Updates on the behaviour support project

Updates on the behaviour support project, which will develop, implement and review a plan that enables people to manage challenging behaviours and participate more fully in their community.

5 March 2014

The Ministry is pleased to announce that the contract for the Behaviour Support Service has been awarded to Healthcare of New Zealand which will be delivering the service through their specialist behavioural support service called Explore.

Explore will assume responsibility for the national service in stages over the next 12 months. The Ministry will be working with existing providers and Explore to ensure the transition to the new provider is as smooth as possible. Regions will be advised in advance about when their area will be moving to Explore and we do not anticipate any significant disruption to service availability.

More information

Explore wishes to minimise the impact for people receiving Behaviour Support Services and will give the first opportunity of employment to current staff in Behaviour Support Services. 

Explore will be looking for innovative and experienced professionals to join them in a number of new roles within their trans-disciplinary team.  Explore has prepared information specifically for current staff working in Behaviour Support Services.  For more information see the Explore website or contact them on 0800 552 556.

If you have further questions please contact Gordon Sinclair, Development Manager for Behaviour Support on gordon_sinclair@moh.govt.nz

20 December 2013

Request for Proposal – Behaviour Support Services

Currently the Ministry is working through its internal processes in relation to the outcome of this tender. We will not progress to a formalised outcome before the end of the year. Our apologies for the delays and any inconvenience this may have caused.

For any queries please contact Gordon Sinclair on gordon_sinclair@moh.govt.nz.

12 March 2013

Specialist Behaviour Support Services Advisory Group appointed

The Behaviour Support Advisory Group will advise the Ministry in support of the goal that:  "Individuals and their communities, throughout New Zealand, have reasonable and equitable access to high quality, evidence based, Specialist Behaviour Support Services."

The Ministry considered nominations against the criteria set.  All nominations were of a high standard.  The Ministry sought to  balance the need for expertise and the need to have members with specific voices and experiences, and links to the Behaviour Support sector.  The Ministry continues to seek people with specific perspectives.

Read more about the Behaviour Support Services Advisory Group

15 February 2013

The Ministry of Health has placed a Request for Information (RFI) on the Government Electronic Tendering Service (GETS) seeking input as to how the Ministry might structure a proposed new Behaviour Support Service specific for children and young people (aged 0–19).

In order to gauge market capability, the Ministry of Health invites responses from parties potentially interested in supplying national or regional Children and Young Persons Behaviour Support Services.

The Ministry is also interested to hear suggestions on how current services could be transitioned to a proposed new service to begin on 1 July 2013.

Responses to the RFI will not be used to shortlist or select providers; do not constitute an order or binding Agreement and no tender or order will necessarily be raised as a result of information provided.

You can find the Request for Information on the GETS website.

Organisations will need to have a GETS log-on to view. GETS log-ons are free, and instructions on how to obtain one can be found on the GETS website.

For further information please contact: tony_blackett@moh.govt.nz

January 2013

The Behaviour Support Improvement Project has made progress with extensive sector engagement to understand how the Report on the Provision and Funding of Specialist Behaviour Support Services has been received, and to develop plans for the project.

The project plan features a newly established Advisory Group which will advise the Ministry regarding future services. The Advisory Group comprises a range of perspectives including people with disability, their family and whānau, clinicians and service providers, and academic and cultural backgrounds. The Group includes an ex officio place for representation from the Ministry of Education to ensure that Behaviour Support Services purchased by each agency are complementary.

The Group will consider the Report on the Provision and Funding of Specialist Behaviour Support Services together with best practise frameworks such as documented in the Victorian State Government's Positive Practise Framework and make recommendations to the Ministry concerning the future shape of services. This advice will be considered by the Ministry and will inform future procurement of services.

The Project is being overseen by a Ministry Steering Group which provides governance to the Project and links to the Disability Support Services Senior Management Team, and to the Ministers of Disability Issues, and Health.

Personnel working on the project are Tony Blackett, Marie Day and Amanda Bleckmann.

September 2012

Disability Support Services (DSS) has undertaken a range of work seeking to improve Behaviour Support Services (BSS).

