 14A.80

Efficiency indicators — Cost per output unit

Government contribution per user of non-government provided services

Government funding per user of non-government provided accommodation support services in institutional/residential setting, 2013-14

Most recent data for this measure are not comparable, but are complete (subject to caveats) (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
$	61 566	30 345	66 212	117 540	64 385	52 521	..	..	63 479

Source: Attachment table 14A.84

Cost per user of State and territory administered services

Total estimated expenditure per service user, State and Territory government administered programs, 2013-14

Most recent data for this measure are not comparable, but are complete (subject to caveats )(chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
$	40 407	26 851	42 394	43 761	27 721	26 585	18 061	31 675	39 072

Source: Attachment table 14A.87

Administrative expenditure as a proportion of total recurrent expenditure

Administration expenditure as a proportion of total expenditure (including actual and imputed payroll tax), 2014-15

Most recent data for this measure are not comparable, but are complete (subject to caveats) (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust Gov	Aust
%	6.5	8.4	5.2	3.3	3.7	6.2	8.7	4.7	7.0	6.2

Source: Attachment table 14A.88

Outcome indicators

Labour force participation and employment of people with disability

Labour force participation rate for people with disability aged 15-64 years, 2012

Most recent data for this measure are comparable and complete (subject to caveats) (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
%	50.6±1.7	53.4±2.7	54.0±2.8	56.5±5.1	52.6±1.9	45.8±3.1	63.0±5.3	58.6±7.0	52.8±1.3

Source: Attachment table 14A.89

Labour force participation of primary carers of people with disability

Labour force participation rate for primary carers aged 15-64 years, 2012

Most recent data for this measure are comparable and complete (subject to caveats) (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
%	47.5±7.3	53.4±4.4	55.6±6.6	59.4±8.6	52.7±9.6	58.2±12.7	67.8±14.7	91.2±21.1	52.8±3.2

Source: Attachment table 14A.100

Social participation of people with disability

People with disability aged 15-64 years who have had face-to-face contact with ex-household family or friends in the previous week, 2012

Most recent data for this measure are comparable and complete (subject to caveats) (chapter 14)
	NSW	Vic	Qld	WA	SA	Tas	ACT	NT	Aust
%	72.8±2.9	76.3±3.2	69.7±1.6	77.6±3.0	77.5±2.6	78.1±5.9	73.8±6.7	72.7±5.3	74.2±1.2

Source: Attachment table 14A.114

Legend

.. Not applicable.

Some results reported here include 95 per cent confidence intervals (for example, 80 per cent ± 2.7 per cent).

Performance indicator data for Aboriginal and Torres Strait Islander people in this chapter are available in the attachment tables listed below. Contextual data and further supporting information can be found in the chapter.

Services for Indigenous people with disability data
Table number	Table title
Table 14A.39	Indigenous users of State/Territory delivered NDA services aged 0-64 years
Table 14A.40	Users of NDA accommodation support services, by Indigenous status
Table 14A.41	Users of NDA community support services, by Indigenous status
Table 14A.42	Users of NDA community access services, by Indigenous status
Table 14A.43	Users of NDA respite services, by Indigenous status
Table 14A.44	Users of NDA employment services (aged 15-64 years), by Indigenous status
Table 14A.45	Indigenous users of NDA open employment services/Employment Support Services aged 15-64 years, by age
Table 14A.46	Indigenous users of NDA Disability Management Services aged 15-64 years, by age
Table 14A.47	Indigenous users of NDA supported employment services/ Australian Disability Enterprises aged 15-64 years, by age
Table 14A.63	Rate of younger people admitted to permanent residential aged care per 10 000 potential population
Table 14A.64	Younger people who separated from permanent residential aged care to return to home/family
Table 14A.65	Younger people receiving permanent residential aged care
Table 14A.149	Indigenous users of basic community care services under 50 years, users born in non-English speaking countries under 65 years and all users aged under 65 years and Indigenous users aged under 50 years