Advice Support Tool

Theme: Orthotics (Lower Limbs)

Sub-Theme(s): Functional Electrical Stimulation Device (FES)

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

og Assistive technology https://www.ndis.gov.au/about-the-nds/how-we-fund | NDIS

DOCUMENT 19

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 (supports will assist the participant to pursue the goals and objectives in their plan)	Yes	Goals and activities around functional mobility/support
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)	No

* What activities is the participant involved in/planning to do?
* How does the provision of the device improve the participants' functional outcomes?
* What functional gaps does the requested device support?                  |

| 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 | There is a range of FES devices that have a differing range of costs and perform different functions; has the provider considered the lowest-cost option that may meet all the PCT needs | No | - Has the provider considered and ruled out other lower cost |

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Criteria for reasonable and necessary supports	Is criteria met?	Considerations (including evidence used)
e there comparable support options which would achieve the same outcome at a substantially lower cost? What alternative supports were considered?		options that may meet all the PCT’s functional needs i.

is there evidence that the support will substantially improve the life stage outcomes and be of long-term benefit to the participant?||Has the provider considered any likely changes such as the impact of growth (child), intermittent volume changing pathologies or degenerative conditions #3). e there evidence that funding support is likely to increase independence and reduce funded support costs in the long-term?||Has the PCT recently been funded a lower cost device redacted: s47E(d) - certain operations of agencies. if so, why was it unsuccessful, how does the FES fulfill the functional gap? e there evidence the support will increase the participant’s independence and reduce the participant’s need for other kinds of supports?||Does the PCT have any challenges with their upper limbs that may affect donning and doffing certain types of AT se there evidence the quoted support cost is comparable to expected cost of same kind of Supports? redacteds47E(@)seertainjoperatons/oF agencies||What other AT (e.g., MWC, PWC, Scooter) does the participant utilize

Trials|| has the pCT trialled the requested redacteddevice. o Was a post-trial outcome report provided `gag

MR25/00038 | FOI 24/25-0317

Criteria for reasonable and necessary Supports

is criteria Considerations (including evidence\used) Warranty Consumables

There are consumable items \required to support a FES device (electrodes, cuffs etc.), s47E(d) - certain operations of agencies.

eeeae

34.1(d) Support Is Effective or Beneficial for the Participant

O Yes ? —Is there evidence the PCT requires support to control the foot and ankle redacted o No —

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?
Areee other supports required to achieve or maximise the reported support outcomes for participant?

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

34.1(e) Support coordinates with but O Yes → N/A

does not replace informal support

(funding or provision of supports takes a 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 O Yes → s47E(d) - certain operations of agencies.

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.)

Support will not cause harm O Yes

(Supports will not be funded if it is likely to - is there evidence that the PCT can tolerate the device to cause harm to the participant or pose a risk | O No undertake and complete all their functional activities and goals? 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

sparticipant’s disability| O No relates to their disability aaa

(supports will not be funded under the NDIS of 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

Support does not duplicate other OJ Yes → N/A

supports

(supports do not duplicate other supports CO No —? 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

MR25/00038 | FOI 24/25-0317

The following table outlines the assessment against specified criteria.

Criteria for reasonable and necessary supports
Are all of the above criteria met for all `redacted` OU Yes

Version Control

A record is maintained below detailing modifications made during this process:

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

note: Document uncontrolled in hard copy

Advice Support Tool — Orthotics (Lower Limbs): Functional Electrical Stimulation Device (FES)