Domiciliary Care Allowance Review - Welfare.ie

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Work of the Review GroupThe Group will (i) research best practice in other countries; (ii) have the Medical Guidelinesand the Report of the Expert Medical Group, which underpin the operation of the scheme,reviewed by a suitably qualified medical expert, and (iii) liaise with the Advisory Group onTax and Social Welfare in relation to their review of DA /DCA issues (report expected inSeptember) and take on board any relevant findings from their work into the administrativearrangements for the Scheme.1.4. Terms of Reference for the ReviewThe following terms of reference were approved by the Minister for the review of the scheme:1. Examine and report on the policy objectives and legal provisions underpinning the DCAscheme;2. Review the current administrative, medical assessment and appeals processesunderpinning the scheme, including an examination of the duration of review periodsfor the scheme based on the medical condition of the children involved and takingaccount of other priority demands on the medical resources of the Department;3. Review the Medical Guidelines and the Report of Expert Medical Group having regardto the 3 years operational experience since they were introduced;4. Liaise with the Advisory Group on Tax and Social Welfare in the context of theirreview of DA/DCA issues and incorporate any relevant findings into the administrativearrangements for the DCA scheme;5. In light of the foregoing, consider whether any legislative changes are required inrelation to the scheme and whether the current administrative, medical assessment andappeals processes need further refinement to meet the overall policy objectives of thescheme; and6. Make recommendations to the Minister for Social Protection by end December 2012 onthe basis of these findings.DCA Review Group Report – Final – 21 December 2012 - confidential Page 12
1.5. Work programme of Review GroupThe review group met on seven occasions over a five month period. The review group receivedpresentations from DSP officials covering the scheme background, the application process, themedical assessment process, etc. Presentations were also made by the Social Welfare AppealsOffice (SWAO), the DCA working group, the DCA Warriors and the National DisabilityAuthority (NDA). The group considered policy papers from the national Disability Authority,DCA Warriors and others.In order to inform the process the review group, through the NDA, commissioned research onsimilar schemes/payments in other countries and also formed sub groups to work on specificaspects of the review including the redesign of forms.The review group liaised with the Advisory Group on Tax and Social Welfare, but as theirreport on the DCA/DA issues has not yet been published it has not been possible to includereference to their recommendations in this report.In summary, the review group has made a comprehensive study of the scheme, including thepolicy rationale and the administrative arrangements underpinning the scheme in arriving at therecommendations and conclusions contained in this report. Supporting research and policysubmissions will be published on the DSP website and will also be made available on thewebsite of the NDA.DCA Review Group Report – Final – 21 December 2012 - confidential Page 13
Page 2 and 3: TABLE OF CONTENTSPAGEEXECUTIVE SUMM
Page 4 and 5: EXECUTIVE SUMMARYThis report, which
Page 6 and 7: Following in-depth consideration th
Page 8 and 9: 12. That the Centre for Disease Con
Page 10 and 11: Chapter 1: Introduction.This chapte
Page 14 and 15: Chapter 2: Background/context of Do
Page 16 and 17: Legal BasisThe scheme was operated
Page 18 and 19: Transfer of scheme to Department of
Page 20 and 21: The circular went on to state that,
Page 22 and 23: Chapter 3: Consultation and submiss
Page 24 and 25: How decisions are reached and commu
Page 26 and 27: Further analysis of the survey data
Page 28 and 29: 3.3.2. Consultation with disability
Page 30 and 31: Chapter 4: ResearchThis chapter pre
Page 32 and 33: The objectives of the payments are
Page 34 and 35: In the absence of a widely accepted
Page 36 and 37: Table 5: Example: Summary of extra
Page 38 and 39: The review group suggest that key e
Page 40 and 41: The remainder of the chapter deals
Page 42 and 43: cognisance of the resultant increas
Page 44 and 45: The NDA suggests that the introduct
Page 46 and 47: In order to address these concerns
Page 48 and 49: (c)(d)The form should be made avail
Page 50 and 51: Consider devising a points system w
Page 52 and 53: The review group notes the advice t
Page 54 and 55: (e)Parents/guardians receive an add
Page 56 and 57: In order to address shortcomings in
Page 58 and 59: 5.12. Age limits for receipt of DCA
Page 60 and 61: Chapter 6: Summary of Recommendatio
Page 62 and 63:
6.2. Recommendations for immediate
Page 64 and 65:
Appendix I: Members of Review Group
Page 66 and 67:
DCA Review Group Report - Final - 2
Page 68 and 69:
DCA Review Group Report - Final - 2
Page 71 and 72:
Revised process:Revised application
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Domiciliary Care Allowance Review - Welfare.ie

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