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NDIS Complex Care Support

Individualised disability support for people with specialised care needs and complex support arrangements. Start with your needs, preferences and goals, then bring the right skills and services together.

What is complex care?

Complex care describes support that needs specialised skills, careful planning or close coordination between several people and services. It may involve disability-related health needs, extensive daily assistance, communication needs, behaviour-support strategies or fragile support arrangements.

Some people need High Intensity Daily Personal Activities. Others have complex circumstances without needing those clinical activities. A diagnosis or the number of support hours alone does not determine the right care arrangement.

We review the requested tasks, existing assessments and care plans with you and the people you choose to involve. Service suitability, our registration scope, appropriately skilled workers and local availability are confirmed before support is agreed.

Who may benefit from complex care support?

Specialised health support

Assistance with disability-related nutrition, continence, respiratory, skin or other health routines, guided by an individual plan.

Substantial daily assistance

Coordinated personal support and supervision where several daily tasks, risks or support arrangements need to be managed together.
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Communication and choice

Accessible information, supported decision-making and a communication approach shaped around how you express your preferences.
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Behaviour-support implementation

Workers may implement agreed strategies within their role. Specialist assessment, plan development and restrictive practices have separate requirements.
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Coordinated support

Collaboration with clinicians, allied health, support coordinators, family and other services, with your consent.
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Transitions and changing needs

Planning around hospital discharge, changes in care arrangements or a risk that essential supports may break down.
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High-intensity support: eight recognised activities

The NDIS Commission identifies eight High Intensity Daily Personal Activities. The list below explains those activities; it is not confirmation that every task is available through BHS. A registered provider may deliver only the high-intensity supports covered by its registration certificate. Each referral also needs the appropriate plans, worker competence and clinical arrangements.

Explore the high-intensity support areas

Complex bowel care

Specialised bowel assistance under a practitioner-developed plan, with participant-specific training and clear escalation arrangements.

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Enteral feeding and management

Individualised assistance with prescribed tube-feeding, fluids or medication routines, based on the person’s assessed plan.

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Severe dysphagia management

Specialised support for significant swallowing needs, with an assessed management plan and training from an appropriately qualified practitioner.

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Tracheostomy management

Person-specific tracheostomy assistance, equipment arrangements and incident planning within the worker’s assessed competence.

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Urinary catheter management

Assistance relating to indwelling, intermittent or suprapubic catheters, with appropriate clinical instructions, training and oversight.

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Ventilator management

Support around prescribed ventilation equipment and individual routines, with practitioner instructions and agreed backup arrangements.

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Subcutaneous injections

Disability-related assistance with prescribed injections beneath the skin, assessed individually and supported by the required competence.

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Complex wound management

Complex wound support under an individual management plan. Routine dressing help does not automatically meet the high-intensity standard.

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Other support for complex needs

Epilepsy and seizure support

Seizure support can involve significant complexity and risk. It has separate additional guidance and is not a ninth formal high-intensity activity.

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Communication and behaviour support

Accessible communication and implementation of agreed strategies may be part of an individual support arrangement. Specialist assessment and behaviour-plan development have separate requirements.

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Coordinated support and transitions

Complex coordination may help when several services are involved, needs are changing or essential support arrangements are at risk of breaking down.

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Your next steps

How support is planned and delivered

  1. Understand your needs

    Share the assistance you want, your preferences, current assessments and existing care plans. Involve the people you choose.

  2. Agree a safe support arrangement

    Confirm the requested tasks, registration coverage, worker competence, clinical oversight, costs and service availability before support starts.

  3. Review and adapt together

    Keep instructions, communication and escalation arrangements current. Review support with the appropriate practitioners when needs change.

NDIS funding, roles and service suitability

NDIS funding depends on the person’s individual circumstances, the support requested, applicable funding requirements and their plan. A complex-care label does not establish automatic eligibility or mean every hour is charged at a high-intensity rate. Some people receive a mixture of standard and high-intensity support.

Disability-related health assistance is different from diagnosis, medical treatment, hospital care, medicines and other health-system responsibilities. The required role and qualifications depend on the task: some support must be provided by a qualified practitioner, while other tasks may be carried out by a specifically trained, competent worker under the appropriate plan and oversight.

Before care is agreed, we discuss the tasks, the relevant clinical instructions, our service and registration scope, worker skills, availability and payment arrangements. You can involve your support coordinator, plan manager or treating team.

Read the NDIS Commission’s high-intensity standards and NDIA guidance on disability-related health supports.

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Your questions, answered

Does a diagnosis automatically qualify someone for complex care?

No. The starting point is the assistance the person needs, their preferences and goals, the risks involved and the skills or coordination required. A diagnosis alone does not establish funding or a service arrangement.

Is complex care the same as high-intensity support?

No. Complex care is a broad service description. High Intensity Daily Personal Activities are eight specific activities in the NDIS Commission’s standards. A person may need some of those activities, other disability support, or a combination.

Is seizure support one of the eight high-intensity activities?

No. Seizure support has separate additional guidance. It can still involve significant risk and requires an individual plan, participant-specific training and competent workers.

Does all complex care have to be delivered by a nurse?

Not necessarily. Some tasks require a qualified health practitioner; others may be carried out by a competent, specifically trained worker under the appropriate plan and oversight. The decision depends on the task and the individual.

Can BHS provide every activity listed here?

The list explains support areas and helps you discuss a referral. It is not a statement that every activity is available in every location. We confirm the requested tasks, registration coverage, clinical requirements, worker skills and availability before accepting an arrangement.

Is this the NDIA Complex Support Needs pathway?

No. The NDIA pathway is a specialised planning process. Receiving a provider’s complex-care service does not automatically place someone on that pathway or create a funding entitlement.

Find support in your area

Care, closer to home

Where can we support you?

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Discuss your support needs

Get in Touch Directly

Reach out to our dedicated team for personalised assistance. Whether you have questions or need guidance, we're here to help. Call us at 0489 996 178 or email us. Your support journey starts with a conversation!

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Tell us about the tasks, current plans, preferred arrangements and location. Our team will discuss suitability, required assessments and the next steps with you.

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