Advice Support Tool

Theme: Continence Sub-Theme(s):

References: [include any relevant referenced documents]

NDIS Act 2013 Section 34 1. (a) - (f) and 2. NDIS Support for Participant Rules 2013 sop _DisabilityRelatedHealthSupports.docx Continence Supports | NDIS

Continence Assessment

DOUCUMENT 9

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

Criteria	Is criteria met?	Considerations (including evidence used)
34.1(a) Enabling th rticipant’ I	Yes	The participant may not have a specific goal regarding incontinence, however, consider how the management of urinary and faecal incontinence may underpin and assist the participant to pursue their stated goals. `547E(2) - certain operations of agencies`
No
34.1(b) Assist the participant’s social and economic participation
undertake activities to facilitate their social and fecal incontinence is appropriately managed, and their dignity preserved.
Yes
No
34.1(c) Value for money	Yes	Has there been a Continence Assessment by an independent or hospital-based Continence Specialist
.
(supports represents value for money, ie the )
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MR25/00038 / FOI 24/25-0317

The page details criteria for reasonable and necessary support.

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

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 supports?

s47E(d)- certain operations of agency

Criteria for reasonable and necessary Supports	Is criteria met?	Considerations (including Evidence used)
terms of the benefits achieved andthe cost	No	nurse? `redacted: s47`

s47E(d) - certain operations of agencies

has the assessor considered any likely changes i-.e., are the individual needs stable? participant’s continence consumable needs may change over time #7ssessinsrstasersien.

have comparable continence consumables been explored and reasons outlined why they could not achieve the same outcome at a substantially lower cost?

s47E(d) - certain operations of agencies

is there evidence the quoted support cost is comparable to expected cost of same kind of supports? S47E(@}ertaineperations

for newly suggested consumables — has a trial been completed? If so, what was the trial result? Or is the request to fund a trial? Seuss“

MR25/00038 | FOI 24/25-0317

Criteria for reasonable and necessary supports Is criteria Considerations (including evidence is met? used) Is the suggested consumable in some circumstances lower cost achieve the same outcome. sRRj=™“ If the participant is unable to manage their incontinence independently, they may rely on informal/formal support. The level of Core DA support provided is typically included within the provision of personal care

34.1(d) Support is effective or beneficial Yes ~ s47E(d)- certain operations of agencies

for the participant Or has a trial been completed? No request to fund a trial of high-cost consumables. (supports will be, or are likely to be, effective Consider NDIS Support for Participant Rules effective effect and beneficial for the participant, having regard to current good practice) What are the expected benefits of the Version 1.0 Page 3 of 7

MR25/00038 | FOI 24/25-0317

(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

Criteria for reasonable and necessary supports	Is criteria met?	Considerations (including evidence used)
How will effectiveness of achieved outcome be measured?		s47E(d) - certain operations of agencies
When will effectiveness of achieved outcome be achieved?
Are there other supports required to achieve or maximise the reported support outcomes for participant?		Has the participant been using the suggested consumables for some time? Or has there been a trial completed? `redacted`

Are the continence consumables compatible with the environment where they will be used?

If the participant is unable to manage their incontinence independently, they may require informal/formal supports to assist with toileting, personal care including catheterization/complex bowel care and skin care to manage the risk of integrity issues.

Typically, if a child requires support to manage their incontinence this would remain a parental responsibility.`redacted’

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funded by the NDIS

or provided through other general service systems or universal service obligations

2013 Schedule 1.

Consider NDIS Support for Participant Rules

(supports are not more appropriately funded | ONo — >

Criteria for reasonable and necessary Is criteria Considerations (including evidence supports met? used) 34.1(f) Support is most appropriately &K Yes > | Ifthe participant is an inpatient

(hospital) it is deemed the responsibility of the health system to provide continence products during the hospital stay. Discharge planning may request continence consumables be funded for use in the community. Evidence will be provided by the hospital nursing/Continence

Is the requested consumable a treatment which is not funded by NDIS? #47E(a)=certain operations of agencies These may be available on the PBS, or the participant may need to purchase them privately.

As per Continence Supports | NDIS, typically if a child has incontinence

issues NDIS may fund consumables

after age Syo jesse

Free stoma appliances and products are provided by Stoma Appliance Scheme (health) Stoma Appliance Scheme | Australian Government Department of Health and Aged Care

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MR25/00038 / FOI 24/25-0317

Criteria for Reasonable and Necessary Supports

The following table outlines criteria, considerations (including evidence used), and whether each criterion has been met.

Support Will Not Cause Harm

Criteria
(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

Is criteria met? Yes - Has the Continence Assessment outlined any potential risks? No -

Considerations (Including Evidence Used) s47E(d) – certain operations of agencies

Criteria
(supports will note ianded undenthesibig. If they do not relate to the participants disability or are day-to-day expenses or income replacement)
Consider NDIS Support for Participant Rules 2013 Part 5.1 and 5.2

is Criteria Met?: Yes > Have the continence consumables been recommended to address the functional impacts (incontinence?) associated with disability for which the participant has gained access to the scheme? No: Considerations (including evidence used): s47E(d)-certain operations of agencies.

Support Does Not Duplicate Other Supports

Criteria
This section refers to the support being duplicated under other funded sources from NDIS — it is not

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