2:1 (Two-Person) Support on the NDIS: When It's Funded

2 to 1 support NDIS guide: what two-person support is, when it's clinically justified, how both workers are funded, and the evidence you need to get it.

Some tasks simply can't be done safely by one person — a complex transfer, supporting someone whose behaviour can escalate, or care that needs two pairs of hands at once. The NDIS calls this 2:1, or two-person, support, and it can be funded when it's genuinely needed. This guide explains what 2:1 support is, when it's clinically justified, how both workers are funded, and how to secure it without…

What 2:1 (two-person) support means

When two workers are genuinely needed

When it's not 2:1

How 2:1 support is funded

The evidence that justifies 2:1

Keeping 2:1 to the tasks that need it

Finding providers who can staff two workers

Where this sits in the bigger picture

Frequently asked questions

What is 2:1 support on the NDIS?

2:1 (two-person) support means two workers assist you at the same time for a task that cannot be done safely by one person, like a complex hoist transfer or supporting someone whose behaviour can escalate. The NDIS funds it when it is clinically justified, not as a default.

When will the NDIS fund two support workers at once?

The NDIS funds 2:1 support when evidence shows one worker cannot do the task safely, for example a two-person manual handling transfer, high-risk behaviour, or care needing two pairs of hands at once. It has to be justified for the specific tasks, not the whole day.

Does 2:1 support cost double from my budget?

Yes. Two workers for the same hour draw two lots of worker time, so it is roughly double the cost of one-to-one for those hours. That is why it is usually scoped to the specific tasks that need two people, rather than every hour of support.

What evidence do I need to get 2:1 support funded?

Usually an assessment from the relevant clinician, an occupational therapist for transfers or a behaviour support practitioner for behaviour, plus a task-specific plan such as a manual handling plan that states two workers are required and why. Current evidence tied to your disability is what…

Can I use 2:1 support for only part of the day?

Yes, and that is usually the smart approach. Two workers might be needed just for a morning transfer or a shower, while the rest of your support runs one-to-one. Scoping 2:1 to the exact tasks that need it keeps the rest of your budget intact.

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