Supported Independent Living: The beginning of the end – and what comes next

It is certainly no secret that the Agency has had concerns with the rising cost of Supported Independent Living (SIL) for some time. The NDIA’s last quarterly report identified that 23,368 (5.4%) participants were accessing SIL, with a staggering 27% of total NDIS supports committed to those 5.4% of participants. The Agency’s constant messaging about the increasing average cost of SIL is a strong indicator of the trepidation they have about the ongoing sustainability of the scheme.

The recent consultation paper “An Ordinary Life at Home”, released in September 2021, provides a strong indication about the direction the agency wants to take. Their vision of “an Australia where people with disability live ordinary lives in ordinary homes and are included in their communities” (NDIA: Consolation Paper: An Ordinary Life at Home, September 2021) is a bold and inspirational position. The paper emphasises Individualised Living Options (ILO) as its pivotal way to make the change towards its newly articulated vision. It even goes so far as to raise some serious concerns with SIL in its current form and in its inability to create an ordinary life for people with a disability, including the highlighting of research that shows that people with a disability in SIL are at a higher risk of abuse and neglect; inappropriate placements; workforce issues; cultural issues; and isolation. Is this a clue to perhaps the demise of SIL as we know it?

ILO will undoubtedly give more choice and control to people with a disability who are looking for living arrangements and is perhaps just what is needed.

Whilst the failure of government to implement independent assessments was a huge win for people with disability, the Agency is now seeking an alternative to curb the cost of SIL, which poses a considerable financial risk to the sustainability of the NDIS. ILO could be the answer. The Agency’s hypothetical example of a client moving from SIL to ILO is used to highlight the potential cost saving of 18.5% that would be created.

In my view, ILO would have a positive impact on the lives of people with disability as they are afforded more choice, control and improvements in living arrangements, not to mention the impact on the sustainability of the scheme now and into the future.

Market research suggests that there are insufficient ILO providers to meet current demand. This gap in the market is only going to widen as the Agency switches it’s focus from SIL to ILO. Organisations need to be proactive in their consideration of the long-term trajectory of SIL and begin processes to position themselves as reputable providers who understand the intricacy and individualised approach to ILO.

For more information on how you can start your journey into ILO, contact us.

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