I have now had chance to read the report.
In 2007 MSD instigated a new approach to sickness and invalid beneficiaries. It involved more intense case management and a classification of beneficiaries into three groups - ready to work (don't know why this group isn't on the Unemployment Benefit) ready to plan to work and won't return to work.
GP certifying certificates were redesigned to acquire more information as to what suitable interventions might be and any other helpful input the GP could offer.
The AG's report is a evaluation of the results and it isn't good.
I am not going to quote extensively from it but essentially MSD isn't monitoring the changes, there are inconsistencies of practice across regions, GPs don't fill in the certificates adequately, GPs are very unimpressed with Work and Income case managers, particularly their availability to discuss matters, regional health and disability commissioners are under-utilised, the benefit numbers have continued to climb since 2007 and increased contact between beneficiary and Work and Income is patchy. Much of it is instigated by the beneficiary when extra financial help is required rather than the case manager fulfilling new guidelines.
15 recommendations were made.
Of course none of this addresses the underlying primary causes of ever-growing dependence on these benefits (and neither is it intended to). But all parties have been found wanting - accept the beneficiary.
Thursday, October 22, 2009
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the underlying primary causes of ever-growing dependence on these benefits
The underlying primary causes of every-growing dependence on these benefits is purely and simply the ever-growing availability on these benefits
To remove the dependence, remove the availability.
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