# PowerCare — full content > Full plain-text of powercare.au for AI assistants. Generated 2026-07-26. > Read https://powercare.au/llms.txt first for the factual brief and the list of services PowerCare does NOT provide. --- ## High-intensity clinical supports (Module 1) ### Tracheostomy Support URL: https://powercare.au/complex-care/tracheostomy-support/ ## Yes, we can take someone with a tracheostomy Tracheostomy management is one of the seven high-intensity supports PowerCare is registered and audited to deliver. It is not an exception we make. It is a support we are built for. If you have been told by other providers that a trach is "too complex", you have not been told the whole story. Tracheostomy management sits inside NDIS registration group 104 (Assist Personal Activities — High) under Practice Standards Module 1. Providers who hold Module 1 can deliver it. Providers who don't, can't. PowerCare holds it. ## Who delivers the care High-intensity supports at PowerCare are delivered **either by registered nurses, or by support workers who hold high-intensity training and work under registered-nurse supervision** — which one depends on the participant's clinical needs and circumstances. A registered nurse is involved either way. The nurse does not appear only in a policy document: they are the person who sets up the support, trains the workers against the participant's own plan, and stays responsible for how the support is delivered. You will not be teaching our workers how to care for your family member. We will ask you what you know, because you know more about this person than any document does — but the training is our job, not yours. ## What a shift actually looks like A tracheostomy shift is mostly ordinary. Someone gets up, gets dressed, eats, goes out, watches something, goes to bed. The trach is part of the day, not the whole day. Within that day, the worker delivers the tracheostomy support set out in the participant's care plan — suctioning, stoma care, tube and inner cannula care, humidification, and checking equipment — following the protocols written by the participant's treating clinicians, at the times and in the way those clinicians specify. Every worker on a tracheostomy shift knows what a blocked or displaced tube looks like, knows the participant's specific emergency plan, and knows exactly what to do and who to call. That plan is written down, it is rehearsed, and it goes on shift with them. ## How to start Call us. On that first call we will ask what the tracheostomy needs actually are, who the treating clinicians are, and what has gone wrong with previous supports. Then a registered nurse reviews the clinical information and we tell you honestly whether we can deliver it, and when. High-intensity supports need workers trained against your specific plan before a first shift, so a start date is not instant — but you will get a real date, on the first call, and we will keep it. If we cannot do it, we will say so on that call. Not after a week of silence. ## Common questions ### Do you actually do suctioning, or do you expect family to do it? We do it. Suctioning is part of the tracheostomy support we deliver, performed by nurses or by high-intensity trained workers under nurse supervision, following the participant's clinical protocol. Families should not have to be the on-call clinician in their own home. ### Can you support both cuffed and uncuffed tubes, and ventilated participants? Tracheostomy management is delivered against the participant's specific clinical plan, so the honest answer is that it depends on what that plan requires. Tell us the details on the first call and a registered nurse will assess it. Where a need falls outside what we are registered to deliver, we say so directly rather than accepting the referral and working it out later. ### Is a nurse actually involved, or is that just on paper? A registered nurse is involved in every high-intensity support we deliver. Depending on clinical need, the nurse delivers the support directly, or supervises the trained support workers who do. There is no version of this where a worker is sent out alone with no clinical oversight. ### What happens if something goes wrong at 2am? Every tracheostomy participant has an emergency plan written into their support plan — what the worker does, in what order, and who they call. The worker rehearses it before their first shift. We do not improvise this. ### Which NDIS funding pays for it? Tracheostomy support is a high-intensity daily personal activity, funded from the Core supports budget of an NDIS plan (registration group 104). If you are not sure whether your plan has the right funding in it, bring the plan to the call and we will read it with you. --- ### PEG & Tube Feeding Support URL: https://powercare.au/complex-care/peg-feeding-support/ ## Yes, we support participants who are tube fed Enteral feeding — feeding through a **PEG**, a **PEJ** or an **NG tube** — is one of the seven high-intensity supports PowerCare is registered and audited to deliver. "Enteral feeding and management" is the words the paperwork uses. Most families say *PEG feeding*, *tube feeding*, or *the button*. They are the same thing, and it is a support we deliver every day, not a special case we make room for. ## Who delivers the care Enteral feeding support is delivered **either by registered nurses, or by support workers who hold high-intensity training and work under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. Either way, a registered nurse sets the support up, trains the workers against the participant's own feeding regime, and remains responsible for how it is delivered. ## What a shift actually looks like Feeds happen on a schedule, and the schedule belongs to the participant's dietitian and treating team — not to us. The worker delivers the feed, the water flushes and the medications through the tube exactly as that regime specifies. Around the feed, the worker does the rest of the day: personal care, getting out of the house, being company. Stoma and site care, checking tube position and securement, keeping the equipment clean, and watching for the things the plan says to watch for are all part of the shift. Anything that changes — the site looks different, the tube feels different, the participant is not tolerating the feed — is escalated to the supervising registered nurse and the treating team. It is not left for the family to notice at the end of the week. ## How to start Call us and tell us what tube it is, who set the regime, and what has gone wrong before. A registered nurse reviews the clinical information, and we tell you honestly whether we can deliver it and when. High-intensity supports need workers trained against your specific plan before the first shift, so we will give you an honest start date on the first call rather than a comfortable one. ## Common questions ### Is PEG feeding the same as enteral feeding? Yes. "Enteral feeding" is the clinical and NDIS term for feeding directly into the stomach or small bowel. A PEG is the most common tube used for it. NG (nasogastric) and PEJ feeding sit under the same NDIS high-intensity support. If you are searching for a provider, either word will find the right one. ### Can your workers give medications through the tube? Medication administration through an enteral tube is part of the support, delivered by nurses or by high-intensity trained workers under registered-nurse supervision, according to the participant's prescribed regime. We follow the regime that already exists. We do not change it, and