High Intensity Daily Support referrals in Randwick, NSW
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.
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.
Coordinator FAQs
- 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…