RECOMMENDATION 13 Distinct statutory responsibility for provision The housing authorities and HSE should have distinct responsibilities for the needs of people with disabilities living in the community. The HSE should provide for the health and personal social needs of residents moving to the community while responsibility for housing rests with the Department of Environment, Community and Local Government and local authorities.
Separation of responsibility for delivery of in‐home supports and inclusion supports The infrastructure being proposed for managing the delivery of supports envisages a separation of the functions and of the management/ governance structures of those providing within‐the‐home supports and those supporting the person to engage with, build relationships and valued roles within, the local community. By separating the delivery and governance of residential supports from inclusion supports, the person with a disability has scope for greater choice and independence; a decision to change their provider of inclusion supports need not be dependent on or impact on their accommodation arrangements; similarly a decision to move to a new home or living arrangements need not involve the inclusion service provider. RECOMMENDATION 14 Separation of delivery of in‐home supports from inclusion supports Governance, management and delivery of residential supports should be separate from provision of inclusion supports, to ensure that the person with a disability has maximum choice of support providers and maximum independence.
Local coordination of HSE‐funded support provision The individualised supports for people with disabilities should be delivered through a co‐ordinating local HSE structure based on defined catchment areas, within which the full range of supports are available.
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