Advice Support Tool

Theme: Diabetes Sub-Theme(s): e Diabetes AT – continuous glucose monitors, insulin pumps. e Nursing support to manage diabetes. e HIDSW under a DsOC to manage diabetes.

References: [include any relevant referenced documents] NDIS Act 2013 Section 34 1. (a) - (f) and 2. NDIS Su for Participant Rules 2013 G _DiabetesManagementSupports

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 goals and objectives © parlicipant’s goats	Yes	The participant may not have specific goals regarding diabetes support; however, consider how the appropriate management of the participant’s diabetes may underpin and assist the participant to pursue their states goals.
No
34.1(b) Assist the participant’s social and economic participation.	Yes
(supports will assist the participant to undertake activities to facilitate their social and economic participation)	No

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Criteria for reasonable and necessary Is criteria supports met? 34.1(c) Value for money O Yes ? Information to consider when (supports represents value for money, ie the ey he suppert is value Fat costs of support are reasonable, both in ONo —> y terms of the benefits achieved and the cost e Diabetes management plan. of alternative support) What other support may be : of required to follow the Consider NDIS Support for Participant Rules ; 2013 Part 3.1 (a) - (f): diabetes management plan. e Quote for the requested AT. S47E(d)-certain operations of agency SATE Certsar cpetaiinns OF apericiey ef Seq) jk es Pei ha tap Lg Sy requested AT? What was the | CUtCON.? ———————— _———SSa _—————— sy ——— ay | Are there comparable support options e Will funding the AT reduce which would achieve the same outcome at the requirement for formal supports. rs Version 1.0 Page 2 of 7

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MR25/00038 | FOI 24/25-0317

Criteria for reasonable and necessary supports	Is criteria met?
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

e If the participant has Type 1 diabetes can this support be funded through other services such as the NDSS,NDSS.

Where a nurse is being requested to manage a participant’s BGLs things to consider:

e Can the diabetes management be delegated to HIDSW under a DsOC rather than a nurse. 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 | AT | No |

e Has the participant trialed the requested AT. What was the outcome? S47E(d)-certain operations of agency

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MR25/00038 | FOI 24/25-0317

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 met?
When will effectiveness of achieved outcome be achieved?
are there other supports required to achieve & maximize the reported support outcomes for participant?

| Considerations (including evidence used) | : If the participant is unable to self- manage their diabetes even with diabetes A.T. Then it would be appropriate for formal or informal supports to manage their diabetes for them. This would ensure the participant’s diabetes is correctly managed, maintaining their health and well-being. Thus where a participant is unable to selfmanage their diabetes it is effective and beneficial to the participants livelihood to fund a HIDSW/nurse where required. In addition to the request for a nurse or HIDSW, supports may be requested for a “second check” for insulin administration. As per Australian Community Industry Alliance ACIA 044 Diabetic Management in the Community pdf a secondperson check of the insulin dose is considered best practice and the person providing the check can be: e The participant themselves if they have the cognitive capacity to do so,
e An informal support i e familyfriend,
e Another support worker who has undertaken training and deemed competent, or
e Health practitioner eg trained nurse.

34.1(e) Support coordinates with but Ol Yes ——~> Where a participant is child requiring support to manage their
diabetes this would remain parental responsibility However once the participant is age that one typically selfmanaging their it would reasonable consider funding AT allow child selfmanage their diabetes or provide assistance management participant’s diabetes.

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Criteria for Reasonable and Necessary Supports

The following table outlines criteria and considerations regarding reasonable and necessary supports.

Criteria	Is criteria met?
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.)	O Yes O No
Is the requested support best funded through other government bodies e.g., NDSS. This might include CGM, finger prick consumables, needles etc.?
Where the participant resides in an Aged Care Facility the Aged Care Quality of Care Principles (2014 legislation - Quality of Care Principles Diabetes management would be best funded through the facility themselves. It is expected that mainstream health retains oversight and management of the participant’s diabetes condition. For participants with newly diagnosed diabetes, it is expected that in the first instance, mainstream health supports provide appropriate education and training to the participant or informal supports including information on the condition, medications they may be prescribed, how the medication is administered, their blood sugar range goals, emergency management of hyper/hypoglycemia events, etc. Other training specific to the participant is built into the DSoC hours. A participant may request supports for a Dietitian to assist with mealtime planning; it would be expected that mainstream health supports, or diabetes support provides this support. A DSW may assist with implementation of a plan as part of a participant’s daily support needs, however, the participant can access specialist Dietitian/mealtime planning supports through mainstream health.

| | 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 | O Yes
O No | | A diabetes management plan should detail all risks related to the management. Has the AT been trialed redacted? |

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

Criteria for reasonable and necessary Is criteria Considerations (including evidence

supports met? used) Is the appropriate person undertaking the requested task PIBEEStIsesSHsees eS EES SS —————SSESESEe on 1

Support is directly related to the 0 Yes > | Is the participant unable to self-

participant’s disability manage their diabetes without AT or

F direct support (HIDSW/nurse) as a

disability.

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

0 Yes

O No

Are all of the above criteria met for all supports?

O Yes

O No

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Version Control

The table below details version control information.

| Version # | Status | Date | Modified By | Brief Description of Modification | |———–|–––––|————|———––| | V1.0 | Cleared | 01/09/2023 | AHK808 | Production of initial V1.0 | | V1.0 | Cleared | 05/09/2023 | JIF775 | Transferred to Key Advisor Advice Resources repository :

A note indicates that this document is not controlled when printed or copied (uncontrolled in hard copy).

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Advice Support Tool — Diabetes: AT (continuous glucose monitors, insulin pumps), Nursing support, HIDSW under a DsOC