National Disability Insurance Scheme

What is the NDIS

The National Disability Insurance Scheme (NDIS) was established to help support those people with a significant and permanent disability, along with their carers and families.

Recently the NDIS Quality and Safeguards Commission (NDIS Commission) was established to provide independent regulation to improve quality and safety of the care delivered by providers and ensuring that the providers delivering support and services are meeting the NDIS Practice Standards and NDIS Provider registration requirements.

What are the changes?

The NDIS Commission will progressively take over the responsibility of regulating the safety and the quality of the disability support services  from the state and territory governments from July 2018.

  • NSW and SA from 1 July 2018
  • ACT, NT, QLD, TAS, and VIC from 1 July 2019
  • WA from 1 July 2020

Existing State/territory Quality and Safeguard arrangements for disability services remain in place until each State/territory transitions to the NDIS Commission and NDIS Practice Standards.

 

What are the NDIS Practice Standards?

The new standards ensure a national consistent approach to quality and safety of services. All new NDIS service providers, and those existing registered service providers are required to comply with a national standard of quality and safety – The NDIS Practice Standards. The NDIS Practice Standards consist of a core module and several supplementary modules that apply according to the types of supports and services NDIS providers register and deliver.

The Core module covers:

  • Rights and responsibility for participants
  • Governance and operational management
  • The provision of supports, and
  • The support provision environment

The supplementary modules include:

  • High intensity daily personal activities
  • Specialist behaviour support, including implementing behaviour support plans
  • Early childhood supports
  • Specialised support coordination
  • Specialist disability accommodation

Each module of the NDIS Practice Standards consists of a series of high level, participant focused, outcomes. Each outcome is associated to a number of quality indicators.

 

 


What is involved?

All providers seeking NDIS Provider registration (both new providers, and those seeking re-registration) will be required to undertake an audit against the applicable NDIS Practice Standards as part of the NDIS Commission’s registration requirements. Under the new NDIS Commission, there will be two ways to assess whether a provider meets the relevant NDIS Practice Standards:

Verification

For individual sole traders and partnerships delivering lower risk or less complex services. When registering or re-registering through verification, NDIS providers supply documentation against the four outcomes within the Verification Module of the NDIS Practice Standards. Verification Audits are a desktop audit which can usually be done off-site

Certification

For higher risk, more complex services and supports, and for organizations that are formed as a ‘body corporate’. A certification audit is required to examine a providers’ governance and operational management processes and their ability to deliver safe and quality services.

Assessment Process:

Once a provider has submitted a registration/renewal application with the NDIS Commission, an email confirmation will be received.When registering with the NDIS for the first time, the NDIS Commission’s system will also generate an ‘initial scope of audit’ document based on the information provided on the registration application. This document will direct PwC's Compliance services to which audit the NDIS Provider requires and also which modules of the NDIS Practice Standards will be assessed. NDIS Providers will be asked to provide a copy of their ‘initial scope of audit’ document when requesting an obligation-free proposal from us.

 

An assessment consists of two steps:

Stage 1 Audit

Completed off site for Verification Audits and usually onsite for Certification Audits. The NDIS Provider will need to provide a completed self-assessment to their assigned auditor for review along with evidence documents (such as policies and procedures).

Following review a Stage 1 Report will be uploaded to the NDIS Commission portal and planning of Stage 2 assessment will commence as appropriate. A copy of the stage 1 finding will be provided at a minimum two weeks prior to the Stage 2 audit where non-conformances were raised

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Stage 2 Audit

This is completed onsite for Certification audits. For a certification audit our auditors visit the NDIS Provider’s head office and a sample of sites where services are delivered. The auditor will assess compliance with the NDIS Practice Standards through document reviews, observing service delivery and interviews with staff and participants.

Following the assessment visit a Stage 2 Report will be prepared and sent to the NDIS provider as draft for feedback. Once we have received feedback, the report will be finalized and uploaded to the Commission portal.

While a recommendation of verification/certification is used by the NDIS Commission to determine whether an organisation should be registered or not, registration is solely determined by the NDIS Commission at their discretion.

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Ongoing Certification or Verification

Certification and Verification is valid for 3 years. To ensure Certification or Verification is renewed, an assessment to the NDIS Practice Standards must be conducted every 3 three years prior to the expiry of the NDIS Provider’s Registration. This involves the stage1 and stage 2 approach described above. For organisations who are certified (rather than verified), annual surveillance audits will also be conducted to ensure continuing compliance with the NDIS Practice Standards.

Next steps

Your verification or certification journey will be different depending on where you're located and what your needs are as an organisation. To find out more, please contact us on AU_NDIS-certification@pwc.com and one of our team members will assist you.

Contact us

 

 


Our Auditors

Our auditors are qualified and trained to ensure they have a good understanding of the health and human services industry as well as the NDIS Practice Standards. Police checks, Working With Children Checks and regular performance reviews, including on site witnessing of their audit work forms part of our processes.

To ensure our auditors are competent in auditing the NDIS Practice Standards, NDIS registration groups and specific NDIS Practice Standards Modules, we assess their competency and, if competent, allocate the Standard and specific codes to our auditors.  AS NDIS providers, your organisations are similarly coded (based on the Registration Groups and Modules requiring auditing) and our system then ‘matches these’. This ensures that only competent and trained auditors can be assigned to audits.


For more information, contact AU_NDIS-certification@pwc.com

 

Contact us

Isil Uysun

Partner, PwC Australia

Tel: +61 2 8266 0662

Alicia Clarke

Director, PwC Australia

Tel: +61 7 3257 5258

Peter Chandler

Director, PwC Australia

Tel: +61 7 32575453

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