Urgent Reforms Are Needed to Address NDIS Fraud and Inefficiencies

During the November Senate Estimates, I raised significant concerns about the National Disability Insurance Scheme (NDIS). Since its inception, the NDIS has faced numerous challenges, including ineffective costing and planning, resulting in unmet needs for vulnerable individuals. The program is plagued by massive fraud and a forecasted budget cost of $90 to $100 billion.

I questioned why many direct care providers remain unpaid while fraudsters exploit the system for millions. Despite the scheme’s noble intentions, it is clear that implementation issues need urgent attention. I emphasised the need for effective measures to address these problems and ensure that every dollar benefits those who need it most.

The NDIS agency acknowledged the challenges and highlighted initiatives like the Fraud Fusion Taskforce, which aims to crack down on unscrupulous providers. I stressed the importance of fixing these systemic issues to restore public trust and ensure the scheme’s integrity.

I remain committed to advocating for a well-implemented NDIS that truly serves the needs of Australians with disabilities.

Transcript

Senator ROBERTS: Thank you, Chair. Thank you for appearing today. The NDIS has been a problematic program since inception. That doesn’t reflect on you guys. It is not effectively costed or thought through. At the
time, it seemed to be a headline looking for a preselection buzz for the Labor Party under Julia Gillard. The program is failing on multiple levels resulting in the needs of vulnerable people remaining unmet and other
stakeholders being ignored. There is massive fraud plus a forecast budget cost of around $90 billion to $100 billion. That is what people are telling us. Why is it that many direct care providers remain unpaid while at the same time many rorters and unscrupulous fraudsters are able to rip off the system to the tune of millions of dollars? It seems to be systematic, rife, organised ripping off. The public is being taken for a ride for billions of dollars yet some agencies pay the bare minimum to untrained carers. Some carers are not paid at all. Why is that?

Senator Ayres: I suppose, Senator Roberts, the first thing to do is to respond to the initial set of assertions. Of course, you will be unsurprised to learn that’s not the government’s view at all about the value of the scheme for Australians. There are many families in Queensland who rely upon—

Senator ROBERTS: Minister, that’s not what my questions—

CHAIR: Senator Roberts. Senator Ayres, continue your answer. I will listen carefully if there is a point of order.

Senator ROBERTS: I did not say the scheme was not worthy.

Senator Ayres: They rely upon the scheme and whose lives have been changed fundamentally by the scheme. The government supports the scheme. We support it because it improves the lives of people who have a disability, particularly children who have a disability. It improves the lives of families of people who look after those people. It has a demonstrably positive effect in communities. It is often not just families who look after and support people with a disability; it’s communities. We want to see workers in the disability sector paid more, paid fairly and firms engage on an ethical basis in the activities around the scheme. Almost all of them are. We want to see productivity in a real sense—that is, more and better quality services offered to Australians who are participants in the scheme. We have committed to the scheme growing, in cooperation with the state and territory governments, at eight per cent per year. That is more than the increases in inflation. We anticipate—we traversed some of these issues in the committee—that there are other sources of growth beyond just what happens in terms of the broader inflationary impact. So that is an eight per cent commitment to growth of the scheme. It is completely legitimate for government and, indeed, members of this committee to be focused upon value for money questions, compliance questions and constantly improving the focus of the governance of the scheme to deliver better outcomes. You are right to point to some of the compliance challenges that the scheme and the government must deal with. That is very much the focus of the minister. I just doesn’t think it’s fair to denigrate the overall scheme or its value for Australians. What you do is a matter for you. It is certainly the government’s position that this is a scheme that is in the interests of Australians, in the interests of disabled Australians and in the national interest.

Senator ROBERTS: Thank you for that, Senator Ayres. The NDIS is a scheme that is needed. It’s very badly implemented. I am asking the people at the table what they are doing to fix it, because I believe they can fix it. I deny your assertions that I am against it. I wonder why you need to make assertions like that, because it just detracts from my answering time.

Senator Ayres: You were the one who started with the preamble, Senator Roberts.

Senator ROBERTS: I will ask the question: why is it that many direct care providers remain unpaid while at the same time many rorters and unscrupulous fraudsters are able to rip off the system to the tune of billions of
dollars? What is the core problem?

Mr McNaughton: We agree that what we would like to see—we see it in the majority of cases—is very good support providers providing the necessary disability supports to people who need those supports. That’s what makes this scheme such a very important scheme in the landscape of the country. I will ask Ms McKay in a moment to talk through some of the work that government has invested into the Fraud Fusion Taskforce and the crackdown on fraud. We know that there is—

Senator ROBERTS: Excuse me. Is that one of your big initiatives?

Mr McNaughton: It is a big initiative.

Senator ROBERTS: That is pretty important in the scheme of things?

Mr McNaughton: It is very important. I will hand over to Ms McKay to talk that through. That is around cracking down on those unscrupulous providers who are doing the wrong thing by participants. We want to
eradicate that from the scheme because we want to make sure that every dollar is going to a person with disability who requires it. I will hand to Ms McKay, who will talk through those initiatives.

Ms McKay: I want to talk about the Fraud Fusion Taskforce as well as other initiatives that the agency is undertaking to ensure, first and foremost, the safety and continuity of services for participants and to ensure that
the integrity of this scheme remains as strong and robust as we can ensure it can be.

