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 report released Study report released (2 June 2017) (5 December 2016) Final report submitted (October 2017) Submissions due, Public hearings begin (July 2017) Human services 2
What will we cover? Remote Social Housing Family & Community Indigenous Services End-of-life Care Public Hospitals Public Dental In the next 20 minutes 3
User choice and competition Who? When? User choice What? Where? How? Competition Remote Indigenous Human services 4
Government stewardship “Government stewardship is the range of functions that help to ensure service provision is effective at m eeting its objectives.” ─ PC 2017 Human services 5
Improving government stewardship Greater coordination More transparency Smoother transitions Human services 6
Reforms to social services
Social housing is broken A two-tiered model of housing assistance . Inequitable Reduces Encourages people to stay choice 8 Social housing
Putting users at the centre of social housing 9 Social housing
Commissioning family and community services The commissioning cycle Service Planning design Selecting Monitoring providers and and evaluation contracting 10 Family & community services
Practical reforms Longer Measure contract Relational outcomes terms contracting 11 Family & community services
Services in remote Indigenous communities: Coordination needed Services in Jigalong Jigalong is a remote community in the Pilbara region of Western Australia, around 165 km east of the <400 town of Newman. people 39 90 services providers 12 Remote Indigenous
Improved contestability arrangements Longer Tender Provider Transfer contract timing and selection skills terms coordination 13 Remote Indigenous
Reforms to health services
End-of-life care: A growing need 320 000 deaths annually by 2050 up to 90% will need end-of-life care 15 End-of-life care
End-of-life care: matching preference & place of death E.D. Home and other Aged care facilities Hospital 16 End-of-life care
Hospitals: choice and information ? 17 Public hospital services
Public dental: choice and targeted prevention GP visits No treatment Hospital Oral A healthy No treatment admissions Disease patient Restorative treatment Preventive & early intervention care Appropriate care Appropriate care maintained over an maintained over an i�dividual’s lifeti�e i�dividual’s lifeti�e The broader cost of oral disease · Decreased quality of life · Decreased productivity · Effect on general health 18 Public dental services
Thanks Reforms to human services pc.gov.au Melbourne, 20 July 2017
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