The National Disability Insurance Scheme (NDIS) is implemented by the National Disability Insurance Agency (NDIA). NSW Health works closely with the NDIA to ensure our patients, their families and carers can make the most of the opportunities and services available through the NDIS.
If a child aged 0-6 years has a disability, or if there are concerns with their development, they may be eligible to receive support from the NDIS through the Early Childhood Approach (ECA). A child aged seven or older with a permanent disability may be eligible for the NDIS.
The NDIS Early Childhood Approach (ECA) approach is designed to support children younger than seven years with a disability or developmental delay.
Early childhood partners are community based organisations the NDIS funds to deliver the ECA. Different regions across NSW are allocated an Early Childhood Partner. Parents, carers and guardians can contact their local partner.
Raising Childrenhas excellent resources for families, carers and professionals that explain the NDIS and early intervention through the ECA including how to access support.
A child does not need a diagnosis to receive support through the ECA. The type of supports they receive will depend on their individual circumstances. Families may receive any or all of the following supports:
Some children who access NDIS ECA supports will still access supports provided by NSW Health.
Children who can access the Early Childhood Approach will have:
A child over the age of seven with a permanent disability will be eligible for the NDIS if they meet the disability requirements, as well as the standard age and residence requirements. The child may meet the NDIS
disability requirements if:
The NDIS has advice for families and professionals on
how to provide evidence for a child's disability.
The NDIS does not replace mainstream public health services. The health system is responsible for the diagnosis and clinical treatment of health conditions, including ongoing and chronic health conditions not related to a person's disability. NSW Health continues to provide emergency and routine clinical services such as surgery, dental care, allied health and child and family health services for all NSW residents.
The NDIS may fund early intervention and other supports that improve a child's functional capacity or prevent deterioration of functioning. This may include services delivered or supervised by clinically trained or qualified health practitioners.
Also, the NDIS may fund support for children, families and carers required as a direct result of the child's disability. These supports may help families and carers to maintain their caring role, community participation, and can include therapeutic and behavioural supports, additional respite, aids and equipment.
The NDIS may fund disability-related health supports. The need for these supports must directly relate to the child's functional impairment, where the support need is ongoing and is most appropriately funded or provided by the NDIS. Disability-related health supports can be delivered by a suitably competent worker, which may include nurses and/or allied health practitioners.
NSW Health staff may support families with information about NDIS funded service providers but are not responsible for assessing the skills and experience of providers when transferring care to NDIS funded providers.
Children who are accessing the NDIS can still access health services provided by NSW Health, private health providers or Commonwealth funded health services such as general practitioners (GPs) and Primary Health Networks. This includes children who are receiving support under the Early Childhood Approach.
NSW Health can support children, their families and carers access information about the NDIS and to apply for the NDIS. NSW Health can also provide advice about other disability support services available related to the child's disability and family's circumstances.
NSW Health provides time-limited and goal-oriented services and therapies for children where the predominant purpose is treatment directly related to the child's health condition or after a recent medical or surgical event. NSW Health continues to provide health assessments for children in out-of-home care.
NSW Health has an important role in the diagnosis of disability and developmental delay and providing clinical treatment for health conditions. Children accessing the NDIS can receive interventions provided by NSW Health. NSW Health will consider if a child has NDIS funding and any supports they receive when planning and providing services.
NSW Health can support children with disability who are eligible for Medicare but do not meet the residency criteria for the NDIS such as New Zealand citizens or asylum seekers.