we do not decide it. ### Do I have to be home for the feed? No. That is the point of the support. Families should be able to go to work, sleep, or be somewhere else without the feed depending on them. ### What if the tube comes out? Every tube-fed participant has a written plan for what happens if the tube dislodges — what the worker does, and who they call, immediately. The worker knows that plan before their first shift. ### Which NDIS funding pays for it? Enteral feeding and management is a high-intensity daily personal activity funded from the Core supports budget (registration group 104). Bring your plan to the first call and we will read it with you. --- ### Complex Bowel Care URL: https://powercare.au/complex-care/complex-bowel-care/ ## Yes, we deliver complex bowel care Complex bowel care is one of the seven high-intensity supports PowerCare is registered and audited to deliver, under NDIS registration group 104 and Practice Standards Module 1. It is also the support families are most often quietly refused. It is easier for a provider to say "we don't do that" than to train for it. We trained for it. ## Who delivers the care Complex bowel care is delivered **either by registered nurses, or by support workers who hold high-intensity training and work under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. A registered nurse sets up the support, trains the workers against the participant's own bowel care plan, and stays responsible for how it is delivered. ## What a shift actually looks like The bowel program runs the way the participant's treating clinicians have written it, at the times they have set. The worker follows that plan — including stoma care, digital stimulation, suppositories, enemas or irrigation where these are prescribed — and records what happened. The rest of the shift is the rest of the person's life. Bowel care is not the reason they exist, and a good worker does not make it the centre of the day. Two things matter more than technique here, and we train for both: dignity, and consistency. The same small routine, done the same way, by workers who are not embarrassed and do not make the participant feel like a problem to be solved. Changes — bleeding, pain, a program that stops working, skin breakdown around a stoma — are escalated to the supervising registered nurse and the treating team, not filed away. ## How to start Call us. Tell us what the current bowel program is, who wrote it, and how it is going. A registered nurse reviews the plan and we give you a straight answer about whether we can deliver it and when. Workers must be trained against your specific plan before the first shift, so we will give you an honest start date on that call. ## Common questions ### What counts as "complex" bowel care? Under the NDIS, bowel care becomes a high-intensity support when it goes beyond routine assistance — for example a prescribed bowel program involving suppositories, enemas, digital stimulation or irrigation, or care of a stoma. Routine toileting assistance is ordinary personal care. Anything prescribed and clinical is complex bowel care, and only a Module 1 provider can deliver it. ### Do you support participants with a colostomy or ileostomy? Stoma care is part of complex bowel care and is within what we are registered to deliver. The specifics of the individual's plan are reviewed by a registered nurse before we accept the support, so we can tell you honestly rather than find out later. ### Will the same workers come each time? We build small consistent teams for bowel care. This is not a marketing preference; it is a clinical and dignity one. A rotating cast of strangers is how bowel programs fail. ### Is a nurse actually involved? Yes. Every high-intensity support has registered-nurse involvement — either the nurse delivers the support directly, or supervises the trained workers who do. ### Which NDIS funding pays for it? Complex bowel care is a high-intensity daily personal activity funded from the Core supports budget (registration group 104). --- ### Severe Dysphagia Support URL: https://powercare.au/complex-care/dysphagia-support/ ## Yes, we support participants with severe dysphagia Severe dysphagia — serious difficulty swallowing — is one of the seven high-intensity supports PowerCare is registered and audited to deliver, under NDIS registration group 104 and Practice Standards Module 1. Mealtimes for someone with severe dysphagia are not catering. They are a clinical risk, every single time, and getting them wrong can kill someone. That is exactly why they need workers who were trained for it, and why so many providers quietly decline. ## Who delivers the care Dysphagia support is delivered **either by registered nurses, or by support workers who hold high-intensity training and work under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. A registered nurse sets the support up, trains the workers against the participant's own mealtime management plan, and remains responsible for how it is delivered. ## What a shift actually looks like The participant's speech pathologist writes the mealtime management plan. It says what texture the food must be, what consistency the fluids must be, how the person should be positioned, how fast to go, and what to watch for. Our job is to follow it exactly, every meal, when nobody is watching. So a shift looks like: food prepared to the specified texture, drinks to the specified consistency, correct positioning, correct pacing, correct supervision — and no shortcuts on the day everyone is tired. Workers know the signs of aspiration and the participant's specific choking response plan, and they rehearse it before their first shift. Any change in swallowing — new coughing at meals, wet voice, weight loss, refusing food — is escalated to the supervising nurse and back to the speech pathologist. ## How to start Call us and tell us who wrote the mealtime management plan and when it was last reviewed. A registered nurse reviews it, and we tell you whether we can deliver it and when. Workers are trained against your specific plan before the first shift. You will get an honest start date on the first call. ## Common questions ### Do you write the mealtime management plan? No. The mealtime management plan is written by the participant's speech pathologist. PowerCare does not provide allied health and does not write these plans — we implement the plan that exists, exactly as written. If a participant does not have a current plan, we will say so, because delivering severe dysphagia support without one is not safe. ### What if my family member doesn't have a current speech pathology plan? Tell us on the first call. We will be honest about what we can and cannot safely deliver in the meantime, and we will not accept the support and improvise. ### Can you do thickened fluids and texture-modified meals? Yes — prepared to the exact texture and consistency levels the participant's plan specifies. This is part of the support, not an extra. ### Is dysphagia support the same as just helping with meals? No. Ordinary mealtime assistance is a standard personal care support. Severe dysphagia management is a high-intensity support that only a provider with Practice Standards Module 1 can deliver, because the risk being managed is aspiration and choking. ### Which NDIS funding pays for it? Severe dysphagia management is a high-intensity daily personal activity funded from the Core supports budget (registration group 104). --- ### Urinary Catheter Support URL: https://powercare.au/complex-care/catheter-care/ ## Yes, we