Imagining, Making and Managing Cash for Care in Australia

Fiona Macdonald ()
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Fiona Macdonald: RMIT University

Chapter Chapter 4 in Individualising Risk, 2021, pp 65-90 from Springer

Abstract: Abstract Australia’s new individualised National Disability Insurance Scheme (NDIS) establishes a market in which service providers compete with each other to provide services to individual social care ‘consumers’ within the context of tight pricing and an individualised hourly-based pricing arrangement. The NDIS has the potential for a very large proportion of the publicly-funded individualised social care market to be highly unregulated. This chapter draws on analysis of texts of key documents containing the arguments and ideas underlying the design and management of the individualised and marketised social care scheme. It explores what evidence informed the policy development process, what ideas guide the management of the scheme and what considerations are given to the frontline social care workforce in these processes. The analysis reveals some of the underlying ideas and values embedded in the new social care system. It identifies some inherent tensions and apparent contradictions in the NDIS design, market approach and system aspirations for quality and safety. These tensions and contradictions suggest risks for the ongoing sustainability of the workforce, for individual workers and for people relying on the system for their care and support.

Keywords: Australia—NDIS; Individualised care funding; Disability support services; Care quality; Social care policy; Social care workforce; Managed markets (search for similar items in EconPapers)
Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:spr:sprchp:978-981-33-6366-3_4

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DOI: 10.1007/978-981-33-6366-3_4

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