The long-awaited NDIS review proposes transformative changes to Australia’s disability support system. 

The 12-month review suggests a total reconsideration of how the government delivers disability support, in an effort to address concerns about the program's financial sustainability and the need to restore trust.

The National Disability Insurance Scheme (NDIS), a government-funded initiative providing tailored budgets to individual people with disabilities, has surpassed initial projections, with over 600,000 participants. 

The review focuses on key areas, including access to the scheme, budgeting for individual support packages, provider charges, and regulation. 

The central recommendation is for a five-year plan to strengthen mainstream disability services and foundational supports outside the NDIS for individuals with less severe disabilities.

Co-chaired by Prof Bruce Bonyhady and Lisa Paul, the review emphasises a return to the NDIS's original purpose of supporting those with functional impairments rather than a diagnosis-centric focus. 

The proposed changes include the introduction of navigators, a phased transition from existing case managers, and the creation of a central online platform for essential information.

NDIS Minister Bill Shorten has welcomed the findings of the review, expressing determination to improve the scheme and comparing it to past successful reforms like Medicare. 

Shorten highlighted the need for a continuum of support, reducing the emphasis on being 'in' or 'out' of the NDIS.

Concerns have been raised about potential transitions for existing participants, with fears of eligibility criteria changes leading to some being removed from the scheme. 

Shorten claims that any transition would depend on adequately funded foundational supports, a joint effort with the states, and a gradual implementation.

Disability advocates have generally welcomed the review's proposals, with People with Disability Australia president Nicole Lee supporting the move to lift foundational supports. Shadow Disability Minister Michael Sukkar, however, has expressed concerns about unanswered questions, particularly regarding the 8 per cent cost growth rate and the nature of new foundational supports.

The review's recommendations also include the establishment of a Disability Intergovernmental Agreement, navigators to assist participants, registration and compliance standards for providers, and a shift towards needs-based assessments for access.

The government plans to announce reforms based on the recommendations in 2024, aiming to cap annual NDIS growth at 8 per cent by 2026.