Integrated care and the NDIS

The Journal of Integrated Care has recently published a special issue on Integrated Care in Australasia.  This issue features papers on topics such as: Why understanding what matters to the patient mattersPeople-centred integration in a refugee primary care service: A complex adaptive systems perspectiveSpace, time and demographic change: A geographical approach to integrating health and social careIntegrated care in practice – the South Eastern Sydney experience; and, The theory and practice of integrative health care governance: The case of New Zealand’s alliances.  Also featured in this paper is a piece by myself and Gemma Carey on Managing care integration during the implementation of large-scale reforms: The case of the Australian National Disability Insurance Scheme.

Gemma and I are currently involved in a number of different projects examining different aspects of the National Disability Insurance Scheme as it is implemented across the country (some of these I have written about before and others are coming soon).  One of the themes that has been discussed across many of these different research projects is where the boundaries lie between the offer from the National Disability Insurance Scheme and what is the responsibility of mainstream services.  Most of those who are eligible for individual funding packages under the NDIS will likely access a number of mainstream services in addition.  Yet, our research indicates that a number of discussions and debates are arising around where precisely these boundaries should lie and who should be responsible for funding which aspects of these services.  In our paper we flesh out the facets of these debates in more detail and reflect on how similar some of these issues are to those that have played out in other contexts (e.g. the UK).  In the coming weeks I will report more on consumer experiences of these boundaries from another research project I am involved in.  Those interested in education may also wish to take a look at this article from academics at Deakin University who have also identified similar challenges in terms of boundary-patrolling between the NDIS and education.

If you are interested in the special edition and would like to head to Sydney for the launch this will take place on the 24th February 9.30-12.30 at Sydney Hospital.  This event will feature a keynote address by Dr Robin Miller on international perspective on integrated care.   Robin is a Senior Fellow and Director of Evaluation at the Health Services Management Centre, a Senior Associate of the International Foundation for Integrated Care and a co-editor of the Journal of Integrated Care. This will be followed by a presentation by Professor Joanne Travaglia on reflections on integration in Australasia. Jo is Professor of Health Services Management, Faculty of Health at the University of Technology, Sydney.  If you would like to attend please RSVP your attendance to Daniel.Shaw@health.nsw.gov.au by COB Monday 20th February 2017.

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