High intensity supports with clinical oversight
The supports that need a nurse behind them, and an honest list of what we do not take.
High intensity supports are the ones where getting it wrong has consequences. The NDIS treats them as a distinct skills descriptor set, and it expects the provider to show how workers are trained, supervised and signed off for the individual person.
This is the part of the service where clinical governance stops being a marketing line and starts being the reason something is possible at all.
What we support
Complex bowel care. Enteral feeding and PEG management. Diabetes management, including insulin. Seizure support, including administering midazolam where it is prescribed and a plan is in place. Urinary catheter management. Complex wound management. Dysphagia support, working to a speech pathologist's mealtime plan. Severe psychosocial supports, where the behaviour support plan is in place.
What we do not support
Ventilation, including tracheostomy ventilation. We are not set up for it and we are not going to learn on someone. If ventilation is required, you need a provider who delivers it daily, and we will refer you on at the first conversation.
How training and sign-off work
High intensity supports are not delivered by whoever is rostered. A worker is trained for the specific support and the specific person, assessed by a Registered Nurse, and signed off before they deliver it unsupervised. Competency is reviewed rather than assumed, and the documentation exists because a plan reviewer or an auditor is entitled to see it.
Where a support needs a plan written by another clinician, a mealtime management plan, an epilepsy management plan, a behaviour support plan, we work to that plan. We do not write it ourselves and we do not proceed without it.
Questions
What counts as a high intensity support?
The NDIS High Intensity Support Skills Descriptors cover complex bowel care, enteral feeding, dysphagia, ventilation, tracheostomy, urinary catheters, subcutaneous injections, complex wound management, severe psychosocial supports and epilepsy or seizure support. They carry higher price limits because they need specific training and clinical oversight.
Do you deliver ventilation support?
No. It is the one high intensity support we do not provide.
Who trains the support workers?
A Registered Nurse. Workers are trained for the specific support and the specific person, assessed, and signed off before delivering it unsupervised. Competency is reviewed, not assumed.
Can high intensity supports be delivered in SIL?
Yes, and that combination is a large part of why the Glendenning home works. The roster of care is built around the clinical supports rather than the other way round.
Does this cost more?
Yes. The high intensity line items carry higher price limits than standard supports, set by the NDIA rather than by us. The difference funds the training, the supervision and the clinical oversight behind the support.
Make a referral or ask about a placement
Tell us the supports the plan funds and when they need to start. We respond the same business day.