The work has been guided in part by the outcomes of two previous reviews of BSS. One was undertaken by the Ministry and one by Enhancing Quality Services. Both highlighted concerns regarding the purchase and delivery of BSS and led to a common service specification regardless of service provider. The reviews did not consider different models of service delivery but looked at the quality of existing services. A further report was commissioned from Split Ridge Associates in 2011 and this report is now available here. This report signals the start of a new phase of work.

The new phase of work will be based on the Report on the Provision and Funding of Specialist Behaviour Support Services and will engage disabled people and their families, Behaviour Support Service providers and experts. The Ministry will assess options presented in the report through the engagement process.  At the conclusion of this engagement process the Ministry will implement chosen options with the objective of consistent and effective behaviour support services, that are underpinned by current research, equity of access and value for money.

Personnel working on the project are Tony Blackett, Marie Day and Amanda Bleckmann.

October 2011

As you are aware an independent review of how Behaviour Support Services are delivered throughout New Zealand has been completed, and the review report has been received by the Ministry of Health.

The review was commissioned by the Ministry to ensure that we are providing consumers with the best possible service and the report makes a number of recommendations about the future shape of Behaviour Support Services delivery.

The Ministry of Health is currently reviewing this report and once it is published will engage with current providers, consumers and other stakeholders about the recommendations.

Some of the meeting information provided in the September 2011 project update has changed, and we won’t be progressing with the specific Behaviour Support Services provider meetings or workshops until the report is released.  However, the Disability Support Services Provider Forums are still taking place in November, where a high-level update about the project will be provided.

The implementation plan and timeline for this work has not yet been finalised, however the key steps to implement a new Behaviour Support Service Delivery Model will include engagement with current providers, consumers and other stakeholders.

The Ministry is committed to ensuring Behaviour Support Services are established that are nationally consistent, effective, equitable, provide value for money and have clinical oversight.  In particular, the Ministry would like to emphasise its continued commitment to quality service provision for consumers who are part of the deinstitutionalised population.

Your continued input is important to us and we look forward to updating you soon on the programme for this work.

September 2011

The recommendations of the final report from the Behaviour Support Services project team have been agreed in principle by the Disability Support Services Senior Leadership Team.

The Senior Leadership Team has provided feedback on how the recommendations will be implemented. The updated recommendations will be published alongside the final report, due out shortly.

This means there will effectively be some changes to the recommendations outlined in the August 2011 update. The project implementation plan and timeline are being amended to reflect these changes.

The recommendations of the final report reflect the key outcomes of the Behaviour Support Project which are to ensure behaviour support services are nationally consistent, effective, equitable and provide value for money.

A series of meetings and workshops are planned to talk through the changes.

The Ministry will be meeting with existing behaviour support service providers next month (October) to talk about the planned changes to behaviour support services and the new Regional Specialist Behaviour Support Service delivery model. The Ministry will be inviting feedback from existing providers about the planned changes.

The Ministry has also scheduled DHB and NGO workshops later this year to coincide with the Disability Support Services Provider Forums in November. The workshops will be an opportunity for the Ministry to present the Regional Specialist Behaviour Support Service delivery model. The workshops will also allow DHBs and NGOs to have input into the new service specification (including measures, outputs, data collection and reporting), the development of national service pathways, and transition planning to the new Regional Specialist Behaviour Support Service delivery model.

Workshop dates
Auckland 03 November 2011
Hamilton 10 November 2011
Wellington 23 November 2011
Christchurch 17 November 2011
Dunedin (tbc)

August 2011

The Ministry has received the final report from the Behaviour Support Services project team.

The project team believes that the Ministry should establish well organised and structured Regional Specialist Behaviour Support Services equivalent to other specialist disability and health services. Such services would be responsible for ensuring compliance with a nationally consistent service pathway for Specialist Behaviour Support Services.

The report makes a number of recommendations to ensure services meet the principles adopted by the project team (listed in May’s update below).

In August 2011, the Ministry’s Behaviour Support Working Group will present a paper outlining the proposed approach for the provision of Regional Specialist Behaviour Support Services to the Ministry’s Senior Leadership Team.

Below is a summary of Recommendations from Behaviour Support Project. DSS is still considering which, if any, recommendations it will progress. It is anticipated this process could take several months.

