Health & NDIS: Interface in the age of COVID-19 EnableNSW helping people leave hospital sooner Steven Davison - Director, Social Policy Implementation NSW Ministry of Health Jackie Hiller – Manager, EnableNSW ACI Webinar – 21 May 2020 1
Update on Disability Resources NSW Health will publish an Easy Read version of the new Public Health Order (made on 14 May) that • authorises an easing of restrictions. NSW Health has published information on the new Public Health Order. The PHO commenced on 15 May with • some provisions coming into effect on 19 May - https://www.health.nsw.gov.au/Infectious/covid-19/Pages/public- health-orders.aspx NSW Health has published a COVID-19 update webinar with presenters from the Royal Australian College of • General Practitioners (RACGP) & NSW Ministry of Health - https://www.youtube.com/watch?v=XNn8u3laTDA&feature=youtu.be The National Disability Insurance Agency (NDIA) has published a provider newsflash on improved flexibility to • support participants and providers during COVID-19 - https://mailchi.mp/ndis.gov.au/marketsandprovidersnewsflash200518 2
Public Health Guidance for the Disability Sector NSW Health has published information specific for disability support providers. This information is being updated to reflect the new Public Health Order made on 14 May - https://www.health.nsw.gov.au/Infectious/covid- 19/Pages/disability-support.aspx. The latest PHO provides that: From Friday 15 May, the following will be allowed in NSW, in addition to measures already announced: Outdoor gatherings of up to 10 people • Cafes and restaurants can seat 10 patrons at any one time • Up to 5 visitors to a household at any one time • Weddings up to 10 guests • Indoor funerals up to 20 mourners, outdoor funerals up to 30 • Religious gatherings/places of worship up to 10 worshippers • Use of outdoor equipment with caution • Outdoor pools open with restrictions • Physical distancing is still required in all of the above activities. NB: The orders do not prevent the use of premises to provide a service to assist vulnerable people and do not restrict disability service providers from continuing to provide services including, for example, day programs and similar activities. Appropriate risk management principles should be applied and adherence to infection control measures should be maintained. 3
Update on Discharge Delays • SIL and SDA providers have been submitting lists of vacancies to NSW Health for 8 weeks. During this time over 220 NDIS participants have connected with providers and been discharged from hospital. The updated SDA/SIL vacancy list is distributed regularly to the NSW Health Local Health Districts and Specialty Health Networks. • We wish to thank all providers for their help during the COVID-19 response. Any NDIS providers who still wish to submit vacancy information please email the MOH-NDIS@health.nsw.gov.au. • The process of a participant finding a suitable vacancy during admission is supported by two safeguards: 1. NSW Health has policy that guides safe transition of care arrangement which applies to all staff. This ensures that all patients are discharged from hospital into safe and secure arrangements. 2. The NDIA is responsible for ensuring that funding in participant plans allows access to all reasonable and necessary supports required by the participant to live safely in the community. NSW Health staff work to ensure that participants in hospital are discharged safely and where they are provided with all the services they require to live safely and securely in the community. If anyone is aware of any situation where a participant’s discharge arrangements are causing hardship or are unstable, please immediately alert the local hospital, email MOH-NDIS@health.nsw.gov.au or call 0417 203 790. If there is a medical emergency call 000 immediately 4
Contacts Medical assistance • Anyone with an unexplained fever or new respiratory symptoms is encouraged to get tested for COVID-19 even if the symptoms • are mild. A range of public and private testing options are available: https://www.health.nsw.gov.au/Infectious/diseases/Pages/coronavirus-clinics.aspx https://www.health.gov.au/news/health-alerts/novel-coronavirus-2019-ncov-health-alert https://www.health.nsw.gov.au/infectious/diseases/Pages/coronavirus-testing.aspx (requires GP request) You can access medical assistance for other issues from your GP or hospital emergency department (ED) or by calling healthdirect • on 1800 022 222 or visit at https://www.healthdirect.gov.au/. If you have a medical emergency call 000. • NSW Ministry of Health • Email questions to the MOH-NDIS Inbox - MOH-NDIS@health.nsw.gov.au. • NDIA • Phone 1800 800 110 , contact your Local Area Coordinator or visit https://www.ndis.gov.au/coronavirus. • NDIS Quality and Safeguards Commission • Phone 1800 035 544 or visit the website at https://www.ndiscommission.gov.au/. • 5
Supporting NDIS hospital discharge during COVID-19 6
What is the goal of this pathway? 01 03 02 Provide the right information Help NDIS patients Loan/provide NDIS to the NDIA to assist with leave hospital when patients with clinically the person’s long term they are medically appropriate equipment planning of Assistive ready. This will free up and/or minor or temporary Technology (AT) and home beds and valuable home modifications for modification needs resources for Local safe hospital discharge Health Districts (LHDs) 7
Who is eligible to use this pathway? Any person who is NDIS eligible/confirmed Medically ready to leave hospital or anticipated to leave in the coming weeks Need to loan personal care or mobility equipment and/or minor/temporary home modifications to safely discharge and manage their condition at home 8
Equipment and home modifications for safe discharge Of requests can be met through the equipment range available at the 80% EnableNSW Equipment Centre (EEC). Equipment is available for immediate delivery statewide. For customised, clearance or access to the power wheelchair allocation program, call and speak to the senior project officer. For minor or temporary home modifications, call and speak to the home modifications advisor. 9
The enrolment and referral form in brief • Person’s • What you • Flag the NDIS want from persons details Enable long term AT needs Long term needs • Functional • Short term Short term loan on the form impairment AT for NDIS • Minor or NDIS Details • Permanent temporary equipment. home mods • Permanent or fixed home mods 10
Work in progress already? AT selected, ready Home mods not AT supply chain for delivery ? issue? started Hospital discharge held up Everything ready to deliver Home modifications except for insufficient by supply chain issues/ specified but not funds in NDIS plan? customised items? started/complex? Select short term loan equipment for safe Speak to us about mods required for Escalate to LHD NDIS Transition hospital discharge and use the pathway. discharge and use the enrolment form Lead and finish the process you to refer long term needs to NDIA. have started Put the info for the long term into the referral section of the enrolment form. OR discuss alternate accommodation options with transition lead 11
Using the pathway to date? 1 4 7 21 7 Completed 7 In progress 2 Cancelled 4 At enquiry 2 APPLICATIONS 1 Declined 7 12
Successful case studies CASE 1: Man with existing neurological condition, fell as a result and was admitted Equipment required: In stock: Days to delivery: 3 13
Successful case studies CASE 1: Man with intellectual disability, obesity and multiple co-morbidity, vulnerable re COVID-19 In stock: NO Equipment required: Days to delivery: Supplier? + 12 14
Resources to help you get started 01 02 03 04 Skype information Your information Information EnableNSW staff sessions sources sheet & FAQs Will be distributed Three dedicated Commencing 25 May, Find information through various staff are available to about this pathway Register at: LHD and NDIA help answer your through your usual https://healthnswevents.event channels questions sources and sair.com/covid-19-pathways- networks supporting-ndis-hospital- discharge/accept/Site/Register 15
Questions? 16
Thank You 17
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