support participants with a catheter Urinary catheter management is one of the seven high-intensity supports PowerCare is registered and audited to deliver, under NDIS registration group 104 and Practice Standards Module 1. That covers indwelling urethral catheters, suprapubic catheters, and intermittent catheterisation — as set out in the participant's clinical plan. ## Who delivers the care Catheter support is delivered **either by registered nurses, or by support workers who hold high-intensity training and work under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. A registered nurse sets up the support, trains the workers against the participant's own catheter care plan, and stays responsible for how it is delivered. ## What a shift actually looks like Catheter care is small, frequent and unglamorous, and it is the small frequent unglamorous things that keep someone out of hospital. On shift, the worker delivers the catheter care specified in the participant's plan — hygiene at the site, drainage and bag management, emptying and changing bags, keeping the system closed and clean, and monitoring output. Around that, the ordinary day continues. Workers know the participant's plan for what to do if the catheter blocks, is dislodged, or if there are signs of infection — and they escalate to the supervising registered nurse rather than waiting to see. ## How to start Call us. Tell us what type of catheter it is, who manages it clinically, and what the current routine is. A registered nurse reviews it and we tell you plainly whether we can deliver it and when. Workers are trained against your specific plan before the first shift, so the start date we give you on the first call is a real one. ## Common questions ### Can support workers do catheter care, or does it need a nurse? Both are possible, and which one applies depends on the participant's clinical needs. Urinary catheter management is a high-intensity support, so it is delivered either directly by registered nurses, or by support workers who hold high-intensity training and work under registered-nurse supervision. It is never delivered by an untrained worker with no clinical oversight. ### Do you do catheter changes? Catheter changes are performed within the scope of the participant's clinical plan and by the appropriately qualified person under that plan. Tell us the details on the first call and a registered nurse will tell you exactly who does what, before you sign anything. ### What about intermittent self-catheterisation? Where a participant self-catheterises, support can include assistance, prompting and set-up as their plan specifies. Where they cannot, catheterisation is delivered as a high-intensity support by nurses or nurse-supervised trained workers. ### Who do you call if there's a problem? The supervising registered nurse first, and the participant's treating team, following the escalation plan written into their support plan. Emergencies follow the emergency plan, which the worker rehearses before their first shift. ### Which NDIS funding pays for it? Urinary catheter management is a high-intensity daily personal activity funded from the Core supports budget (registration group 104). --- ### Complex Wound Care URL: https://powercare.au/complex-care/wound-care/ ## Yes, we manage complex wounds Complex wound management is one of the seven high-intensity supports PowerCare is registered and audited to deliver, under NDIS registration group 104 and Practice Standards Module 1. That includes pressure injuries, chronic and non-healing wounds, and surgical wounds — managed against the wound plan set by the participant's treating clinicians. ## Who delivers the care Complex wound management is delivered **either by registered nurses, or by support workers who hold high-intensity training and work under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. For wound care in particular, registered nurses are commonly the ones delivering the dressing itself. A registered nurse always sets the support up, trains the workers involved against the participant's own wound plan, and remains responsible for how it is delivered. ## What a shift actually looks like Wound care runs to the treating team's plan: the right dressing, the right frequency, the right technique, documented every time — including what the wound looked like today compared with last time. Most of what prevents a wound from getting worse happens between dressings. Repositioning, pressure relief, skin checks, keeping the person moving, and keeping their nutrition and hydration where it should be are part of the shift, not an afterthought. Wounds that deteriorate, show signs of infection, or stop healing are escalated to the supervising registered nurse and back to the treating team promptly. ## How to start Call us. Tell us what the wound is, who is managing it clinically, and what the current dressing regime is. A registered nurse reviews it and gives you an honest answer about what we can deliver and when. You will get a real start date on the first call. ## Common questions ### What makes a wound "complex" under the NDIS? Complex wound management is a high-intensity support because it requires clinical assessment and a prescribed dressing regime — for example a pressure injury, a chronic non-healing wound, or a surgical wound. Applying a plaster is not complex wound care. Anything requiring a clinical wound plan is, and only a Module 1 provider can deliver it. ### Do you do the dressings, or does a community nurse come separately? We can do both, because we are also registered for community nursing (registration group 114). That means the wound care and the daily support can come from the same provider, with the nurse and the support workers actually talking to each other. ### Do you assess the wound and decide the treatment? The wound management plan comes from the participant's treating clinicians. Our registered nurses deliver and monitor care against that plan, document what they see, and escalate changes. We follow the plan; we do not replace the treating team. ### Can you help prevent pressure injuries, not just treat them? Yes. Repositioning, pressure relief, skin integrity checks and daily monitoring are part of the personal care we deliver, and they are the single most useful thing anyone does about pressure injuries. ### Which NDIS funding pays for it? Complex wound management is a high-intensity daily personal activity funded from the Core supports budget (registration group 104). Where it is delivered as nursing, it may sit under community nursing (registration group 114). We will tell you which applies to your plan. --- ### Subcutaneous Injections URL: https://powercare.au/complex-care/subcutaneous-injections/ ## Yes, we can give subcutaneous injections Subcutaneous injections are one of the seven high-intensity supports PowerCare is registered and audited to deliver, under NDIS registration group 104 and Practice Standards Module 1. If a participant needs a regular injection and the household has been quietly carrying that job for years, it does not have to stay that way. ## Who delivers the care Subcutaneous injections are delivered **either by registered nurses, or by support workers who hold high-intensity training and work under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. A registered nurse sets the support up, trains the workers against the participant's own prescribed regime, and remains responsible for how it is delivered. ## What a shift actually looks like The injection is a few minutes of a much longer day. It