NDIS for Health Professionals
What is the NDIS?
The National Disability Insurance Scheme (NDIS) is a nationwide scheme that will help support people with a permanent and significant disability, and their families and caregivers. It will provide about 460,000 Australians under the age of 65 with a permanent and significant disability, the reasonable and necessary supports they need to optimise their function and participation in their community and employment.
When will it come into effect?
The National Disability Insurance Agency (NDIA) funding will roll-out to the Northern Sydney PHN area from 1 July 2017.
Eligibility and Pathways
The NDIS is available to Australian citizens, residents, and applicable visa category holders, who are under the age of 65 with a permanent disability that significantly impacts on activities of daily living. See also:
- Fact Sheet: Eligibility requirements for the NDIS – NSW Government NDIS
- NDIS Access checklist – NDIA
What other supports are available under the NDIS?
Early Childhood Early Intervention (ECEI)
Children aged between 0-6 years old identified with disability or developmental delay may benefit from working with Early Childhood Providers to help develop functional skills and access community supports. GPs should advise families that they can access the ECEI pathway whilst awaiting further assessment by health professionals. See also:
- Early Childhood Early Intervention (ECEI) – NSW Government NDIS
- Early Childhood Early Intervention – NDIA
Information Linkages and Capacity Building (ILC) – due to roll-out July 2018
Ability Links and Early Links NSW currently provides connections for patients with disability to their community. ILC is a new initiative that will aim to provide assistance and links to community and mainstream supports. It will help people with disability and their families to acquire skills, resources, and the confidence they need to participate in the community. Whilst the focus of ILC is largely on people who are ineligible for the NDIS, scheme participants can still access ILC. It may also help people with disability move into the NDIS if a need is identified. See also:
What happens next?
Those who already receive existing specialist disability services through Family and Community Services (FaCS), will be contacted by an NDIA representative and are required to create a plan (called My First Plan) that determines individualised goals for each participant. This can be developed in conjunction with a family member, carer, or support worker; a Health professional may also be asked to contribute to ensure complex health needs are accurately reflected in the client’s plan. They will then transition to the NDIS on 1 July 2017 and have services paid under this new structure, with participants controlling how funds are spent.
Clients unknown to the NDIA (e.g. newly diagnosed, degenerative conditions resulting in an eligible level of impairment and newly born children with disability) will need to make a full application to the scheme.
What do GPs need to do?
New patients seeking to receive supports and services under the NDIS will need to complete an ‘Access Request Form’ (ARF). Participants, their family or carers can obtain a copy of the ARF by contacting the NDIA. GPs and allied health professionals may be asked to complete Part F of the ARF, but may help complete other appropriate sections. In providing textual evidence of disability, GPs will need to consider the functional language used by the NDIS and accordingly detail a health matter in terms of functional impact.
Many participants will not require contact with their GP for any further details or documentation, as they may have a specific condition or may be part of a program that automatically qualifies them for entry into the NDIS. Others may require written medical evidence of their disability, with accepted documentation including validated functional assessments or specialists and allied health reports. Some will require an ‘NDIS supporting evidence form’ (currently under development) that addresses the 6 functional domains of communication, learning, mobility, self-care, social interaction and self-management. See Professional report guideline – Supporting Access and also:
- Evidence of your disability – NDIA
- Access to the NDIS – NDIA
- Access to the NDIS: List E – Qualifying Programs (also see lists A, B, C and D)
Who can I speak to for more information?
National Disability Insurance Agency (NDIA) – 1800 800 110
LAC – Local Area Coordinator for Northern Sydney is Uniting Care Ph: 1800 864 846 – More information
- Introduction to the National Disability Insurance Scheme for Allied Health Professionals Training Modules