Investigation into complaint by North Australian Aboriginal Justice Agency about the care provided to Ms N by Department of Health and Community Services, the Public Guardian and Council. 27 June 2013
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59 135. The Department highlighted some of the significant changes made to disability service delivery since 2006 and in particular identified the following matters: (i) The philosophical framework in which services are provided has changed. In Ms Ns time the wishes of the client were considered to be paramount. The current approach considers and values the desires of clients and their families, but also considers duty of care and risk. (ii) In 2006 the Northern Territory Government commissioned KPMG to conduct a review of disability services in the Northern Territory (The Review). Recommendations were implemented which included service improvement activities both internal and external to the Department and the enshrining of operational standards providing guidance to clinicians about assessment and case management activities. (iii) In 2007, Dr Howard Bath made recommendations about managing risk for clients with high, complex and challenging needs and the role of the Department in providing a case management approach even if services were outsourced (The Bath Report). The Department advised that risks associated with care are now assessed and considered through a structured risk assessment process. 136. The Department submitted: The Review and the Bath report and the subsequent launch of the Aged and Disability Program (A&DP) Practice Manual in October 2009 has resulted in a more robust approach to assessing, managing
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