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National Disability Insurance Scheme

The National Disability Insurance Scheme (NDIS) is the new way of providing individualised support for people with an impairment or condition that is likely to be a permanent or a developmental delay that affects their ability to take part in everyday activities. 

NDIS Calculator

Our PIR Team has just developed a new, free online NDIS Support Calculator, to make it easier for participants, health professionals and providers to identify appropriate services for a potential NDIS participant to receive through an individualised funding package.

You can use the calculator to select a range of support services suitable for a potential NDIS participant, and the tool will calculate the annual cost of each item (by hours per the week), and then let you to print the results to assist in discussions with your NDIS planner. 

We believe this tool may be useful for eligible participant pre-planning, funded participant review, or to advise what NDIS supports are available.

While it was initially developed for our PIR Support Facilitators, we are delighted to now be making it available to some of the providers we think it may assist.

Try the NDIS Support Calculator or download the brochure (pdf, 1.4mb).

National Disability Insurance Agency (NDIA)

While the National Disability Insurance Scheme (NDIS) is the name of the scheme. The National Disability Insurance Agency (NDIA) is the independent agency responsible for implementing the NDIS.

The role of the NDIA vs the role of the GP


The role of the GP is to field questions from patients and help explain the scheme. GPs may also be asked by a patient to provide evidence to support a request to access the NDIS. This may include completing part of the Access Request Form or documenting that the person has or is likely to have a permanent disability or providing functional capacity reports or assessments.

The role of the NDIA is to determine eligibility, assesses needs and works with the successful applicants to plan and organise the services they will receive. 

Who is eligible to participate in the NDIS?

The NDIS will provide all Australians under the age of 65 who have a permanent and significant disability with the reasonable and necessary supports they need to enjoy an ordinary life. 

The NDIS will help people with a disability to achieve their goals. This may include greater independence, community involvement, employment and improving wellbeing.

As an insurance scheme, the NDIS takes a lifetime approach, investing in people with a disability early to improve their outcomes in later life. 

The NDIS also provides people with a disability, their family and carers with information and referrals to exisiting support services in the community. 

The NDIS was introduced progressively around Australia from July 2016.

By 2019, the NDIS will support about 460, 000 Australians with a disability. 

Who can access the NDIS?

To become an NDIS Participant a person must: 

  • Have a permanent disability that significantly affects their ability to take part in everyday activities, or have a developmental delay.
  • Be ages less than 65 when they first apply to enter the NDIS. 
  • Be an Australian citizen or hold a permanent visa or a Protected Special Category visa. 
  • Anyone in the Nepean Blue Mountains region can apply to access the Scheme (since 1 July 2016).

People can also access the NDIS for early intervention and specific Early Childhood Early intervention approach that has been developed by the NDIS for children aged 0-6 years. 

What can be funded through NDIS?

The types of supports that the NDIS may fund for participants include: 

  • daily personal activities 
  • transport to enable participation in community, social, economic and daily life activities 
  • workplace help to allow a participant to successfully get or keep employment in the open or supported labour market 
  • therapeutic supports including behaviour support 
  • help with household tasks to allow the participant to maintain their home environment 
  • help from skilled personnel in aids or equipment assessment, set up and training
  • home modification design and installation 
  • mobility equipment, and 
  • vehicle modifications.

Health specific funded items may include:

  • aids and equipment such as wheelchairs, hearing aids and adjustable beds 
  • items such as prosthetics and artificial limbs (surgery remains the responsibility of the health system) 
  • home modifications, personal care and domestic assistance. This will assist participants exiting the health system to live independently in the community or move back into their own home 
  • allied health and other therapy where this is required as a result of the participant’s impairment, including physiotherapy, speech therapy or occupational therapy. The health system is responsible for these supports if they are required as part of rehabilitation from an accident or injury or as part of treatment for medical conditions (see below). 

What will not be funded under NDIS?

The NDIS Act and the rules made under the NDIS Act also tell us which supports will not be funded by the NDIS. 

A support will not be funded if it: 

  • is not related to the participant’s disability 
  • duplicates other supports already funded by a different mechanism from the NDIS, such as Medicare or the Department of Education 
  • relates to day-to-day living costs that are not related to a participant’s support needs, or 
  • is likely to cause harm to the participant or pose a risk to others.

More Information

See Information about the NDIS for GPs and health professionals. The access checklist on the NDIS website also provides more information on access requirements. Also see NDIS information in other languages.

Contact the NDIS on or 1800 800 110 (8am to 11pm Monday to Friday).  

For people with hearing or speech loss: TTY 1800 555 677 
Speak and listen: 1800 555 727 
For people who need help with English: TIS 131 450 

The NDIS Nepean Blue Mountains PHN professional support contact for GPs and allied health professionals is Julie Poultney, NDIS Coordinator on 02 4708 8176.