In this episode, Minh & Debbie discuss an open letter from Katalin Jakus (Hand in Hand Support Coordination) to Ministers, outlining critical NDIS concerns:

Unethical Referral Fee Practices

• Some NDIS providers pay referral fees to hospitals, government staff, and Support Coordinators.
• This practice, originating before the NDIS legislation, is described as unethical and undermines participants’ best interests.
• These incentives skew discharge decisions, limit provider choice, and risk care quality.
• Consequences include "double-dipping" (charging twice for the same service), distorted competition, and prioritising profits over participant needs.

Conflict of Interest Risks

• Participants may face biased service options, undisclosed conflicts, or monopolised supports (e.g., one provider controlling coordination, plan management, and housing).
• Support Coordinators providing direct services may prioritise business interests over participant welfare.

Calls for Stronger Safeguards

• While recent NDIS conflict-of-interest guidelines are a step forward, the letter urges targeted action against referral fees. 
• The goal is to ensure decisions prioritise participant care- not financial incentives - and to improve sector-wide accountability.

[Read the letter here]

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