The panel explored changes set to transform the ageing, mental health and disability sectors. Panel members spoke of the introduction of consumer-directed care reforms, such as service systems, and ways that community organisations can maximise the opportunities that these services present. Discussions also highlighted the importance of these service system changes, acknowledged successes already achieved, and outlined why historically, many consumers of services have felt disenfranchised or received inadequate care.

Speakers with experience in navigating these systems shared their hopes and concerns about the changes. Panel member Melanie Lewis, Executive General Manager Client Services, State Trustees Australia Foundation, said “We need to understand the implications associated with introducing client choice and how community organisations can work to aid the transition to an NDIS.”

Emphasising the need for sector preparedness, Collaborative Panel Chair, Carers Victoria’s Caroline Mulcahy commented that “It is essential that both the sector and the people who use these services are equipped with the skills and knowledge to be able to manage the transition, and thrive in the new service system environment.”

Some outcomes from the forum:

• The move to consumer driven services is positive – it has the potential to increase choice, control and flexibility for consumers, and break down barriers and stigma. However, there are risks for individual and organisations, including the risk of markets failing to provide adequate choice (particularly in regional or remote communities). It is also unclear what supports will be available for some people with mental illness and for carers. Consumers spoke of wanting services that listen to them, and understand individual people’s different challenges and desires.
• The issue of workforce retention and support was identified as an area to monitor, with all panellists and service providers agreeing that a skilled and supportive workforce is essential. Service pricing needs to support this.
• It remains to be seen how aged care reform will affect Victoria’s older people. Victoria must advocate to protect our already strong HACC and aged care system as we move to a nationally consistent program.
• The needs of distinct communities such as culturally and linguistically diverse communities and Aboriginal and Torres Strait Islander communities must be considered. Especially as small providers who currently cater to these communities could be challenged by the move to NDIS and the entry of new competitors.