Adapting to person-centred care: Changes in caring organisations in the Australian disability sector

Bruce Gurd, Cheryll Lim, Ellen Schuler

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Citation (Scopus)


This chapter reports on a hybrid sector of disability provision in Australia and the changes to the sector due to the shift to person-centred care in Australia. It explains the significant changes to the way the sector will respond to government and to client demands and how the organisations are responding to this by re-structuring and building new performance measurement systems including Social Return on Investment. The first part of the chapter is descriptive of the change to person-centred care in the Australian disability sector using public reports. The second part of the chapter looks at the change at a micro level using an analysis of the literature. Findings illustrate how the National Disability Insurance Scheme has brought about significant change between sectors of government and between providers, both government and non-government. Organisations have had to make significant changes to adapt to the government’s policy and especially funding change. This includes setting new governance and leadership models, changed human resource management practices and performance measurement systems. The paper is a report relatively early in the transition phases, and therefore, more evidence is needed as the system change progresses. Still, the Australian disability sector provides a powerful example of significant hybridisation changes as a result of a shift to person-centred care. This is a dramatic change from the Australian government to impose person-centred care. The adaptations of Australian organisations provide an interesting insight for the international community.

Original languageEnglish
Title of host publicationHybridity in the Governance and Delivery of Public Services
PublisherEmerald Group Publishing Ltd.
Number of pages18
ISBN (Electronic) 9781787437692
ISBN (Print) 9781787437708
Publication statusPublished - 1 Jan 2018
Externally publishedYes

Publication series

NameStudies in Public and Non-Profit Governance
ISSN (Print)2051-6630
ISSN (Electronic)2051-6649


  • Cash-for-care
  • Performance
  • Person-centred care
  • Social impact
  • Social return on investment
  • Tiers of government


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