  1. To contract a National Centre of Excellence for Behaviour Support, in the New Zealand context with a focus on:
    a. creating training and clinical internship opportunities
    b. development of relevant research to support New Zealand evidence based practice
    c. providing a forum for clinical leadership.
  2. Establish Regional Specialist Behaviour Support Services.
  3. To develop and implement a nationally consistent service pathway, including a prioritisation tool, and revised service specifications with performance based criteria, to be adopted and applied by the Regional Specialist Behaviour Support Providers.
  4. To develop a separate service specification for people with ASD, in accordance with the New Zealand Autism Spectrum Disorder Guideline.
  5. To establish Consumer Advisory Groups (including specific representation for Maori and Pacific People) and allocate resources so that consumers, families and significant others can contribute to and participate in the service.
  6. To establish a consistent dataset and reporting system that reports on actual utilisation and outcomes, based on agreed key performance indicators.
  7. The Ministry engage with Health Workforce NZ, the various professional and regulatory bodies and training providers.

We will provide updates about the project as it progresses.

For enquiries related to BSS contracts please contact:
Amanda Bleckmann: 09 580 9083 or 021 245 7983
Email: Amanda_Bleckmann@moh.govt.nz

For enquiries related to the BSS project please contact:
Marie Day: 04 816 3533 or 021 790 436
Email: Marie_Day@moh.govt.nz

May 2011

There was no update last month as we were meeting with providers face to face to give feedback on the work to date and the options for future service design.

These options are based on the discussions we have had with a number of individuals, providers, consumers and the Ministry of Health as well as written feedback from NASCs and reviewing available literature.

  • The principles adopted by the project team follow;
  • Nationally consistent access – equity for eligible referrals
  • Responsive but flexible – meeting service user needs
  • Integrated across the service continuum – no gaps or delays
  • Evidence based practice – best practice and outcomes orientated
  • Clinical Leadership – clinician lead
  • Sustainable over the longer term – affordable  and ‘value for money’

We are currently working on a number of service options (how service provision will be managed in the future) which have been agreed with the Ministry as possible models for further consideration.  It has been agreed that the current system needs to be changed and it is matter of ensuring that these models reflect the principles above.

These service options including service configurations, benefits and risks, costs of proposed models, procurement approach and recommendations will form the final report which is to be at the Ministry of Health by 30 June 2011.

For further information please contact
Suzanne Win:  03 5278487 or 027 2287803
Email: Suzanne.win@xtra.co.nz

March 2011

This has been a busy period meeting with individual Behaviour Support Providers, DHB Community Liaison Teams, some Regional Intellectual Disability Care Agency staff, Needs Assessment, Service Coordination (NASC) Association, Autism NZ and the residential and supported living providers at the NZ Disability Support Association Network workshop.

Meeting have been useful in obtaining individual perspectives and information on which to formulate the best options for Ministry consideration. There are a number of similar perspectives and also different views about the issues and solutions. There is however a consistent theme coming through for change and improvement.  Regional variations are noted often based in the numbers of services available and the involvement of DHBs.

Christchurch behaviour support provider visits are planned for 13 April 2011 after which effort will be concentrated on the options development. NASCs have been surveyed to provide information.

Data provided by Ministry of Health and individual providers is being analysed for trends and to inform the strategic approach.

For further information please contact: Suzanne Win: 
03 5278487 or 027 2287803
Email: Suzanne.win@xtra.co.nz

February 2011

This is a phased project comprising:

  • data gathering and analysis of current contracts and costs
  • targeted consultation with both providers and the Ministry to develop various model options
  • consideration – for each model option the benefits for clients, implications for providers and the workforce, service costs and procurement, transition arrangements and future proofing and governance.
Date Tasks
January 2011

Initial communication to sector.

Analysis of material provided by Ministry of Health.

February 2011 Data gathering.

Analysis of current contracts and costs.

Targeted consultation with consumer groups, providers and the Ministry to further develop models(s).
March 2011 Continue consultation and testing models(s).

Procurement plan development.

April 2011 Ongoing work on models, workforce development issues, costs and procurement planning, ongoing testing with MoH for veracity and direction.
May 2011 Finalise draft report including:
  • service configurations, benefits and risks
  • costs of proposed models
  • procurement approach
  • preliminary recommendations.
Test with MoH.
June 2011 Complete option(s) and report.

Submit to MoH.

It is intended that monthly updates will be provided on this website.

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