How the NDIS Funds 24/7 Care at Home
NDIS 24/7 care funding explained: daytime, active overnight and sleepover rates, SIL rosters, 2:1 support and the evidence to fund around-the-clock care.
Funding care for every hour of the day and night is one of the bigger conversations you can have with the NDIS — and it's rarely a single number. It's built from daytime support, overnight support, any clinical care, and sometimes two workers at once, each evidenced and priced differently. This guide breaks down how a 24/7 budget is actually assembled and how to ask for it.
The building blocks of a 24/7 budget
Daytime vs active overnight vs sleepover
SIL quotes and the roster of care
2:1 support and high-intensity loading
The evidence the NDIA needs
Making the budget last
At your planning meeting
Related guides
Frequently asked questions
How does the NDIS fund 24/7 care at home?
It is rarely one number. A 24/7 budget is built from daytime support, overnight support (active or sleepover), any clinical care, and sometimes two workers at once, each evidenced and priced separately. It is often arranged as a roster of care, especially where Supported Independent Living applies.
What is the difference between active overnight and sleepover support?
With active overnight, a worker is awake and working through the night, funded as ongoing hours. A sleepover means the worker sleeps on-site and is paid at a lower set rate, with a small number of expected wake-ups. Which one you are funded for depends on how much happens overnight.
Will the NDIS pay for a worker to stay overnight?
Yes, where evidence shows you need support or supervision at night. If you regularly need help overnight, for repositioning, toileting, seizure response or suctioning, that points to active overnight funding; if wake-ups are occasional, a sleepover may be funded instead.
Is 24/7 care the same as SIL?
Not exactly. Supported Independent Living (SIL) funds the roster of support in a home you live in, often shared, and can include overnight support. But 24/7 care can also be funded outside SIL; the label depends on your living arrangement, not just the hours.
What evidence do I need for 24/7 care funding?
The NDIA looks for assessments showing your support needs across the full day and night, often an OT functional assessment, a clinician letter, and any task-specific plans, plus a clear picture of what happens overnight. For clinical care, nursing evidence and the disability-related need are key.
Related guides
- How the NDIS Funds Hoists, Slings & Transfer Equipment
- How the NDIS Works With Palliative Care & Health Services
- How the NDIS Funds Personal Care & Self-Care Supports
- Overnight Complex Care: Active Overnight vs Sleepover for Clinical Needs
- Palliative & End-of-Life Care on the NDIS: A Participant & Family Guide
- Choosing & Directing Personal Care Workers (Your Rights)