24/7 & Around-the-Clock Complex Care on the NDIS: A Participant & Family Guide
24/7 care on the NDIS: active overnight vs sleepover, how around-the-clock care links to SIL, when clinical care is funded and the evidence needed.
Some people need support available every hour of the day and night — because of complex health needs, safety risks, or care that can't wait until morning. The NDIS can fund around-the-clock care, but how it's funded depends on what happens overnight and how your support is arranged. This guide explains 24/7 care in plain English: the difference between active overnight and sleepover support, how…
What 24/7 care means on the NDIS
Active overnight vs sleepover: the crucial difference
How 24/7 care links to Supported Independent Living
When around-the-clock clinical care is funded
What the NDIS funds, and what health covers
Building the evidence for 24/7 care
Finding a provider who can staff around the clock
Where this sits in the bigger picture
Frequently asked questions
Does the NDIS fund 24/7 care at home?
Yes, when your evidence shows you need support available every hour because of complex health needs or safety risks. A 24/7 budget is built from daytime hours, overnight support, and any clinical care, each priced differently. It's usually assembled through a Supported Independent Living quote or a…
What's the difference between active overnight and sleepover support?
Active overnight support is funded when a worker must be awake and helping through the night, for tasks like repositioning, seizures or feeds. A sleepover is when the worker sleeps on-site and is available if needed. Which one you're funded for depends on how often you genuinely need help overnight.
Do I have to live in SIL to get 24/7 care?
No. Around-the-clock support is often arranged through Supported Independent Living, but you can also receive 24/7 care in your own home through an individual roster of support. SIL is a funding arrangement, not a place, so what matters is the evidence for the hours you need.
What does the NDIS fund overnight, and what does health cover?
The NDIS funds the disability-related support that keeps you safe overnight, including high-intensity tasks delivered by competency-assessed workers under registered-nurse oversight. Acute medical treatment, hospital care and your medications stay with the health system. The line is whether the need…
What evidence do I need for 24/7 care?
You'll usually need reports from your treating team and allied health professionals covering your needs across a full day and night, a task-specific plan for any clinical care, and a clear picture of overnight need. This shows the NDIA the support is reasonable, necessary and safe, which is the…
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