Advice Support Tool

Theme: Disability Related Health Supports

Sub-Theme(s): Nutrition

References: [include any relevant referenced documents]

• NDIS Act 2013 Section 34.1 (a) - (f) and 2.
• NDIS Support for Participant Rules 2013
• AT Nutrition and Dysphagia Template or reports from a Dietitian

Include disability-related health supports or meal preparation supports in the participant’s plan. Our Guideline — Nutrition supports including meal preparation.

Note: All criteria need to be met for the supports to be funded through the NDIS.

34.1(a) Enabling the participant’s goals > _. and objectives OO Yes The participant may not have a specific goal regarding nutrition support, however, consider how the management of disability related health issues may underpin and assist the participant to pursue their stated goals. #7E(d) - certain operations of agencies 34.1(b) Assist the participant’s social and | D0) Yes ~~ | The nutrition supports themselves may not specifically be utilized to assist economic and social participation however consider the integral impact having a nourished mind and body with adequate daily nutritional needs met has on economic participation. (supports will assist the participant to undertake activities to facilitate their social and economic participation) Additionally, the Dietitian may need to attend multiple locations to assess feeding supports and train and support informal and formal supports on participant specific needs for safe dietary needs or home enteral nutrition (HEN) feeding needs, including formula preparation, or training in PEG and NGT feeding.

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Criteria for reasonable and necessary supports

Are there comparable support options which would achieve the same outcome at a substantially lower cost? What alternative supports were considered?

Is there evidence that the support will substantially improve the life stage outcomes and be of long-term benefit to the participant?

Is there evidence that funding support is likely to increase independence and reduce funded support costs in the long-term?

Is there evidence the support will increase the participant’s independence and reduce the participant’s need for other kinds of supports?

Is there evidence the quoted support cost is comparable to expected cost of same kind of supports? S47E(d)-certain operations of agency | | This will assist with adequate nourishment to allow for the participant to partake in social and economic participation. 34.1(c) Value for money OU Yes > | Is there a Dietitian report? This may be from a hospital-based or independent Dietitan. This will outline if the support needs are directly linked to the disability and if the participant can work to rehabilitation, maintenance of current feeding level, or if supports will need to increase and the participants nutrition support needs will increase.

As the participant’s diagnoses may result in lifelong disability related health support needs, the need for Dietitian supports may also be lifelong however, typically the level of need may increase and decrease over time — S47E(d)-certain operations of agencies | As per COAG - NDIS-Principles-to-Determine-Responsibilities-NDIS-and-Other-Service (1).pdf Health remains responsible for all health related needs that are not directly linked to the disability including palliative care.

Consideration to the participants age should occur and responsibility of informal supports in supporting the participant in their nutrition needs. Consideration should be give to assessing if providing capacity building supports to assist the |

| Criteria for reasonable and necessary Is criteria Considerations (including evidence supports met? used) | — | — | — | | participant to consume a normal or slightly modified diet would reduce the need for other more costly nutrition supports. If HEN feeding is required, consideration should be given to if lower cost alternatives are available, s47E(d) - certain operations of agencies | | There will be some nutrition support tasks asks that only a Dietitian can complete. However, some tasks can be completed by a trained disability support worker. This can be completed under an RN DSOC. The High Intensity Support Skills Descriptors - December 2022 (ndiscommission.gov.au) provides supplementary guidance that clearly outlines the skills and knowledge that HI DSW should possess when delivering complex DRHS supports. The NDIS funds training of support workers to ensure the particular nutrition needs of the participant are met e.g. a support worker will be competent in HEN feeding needs specific to the participant or training to ensure that the particular needs of the participant are considered such as requirement for administration method of HEN feeding for example. s47E(d) - certain operations of agencies | 34.1(e) Support coordinates with but does not replace informal support (funding or provision of supports takes account of what it is reasonable to expect | | Consideration is given to what is a reasonable level of support for a parent to provide their child, s47E(d) - certain operations of agencies |

| Criteria for reasonable and necessary Is criteria Considerations (including evidence | supports met? used) | families, carers, informal networks and the community to provide) Consider NDIS Support for Participant Rules 2013 Part 3.4 | | 34.1(f) Support is most appropriately OO Yes > | If the participant is an inpatient funded by the NDIS (hospital) it is deemed the (supports are not more appropriately funded | ONo —> revide suitable Deen stem © or provided through other general service and nutirtion supports, however systems or universal service obligations requests may be received / Consider NDIS Support for Participant Rules considered for nutrition supports post 2013 Schedule 1. | | Support will not cause harm OU Yes > | Has the Dietitian report outlined any (Supports will not be funded if it is likely to svonitoved comrectly amd aware of all cause harm to the participant or pose arisk | No — > eory an a to others, or the support would be contrary to factors to quality nutrition ¢.g., timing a law of 4 jurisdiction) and delivery of feeds. Consider NDIS Support for Participant Rules 2013 Part 5.1 and 5.3 | | Support is directly related to the O Yes > | Are the supports that have been participant’s disability recommended being used to address (supports will not be funded under the NDIS | No = —>| inet Gated with the disability for eds) if they do not relate to the participant’s which the participant has aained disability or are day-to-day expenses or — 9 access to the scheme?

Criteria for reasonable and necessary supports

| Are all of the above criteria met for all supports? | | |

Version Control

Note: Document uncontrolled in hard copy

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