High Intensity Daily Support referrals for NDIS coordinators
Daily support that needs extra skills — complex bowel care, PEG feeding, tracheostomy, ventilation, complex wound and pressure care, seizure and diabetes management. Providers must hold the right high-intensity skills.
NDIS registration group: High intensity daily personal activities
What High Intensity is under the NDIS
High Intensity Daily Support (also referred to under the NDIS as High Intensity Daily Personal Activities) covers assistance with everyday personal activities where a participant's health needs make the support clinically complex or higher-risk. It requires workers with additional skill, training and supervision beyond standard personal care, and is funded from the participant's Core supports budget.
What makes a support 'high intensity' is the clinical complexity and risk involved — tasks such as complex bowel care, enteral (PEG) feeding, tracheostomy management, ventilation, complex wound and pressure care, seizure management and subcutaneous injections. The NDIS Quality and Safeguards Commission publishes High Intensity Support Skills Descriptors that set out the knowledge and skills a worker needs for each of these areas.
Providers delivering these supports as registered providers must meet the High Intensity Daily Personal Activities module of the NDIS Practice Standards, in addition to the core standards. This helps ensure supports are delivered safely, to the worker's assessed competency, and in line with the participant's care and support plans.
What it covers
- Complex bowel care, including manual evacuation and enemas
- Enteral / PEG feeding and management
- Tracheostomy care, suctioning and management
- Ventilation support, including mechanical ventilation
- Complex wound and pressure care management
- Severe dysphagia and complex mealtime support
- Subcutaneous injections (for example, insulin)
- Seizure / epilepsy management and response
- Urinary catheter and stoma care
- Diabetes management support
Who it suits
Refer here when a participant needs help with daily personal activities that carry clinical risk and require a trained, competency-assessed worker — for example someone with a spinal cord injury, complex disability or a condition requiring PEG feeding, ventilation, tracheostomy care or ongoing seizure management.
Choose High Intensity Daily Support over standard assistance with daily life whenever the participant's health-related needs mean ordinary personal care won't safely meet the requirement.
How to refer High Intensity on Novida
Use Novida to search verified providers delivering high intensity daily personal activities in the participant's area, and filter for those with current capacity. Confirm the provider holds the right registration for the participant's plan-management type and that their workers can evidence the relevant High Intensity Support Skills Descriptors for the specific task.
Contact the provider directly with a complete referral: participant consent, NDIS number, plan-management type, the relevant line items and available budget, the frequency and hours needed, and the specific high intensity requirements (for example, overnight PEG feeding or tracheostomy suctioning). The more clinical detail you include, the faster the provider can confirm they can safely meet the need.
Novida is free to use and never sits in the middle of the referral — you deal with the provider directly and keep control of the participant relationship.
What to check before you refer
- Provider registration against the High Intensity Daily Personal Activities group (required where the participant is NDIA-managed) and compliance with the relevant NDIS Practice Standards module.
- Evidence that support workers are trained and competency-assessed against the High Intensity Support Skills Descriptors that apply to the participant's specific need.
- A current care / support plan — and clinical or nursing delegation and oversight where the task requires it — covering the specific high intensity activity.
High Intensity — NDIS price limits (2026–27)
- Assistance With Self-Care Activities - High Intensity - Weekday Daytime — $73.18 per hour (01_801_0104_1_1)
- Assistance With Self-Care Activities - High Intensity - Saturday — $102.97 per hour (01_802_0104_1_1)
How it’s priced
High intensity daily personal activities are funded from the participant's Core supports (Assistance with Daily Life) budget and carry higher price limits than standard personal care, reflecting the additional worker skill required. Rates are set out in the current NDIS Pricing Arrangements and Price Limits (the NDIS Price Guide) on ndis.gov.au.
Coordinator FAQs — High Intensity
- Does a provider have to be registered to deliver high intensity daily support?
- It depends on plan management. NDIA-managed participants must use registered providers, so the provider needs registration against the High Intensity Daily Personal Activities group and must meet the relevant Practice Standards module. Self- and plan-managed participants can use unregistered providers, but given the clinical risk you…
- What are the High Intensity Support Skills Descriptors?
- They are guidance published by the NDIS Quality and Safeguards Commission setting out the knowledge and skills a worker needs to safely deliver each high intensity support — such as complex bowel care, PEG feeding, tracheostomy management or seizure response. Providers use them to train and assess workers. When referring, ask the provider…
- Which budget funds high intensity daily support?
- It is funded from the participant's Core supports budget, under Assistance with Daily Life. High intensity personal activities carry their own higher price limits, separate from standard personal care, because of the additional skill involved. Check the plan has enough Core funding allocated and, where the plan is stated rather than…
- What's the difference between standard personal care and high intensity daily support?
- Standard assistance with daily life covers everyday personal activities like showering, dressing and toileting. A support becomes high intensity when the participant's health needs make it clinically complex or higher-risk — for example bowel care, enteral feeding, ventilation or subcutaneous injections — requiring a worker with…
- Do these supports need to be overseen by a nurse?
- Often, yes. Many high intensity tasks require a clinical care plan and, in some cases, delegation and supervision by a registered nurse or other health practitioner. Before referring, confirm whether the participant has a current care plan and what clinical oversight the provider offers, so the support is delivered safely and within the…
- Can support workers, not just nurses, deliver these supports?
- Yes, in many cases. Appropriately trained support workers can deliver high intensity supports where they have been assessed as competent against the relevant skills descriptors and are working to a care plan, sometimes under nursing delegation. The key is evidence of competency and safe delegation — ask the provider how they train, assess…
- What should I include in a referral for high intensity daily support?
- Include the participant's consent, NDIS number, plan-management type, the relevant line items and available budget, and the frequency and hours needed. Critically, spell out the specific high intensity requirements — for example overnight PEG feeding, tracheostomy suctioning or seizure management. Clear clinical detail lets the provider…
- Is complex or community nursing the same as high intensity daily support?
- Not quite. Depending on complexity and who performs it, some tasks may instead be delivered as community nursing supports. High intensity daily support covers personal activities delivered by workers competent against the skills descriptors, while more complex clinical procedures may fall to nursing supports. When unsure, check with the…
- How do I check capacity and refer through Novida?
- Search Novida for verified providers offering high intensity daily personal activities in the participant's area, filter for current capacity, and confirm registration and worker competency. Then contact the provider directly with a complete referral. Novida is free and never sits in the middle — you keep the direct relationship with both…
Related NDIS registration groups
- Supported Independent Living (SIL) referrals
- Specialist Disability Accommodation (SDA) referrals
- Short Term Accommodation & Respite referrals
- Assistance with Daily Life referrals
- Household Tasks referrals
- Home Modifications referrals
How to check a provider’s credentials
- NDIS Commission provider register — NDIS registration
- How worker screening works — Worker screening
- Make a complaint to the NDIS Commission — Complaints & conduct