DOCUMENT 6

Conétirfént’Supports

Disclosure Log For Internal Use Only

Work Instruction: Concurrent Support Request

This is an interim work instruction and is subject to change.

This work instruction provides guidance for National Disability Insurance Agency (NDIA) staff (Health Liaison Officers (HLOs), Aged Care and Hospital Interface Branch Executive Staff).

Overview

It is expected that generally, health will provide all of the participants care needs while in hospital. There are some circumstances where a participant may access supports from their plan during admission. Where this occurs the NDIA requests that the health service provide advice on the requirement to access the plan and the adjustments the facility has made to provide an inclusive service. These are known as concurrent supports and recognised by the NDIA and State governments through the Applied Principles and Table of Supports (APTOS). If there is concern or evidence that concurrent supports are being utilised incorrectly, the HLO should discuss this with their Assistant Director (AD).

Checklist

Topic Checklist

Topic	Checklist
Pre-requisites	- Concurrent Support Request provided by Health Representative - HLO provides request to AD with any specific considerations as well as the HLOs recommendations regarding the request - Outcome from AD
Actions	- Complete Concurrent Supports Register

The concurrent support register

This tool has been developed to enable the branch to capture data relating to concurrent support requests.

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ConcurrentFOI 24/25-1158Supports

Disclosure Log For Internal Use Only

When to use the Concurrent Supports Register

The Register should only be used once the following has been completed:

• Health Representative sends request to HLO, ensuring they detail:
  • The participants primary disability and complex care needs
  • The disability related reasons why the participant requires concurrent supports, including risk to self and others and considering use of informal supports as well as participant and family preferences (examples included below)
  • Reasonable Adjustments implemented by the hospital (examples included below)
• HLO reviews the request, extracts detail relevant for consideration and makes a recommendation to the AD including hours, care ratio and duration and what the supports are intended to be used for
• AD provides outcome – this includes hours, care ratio and duration and what the supports are intended to be used for – this may also indicate a review period

The concurrent support register should not be used prior to AD approval.

Completing the Concurrent Supports Register

Once an outcome has been decided, the approver (or Hospital Interface Branch AD) should enter the information into the register and send outcome email to HLO.

HLO to drag outcome email from AD into HD Case Activity tab (this will ensure this can be continue to be monitored in the event that the original HLO is not available) and add a note to HD case specifying that it has been added to the case activity, the outcome and review date (if applicable). Example HD case notes:

dd/mm/yy HLO logon – concurrent support <approved/declined/partially approved> until dd/mm/yy, concurrent support register completed by (include information if review is required). Concurrent support request and approval added to HD case activity tab.

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ConcurrentFOI 24/25-1158Supports

Disclosure Log For Internal Use Only

redacted: s47E(d) - certain operations of agencies

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ConcurrentFOI 24/25-1158Supports

Disclosure Log For Internal Use Only

redacted: s47E(d) - certain operations of agencies

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ConcurrentFOI 24/25-1158Supports

Disclosure Log For Internal Use Only

redacted: s47E(d) - certain operations of agencies

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Conédrfént’Supports

Disclosure Log For Internal Use Only

Related Procedures or Resources

External

How the National Disability Insurance Scheme (NDIS) and health services will work together

Responding to the health care needs of people with disability

Applied Principles and Table of Supports (APTOS)

Services if you’re in hospital

NSW Health — NDIS Concurrent Supports template (source location unknown)

Internal

Concurrent Supports Register

NDIS Concurrent Supports template

Aged Care and Hospital Interface (ACHI) Branch 2024 Workplan

Practice Guide - Hospital Discharge (DOCX 233KB)

Feedback

If you have any feedback about this work instruction, please email HEALTH.LIAISON.OFFICER. In your email remember to include the title of the product you are referring to and describe your suggestion or issue concisely.

Version control

Version	Amended by	Brief Description of Change	Status	Date
1.0	P70086	Draft 0.3 Approved by KR0016	APPROVED	2025-01-06
0.3	P70086	Change to wording under ‘Completing the Concurrent Supports Register’	DRAFT	2025-01-06

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Disclosure Log For Internal Use Only

Version	Amended by	Brief Description of Change	Status	Date
0.2	P70086	Addition of section ‘Completing the Concurrent Supports Register’ Minor remediation to syntax	DRAFT	2024-12-06
0.1	P70086	Initial Version	DRAFT	2024-10-30

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