Advice Support Tool

Theme: Prosthetics

Sub-Theme(s): Transtibial (below knee and/or Symes) and Partial foot

References: [include any relevant referenced documents]

NDIS Act 2013 Section 34 1. (a) - (f) and 2. NDIS Support for Participant Rules 2013 Including Specific Types of Supports in Plans Operational Guideline - Prosthetic limbs | NDIS

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

Criteria for reasonable and necessary supports	Is criteria met?	Considerations (including evidence used)
34.1(a) Enabling the participant’s goals and objectives (supports will assist the participant to pursue the goals and objectives in their plan)	☐ Yes → ☐ No →	- Goals around functional mobility/support

• s47E(d) - certain operations of agencies
• What activities is the participant involved/planning to do (s47E(d) - certain operations of agencies)
• Has the provider considered any likely changes (s47E(d) - certain operations of agencies)
• Has there been recent funding related to prostheses (s47E(d) - certain operations of agencies)
• What other AT does the participant have? | | 34.1(b) Assist the participant’s social and economic participation
  (supports will assist the participant to undertake activities to facilitate their social and economic participation) | ☐ Yes →
  ☐ No → | - s47E(d) - certain operations of agencies
• What other AT does the participant have? | | 34.1(c) Value for money
  (supports represents value for money, ie the costs of support are reasonable, both in terms of the benefits achieved and the cost of alternative support)
  Consider NDIS Support for Participant Rules 2013 Part 3.1 (a) - (f); | ☐ Yes →
  ☐ No → | - Has the provider considered any likely changes (s47E(d) - certain operations of agencies)
• Has there been recent funding related to prostheses (s47E(d) - certain operations of agencies)
• What other AT does the participant have? |

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? redacted

Consider NDIS Support for Participant Rules 2013 Part 3.2 and 3.3

What are the expected benefits of the support provision? How will effectiveness of achieved outcome be measured? When will effectiveness of achieved outcome be achieved? Are there other supports required to achieve or maximise the reported support outcomes for participant?

Criteria for reasonable and necessary Is criteria Considerations (including evidence supports met?)

• The NDIS supports entry-level/standard level of support reflective of the pariticpants presentation. 34.1(d) Support is effective or beneficial O Yes ? rte pape - Trial evidence O No
• Lived experience 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 O Yes O No N/A

Criteria for reasonable and necessary supports	Is criteria met?	Considerations (including evidence used)
(supports will not be funded under the NDIS if they do not relate to the participant’s disability or are day-to-day expenses or income replacement)
Consider NDIS Support for Participant Rules 2013 Part 5.1 and 5.2	☐ No —>

| | Support does not duplicate other supports (supports do not duplicate other supports delivered under alternative funding through the NDIS such as Information, Linkages and Capacity Building (ILC) funding.) Consider NDIS Support for Participant Rules 2013 Part 5.1 | ☐ Yes —> s47E(d) - certain operations of agencies

What other AT does the participant have funded? redacted

s47E(d) - certain operations of agencies | | Are all of the above criteria met for all supports? | ☐ Yes —> |

s47E(d) - certain operations of agencies

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s47E(d) - certain operations of agencies

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s47E(d) - certain operations of agencies

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s47E(d) - certain operations of agencies

Version Control

Version #	Status	Date	Modified by	Brief Description of Modification
V1.0	Cleared	01/09/2023	SGO256	Production of initial V1.0
V1.0	Cleared	05/09/2023	JIF775	Transferred to Key Advisor Advice Resources repository

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