Revealed: ACC unit handling sexual abuse claims axed last year

Teams as large as 20 are now handling each claim from victims of criminal acts including sexual violence, after the ACC decision (file image). Photo: RNZ
Teams as large as 20 are now handling each claim from victims of criminal acts including sexual violence, after the ACC decision (file image). Photo: RNZ
Therapists say they have been blindsided by ACC's decision to shut down its sensitive claims unit without any consultation, Anusha Bradley reports.

The Wellington-based sensitive claims unit was "disestablished" in September 2020 but its axing has only just come to light.

Claims are now being dealt with by teams of case managers across eight regional offices, sparking concerns about privacy.

Sensitive claims can be made for physical or mental injuries following criminal acts, including sexual violence.

ACC Minister Carmel Sepuloni revealed the move when she answered a recent Parliamentary written question from Green MP Jan Logie, and this morning ACC executives were pressed for answers by Logie when they appeared before the education and workforce select committee.

ACC's sensitive claims portfolio manager Selena Dominguez told the select committee the changes were made because of a high rate of turnover among case managers and difficulty in attracting the right staff to the Wellington unit.

ACC had consulted with its sexual violence customer advisory panel and mental health sector liaison group, she said.

"We also engaged very regularly with our professional associations, the NZAC [New Zealand Association of Counsellors, the New Zealand College of Clinical Psychologists," Dominguez said.

MP critical of decision

Green MP Jan Logie. Photo: Getty Images
Green MP Jan Logie. Photo: Getty Images
Social Development Minister Carmel Sepuloni. Photo: NZ Herald
ACC Minister Carmel Sepuloni. Photo: NZ Herald
But Logie said some practitioners had heard nothing of the plan and were appalled by ACC's move.

"I have to say I've spoken with one of those lead agencies that didn't know this was happening and was absolutely appalled. So if you are trying to tell me you have their confidence, you don't."

Gay Puketapu-Andrews from the New Zealand Association of Counsellors and Victoria Smith from the Association of Psychotherapists both sat on ACC's mental health sector liaison group before it was disbanded earlier this year.

They said ACC told them at the end of 2019 that it planned to stop giving sensitive claims clients personal case managers and instead assign them to a team of what it called "recovery partners or assistants".

Recovery partners worked in teams of up to 12 to manage more complex cases while recovery assistants worked in teams of up to 20 to manage cases that didn't require as much attention.

"Both associations opposed that completely," Smith told RNZ. "But we were never told the sensitive claims unit was shutting down. I only found out three weeks ago."

Clients 'distressed'

Despite being in the dark, therapists and clients had noticed it had become more difficult to deal with ACC, she said.

"We noticed that we would start getting emails from people from ACC, in the assisted recovery team, with no names. We wouldn't know who they were, who was contacting us. It's made it much more impersonal. It causes confusion and disruptions to continuity as well."

It was also distressing for clients to have their personal information shared so widely, she said.

"Clients are often really quite distressed to hear that their their information could be read by anyone of 20 people. ACC has processes around that, but it's a daunting thought. It seems almost to be, to me, business modelling of stories of human suffering."

Puketapu-Andrews, from the Association of Counsellors, said she had to "really push ACC" to allow her clients to remain with their case managers after they refused to be transferred to a team.

"They don't want any more than one person having access to their private information. I'm Māori and I work mainly with Māori ... and Māori consider that sensitive information to be tapu information."

Rosie*, who filed a sensitive claim in November last year, said keeping track of communications with different case managers was hard.

"I have definitely found it difficult to keep track of who I'm dealing with. I get emails and phone calls from different people with sometimes varying information.

"This makes me worry that my claim has fallen through the cracks, particularly because of the long wait time, and I find myself contacting ACC regularly to check in on my claim, which seems like a seriously inefficient system."

Logie said therapists and clients had concerns that some case managers in regional offices lacked training to deal with sensitive claims.

"Some of the feedback I've been hearing from survivors going through the process would suggest very clearly that not all of them are [well trained] by the inappropriate questions and responses that people have had."

In a response to the Parliamentary written question from Logie, Sepuloni said all recovery partners and assistants completed an online training course, which Logie said was not good enough.

"This is not the area of ACC's expertise, they need to take direction from the experts in our community and survivors."

ACC began changing the way it managed clients in 2014, following a series of privacy breaches. The organisation launched what it called "next generation case management" to improve its processes and become more "client centred".

The Auditor-General reviewed the rollout of this new system in 2020, and raised concerns about how sensitive claims were managed.

"The Auditor General's report noted that they need to lean on the providers to be able to find out the impact of the changes to service, and they're clearly not doing that. That is a massive red flag."

Appearing before the select committee this morning, the Office of the Auditor-General urged ACC to carry out an evaluation of the next generation case management system to ensure that it was "client centred " and was providing value for money.

RNZ has approached ACC for comment.