is given at the prescribed time, at the prescribed dose, by the prescribed route, with sites rotated as the regime requires, and it is documented every single time. The rest of the shift is personal care, the household, getting out, being company — the ordinary life the support exists to make possible. Workers know the participant's plan for missed doses, adverse reactions and equipment problems, and escalate to the supervising registered nurse rather than deciding for themselves. ## How to start Call us and tell us what the injection is, who prescribed it, and how often it is needed. A registered nurse reviews it and we tell you honestly whether we can deliver it and when. Workers are trained against your specific regime before the first shift, so the start date we give you on that first call is a real one. ## Common questions ### Can a support worker give an injection, or does it have to be a nurse? Both are possible under the NDIS high-intensity framework, and which applies depends on the participant's clinical needs and circumstances. Subcutaneous injections are delivered either directly by registered nurses, or by support workers who hold high-intensity training and work under registered-nurse supervision. Never by an untrained worker. ### Do you prescribe or change the medication? No. The prescription and the regime come from the participant's prescriber. We deliver what has been prescribed, exactly as prescribed, and we escalate anything that looks wrong. We do not adjust doses. ### Does this cover insulin? Subcutaneous injections as a high-intensity support are delivered against the participant's individual prescribed regime, and a registered nurse reviews that regime before we accept the support. Tell us what is prescribed on the first call and you will get a direct yes or no, not a maybe. ### Can this be combined with other supports? Yes — most participants who need injections also need personal care, community access or household support, and they should not need three providers to get them. All of it can come from one team. ### Which NDIS funding pays for it? Subcutaneous injections are a high-intensity daily personal activity funded from the Core supports budget (registration group 104). --- ## Everyday supports ### Personal Care & Daily Living URL: https://powercare.au/services/personal-care/ ## What this support is Personal care is help with the parts of the day that come before everything else: getting out of bed, showering, dressing, toileting, oral care, eating, medication prompting, and getting to bed again at the end of it. PowerCare is registered for both levels of it — standard personal care (registration group 107, Assist-Personal Activities) and **high-intensity personal care** (registration group 104), which is the one most providers do not hold. ## The difference between standard and high-intensity Standard personal care is help with daily activities. High-intensity personal care is the same daily activities where the participant also has clinical needs that require specific training and registered-nurse oversight — a tracheostomy, PEG feeding, a catheter, complex bowel care, severe dysphagia, complex wounds, or subcutaneous injections. Where a support is high intensity, it is delivered **either by registered nurses, or by support workers who hold high-intensity training and work under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. This matters practically: it means you do not need a separate clinical provider and a separate personal-care provider who never speak to each other. One team, one plan. ## What a shift looks like A morning shift is usually the same shape: the worker arrives, and the person gets up, gets clean, gets dressed, gets fed, and gets on with the day. Where clinical supports are in the plan, they happen inside that shift rather than as a separate visit from a stranger. Evening shifts run the other way. Overnight support, where funded, means someone is there for the parts of the night that are hardest to cover. The support is written down before the first shift and the same small team delivers it, so nobody has to re-explain how they like their day to run. ## Who it's for Participants who need hands-on help with everyday activities, including those with complex clinical needs who have been told elsewhere that they are too complicated to support. ## How to start Call us. We will ask what the day actually needs, read your plan with you, and tell you honestly whether we can deliver it and when. If we cannot, we will say so on that call. --- ### Community Nursing URL: https://powercare.au/services/community-nursing/ ## What this support is Community nursing is registered nursing care delivered where the participant lives, rather than in a clinic or a hospital. PowerCare holds NDIS registration group 114 (Community Nursing Care). It covers clinical assessment and monitoring, wound care, catheter and stoma care, enteral feeding management, medication management, and the clinical delegation, training and supervision that make [high-intensity supports](/complex-care/) safe. ## Why it matters that the nurse and the support workers are the same provider Most participants with complex needs end up with a clinical provider and a support provider who have never met, and a family in the middle relaying messages between them. Because PowerCare holds both community nursing (114) and high-intensity personal care (104) with Practice Standards Module 1, the registered nurse who writes the support up is the same nurse who trains the support workers, and the same nurse they escalate to. Nobody is playing telephone with a person's health. ## The nurse's role in high-intensity supports High-intensity supports are delivered **either by registered nurses directly, or by support workers who hold high-intensity training and work under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. In both cases the registered nurse is accountable: they assess the clinical need, set up the support against the treating team's plan, train and assess the workers, review how it is going, and are the escalation point when something changes. ## What a visit looks like A nursing visit is targeted. The nurse does the clinical task the plan calls for — the dressing, the catheter change, the medication review, the assessment — documents what they found, and escalates anything that has changed to the participant's treating team. Nursing visits and support shifts are scheduled around the participant's life, not the other way around. ## What we don't do PowerCare does not provide allied health — no occupational therapy, physiotherapy, speech pathology or psychology. Our nurses deliver nursing care and clinical supervision against the plans written by the participant's treating clinicians. We say this plainly because knowing what a provider *doesn't* do is as useful as knowing what it does. ## How to start Call us and tell us what the clinical need is. A registered nurse reviews it, and you get an honest answer about whether we can deliver it and when. --- ### Supported Independent Living (SIL) URL: https://powercare.au/services/supported-independent-living/ ## What SIL actually is Supported Independent Living (SIL) is the support a person receives *in the home they live in* — help with the everyday things that make a home run, delivered by a rostered team of support workers rather than a single visiting worker. PowerCare holds NDIS registration group 115 (Daily Tasks / Shared Living), which is the registration SIL is delivered under. SIL is **the support, not the house.