Taking a Break from the NDIS, Provider Closures and Short Notice Cancellations

The complexities of working within the National Disability Insurance Scheme (NDIS) have never been more apparent. Occupational therapists (OTs) and other service providers face mounting challenges, from provider closures and short notice cancellations to navigating the emotional toll of burnout. This post delves into these pressing issues, offering actionable insights and strategies for sustaining practices in this demanding landscape.

Navigating burnout and planning effective breaks

Burnout is a prevalent issue for many OTs working within the NDIS and taking a step back can provide much-needed clarity. Preparing for a break involves organising key elements, such as corporate power of attorney, empowering team members to make decisions and ensuring systems are in place for business continuity.

Verve OT founder, Sarah Collison’s approach, which included engaging an interim caretaker to manage operations, underscores the importance of robust systems. These measures not only ensure the business runs smoothly but also alleviate the stress of stepping away. For practice owners, taking intentional breaks can lead to better work-life balance, improved long-term sustainability and opportunities for OT professional development.

The systemic impact of provider closures

An increasing number of providers, from large organisations to small practices, are being forced to close their doors. This trend stems from systemic challenges that undermine the sustainability of NDIS businesses. Key issues include:

• Inadequate pricing structures: Fixed rates that fail to account for rising operational costs make it nearly impossible for businesses to remain viable.

• Staff shortages: Recruitment difficulties, particularly in paediatrics and early intervention spaces, leave businesses unable to meet demand.

• Administrative burdens: Transitioning clients when a practice closes is both time-consuming and resource-intensive.

The decision to close is rarely taken lightly, as it often involves extensive efforts to support clients in finding alternative providers. However, the lack of systemic support adds significant pressure to an already strained sector. Addressing these challenges is vital for the long-term viability of OT professional development within the NDIS framework.

Addressing short notice cancellations

Short notice cancellations are a persistent challenge, particularly for therapy-focused practices. These cancellations not only disrupt service delivery but also result in lost income and increased workloads. Strategies to manage this issue effectively include:

• Clear cancellation policies: Including transparent terms in service agreements ensures clients understand their obligations. Policies such as a 48-hour notice requirement strike a balance between fairness and business sustainability.

• Maintaining cancellation lists: Having a list of clients ready to fill cancellations can help recoup lost time but requires dedicated administrative resources.

• Proactive communication: Educating clients on the impact of cancellations fosters understanding and encourages adherence to policies.

Paediatric-focused practices face unique challenges in this area, as families often struggle with the unpredictability of their schedules. Clear processes and well-communicated policies are critical for minimising disruptions.

Advocating for systemic improvements

The current state of the NDIS has left many providers disillusioned. Reports of participant plan delays, insufficient pricing adjustments and inadequate regulatory oversight have amplified frustrations across the sector. For example:

• Participant plans can take six months or more to be approved or adjusted.

• Regulatory bodies often fail to act swiftly against unethical providers, undermining trust in the system.

Despite these challenges, there is a growing movement within the OT community to push for systemic change. Collaborative efforts, such as sharing resources like OT professional development tools and attending live workshops, help providers adapt and strengthen their practices.

Building sustainable and resilient practices

To navigate the complexities of the NDIS landscape, OTs must prioritise sustainability and resilience. Key strategies include:

• Streamlining operations: Leveraging tools like OT learning modules and NDIS forms can enhance efficiency and reduce administrative burdens.

• Supporting professional development: Providing OT clinical supervision opportunities ensures therapists feel equipped and valued.

• Proactive planning: Addressing issues such as staff shortages and financial viability helps practices prepare for future challenges.

These approaches not only support individual practices but also contribute to a more resilient OT community. Resources like those from Verve OT Learning offer valuable support for practitioners seeking self-paced OT professional development.

Final thoughts

The NDIS sector is at a crossroads, with significant challenges that demand innovative solutions. By focusing on clear processes, sustainable practices and systemic advocacy, OTs can continue to provide essential services while safeguarding their wellbeing. Whether it’s setting robust cancellation policies, planning meaningful breaks or collaborating with peers, every effort contributes to a stronger future for the profession and ongoing OT professional development.