MR25/00038 | FOI 24/25-0317 DOCUMENT 4

Advice Support Tool

Theme: Assistive Technology Sub-Theme(s): Beds/Sleep System

References: NDIS Act 2013 Section 34 1. (a) - (f) and 2. NDIS Support for Participant Rules 2013

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

A table outlining assessment criteria follows:

Criteria	Is criteria met?	Considerations (including evidence used)
34.1 Enabling the participant’s goals
(supports will assist the participant to pursue the goals and objectives in their plan)
Yes / No	Yes	The participant may not have a specific goal outlining a bed/sleep system is required, however consider how the use of a bed/com sleep system may underpin and assist the participant to pursue stated plan goals. For example,

| 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 | Yes |The bed/sleep system itself may not specifically be utilised to assist economic and social participation, redacted: s47E(d) – certain operations of agencies.

| 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)| Yes / No | Yes | redacted: s47E(d) - certain operations of agencies. Consider NDIS Support for Participant Rules 2013 Part 3.1 (a) — (f);

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Criteria for Reasonable and Necessary Supports

The following criteria must be satisfied before reasonable and necessary supports are approved.

Is There Evidence That The Support Will Substantially Improve Life Stage Outcomes?

s47E(d) - certain operations of agencies

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 Funding Support Increases Independence And Reduces Costs In Long Term?

s47E(d) - certain operations of agencies

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

Does This Increase Participant’s Independence & Reduce Need For Other Kinds Of Supports?

s47E(d) - certain operations of agencies

is there evidence the support will increase the participants’ independence and reduce their need for other kinds of supports?

Mattress Considerations:

s47E(d) - certain operations of agencies

have comparable beds / mattress/sleep system options been explored s47e (d)

Is there evidence the quoted support cost is comparable to expected cost of same kad of supports?

Bed Size Considerations:

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MR2B | FOI 24-0317

Criteria for Reasonable and Necessary Supports

Criteria
34.1(d) Support is effective or beneficial for the participant (supports will be, or are likely to be, effective for desired effect and beneficial for the participant, having regard to current good practice)
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?

NB: For mid cost assistive technology there is no requirement for therapists to undertake trials prior to including funding.

redacted: s47E(d) - certain operations of agencies

Consider NDIS Support for Participant Rules 2013 Schedule 1.

Criteria for reasonable and necessary _| Is criteria Considerations (including evidence

supports met? used)

34.1(e) Support coordinates with but & Yes ?

does not replace informal support

(funding or provision of supports takes ONo —->

account of what it is reasonable to expect

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 & Yes > | If the participant is an inpatient

funded by the NDIS (hospital) it is deemed the

sil sella a pri funded | No : responsibility of the health system to pps ppropriately : provide a suitable bed / mattress

or provided through other general service however requests may be received /

systems or universal service obligations considered for a bed for use post

discharge due to impacts of disability. :47€(a)- certain operations ot agencies se a eS |

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if they do not relate to the participant’s disability or are day-to-day expenses or income replacement)

Criteria for reasonable and necessary Is criteria Considerations (including evidence

supports met? used) S47E(d) - certain operations of agencies sa | Where a participant resides in an Aged Care Facility the Aged Care Quality of Care Principles (2014 legislation) indicate that provision of a bed is the responsibility of the aged care facility. pussemnanemsternes aaa Sears _—————$$—— nl ee es a, —E~“L=—EFE>EE=i See Th

Support will not cause harm Yes

(Supports will not be funded if it is likely to

cause harm to the participant or pose arisk | UO ie =>

to others, or the support would be contrary to

a law of a jurisdiction)

Consider NDIS Support for Partic dipant

Rules 2013 Part 5.1 and 5.3

Support is directly related to the 0 Yes > | Has the bed been recommended to

participant’s disability address functional impacts (mobility)

(supports will rot be firided under the NDIS: | Ne ©—>| associated wilh the disability for

which the participant has gained access to the scheme? — Saas “=>

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Criteria for Reasonable and Necessary Supports

The following table outlines considerations regarding support duplication.

Criteria	Is criteria met?
Consider NDIS Support for Participant Rules 2013 Part 5.1 and 5.2
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.)	✅Yes   ☐No
Considerations (including evidence used)
s47E(d) - certain operations of agencies
Are all of the above criteria met for all supports?
✅Yes ☐No

Version Control

The table below details version control information.