Senator ROBERTS: Excuse me, Ms McKay. The integrity of the scheme would be essential for the other prerequisites—the safety and continuity of services—right?

Ms McKay: Absolutely.

Senator ROBERTS: I’m with you.

Ms McKay: I will talk firstly about the Fraud Fusion Taskforce. The Fraud Fusion Taskforce was established in November 2022 with an initial investment of $126.3 million over four years. An additional investment was made for Services Australia of $26.5 million, which brings the total investment to $152.8 million. The Fraud Fusion Taskforce is co-led by the NDIA and Services Australia. It has 19 other members, which are other government bodies. The Fraud Fusion Taskforce is focused on—

Senator ROBERTS: Excuse me. Does it have any law enforcement agencies as member?

Mr McNaughton: The Australian Federal Police are on it.

Ms McKay: I apologise. I am using the captions. Sometimes I am a bit delayed in my response or understanding of your questions. As Scott mentioned, enforcement agencies are part of the process. There are 95
active fraud operations being led. We’ve got over 500 active investigations currently underway with many cases there. That is one tranche of what the agency is doing. It is working across government to ensure that fraud and organised crime are dealt with in an absolute way that shows no tolerance for those behaviours within the scheme. The second tranche of initiatives that we’re doing is uplifting our system capability through a crackdown on a fraud systems uplift approach. The government has invested $83.9 million for the 2024 calendar year to focus on that work. That work absolutely complements the work of the Fraud Fusion Taskforce by ensuring that we can implement new systems that have the uplift capability we need to make sure that it’s easier to get things right and harder to get things wrong. The types of programs that we have been investing in include identity proofing systems; improving systems that check payment claims; making sure that our new IT systems are connected; and making sure that we have a fraud case management approach. I have a whole program of work that is being undertaken as part of that process. We’re also ensuring that the work we do in relation to this is co-designed and discussed with participants as well as with the sector more generally. This is so that, as we make changes to our systems, participants can have confidence that they’ve been consulted on the changes and they are going to have their safety first and foremost and continuity of care always as principles that will govern those changes that we introduce.

Senator ROBERTS: Thank you very much. That was clear and succinct.

Ms Glanville: We are also a member of the taskforce. I can perhaps give you a sense of the regulatory actions that connect to that. That would be quite useful. I will quote from our 2023-24 end of financial year figures. This is in the context of there being terrific providers out there doing great work with people with disabilities and supporting them to live the ordinary lives that they require, as recognised in the Every Australian Counts
campaign from all those years ago.

Senator ROBERTS: That’s important. The good ones at the moment are being drowned out by a focus on the unscrupulous ones.

Ms Glanville: There are many good providers out there, so I agree with you that it is important to recognise them. I will give you some quick figures. The regulatory chill is that we have banning orders. There were 142 in the 2023-24 financial year. Civil penalties—

Senator ROBERTS: What is a banning order?

Ms Glanville: When someone is not allowed to provide services into the future. Civil penalties proceedings might be before courts. There were three of them. There are, of course, some other matters that I can’t talk about here but which are before the Federal Court in terms of practices and behaviours that we would find unacceptable.

Senator ROBERTS: Criminal activities?

Ms Glanville: Sometimes these can involve criminal activities, yes. There were 52 compliance notices. That is where a provider is asked to comply in certain ways with certain code of conduct or other matters. That is a significant power we have. Of course, education remains very important. We did over 21,985 sessions that relate to that. There were five enforceable undertakings and 147 infringement notices. The number refused
registration—I think this goes to the core of some of the issues are you raising—is 11,952.

Senator ROBERTS: So 11,952 registrations were refused?

Ms Glanville: Where there was a refusal of registration, yes.

Senator ROBERTS: Is that for providers or agencies?

Ms Glanville: That’s for providers, people providing services.

Senator ROBERTS: What about agencies? How many of them have been prohibited?

Ms Glanville: I can’t make that distinction, but I’m happy to take that away and see if we can get any information for you on that.

Senator ROBERTS: If you could, please.

Ms Glanville: Revocation of registration was 192. Suspended registration was 12. Warning letters was 3½ thousand-odd. That gives you a sense of about 38,000 different types of enforcement actions that we took and the outcomes of those. This is in the service of trying to lift the quality overall to ensure that people with disability have the opportunity to make good choices in terms of who provides services to them. It also ensures that we have a strong regulator where the sorts of concerns that you are raising in some of your questioning can be addressed very thoroughly by the commission and others.

Senator ROBERTS: I would like to know on notice the agencies that you have taken on. I understand that there are some very good providers and there are some unscrupulous providers. There are some very good
agencies and there are some unscrupulous agencies. The agencies that are unscrupulous magnify the problem because there is not just one or two people in those agencies. There are sometimes many people in those agencies.

Ms Glanville: We’ll certainly take that on notice and come back to you.

Senator ROBERTS: I will cede the call there because I’ve had my 10 minutes. I would like to come back and drill into some of the details.

CHAIR: I will put you on the list, Senator Roberts, for a crossbench rotation.

Senator ROBERTS: Thank you