** This is the single most confused thing in the whole NDIS, so it is worth being blunt about it. ## SIL is not SDA — and PowerCare does not provide SDA **SDA (Specialist Disability Accommodation) is the building.** It is funded separately, provided by different organisations, and PowerCare does not provide it. We are not a landlord and we do not own or supply housing. **SIL is the support delivered inside a home.** That is what we do. A participant can have SIL in an SDA property, in a private rental, in a share house, or in a home a family owns. If a provider is offering you a house and support as one inseparable package, ask why — because under the NDIS they are two different things, and you are allowed to choose them separately. ## Who SIL is for SIL is for participants who need support available across the day and, usually, overnight — because the support they need is not a one-hour visit, it is the shape of the whole day. That includes participants with high clinical needs. **We take SIL participants with tracheostomies, PEG or NG feeding, catheters, complex bowel care, severe dysphagia, complex wounds and subcutaneous injections** — because PowerCare holds registration group 104 with Practice Standards Module 1 alongside its SIL registration. That combination is the whole point. A SIL provider without Module 1 cannot deliver the clinical supports, so the participant either gets refused, or gets a second provider bolted on. We do not have that problem. ## Who delivers the support Day-to-day SIL support is delivered by support workers, rostered so that the same small team keeps returning. Where a participant's plan includes high-intensity supports, those supports are delivered **either by registered nurses, or by support workers with high-intensity training working under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. The registered nurse trains the roster against the participant's own plan and is the escalation point when something changes. Where a participant has a behaviour support plan, our workers implement that plan as their behaviour support practitioner has written it. We do not write these plans — see [behaviour support](/services/behaviour-support/). ## What a day in a SIL home looks like It looks like a home, and that is the standard we hold it to. Morning: workers support the people who live there to get up, get clean, get dressed, take medications, and eat — including any clinical supports the plan sets out, delivered inside the routine rather than as an interruption to it. Daytime: people go where they were going — work, day programs, appointments, community, the shops, nowhere in particular. SIL support does not mean staying home. Where community access is funded separately, it is coordinated so the roster actually lines up with real life. Evening: dinner, the household running — cleaning, laundry, shopping, bills, the ordinary maintenance of living somewhere. Participants do as much of this themselves as they can and want to. Building capacity is not a slogan here; it is the difference between a home and an institution. Night: overnight support is delivered as the participant's funded roster specifies — active overnight, or sleepover, depending on what has been assessed and funded. ## The things that actually go wrong in SIL, and what we do about them **Staff churn.** A new face every shift is exhausting and, for someone with complex clinical needs, unsafe. We build small consistent rosters and train them against the participant's specific plan. **Housemate mismatch.** Who someone lives with matters more than almost anything else about a SIL home. Participants and families should be part of that decision, not informed of it. **The clinical support falling through the gap.** This is the one that puts people in hospital. Holding both the SIL and the high-intensity registrations is how we close that gap. **Nobody telling the family anything.** Families should not have to find out from the person themselves that something changed. ## How SIL gets funded SIL funding sits in the Core supports budget of an NDIS plan and is usually based on a roster of care — an assessed picture of how much support a person needs, and when. It typically requires evidence from the participant's treating and support team, and it is quoted and agreed before support begins. If you are not sure whether your plan has SIL funding in it, or whether the funded roster matches what is actually needed, bring the plan to the first call and we will read it with you honestly — including if the answer is that the plan does not currently fund what is being asked for. ## How to start Call us. Tell us who the participant is, what the clinical needs are, what the current living situation is, and what has not worked before. We will tell you whether we can deliver the support, what it would look like, and when it could realistically start. High-intensity supports need workers trained against the specific plan before the first shift, so we will give you an honest start date on the first call rather than a comfortable one. If we cannot do it, we will tell you on that call. --- ### Community Participation URL: https://powercare.au/services/community-participation/ ## What this support is Community participation is support to be out in the world: the shops, the gym, the pool, a class, a football game, a job interview, a friend's place, a coffee somewhere nobody knows you. PowerCare holds registration group 125 (Participate Community) and registration group 116 (Innovative Community Participation) — the second of which exists for the things that don't fit the usual mould, where the support is built around what the person actually wants rather than what a program offers. ## The part nobody says out loud Participants with complex clinical needs are the ones most often left at home. Not because they want to be, but because taking someone out with a trach, or a PEG feed due at 1pm, or a bowel program that cannot be skipped, requires a worker who is trained for it. PowerCare holds registration group 104 with Practice Standards Module 1. That means the clinical support can go where the person goes, and "we can't take him out" stops being a sentence anyone has to hear. Where high-intensity supports are involved, they are delivered **either by registered nurses, or by support workers with high-intensity training working under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. That is as true in a shopping centre as it is in a bedroom. ## What a shift looks like It looks like whatever the person wanted to do, with someone alongside them making it possible: transport there, support while there, support with the parts that are hard, and home again. It is not a bus tour of the same three venues. Where a participant's goal is a specific one — a course, a volunteer role, a sport, a community they want to be part of — the support is built around that. ## Who it's for Any participant with community participation funding in their plan, including participants with high clinical support needs, and including participants whose community goals are unusual enough that a standard group program has never fitted them. ## How to start Call us and tell us what the person actually wants to do, and what has stopped them so far. We will tell you honestly whether we can deliver it, and when. --- ### Daily Living & Life Skills URL: https://powercare.au/services/life-skills/ ## What this support is This is the support that works itself out of a job. PowerCare holds registration group 117 (Development — Life Skills) and