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 20230216 PDF 298KB (3).pdf
• How do we fund assistive technology? | NDIS

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

• s47E(d) - certain operations of agencies | | 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 → | - 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) | ☐ 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?
• Has the provider considered and ruled out other lower cost options? |

Criteria for reasonable and necessary supports

• Has the provider considered any likely changes such as the impact of growth (child), intermittent volume changing pathologies or degenerative conditions
• Has the PCT recently been funded a lower cost device if so, why was it unsuccessful, how does the FES fulfill the functional gap.
• Does the PCT have any challenges with their upper limbs that may affect donning and doffing certain types of AT
• What other AT (e.g., MWC, PWC, Scooter) does the participant utilize Trials s47E(d) - certain operations of agencies
• Has the PCT trialled the requested same device. o Was a post-trial outcome report provided gag

Criteria for reasonable and necessary supports

Considerations (including evidence used)

• Warranty: s47E(d) - certain operations of agencies

• Consumables: There are consumable items required to support a FES device (electrodes, cuffs etc.), 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?

• Yes
• No

Considerations (including evidence used)

• Is there evidence the PCT requires support to control the foot and ankle? redacted: s47E(d) - certain operations of agencies
• Trial evidence
• Lives experience
• Current AT is not providing adequate support.
• Broken componentry
• Supporting mobility/safety
• Functional gaps
• Contraindications redacted: s47E(d) - certain operations of agencies

| Criteria for reasonable and necessary Is criteria Considerations (including evidence | supports met? used) | 34.1(e) Support coordinates with but O Yes 7 |N/A | does not replace informal support | (funding or provision of supports takes 0 No =? | 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 0 Yes 4 | funded by the NDIS | (supports are not more appropriately funded | FO No — | 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 0 Yes - Is there evidence that the | (Supports will not be funded if it is likely to PCT can tolerate the device to | cause harm to the participant or pose a risk undertake and complete all | to others, or the support would be contrary to their functional activities and | a law of a jurisdiction) goals. | | Consider NDIS Support for Participant Rules | 2013 Part 5.1 and 5.3 | | Support is directly related to the Ol Yes - Evidence that the required | participant’s disability | 0 No FES s47E(d) - certain operations of agencies | (supports will not be funded under the NDIS_ | directly relates to their | if they do not relate to the participant’s MW disability aaa | 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 71 N/A | supports | CO No —? | (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

Version Control

Note: Document uncontrolled in hard copy