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.

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 →
  • 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 →
  • The bed/sleep system itself may not specifically be utilised to assist economic and social participation, however,

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 →
  • Consider NDIS Support for Participant Rules 2013 Part 3.1 (a) – (f);

Criteria for reasonable and necessary supports

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 agencies |

Bed Size Considerations:

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Criteria for reasonable and necessary supports

Is criteria met?

Considerations (including evidence used)

s47E(d) - certain operations of agencies

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?

Is criteria met?

Considerations (including evidence used)

s47E(d) - certain operations of agencies

NB: for mid cost assistive technology there is no requirement for therapists to undertake trials prior to including funding, s47E(d) - certain operations of agencies Has the bed/sleep system been trialled? s47E(d) - certain operations of agencies

Criteria for reasonable and necessary supports

34.1(f) Support is most appropriately funded by the NDIS (supports are not more appropriately funded or provided through other general service systems or universal service obligations) Consider NDIS Support for Participant Rules 2013 Schedule 1. | ☑️ Yes → | If the participant is an inpatient(hospital) it is deemed the responsibility of the health system to provide a suitable bed / mattress however requests may be received / considered for a bed for use post discharge due to impacts of disability.

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Criteria for reasonable and necessary NDIS Support

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 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 | | Is criteria | met? | | Considerations (including evidence | used) | | 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.) Consider NDIS Support for Participant Rules 2013 Part 5.1 | | Are all of the above criteria met for all supports? |

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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
  • 7.5(c)(ii); 7.6; 7.7 (a) – (d); 7.13; 7.14)
• s47E(d) - certain operations of agencies

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.

* Consider how recommended intervention outcomes would be beneficial for the participant as a part of daily life.

| No | ——>| | | 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) | Yes | 34.1(c) of the NDIS Act is important for decision making for CB Daily Living, also consider NDIS Support for Participant Rules 2013 Part 3.1 (a) – (f); | No | ——>| s47E(d) - certain operations of agencies

Criteria for reasonable and necessary supports

Is criteria met?

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 agencies

Considerations (including evidence used)

s47E(d) - certain operations of agencies

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?

• 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

Criteria for reasonable and necessary supports

• Cochrane Review s47E(d) - certain operations of agencies
• NDIS Website: Would we fund it. s47E(d) - certain operations of agencies
• Allied Health Professional Bodies, eg APA, OTA, SPA s47E(d) - certain operations of agencies
• Systemic Reviews, eg State of Evidence for Children with CP 2019 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 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 funded by the NDIS

Criteria for reasonable and necessary supports

(supports are not more appropriately funded or provided through other general service systems or universal service obligations) Consider NDIS Support for Participant Rules 2013 Schedule 1.

| Criteria for reasonable and necessary Is criteria Considerations (including evidence used) | met? | | — | — | — | | (supports are not more appropriately funded or provided through other general service systems or universal service obligations) Consider NDIS Support for Participant Rules 2013 Schedule 1. | | What is the purpose of the support and why does the participant require it? Consider the request against the following resources:

• Schedule 1 NDIS Support for Participants Rules (2013)
• The Applied Principles and Tables of Support to Determine Responsibilities NDIS and other service 2021 (APTOS)
• NDIS Website: Would we fund it. s47E(d) - certain operations of agencies |

| Support will not cause harm (Supports will not be funded if it is likely to cause harm to the participant or pose a risk to others, or the support would be contrary to a law of a jurisdiction) Consider NDIS Support for Participant Rules 2013 Part 5.1 and 5.3 | Yes > No ——> | Consider sourcing further guidance if risk to participant is identified. s47E(d) - certain operations of agencies |

| Support is directly related to the participant’s disability (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 | Yes > No —> | Consider how the request addresses functional and participation barriers related to the participant’s disability. Check what disability a person has and how it relates to the request. s47E(d) - certain operations of agencies |

Criteria for reasonable and necessary supports

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 → | – 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. | | No → |

Are all of the above criteria met for all supports?

| | Yes → | – s47E(d) - certain operations of agencies | | No → |

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