registration group 106 (Assist — Life Stage, Transition). Together they cover building the practical skills of independent living, and getting through the moments when life changes shape. ## Life skills (registration group 117) Cooking a meal you actually want to eat. Handling money and a budget. Catching a train on your own. Making and keeping an appointment. Managing a routine, a phone, a household, a week. Support here is deliberately hands-off wherever it can be: the worker's job is to help the person do it, not to do it for them, and to keep stepping back as the skill lands. Progress is small and it is real. It is measured in the things that stopped needing support. ## Life transitions (registration group 106) Leaving school. Moving out of the family home. Changing where you live, or who you live with. Starting or losing work. Losing a parent who was also, quietly, a full-time carer. These moments are where NDIS supports most often fall apart, because everything changes at once and the plan was written for the life before. Transition support is help thinking it through, getting the practical arrangements in place, and having someone alongside while it happens. ## Who it's for Participants with capacity-building funding for daily living or transition support in their plan — including participants with high clinical support needs, whose independence goals are exactly as real as anyone else's and are too often skipped straight past. ## What a shift looks like Usually it looks like doing an ordinary thing together, slowly, and then a bit less slowly. A worker and a participant in a supermarket. In a kitchen. On a bus. Filling in a form. There is a plan behind it — the goals from the participant's NDIS plan, broken into steps small enough to actually take — and it is reviewed honestly, including when something is not working. ## How to start Call us. Tell us what the goal is in the participant's own words. We will tell you whether we can support it and how we would start. --- ### Household Tasks & Domestic Assistance URL: https://powercare.au/services/household-tasks/ ## What this support is Household tasks is help keeping a home running: cleaning, laundry, changing the bed, washing up, meal preparation, shopping, taking the bins out, and the endless small maintenance of living somewhere. PowerCare holds NDIS registration group 120 (Household Tasks). ## Why it is not a small thing For a lot of households, this is the support that decides whether everything else holds together. When a family member is doing full-time care, the housework is the thing that gets done at 11pm or does not get done at all. Household support is funded because a clean, functioning home is not a luxury — it is a health outcome, especially where there are wounds, feeds, catheters or infection risks in the house. ## What this funding covers — and what it doesn't Household tasks are funded from the **Core supports** budget of an NDIS plan, under registration group 120. The support covers the routine domestic activities a participant cannot do because of their disability: - **Cleaning** — floors, bathrooms, kitchen, dusting, general tidying - **Laundry** — washing, drying, folding, changing linen - **Meal preparation** — planning, cooking and safe food handling, including preparation that suits a modified-texture or [dysphagia](/complex-care/dysphagia-support/) diet - **Shopping and errands** — groceries and household essentials, in person or online - **Everyday upkeep** — dishes, bins, and the small maintenance of a home It does **not** cover tasks that are for other members of the household rather than the participant, one-off deep cleans unrelated to disability, or home modifications and repairs (those are Capital supports — see our guide on [how NDIS funding works](/ndis-guides/how-ndis-funding-works/)). If you are not sure whether your plan funds this, bring it to the call and we will read it with you. ## How it works alongside everything else Household tasks are usually delivered inside the same shifts as [personal care](/services/personal-care/) or community support, by the same workers, so the household is not paying three providers to visit the same kitchen. Where a participant can do part of a task themselves, they do — support is with the task, not instead of the person. Where they cannot, the worker does it. In homes where there are wounds, feeds, catheters or infection risks, the same team that keeps the home clean can be the team delivering the [high-intensity clinical supports](/complex-care/) — so hygiene and clinical safety are handled together, not by strangers passing in the hallway. ## Who it's for Participants with household tasks funding in their NDIS plan, including participants who live alone, live with family, or live in a shared home. ## How to start Call us and tell us what is not getting done. We will read the plan with you and tell you what is funded and what we can deliver. --- ### Transport & Travel Assistance URL: https://powercare.au/services/transport/ ## What this support is Transport and travel assistance is support to get somewhere: a medical appointment, work, a day program, a class, a family visit, the shops. PowerCare holds NDIS registration group 108 (Assist — Travel/Transport). ## Two different things, often confused **Being transported** — a worker gets the participant there and back, with the support they need on the way. **Learning to travel independently** — travel training: working out the route, doing it together, doing it with the worker a few steps behind, and then not needing the worker at all. Where independent travel is a realistic goal, that is the one worth aiming at, because it hands someone back a piece of their own life. ## How transport is funded Transport sits in the **Core supports** budget under registration group 108. In practice it usually funds the support worker's time and assistance to travel with a participant — helping them get ready, get to the vehicle, manage the journey, and get in and out safely at the other end. Some plans also carry separate transport funding for the travel costs themselves (fares, or a mileage contribution). The support can be delivered in the worker's vehicle or the participant's own, and includes wheelchair-accessible travel where that is what the participant needs. If your plan's transport funding is unclear — which happens often — bring it to the call and we will read it with you, alongside our guide on [how NDIS funding works](/ndis-guides/how-ndis-funding-works/). ## When there are clinical needs on the journey Travel is where complex clinical needs are most often used as a reason to say no — a feed due mid-journey, suctioning needed, a catheter bag to manage. Because PowerCare holds registration group 104 with Practice Standards Module 1, the [high-intensity support](/complex-care/) that is needed at home can travel with the person — [PEG feeding](/complex-care/peg-feeding-support/), [tracheostomy suctioning](/complex-care/tracheostomy-support/) or [catheter care](/complex-care/catheter-care/) does not have to stop at the front door. Where those supports are high intensity, they are delivered **either by registered nurses, or by support workers with high-intensity training working under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. ## Who it's for Participants with transport funding in their NDIS plan, and participants whose other funded supports (community participation, appointments, work) need transport wrapped around them to actually happen. ## How to start Call us and tell us where the person