Participant self-management

In the early years after a serious injury, participants usually have a case manager to assist them with developing their plan, selecting service providers and arranging their planned supports.

As participants move from the intensive phase of their rehabilitation and their needs stabilise, it is important that they have the opportunity to develop increasing levels of independence and autonomy as they move forward with their lives.

We can offer participants, whose needs have stabilised, the opportunity to manage some or all of their own supports. We have developed a model of self-management with different options to enable participants to have choice and control over the management of their supports.

Eligibility

Participants who meet the following eligibility can be considered for self-management:

  • The participant is a lifetime participant in the NSW Lifetime Care and Support Scheme.
  • The participant’s care and support needs are sufficiently stable and predictable.
  • The participant seeking to manage the supports is at least 18 years old.
  • The participant seeking to self-manage their supports is not bankrupt.

If the participant has an appointed guardian or financial management order in place, we will need to explore their eligibility for self-management.

Participants can also consider having another person manage their supports on their behalf – this is known as a nominee arrangement. We will consider nominee arrangements where:

  • The participant is a lifetime participant in the NSW Lifetime Care and Support Scheme.
  • The participant’s care and support needs are sufficiently stable and predictable.
  • The nominee is legally allowed to make decisions on the participant’s behalf, such as:
    • The parent or legally appointed guardian of a participant who is under the age of 18.
    • The nominee holds a legal power of attorney or is the appointed financial manager for the participant.
  • The nominee seeking to manage the supports is at least 18 years old.
  • The nominee seeking to manage the supports must not be bankrupt.

Suitability for self-management

In considering a participant’s suitability for self-management we will complete a safeguarding plan with the participant (and nominee if relevant) to ensure we are satisfied that:

  • Self-management would not place the participant at an unacceptable risk of abuse, neglect or harm;
  • The participant (or nominee) understands their responsibilities under self-management and is able to manage these; and
  • Any significant risks to the participant can be reasonably mitigated.

What are the options for self-management?

We have developed a range of self-management options to provide opportunities for participants to have increased choice and control over the management of their supports in line with their preferences and skill for managing the tasks involved.

Each of these options will provide participants different levels of choice and control over their supports as well as different levels of responsibility. The options are explained in detail in two new handbooks for participants. You can download the Self-management handbook (PDF) or visit the Self-management handbook HTML version. There is also an Employing support workers handbook (PDF) or visit the Employing support workers handbook HTML version.

Under a self-management agreement, we will provide the funding for the participants approved supports directly into a nominated bank account, and the participant will be responsible for arranging and managing their own supports.

Participants may consider self-managing their attendant care supports or some or all of their supports in their My Plan. For example, they may wish to manage their own wheelchair maintenance, physiotherapy and continence supplies, but may not want to manage their attendant care.

Participants can choose to use a range of options; however requests to directly employ attendant care workers will be given much closer consideration as part of the safeguarding planning due to the higher level of risk involved.

How we will work with participants who want to self-manage

icare lifetime care coordinators will support participants and their families who are considering self-management to understand their options available, to enable them to make an informed choice. The coordinator will complete a safeguarding plan with the participant (and nominee if relevant) to ensure the participant (or nominee) is able to manage the tasks involved in self-management, and that the participant will not be placed at an unreasonable level of risk in the circumstances.

Some participants may want to move towards self-management, but do not currently have the skills to self-manage. We can fund capacity building activities to help participants develop the skills needed to enable them to self-manage.

When a participant transitions to a self-management arrangement, we expect that in most cases, that they will no longer require the support of a case manager. This is because the participant has the skills to manage their own supports, and the icare lifetime care coordinator will provide an ongoing contact with the participant if any new needs or issues arise.

A self-managing participant may want to continue to meet with their (previous) case manager or an experienced planning facilitator on an annual basis to assist them to revise their plan and prepare and cost a new plan for the coming year. This will generally be supported by icare lifetime care.

Participants who are interested in managing their own supports are encouraged to contact their icare lifetime care coordinator to discuss this, or can email us at enquiries.lifetimecare@icare.nsw.gov.au

More information

We have a participant information sheet with more details.

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Information for service providers

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