Version #	Status	Date	Modified By	Brief Description of Modification
V1.0	Cleared	20/09/2023	CCN262, XMH266	Production of initial V1.0
V1.0	Cleared	22/09/2023	JIF775	Transferred to Key Advisor Advice Resources repository

note: Document uncontrolled in hard copy

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Advice Support Tool

Theme: Capacity Building: Improved Daily Living

Sub-Theme(s): Therapy Supports

References: NDIS Act 2013 Section 34.1(a) - (f) and 34.2. NDIS Support for Participant Rules 2013 Parts 3.1; 3.2; 5.1; 5.3; Schedule 1 (in particular 7.4\r7.5(c)(ii); 7.6; 7.7 (a) – (d); 7.13; 7.14)

Multiple references are used for CB: Improved Daily Living supports. See table for further examples (list is not exhaustive).

Note: All criteria need to be met for the supports to be funded through the NDIS, but please review bottom of checklist about how therapy advice should be provided.

Criteria	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
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	> Consider how recommended intervention outcomes would be beneficial for the participant as a part of daily life.
34.1(c) Value for money(supports represents value for money, i.e., 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

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MR25/00038 | FOI 24/25-0317

Criteria for reasonable and necessary supports | Is criteria met? | Considerations (including evidence used) s47E(d)-certain operations of agency |

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 s47E(d): certain operations of agency| is there evidence the quoted support cost is comparable to expected cost of same kind of Supports? s47E(d)-certain operations of agencies

34.1(d) Support is effective or beneficial for the participant

☐ Yes ☐ No Linked to part 3.2 (a)(b) & (c) of the NDIS Supports for participants rules 2013 and considers the available research, consensus of expert opinion, participant lived experience and Agency experience: · Is there sufficient information provided about the intervention to inform its likely effectiveness? s47E(d) - certain operations of agencies Consider Part 3.2 and 3.3. What are the expected benefits of the support provision? how will effectiveness of achieved outcome be measured?

Criteria for reasonable and necessary Is criteria Considerations (including evidence supports met? used) When will effectiveness of achieved outcome e Consider the following resources: be achieved? Are there other supports required to achieve or maximise the reported support outcomes for participant? o Cochrane Review o NDIS Website: Would we fund it. o Allied Health Professional Bodies, eg APA, OTA, SPA o Systemic Reviews, eg State of Evidence for Children with CP 2019 34.1(e) Support coordinates with but Ol Yes ? does not replace informal support (funding or provision of supports takes ONGC ——> account of what it is reasonable to expect families, carers, informal networks and the community to provide) Consider NDIS Support for Participant Rules Consider the following resources: 2013 Part 3.4 e Including Specific Types of Supports in Plans Operational Guidelines e Social and Recreation Supports e Improved Health and Wellbeing e NDIS Website: Would we fund it. 34.1(f) Support is most appropriately 0 Yes > | 34.1(f) is important for decision funded by the NDIS making for CB Daily Living. O No — Version 1.0 Page 3 of 6

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e What is the purpose of the support and why does the participant require it?

e Consider the request against the following resources:

o Schedule 1 NDIS Support for Participants Rules (2013)

o The ied Principles Tables of Support to Determine Responsibilities NDIS and other service 2021 APTOS

o NDIS Website: Would we fund it.

criteria Considerations (including evidence used) Is criteria met? e Consider sourcing further guidance if risk to participant is identified.

Support is directly related to the participant’s disability - Check what disability a person has and how it relates to the request.

MR2S/00038 | FOI 24/25-0317

| Criteria for reasonable and necessary supports | | Is criteria met? |

Considerations (including evidence used)
e Consider the following resources:
o Schedule 1 NDIS Support for Participants Rules (2013)
o The Applied Principles and Tables of Support to Determine Responsibilities NDIS and other service 2021 (APTOS)
o NDIS Website: Would we fund it.
-
Support does not duplicate other supports redacted
(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
-
O Yes e Duplication refers to the interface of NDIS and other supports including mainstream. See considerations for 34.1(f) and Part 5.1(c) NDIS (Supports for Participants) Rules.
O No -
-
Are all of the above criteria met for all supports? O Yes -
Ol No

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Version Control

The following table outlines version control information:

| Version # | Status | Date | Modified By | Brief Description of Modification | |———–|–––––|————|———––| | V1.0 | Cleared | 01/09/2023 | JFK288 | Production of initial V1.0 | | V1.0 | Cleared | 05/09/2023 | JIF775 | Transferred to Key Advisor Advice Resources repository |

note: Document uncontrolled in hard copy