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Disability Care and Support


  • Commission, Productivity

    (Productivity Commission)


The Productivity Commission inquiry report — Disability Care and Support — was released on 10 August 2011. Current disability support arrangements are inequitable, underfunded, fragmented, and inefficient and give people with a disability little choice. They provide no certainty that people will be able to access appropriate supports when needed. While some governments have performed much better than others, and there are pockets of success, overall, no disability support arrangements in any jurisdiction are working well in all of the areas where change is required. The current arrangements cannot be called a genuine ‘system’ in which different elements work together to achieve desired outcomes. The central message of this report is that a coherent and certain system for people with a disability is required — with much more and better-directed resourcing, a national approach, and a shift in decision-making to people with a disability and their carers. This overview explains what is wrong with the current arrangements and how to improve them. It shows how a new system would work for people with a disability and their families, and how it would provide benefits for the community as a whole. This overview booklet contains the key points, and an extensive summary of the Commission's analysis and recommendations. For the detailed supporting material, please view the full report from the Commission’s website.

Suggested Citation

  • Commission, Productivity, 2011. "Disability Care and Support," Inquiry Reports, Productivity Commission, Government of Australia, volume 0, number 54.
  • Handle: RePEc:ris:prodir:0054

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    Cited by:

    1. Duncan McVicar & Roger Wilkins, 2013. "Explaining the Growth in the Number of Recipients of the Disability Support Pension in Australia," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 46(3), pages 345-356, September.
    2. Henry Ergas, 2013. "National Disability Insurance Scheme Funding: The Case for Hypothecation," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 46(3), pages 338-344, September.
    3. Mac Domhnaill, Ciarán & Lyons, Seán & McCoy, Selina, 2020. "Specialist support for persons with disabilities living in the community: Review of international practice," Research Series, Economic and Social Research Institute (ESRI), number SUSTAT97, August.
    4. Souza, Flavio & Duff, Gordon & Swait, Joffre, 2021. "“Whose plan is it?” understanding how the goal pursuit of consumers and carers influence choices in the australian disability sector," Journal of choice modelling, Elsevier, vol. 40(C).
    5. Burgess, Teresa & Braunack-Mayer, Annette & Crawford, Gregory B. & Beilby, Justin, 2014. "Australian health policy and end of life care for people with chronic disease: An analysis," Health Policy, Elsevier, vol. 115(1), pages 60-67.
    6. Milner, A. & Krnjacki, L. & Butterworth, P. & Kavanagh, A. & LaMontagne, Anthony D., 2015. "Does disability status modify the association between psychosocial job quality and mental health? A longitudinal fixed-effects analysis," Social Science & Medicine, Elsevier, vol. 144(C), pages 104-111.
    7. Andrew Beer & Lyrian Daniel & Emma Baker & Laurence Lester, 2020. "The Shifting Risk of Homelessness among Persons with a Disability: Insights from a National Policy Intervention," IJERPH, MDPI, vol. 17(18), pages 1-10, September.
    8. John Walsh & Sarah Johnson, 2013. "Development and Principles of the National Disability Insurance Scheme," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 46(3), pages 327-337, September.
    9. Ross Williams, 2013. "Introduction," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 46(3), pages 325-326, September.
    10. Richard V. Burkhauser & Mary C. Daly & Brian T. Lucking, 2013. "Is Australia One Recession Away from a Disability Blowout? Lessons from Other Organisation for Economic Co-operation and Development Countries," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 46(3), pages 357-368, September.
