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Disability ministry’s problems revealed in confidential memo

Author
Isaac Davison,
Publish Date
Tue, 30 Apr 2024, 7:10am
Newly-appointed Disability Issues Minister Louise Upston is expected to confirm a review of the troubled ministry today. Photo / Mark Mitchell
Newly-appointed Disability Issues Minister Louise Upston is expected to confirm a review of the troubled ministry today. Photo / Mark Mitchell

Disability ministry’s problems revealed in confidential memo

Author
Isaac Davison,
Publish Date
Tue, 30 Apr 2024, 7:10am

As the Government prepares a review of the troubled Ministry of Disabled People, a confidential memo reveals its many flaws.

Whaikaha - The Ministry of Disabled People - took on huge financial risks during its hurried establishment and has not been equipped with the ability to manage them, a confidential briefing shows.

The ministry has been in the spotlight after it听abruptly restricted funding to disabled people听last month because it was about to听run out of money听- a bungle which led to the听demotion of former minister Penny Simmonds.听

The National-led Government is expected to confirm a review of the ministry today, barely听two years after it was set up听as part of the previous Government鈥檚 health reforms.

A briefing to the former Finance Minister Grant Robertson from September, obtained by the听Herald, showed that officials flagged a number of significant problems within the ministry, which is responsible for commissioning $2.2 billion in support services each year.

The Department of Prime Minister and Cabinet (DPMC) stocktake said Whaikaha鈥檚 relatively short six-month establishment period placed 鈥渟ignificant pressure鈥 on the team tasked with setting up the ministry.

As a result, the team employed a 鈥渓ift and drop鈥 approach by simply transferring staff, functions, roles and responsibilities directly from the Ministry of Health to the new ministry.

Penny Simmonds was stripped of the portfolio and demoted last week in a Cabinet reshuffle. Photo / Mark MitchellPenny Simmonds was stripped of the portfolio and demoted last week in a Cabinet reshuffle. Photo / Mark Mitchell

That meant limited due diligence was carried out, especially given the size, complexity and ageing systems which were used to administer disability support services.

Whaikaha鈥檚 leadership inherited a number of risks, including a history of cost increases above inflation. Despite these increases, it had few levers to control spending and 鈥渁 lack of financial management and monitoring capability to predict and respond to financial challenges鈥, the briefing said.

DPMC also identified a number of operational risks: 鈥淸The ministry鈥檚] administration of disability support services is underpinned by legacy IT systems, aging business practices, and weak assurance, audit, monitoring and fraud analysis functions which are not fit for purpose.鈥

The new ministry inherited workforce shortages and capacity problems from the Ministry of Health. As of September, 97 of its 289 positions remained vacant.

While the ministry now had a new organisational model, which reflected its new mandate, its operating budget had not been scaled to meet the demands of its $2.2 billion in annual commissioning, its new system leadership and policy functions, the briefing said.

DPMC reviewed Whaikaha鈥檚 five main workstreams and graded three of them as 鈥渕ixed鈥 and two as 鈥減roblematic鈥. One of the problematic areas was the ministry鈥檚 work on building partnerships. Trust among disabled M膩ori people in particular was 鈥渆roding鈥, the briefing said.

Newly-appointed Disability Issues Minister Louise Upston said she received the briefing when she took over the portfolio last week and was 鈥渧ery concerned鈥 about the financial pressure the ministry was under. The disability support system was 鈥渘ot fit for purpose鈥, she said.

鈥淚t would appear to me that while the ministry was established with the best intentions, the previous Labour Government set it up in a hurry and was aware that disability support services were not sustainable under the current settings.鈥

The extent of Whaikaha鈥檚 troubles emerged last month when the ministry suddenly听restricted funding for respite care听and equipment purchases.

Simmonds said at the time that the ministry was about to run out of the money it was given in last year鈥檚 Budget to pay for disabled people鈥檚 allowances. She and ministry CEO Paula Tesoriero later apologised for the way the changes were announced.

The funding announcement came without warning and took disabled people, advocates and health professionals by surprise.

It also surprised Prime Minister Christopher Luxon, who removed Simmonds from the portfolio in a reshuffle last week.

The Government agreed to top up the funding for allowances. It later relaxed some of the restrictions, allowing disabled people to spend again on essential therapy and regional travel for carers, but many of the new limitations remained in place.

The ministry provides support services to 45,000 people and equipment to around 100,000 people.

Isaac Davison is an Auckland-based reporter who covers health issues. He joined the听Herald听in 2008 and has previously covered the environment, politics, and social issues.

This article was originally published on the NZ Herald .

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