needs to get to and what makes it hard. We will read the plan with you and tell you what we can do. --- ### Group & Centre-Based Activities URL: https://powercare.au/services/group-activities/ ## What this support is Group and centre-based activities are supported activities done with other people — a program, a class, a group, a shared thing worth doing. PowerCare holds NDIS registration group 136 (Group / Centre-Based Activities). ## Centre-based and in the community Group activities happen in two kinds of place, and both are funded from the **Core supports** budget under registration group 136: - **Centre-based** — a regular program at a set location: a class, a skills group, a social group, a shared interest run on the same day each week. - **In the community** — the same idea, out in the world: a group heading to a café, a park, a gallery, a class run somewhere ordinary rather than in a disability centre. Which one suits a participant depends on what they want and what they can manage. Some people want the predictability of the same room each week; others want to be out. Both are valid, and both can be funded. ## What makes a group support worth attending Being in a room with other people is not automatically company, and being busy is not automatically meaningful. A group support is worth someone's Tuesday if they actually wanted to be there, and if the support ratio is honest enough that they can take part rather than watch. Participants and families should ask any provider two questions: what is the actual activity, and what is the actual staffing ratio. If the answers are vague, that is an answer. ## Complex needs in group settings Participants with high clinical support needs are routinely excluded from group activities, on the grounds that a group setting cannot manage a trach, a feed, or a bowel program. PowerCare holds registration group 104 with Practice Standards Module 1, so those supports can be delivered where the participant is. Where they are high intensity, they are delivered **either by registered nurses, or by support workers with high-intensity training working under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. ## Who it's for Participants with group or centre-based activity funding in their NDIS plan who want to be somewhere with other people — including participants whose clinical needs have kept them out of groups until now. ## How to start Call us. Tell us what the person is interested in and what support they need to be there. We will be straight with you about what we can offer and when. --- ### Behaviour Support Implementation URL: https://powercare.au/services/behaviour-support/ ## Read this part first **PowerCare implements behaviour support plans. PowerCare does not write them.** Behaviour support plans are written by the participant's own **NDIS behaviour support practitioner**. That is a separate NDIS registration, and PowerCare does not hold it and does not claim it. What PowerCare holds is **NDIS Practice Standards Module 2A — Implementing Behaviour Support Plans**. That is the module that governs providers whose workers deliver support to a participant who has a behaviour support plan, including where that plan authorises a regulated restrictive practice. **Be wary of any provider who blurs this line.** Writing a plan and implementing it are deliberately separated in the NDIS, and a provider who writes the plan *and* delivers the support has an obvious conflict of interest. If a provider is vague about which of the two they are doing, that vagueness is the answer. ## What implementation actually means It means the plan is not a document in a drawer. It means: - Every worker who supports the participant is trained on **that participant's** plan, before their first shift — not on behaviour support in general. - The strategies in the plan are used the way the practitioner wrote them, by everyone, consistently. Behaviour support fails when one worker follows the plan and the next one does not. - Where the plan authorises a regulated restrictive practice, it is used only as the plan authorises it, recorded every time, and reported as the NDIS Commission requires. - What actually happens on shift is recorded and fed back to the behaviour support practitioner, so the plan can be reviewed against reality rather than against assumption. - Incidents are reported. Properly, and to the people who are supposed to receive them. ## Where it sits in the supports we deliver Behaviour support implementation is not a separate product being sold. It happens **inside** the supports the participant is already funded for — personal care and daily living (registration group 107), high-intensity personal care (registration group 104), supported independent living, community participation. In practice this means the worker doing the morning shift is the person implementing the plan, because they are the person who is there. ## If a participant also has complex clinical needs Many participants with a behaviour support plan also have high-intensity clinical supports. PowerCare holds Practice Standards Module 1 as well as Module 2A, so one team can do both. Where high-intensity supports are involved, they are delivered **either by registered nurses, or by support workers with high-intensity training working under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. ## What we don't do We do not write behaviour support plans. We do not provide psychology, allied health or behaviour support practitioner services. If the participant does not have a practitioner, we will tell you that you need one — not quietly fill the gap ourselves. ## How to start Call us. Tell us who wrote the behaviour support plan, when it was last reviewed, and whether it authorises any restrictive practices. We will tell you honestly whether we can implement it and when we could start. --- ## NDIS guides ### How NDIS funding works URL: https://powercare.au/ndis-guides/how-ndis-funding-works/ ## The three budgets An NDIS plan divides funding into three budgets: **Core supports**, **Capacity Building supports**, and **Capital supports**. Almost everything confusing about NDIS funding becomes clearer once you know which budget a support comes from. **Core supports** pay for the assistance a participant needs with everyday life: personal care, help with household tasks, community participation, transport, and Supported Independent Living. High-intensity supports — tracheostomy management, PEG/NG feeding, complex bowel care, severe dysphagia, catheter care, complex wounds and subcutaneous injections — are funded from Core, because they are part of daily personal activities. **Capacity Building supports** pay for building skills and independence: daily living and life skills, support to find and keep work, support through life transitions, and allied health where it is funded. Capacity Building is about the person needing less support in future, not about getting through today. **Capital supports** pay for things rather than services: assistive technology, equipment, home modifications, and Specialist Disability Accommodation (SDA). > A note on this guide: PowerCare delivers supports funded from the **Core** budget, plus community nursing. It does **not** provide SDA or housing, plan management, support coordination or allied health — those are described here only to explain how funding works, not as services PowerCare offers. ## Flexibility, and where it stops Core supports are generally **flexible**: within the Core budget, funding can usually be moved between categories as needs