Richard Spencer Commissioner Melbourne, 20 July 2017 Inquiry - - PowerPoint PPT Presentation
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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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
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
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.
Improved contestability arrangements
Remote Indigenous
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Longer contract terms Tender timing and coordination Provider selection Transfer skills
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