High Intensity Daily Activities

The delivery of supports for high intensity daily activities poses some of the greatest risks for NDIS participants and workers. Participants requiring these supports have complex health needs that must be supported by workers with specialised skills and experience, in order to ensure that the supports they receive are safe and of the highest quality.

It is essential that providers source workers with the relevant skills and knowledge to deliver supports for high intensity daily activities. Support workers need to have additional qualifications and previous experience relevant to the participant’s complex needs. With recent research demonstrating that people with a disability are more likely to suffer preventable deaths, it is increasingly important that extra care is taken to ensure sufficient communication, early detection  and timely medical assistance is provided.

Providers that assist with high intensity daily activities must meet all of the requirements of Module 1: High Intensity Daily Personal Activities, of the NDIS Practice Standards.  The NDIS High Intensity Skills Descriptors set out the skills and knowledge descriptors for Module 1 . Providers need to demonstrate that their workers have the relevant skills and training to provide each form of support. Providers may demonstrate that they meet the requirements of the skills descriptors through records of worker training and qualifications as well as relevant experience in the area.

We have recently developed some new resources to help providers meet and monitor their obligations in relation to the delivery of these complex supports.

Our new NDIS High Intensity Daily Activities Policy template outlines the training and skills required for staff when delivering each high intensity support. The policy template will ensure a consistent and reliable approach is taken to the delivery of complex supports. The policy document can be found in the Reading Room by searching for “high intensity”.

We’ve also recently created a new self-assessment for this area, to help providers track their obligations and compliance status. The self-assessment includes:

High intensity support:

  • Complex bowel care
  • Enteral feeding and management
  • Tracheostomy care
  • Urinary catheters
  • Ventilation
  • Subcutaneous injection

Additional support activities:

  • High risk of seizure
  • Pressure care and wound management
  • Mealtime preparation and delivery
  • Stoma care

You can find the self-assessment for the NDIS high intensity support skills descriptors in SPP under the Standards tab > NDIS Quality and Safeguarding Framework.

The self-assessment will assist providers to ensure that the skills and capabilities used in the delivery of their supports provide a safe environment for NDIS participants.

Contact us

Want to know more? Talk to our team.

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SPP has been a great resource for understanding and mapping Standards, preparing for Audits and also sourcing resources for policy development. I would recommend it to other organisations to complement their quality and compliance work. Information can be easily shared, and evidence gathered to support all work done.
Community mental health service provider, Victoria
I like the speed and ease of SPP, I love how it maps multiple standards. It’s so convenient, I couldn’t imagine the nightmare to do the work manually. The templates are great for gap analysis. SPP resource templates are great for implementing new policies in the office and for what we do day to day.
Large provider of settlement services to immigrants, New South Wales
I have found the SPP system amazing. It provides a structured way to work through the standards and then provide a succinct report on the evidence being provided for a surveyor to view how we meet the standard. I used this in our recent accreditation survey, the auditor was very impressed, AND we are now accredited for ISO 9001. Thanks again. A great system.
Provider of diverse range of health programs, Queensland
We really like SPP. We use the resources in the Reading Room and couldn't have passed our accreditation with flying colours without SPP.
Advocacy, support and education provider, Australian Capital Territory
Everything is going well with SPP. It’s helped us through three lots of accreditation over the past nine months plus some internal auditing, so I’m very glad to have had it to assist us through the processes.
Large regional multi-service provider, Victoria