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ABSTRACT
As part of the international trend towards personalisation, in 2013 Australia launched a major disability scheme aiming to give participants greater choice and control over services. The scheme aims to cover a wide diversity of disabilities, services and significant geographical area – resulting in a highly complex system of local overlapping markets. At four years into implementation a range of challenges have emerged. In this paper we firstly describe the Australian National Disability Insurance Scheme, then explore a range of implementation challenges it currently faces as a large-scale personalisation scheme. Based on these experiences we pose a range of questions for similar schemes internationally.
Disclosure statement
No potential conflict of interest was reported by the authors.
Notes on contributors
Associate Professor Gemma Carey Research Director at the Centre for Social Impact and researches the implementation of complex social reforms.
Eleanor Malbon is a research associate with the Public Service Research Group, University of New South Wales, Australia. She has a background in human ecology and complex systems science, and currently writes on public administration and welfare. Her work primarily focuses on large scale reform, and she also addresses the intersection of public administration, welfare and systems science.
Dr Sue Olney is a Postdoctoral Fellow in the Public Service Research Group in the School of Business at UNSW Canberra. She has worked in academia, government and the non profit sector. She holds a PhD in Public Policy and a Master of Public Policy & Management from the University of Melbourne.
Daniel Reeders is a PhD Candidate in the field of regulation and governance with a particular interest in the cultural aspects of the governance of health.