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Specialist clinical care

High Intensity & Complex Care

High intensity supports carry the highest clinical risk in the NDIS, which is why so many providers will not take them on. We will. Our workers are trained and signed off against the NDIS high intensity support skills descriptors and work under registered nurse supervision, so complex care is delivered safely and consistently in your home rather than in a facility.

How it's funded

Funded from Core Supports – Assistance with Daily Life, at the high intensity support rate where your plan and assessed needs allow.

NDIS category

Registration group 0104 — High Intensity Daily Personal Activities

What's included

What high intensity & complex care covers

  • Enteral feeding support, including PEG, gastrostomy, jejunostomy and nasogastric tubes
  • Complex bowel care
  • Urinary catheter support
  • Subcutaneous injections
  • Complex wound management
  • Dysphagia and mealtime management support
  • Epilepsy and seizure support, including emergency medication
  • Diabetes management support
A nurse and doctor reviewing a client's complex care needs together

Who this is for

  • Participants whose daily personal care includes a clinical task that needs specific training
  • People coming home from hospital with new complex care needs
  • Families who have been told their relative's needs are too complex for community support
  • Support coordinators looking for a provider that genuinely delivers high intensity supports

How we work

Our clinical process

No mystery, no drawn-out intake. You know what happens at each stage and who is responsible for it.

  1. 1

    Nurse-led risk assessment

    A registered nurse assesses the clinical task, the environment and the risks, and confirms what safe delivery requires before any support starts.

  2. 2

    Worker training and sign-off

    We train the specific workers who will support you against the relevant high intensity support skills descriptors, and a nurse signs off their competency for your individual care needs.

  3. 3

    Care plan and emergency response

    Your plan documents the support, the risks to watch for, and exactly what workers do if something goes wrong — including when to escalate and to whom.

  4. 4

    Supervision and review

    Nurses supervise delivery, re-assess competency, and review the plan on a set cycle and after any incident or change in your health.

Safeguards

How we keep this safe

Clinical supports carry real risk. These are the controls that sit behind the care, and we are happy to walk any of them through with you or your support coordinator.

  • Worker training and competency is aligned to the NDIS Practice Standards high intensity support skills descriptors
  • A registered nurse holds clinical oversight of every high intensity support we deliver
  • Documented delegation, competency assessment and escalation pathways for each participant, not generic sign-off
  • Incidents are recorded, reviewed and reported in line with the NDIS incident management requirements

Related supports

Often needed alongside this

Community Nursing Care

Registered and enrolled nurses delivering clinical care in your own home, on a schedule that fits your life.

Implementing Behaviour Support

We put behaviour support plans into practice properly — trained workers, honest data, and real reduction of restrictive practices.

High intensity & complex care

Need high intensity & complex care in Melbourne?

Send a referral or call us and we will tell you honestly whether we can help and how quickly. We respond within one business day.

Or email admin@expert2care.org