    11. Kitty-Rose Foley & Sonya Girdler & Jenny Bourke & Peter Jacoby & Gwynnyth Llewellyn & Stewart Einfeld & Bruce Tonge & Trevor R Parmenter & Helen Leonard, 2014. "Influence of the Environment on Participation in Social Roles for Young Adults with Down Syndrome," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-11, September.
    12. Andrew Beer & Emma Baker & Laurence Lester & Lyrian Daniel, 2019. "The Relative Risk of Homelessness among Persons with a Disability: New Methods and Policy Insights," IJERPH, MDPI, vol. 16(22), pages 1-12, November.
    13. Georgia van Toorn, 2021. "Neoliberalism’s friends, foes and fellow travellers: What can radical feminist and disability perspectives bring to the policy mobilities approach?," Environment and Planning A, , vol. 53(4), pages 723-740, June.
    14. Caitlyn S. White & Erica Spry & Emma Griffiths & Emma Carlin, 2021. "Equity in Access: A Mixed Methods Exploration of the National Disability Insurance Scheme Access Program for the Kimberley Region, Western Australia," IJERPH, MDPI, vol. 18(17), pages 1-13, August.
    15. Brackertz, Nicola & Huang, Donna & Davison, Jim & Hayward, Richard Donald, 2018. "Housing, homelessness and mental health: towards systems change," SocArXiv 48ujp, Center for Open Science.
    16. Richard Burkhauser & Mary Daly & Duncan McVicar & Roger Wilkins, 2014. "Disability benefit growth and disability reform in the US: lessons from other OECD nations," IZA Journal of Labor Policy, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 3(1), pages 1-30, December.
    17. Nguyen, Ha Trong & Connelly, Luke Brian, 2014. "The effect of unpaid caregiving intensity on labour force participation: Results from a multinomial endogenous treatment model," Social Science & Medicine, Elsevier, vol. 100(C), pages 115-122.
    18. Syed Afroz Keramat & Rubayyat Hashmi & Bolaji Samson Aregbeshola & Tracy Comans, 2023. "Informal Caregiving Provision for Disabled or Elderly in the Families and Work Productivity: Evidence from 11 Waves of an Australian Population-Based Cohort," PharmacoEconomics, Springer, vol. 41(9), pages 1117-1136, September.
    19. Kirsten Lieshout & Joanne Oates & Anne Baker & Carolyn A. Unsworth & Ian D. Cameron & Julia Schmidt & Natasha A. Lannin, 2020. "Burden and Preparedness amongst Informal Caregivers of Adults with Moderate to Severe Traumatic Brain Injury," IJERPH, MDPI, vol. 17(17), pages 1-12, September.
    20. Kaambwa, Billingsley & Lancsar, Emily & McCaffrey, Nicola & Chen, Gang & Gill, Liz & Cameron, Ian D. & Crotty, Maria & Ratcliffe, Julie, 2015. "Investigating consumers' and informal carers' views and preferences for consumer directed care: A discrete choice experiment," Social Science & Medicine, Elsevier, vol. 140(C), pages 81-94.
    21. Kathy Boschen & Caroline Phelan & Sharon Lawn, 2022. "NDIS Participants with Psychosocial Disabilities and Life-Limiting Diagnoses: A Scoping Review," IJERPH, MDPI, vol. 19(16), pages 1-23, August.
    22. Muir, Kristy & Michaux, Fabienne & Sharam, Andrea & Flatau, Paul & Meltzer, Ariella & Moran, Michael & Heaney, Richard & North, Gill & Webb, Eileen & Mason, Chris, 2018. "Inquiry into social impact investment for housing and homelessness outcomes," SocArXiv fcjbg, Center for Open Science.
    23. Mendes, Philip & Snow, Pamela, 2014. "The needs and experiences of young people with a disability transitioning from out-of-home care: The views of practitioners in Victoria, Australia," Children and Youth Services Review, Elsevier, vol. 36(C), pages 115-123.
    24. Jonathan Karnon & Brita Pekarsky, 2020. "Should Health Economic Evaluations Undertaken from a Societal Perspective Include Net Government Spending Multiplier Effects?," Applied Health Economics and Health Policy, Springer, vol. 18(4), pages 467-475, August.

    More about this item


    disability; disability care; disability support; NDIS; National Disability Insurance Scheme; disability services; no-fault National Injury Insurance Scheme;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination


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