Posts by Sacha
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Envirologue: Multi-no-choice –…, in reply to Mick Buckley,
and to transfer NZ farming knowledge to vertically-integrated Chinese corporate agri-businesses.
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Access: Disability as a wicked policy problem, in reply to Rosemary McDonald,
The submission (pdf) from the National Health Board’s purchasing arm shows nutty thinking continues from their MoH days (p6):
Overseas (and now local) evidence shows there are likely
to be cost savings if disabled people are able to manage their budgets and purchase relevant disability supports. These savings in overall spend have been offset to some extent by an increasing utilisation of the existing allocation, therefore cost savings are difficult to identify.There may need to be a trade-off between more choice and control, and a slightly reduced allocation.
This is reasonable as the costs for a person to manage their own budget should be less than the overheads incurred by providers
That’s right, disabled people actually spend more of what they are entitled to under individualised funding, so the entitlement must be cut.
And provider organisations spreading overheads across many clients are somehow *less* efficient than one person having to do all the administration thermselves, including hiring support staff, tax, etc. What planet are these clowns living on?
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Found the full text of English's speech to public servants.
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Hard News: Friday Music: So Rad, in reply to Russell Brown,
wow
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here is what's possible
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Access: Disability as a wicked policy problem, in reply to A S,
Yes, they’d better be funding a lot of ongoing evaluation – and advocacy. At least aged care has the detailed InterRAI dataset about each person’s experience and status. Disability has nothing in all the regular official datasets that help analysts make sense of policy impacts. A ‘special’ survey every 5 years is stuff-all use in a fast-moving environment.
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Access: Disability as a wicked policy problem, in reply to Hilary Stace,
the first thing that happens when they shift is they lose their income-related rent subsidy
If you are thinking of the Wairarapa experience, the new policy won't allow that to happen again by making all community housing orgs eligible to offer income-related rents.
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Access: Disability as a wicked policy problem, in reply to A S,
Agreed. Govt has already changed NGO contracting to outcomes-based models, and this just follows suit.
in many indicators
A core problem with disability services is the lack of any decent, regular data about outcomes to drive that policy approach. Not seeing any acknowledgement of that, including from organisations who are funded to think about and act on such matters.
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Access: Disability as a wicked policy problem, in reply to Hilary Stace,
Act pushed the Nats to create the Productivity Commission as a way to foist their fringe views on the rest of us. They write like uncaring economists, unsurprisingly.
However, as I've said the current disability support system is so fundamentally broken I do not believe whatever replaces it will necessarily be worse. But talking about success factors for inter-agency collaboration and culture change is not the same as delivering on them. There is plenty of scope for cock-ups, given how poor NZ's governance quality is.
Unless they invest in disabled people and families playing a big part of ongoing oversight, things will still be fraught. The report saying promises of 'co-design' are not advisable suggests a doing-for rather than doing-with attitude. Tiresome.
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Access: Disability as a wicked policy problem, in reply to A S,
I agree. Interesting to read it alongside Chris Trotter warning about what next week's Budget is likely to bring for govt services.
Why is the National Government preparing to pay (with our money!) the private sector for taking over the provision of services the public sector is perfectly capable of providing?
In essence, the answer is: because in mature capitalist economies like New Zealand’s there’s bugger-all new profit-making opportunities available to the private sector. Hence the growing interest in “social investment”, a new kind of venture which promises to pay the private shareholder a handsome dividend without the necessity of making massive capital outlays on plant and machinery – all of which is supplied by the hapless taxpayer.
And to help explain why the EGL pilots include the generation of service metrics,
In English’s own words to the Institute of Public Administration on 19 February 2015: “Testing for spending effectiveness will be core to this process. If we can’t measure effectiveness, it won’t be funded through social investment. We’ll be systematically reprioritising funding to providers that get results.”
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