The next righteous LNP mission: Let's gut the NDIS

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LiquidCrow

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Feedback so far from patients who’ve gone through the new independent assessment trial is that it’s basically a 3 hour interview/checklist assessment by someone who doesn’t know their history, might not be familiar with their case and may not even be in a relevant field (Eg. physiotherapist for patient with primary mental illness).

Currently NDIS assessors have no obligation to take into account doctors recommendations/reports, and there seem to be quite a few managerial types involved who believe they know best regarding what services should be funded, even when patient, support coordinators and clinicians agree on the most appropriate course of action.

I predict it will probably end up going down the pathway of Workcover/third party/insurance style assessments where a select group of clinicians are paid big money to write lengthy, but otherwise meaningless reports to justify why someone shouldn’t have their treatment funded. At least in these instances if you have a mental health problem you’ll be seen by a psychiatrist. With the NDIS, the difference so far is that there doesn’t look like there will be any avenue for mediation, appeals or even obtaining the assessments.
 

campbell

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Feedback so far from patients who’ve gone through the new independent assessment trial is that it’s basically a 3 hour interview/checklist assessment by someone who doesn’t know their history, might not be familiar with their case and may not even be in a relevant field (Eg. physiotherapist for patient with primary mental illness).

Currently NDIS assessors have no obligation to take into account doctors recommendations/reports, and there seem to be quite a few managerial types involved who believe they know best regarding what services should be funded, even when patient, support coordinators and clinicians agree on the most appropriate course of action.

I predict it will probably end up going down the pathway of Workcover/third party/insurance style assessments where a select group of clinicians are paid big money to write lengthy, but otherwise meaningless reports to justify why someone shouldn’t have their treatment funded. At least in these instances if you have a mental health problem you’ll be seen by a psychiatrist. With the NDIS, the difference so far is that there doesn’t look like there will be any avenue for mediation, appeals or even obtaining the assessments.
It so sad, but exactly how it will be.
 

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Bunk Moreland

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Feedback so far from patients who’ve gone through the new independent assessment trial is that it’s basically a 3 hour interview/checklist assessment by someone who doesn’t know their history, might not be familiar with their case and may not even be in a relevant field (Eg. physiotherapist for patient with primary mental illness).

Currently NDIS assessors have no obligation to take into account doctors recommendations/reports, and there seem to be quite a few managerial types involved who believe they know best regarding what services should be funded, even when patient, support coordinators and clinicians agree on the most appropriate course of action.

I predict it will probably end up going down the pathway of Workcover/third party/insurance style assessments where a select group of clinicians are paid big money to write lengthy, but otherwise meaningless reports to justify why someone shouldn’t have their treatment funded. At least in these instances if you have a mental health problem you’ll be seen by a psychiatrist. With the NDIS, the difference so far is that there doesn’t look like there will be any avenue for mediation, appeals or even obtaining the assessments.
Clinicians and providers are absolutely dead-against “independent assessments” for the reasons you point out - they’re carried out by people who (a) don’t know the patient and (b) aren’t necessarily even ******* qualified.

Why even have doctors or specialists if we’re not going to take their word for things?
 

Father Jack

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The problem with letting doctors make decisions is they have zero interest in responsible stewardship of taxpayer money
Are you suggesting they might take measures to improve someone's health and quality of life without considering the status of the electorate they're operating out of? Those bastards.
 

Caesar

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Are you suggesting they might take measures to improve someone's health and quality of life without considering the status of the electorate they're operating out of? Those bastards.
I’m saying that doctors have little to no understanding of or interest in opportunity cost when it comes to other people’s money
 

Gough

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I’m saying that doctors have little to no understanding of or interest in opportunity cost when it comes to other people’s money
And when asked for your solution you quoted Yes Minister, how do you actually suggest this is solved?
 

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Caesar

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And when asked for your solution you quoted Yes Minister, how do you actually suggest this is solved?
Much as it does now - politicians set the broad rules, doctors make the clinical decisions, bureaucrats ensure those decisions conform to rules via an applicable governance framework
 
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Ned_Flanders

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Much as it does now - politicians set the broad rules, doctors make the clinical decisions, bureaucrats ensure those decisions conform to rules via an applicable governance framework
until it effects you or your loved ones, at which time you will be squealing like a stuck pig for the doctors recommendation to be followed.

i love how economic rationalists like you are always eager for others to suffer to help the budget out
 

Gough

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It looks as if Stuey Roberts petty morals are having a big influence on this policy too. God hasn't chosen the disabled like she's chosen him so f*** 'em.
 

Gough

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I’m all for a compassionate and supportive NDIS, but it needs to be budgeted and paid for and doctors are no good at controlling costs
Maybe we could cancel the tax cuts due to roll in soon. You could hardly regard that in the situation we are at the moment as responsible stewardship of money.
 

Caesar

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Maybe we could cancel the tax cuts due to roll in soon. You could hardly regard that in the situation we are at the moment as responsible stewardship of money.
If they hadn’t already been locked in, maybe

Can’t go messing with that stuff after it’s already been committed to, too much sovereign risk
 

Father Jack

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I’m all for a compassionate and supportive NDIS, but it needs to be budgeted and paid for and doctors are no good at controlling costs
So some beancounter chooses which bits of the doctor's opinion are safe to ignore? The same beancounters that are happy with Gerry Harvey pocketing millions in covid payments?
 

Ned_Flanders

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If they hadn’t already been locked in, maybe

Can’t go messing with that stuff after it’s already been committed to, too much sovereign risk
NDIS - change it now!!!

Tax cuts - impossible to reverse, sovereign risk

You really are just a heartless IPA puppet

fu** people having a chance to work, or socialise, or live a normal life. Let them stay in their room and think of the taxpayers. We need those tax cuts for our new Audi FFS!!!
 

Caesar

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So some beancounter chooses which bits of the doctor's opinion are safe to ignore?
Of course doctors should have absolute discretion on clinical decisions - as long as they fall within a framework that ensures the efficient allocation of scarce resources

fu** people having a chance to work, or socialise, or live a normal life. Let them stay in their room and think of the taxpayers. We need those tax cuts for our new Audi FFS!!!
Straw man
 
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