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High Intensity Supports (HIS)

High Intensity Supports (HIS) under the NDIS are specialised supports provided to participants who have complex or high-risk needs that require advanced skills, training, and strict procedures to keep them safe.

What are High Intensity Supports (NDIS)?

High Intensity Supports are daily living supports that go beyond standard personal care. They involve tasks that, if done incorrectly, could cause serious harm. Because of this, support workers must receive specialised training, supervision, and competency assessments.

Examples of High Intensity Supports

NDIS High Intensity Supports may include:

These supports must follow individualised health care plans developed by qualified health professionals.

Complex bowel care
Enteral feeding (PEG/NG tubes)
Tracheostomy care and suctioning
Ventilator support
Complex wound care
Urinary catheter care
Subcutaneous injections (where appropriate)
Seizure management requiring intervention
Support for severe dysphagia and mealtime risk management

What High Intensity Supports do not include

High Intensity Supports do not replace:

  • Hospital or emergency care
  • GP or specialist medical treatment
  • Supports unrelated to the participant’s disability

Who provides High Intensity Supports?

  • Trained support workers (after competency sign-off)
  • Registered or enrolled nurses
  • Allied health professionals (for assessment and training)

The level of qualification required depends on the risk and complexity of the task.

Who are High Intensity Supports for?

High Intensity Supports are for NDIS participants who:

  • Have complex health or personal care needs
  • Require specialist procedures to be completed daily or regularly
  • Need supports assessed as reasonable and necessary
  • Have detailed risk assessments and care plans in place

How are High Intensity Supports funded?

  • Funded through an NDIS plan (usually under Core Supports – Assistance with Daily Living)
  • Funding reflects the higher skill level and risk
  • Health professional reports
  • Care and risk management plans
  • Provider training and competency documentation

Why are High Intensity Supports important?

High Intensity Supports:

  • Keep participants safe and medically stable
  • Reduce hospital admissions
  • Enable participants to live in the community rather than institutional settings
  • Support dignity, choice, and quality of life

Key difference from standard supports

Standard supports = low risk, routine personal care
High Intensity Supports = high risk, specialised procedures requiring advanced training