Nursing Support Update

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At Xavier, we are one of the few disability providers in Brisbane that have nursing services available to help you care for your child’s health related needs. We provide training, support and monitoring of Xavier Support Workers. With the recent NDIS update, this support can now be funded through your child’s plan. 

The NDIA released a new Price Guide and Support Catalogue 2019-20 effective from 1 October 2019. This includes more than 90 disability related health supports.

What health supports will the NDIS fund?

The disability-related health supports that the NDIS will fund include (but are not limited to) the below:

  • Continence supports
    • Catheter changes
    • Cleaning of catheters
    • Consumables
    • Assessments, plans and reviews
  • Respiratory supports
    • Tracheostomy changes
    • Tracheostomy clinical management
    • Tracheostomy equipment and consumables
    • Constant Positive Airway Pressure (CPAP) machine and consumables
    • Bi-level Positive Airway Pressure (BiPAP) machine and consumables
    • Air humidifier
    • Portable suction machine
    • Cough assist machine
    • Ventilator
  • Nutrition supports
    • Percutaneous Endoscopic Gastrostomy (PEG) and HEN equipment (or similar) and consumables, excluding Food Formula
    • Thickeners and nutritional supplements
    • PEG stoma changes
    • Dietetic consultations
    • Development of nutritional meal plans
    • Development of meal time management plans
  • Dysphagia supports
    • Development of oral eating and drinking care plans (OEDCP)
    • Swallowing therapy associated with dysphagia provided by an allied health professional
  • Wound and pressure care
    • Wound care consumables (e.g. dressings)
    • Lymphoedema machines
    • Lymphoedema garments
  • Diabetic management supports
    • Development of diabetic management plan
    • Daily maintenance and care associated with diabetic management plan (where participant is unable to self-manage due to their disability)
  • Podiatry and foot care supports
    • Podiatry diagnosis and assessment and development of podiatry care plan
  • Epilepsy supports
    • Epilepsy seizure monitoring
    • Epilepsy monitoring through assistive technology

Health supports that will NOT be delivered by the NDIS

Some health supports that will not be funded through the NDIS include:

  • Items and services provided as part of diagnosis, early intervention and treatment of health conditions, including ongoing or chronic health conditions, and which are not part of the everyday life of the NDIS participant.
  • Medically prescribed care, treatment or surgery for an acute illness or injury including post-acute care, convalescent care and rehabilitation.
  • Sub-acute care including palliative care, end of life care and geriatric care (with the exception of supports that are already provided for in a participant’s plan – refer Palliative Care).
  • Items and services covered by the Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS).
  • Treatment, services or supports delivered by a doctor or medical specialist, including diagnosis and assessment of a health condition.

How can I access health supports for my child?

You can start accessing the health supports provided by the NDIS immediately by using your child’s Core or Improved Daily living budgets. This applies from 1st October 2019 and does not require a plan review.

This is a transitional arrangement put in place by the NDIA. The ability to pay for disability-related therapy and nursing health supports from the core support budget will not apply once your scheduled plan review takes place.

What does this mean for Xavier kids?

For many of the kids and families that we support like little Cailin, the care that our nursing team provide makes a big difference.  Cailin’s Support Worker, recently turned to our nursing team for advice when she became concerned about Cailin’s muscle tone.

READ CAILIN’S STORY

Meeting safety standards

For the safety of participants, NDIS providers who are required to complete high intensity daily personal care activities will support their workers to meet safety requirements defined in the High Intensity Skills Descriptors document.

The high intensity support skills descriptors set out the skills and knowledge that NDIS providers should have access to when delivering complex supports, safely, to NDIS participants. High Intensity Activities are defined as:

  • Complex Bowel Care
  • Tracheostomy
  • Ventilation (including CPAP/BPAP)
  • Enteral Feeding (eg: Nasogastric)
  • Urinary catheters
  • Complex wound care
  • Pressure area
  • Diabetes care
  • Meal time preparation and delivery (eg: if swallowing difficulties)
  • Stoma Care
  • High risk of seizures

Xavier has also identified some health related activities for our complex kids that pose risks to health and have included these activities in our Health Implementation and Outcome for In-Scope activities (available on request). These activities require monitoring by the appropriately qualified health professional when Xavier support services are utilised for the care of your child.

These areas represent some of the highest risks for people with disabilities and the NDIS has set clear standards and expectations that service providers must meet and take particular care to deliver high quality and safe supports.

NDIS requires that people identified with a high intensity needs who also utilise support worker services, must have:

  • An assessment undertaken and a plan of care developed for the high intensity activity, individualised to the person’s specific needs, to guide the support worker. This plan is to be developed and monitored by a suitably qualified health professional, such as a nurse.
  • The plan must identify the child’s specific risks, how the worker can identify and action deterioration in the child’s health.
  • That appropriate policies and procedures are in place to guide workers and keep children safe. These need to meet current practices for care and be evidence based.
  • That all workers receive the appropriate training for the high intensity activity, individualised for each child, and delivered by an appropriately qualified health professional.

For example, if your child requires catheter changes this would be performed by our nursing team not by a Support Worker.

Further information

NDIS Price Guides & Information:

https://www.ndis.gov.au/providers/price-guides-and-information#ndis-price-guide-2019-20-effective-1-october-2019

High Intensity Skills Factsheet:

https://www.ndiscommission.gov.au/document/1026