Richard Spencer Commissioner Melbourne, 20 July 2017 Inquiry - - PowerPoint PPT Presentation

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Richard Spencer Commissioner Melbourne, 20 July 2017 Inquiry - - PowerPoint PPT Presentation

Putting users at the centre of human services Presented by Richard Spencer Commissioner Melbourne, 20 July 2017 Inquiry timeline Receipt of terms of reference Preliminary findings report released (29 April 2016) (22 September 2016) Draft


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Presented by

Richard Spencer

Commissioner

Putting users at the centre of human services

Melbourne, 20 July 2017

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Inquiry timeline

Human services

Receipt of terms of reference (29 April 2016) Study report released (5 December 2016) Draft report released (2 June 2017) Preliminary findings report released (22 September 2016) Submissions due, Public hearings begin (July 2017) Final report submitted (October 2017)

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What will we cover? Public Dental End-of-life Care Social Housing Family & Community Services Remote Indigenous Public Hospitals

In the next 20 minutes

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User choice and competition Remote Indigenous

Human services Who? How? What? When? Where?

User choice

Competition

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Government stewardship

Human services

“Government stewardship is the range of functions that help to ensure service provision is effective at meeting its objectives.”

─ PC 2017

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Improving government stewardship

Human services

Greater coordination More transparency Smoother transitions

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Reforms to social services

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Social housing is broken

Social housing

A two-tiered model of housing assistance.

Inequitable

Reduces choice

Encourages people to stay

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Putting users at the centre of social housing

Social housing

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Commissioning family and community services

Planning Service design Selecting providers and contracting Monitoring and evaluation

The commissioning cycle

Family & community services

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Practical reforms

Relational contracting Longer contract terms Measure

  • utcomes

Family & community services

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Services in remote Indigenous communities: Coordination needed

Remote Indigenous

Services in Jigalong

39

providers

90 services <400

people

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Jigalong is a remote community in the Pilbara region of Western Australia, around 165 km east of the town of Newman.

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Improved contestability arrangements

Remote Indigenous

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Longer contract terms Tender timing and coordination Provider selection Transfer skills

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Reforms to health services

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End-of-life care: A growing need

will need end-of-life care

up to 90% 320 000 deaths annually by 2050

End-of-life care

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End-of-life care: matching preference & place of death

End-of-life care

Hospital Aged care facilities E.D. Home and other

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Hospitals: choice and information

Public hospital services

?

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Public dental: choice and targeted prevention

Public dental services

No treatment Preventive & early intervention care A healthy patient Oral Disease No treatment Restorative treatment GP visits Hospital admissions The broader cost of oral disease · Decreased quality of life · Decreased productivity · Effect on general health Appropriate care maintained over an idividual’s lifetie Appropriate care maintained over an idividual’s lifetie

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Thanks

Melbourne, 20 July 2017

pc.gov.au Reforms to human services