change — for example, using some Core funding for community access rather than in-home support. Transport funding is often an exception and may be stated separately. Capacity Building supports are generally **not flexible** in the same way. Funding allocated to one Capacity Building category usually has to be used for that category. Capital supports are the least flexible. Funding for a specific piece of equipment or a specific housing arrangement is for that thing. ## Stated supports Some supports are "stated" in a plan, meaning the funding must be used for exactly that support and cannot be reallocated. Stated supports are common where a support has been specifically assessed and quoted — SIL is often stated this way. ## How the money is managed There are three ways an NDIS plan can be managed, and it affects which providers a participant can use. **Agency-managed (NDIA-managed):** the NDIA pays providers directly. Participants can only use **NDIS-registered providers**. **Plan-managed:** a plan manager pays the invoices. Participants can use registered and unregistered providers. **Self-managed:** the participant manages the funding and pays providers themselves, with the widest choice of providers and the most administration. A plan can use more than one of these for different parts of the funding. PowerCare is not a plan manager. Plan management is a separate NDIS registration that PowerCare does not hold. ## Why registration groups matter Every NDIS support sits inside a **registration group**, and a registered provider can only deliver the groups it is registered and audited for. This is not a formality. A provider without registration group 104 and Practice Standards Module 1 cannot legally deliver tracheostomy support, no matter how willing they are. When you call a provider, ask which registration groups they hold. A provider that cannot answer that question quickly is telling you something. --- ### What high-intensity supports are, and who is allowed to deliver them URL: https://powercare.au/ndis-guides/what-are-high-intensity-supports/ ## What "high intensity" means **High-intensity daily personal activities** are everyday personal supports that carry a clinical risk serious enough that the NDIS regulates who may deliver them and how. They are covered by **NDIS Practice Standards Module 1**, and delivered under **registration group 104 (Assist Personal Activities — High)**. A provider that does not hold Module 1 is not permitted to deliver these supports. This is the single most useful fact a family can know when they are calling providers, because it explains why so many say no. ## The seven high-intensity supports Module 1 covers exactly seven supports: 1. **Complex bowel care** — prescribed bowel programs and stoma care, beyond routine toileting assistance. 2. **Enteral feeding and management** — feeding through a PEG, PEJ or NG tube, including medications and site care. 3. **Tracheostomy management** — suctioning, tube and stoma care, and emergency response for a participant with a tracheostomy. 4. **Urinary catheter management** — indwelling, suprapubic and intermittent catheterisation. 5. **Subcutaneous injections** — prescribed injections given under the skin. 6. **Complex wound management** — pressure injuries, chronic wounds and surgical wounds requiring a clinical dressing regime. 7. **Severe dysphagia management** — mealtime support for participants at serious risk of choking or aspiration, delivered against a speech pathologist's mealtime management plan. That list is fixed. If a support is on it, a Module 1 provider is required. If it is not on it, it is ordinary personal care. ## Who is allowed to deliver them High-intensity supports are delivered **either by registered nurses, or by support workers who hold high-intensity training and work under registered-nurse supervision** — depending on the participant's clinical needs and circumstances. Both models are legitimate. Both involve a registered nurse. What is never legitimate is an untrained worker delivering a high-intensity support with no clinical oversight. The registered nurse's role is not decorative. Under the NDIS Quality and Safeguards Commission's [High Intensity Support Skills Descriptors](https://www.ndiscommission.gov.au/providers/worker-screening-and-orientation-modules/high-intensity-support-skills-descriptors), the expectation is that workers are trained and assessed as competent **against the individual participant's plan** — not merely trained in a general course. A worker who has done a tracheostomy module has not, by that fact alone, been trained to support *your* family member. ## Questions worth asking any provider - **Do you hold Practice Standards Module 1?** If they hesitate, they don't. - **Which of the seven supports do you actually deliver?** Registration is not the same as experience. - **Will a registered nurse be involved, and how?** "Supervision" should have a concrete answer: who, how often, and who the worker calls at 2am. - **How are the workers trained for my plan specifically?** The answer should describe training against the participant's own clinical plan, before the first shift. - **What happens in an emergency?** There should be a written, rehearsed plan specific to the participant. ## Where the funding comes from High-intensity supports are funded from the **Core supports** budget of an NDIS plan, because they are daily personal activities. They generally require evidence of the clinical need in the plan. Some of the same clinical care can also be delivered as **community nursing** (registration group 114), by a registered nurse. Providers who hold both 104 and 114 can move between the two models as the participant's needs require. ## Module 1 and Module 2A are different things **Module 1** covers high-intensity daily personal activities — the seven clinical supports above. **Module 2A** covers *implementing* behaviour support plans. It is the module a provider needs when its workers support a participant who has a behaviour support plan, including where that plan authorises a regulated restrictive practice. Implementing a behaviour support plan and **writing** one are different roles with different registrations, and the NDIS separates them on purpose. A provider that delivers the daily support should not also be the one deciding what the behaviour strategies are. --- ### What's actually in an NDIS plan URL: https://powercare.au/ndis-guides/whats-in-an-ndis-plan/ ## Why reading the plan matters An NDIS plan is a funding document, and it is the only thing that decides what support a participant can actually receive. A provider can be willing, registered and available, and still be unable to help — because the plan does not fund the support. Most families are handed this document at the worst possible moment and never told how to read it. Here is what is in it. ## Goals The plan states the participant's goals in their own words, or something close to it. Goals are not decoration: they are what supports are justified against, and they matter enormously at the next plan review. A goal like "I want to live in my own place" is what makes a case for capacity-building and SIL supports legible to the NDIA. If the goals in a plan no longer describe the person's life, that is worth fixing at review. ## The funded supports The plan sets out funding in three budgets. **Core supports** — everyday assistance: personal care, household tasks, community participation, transport, and Supported Independent Living. High-intensity supports (tracheostomy, PEG/NG feeding, complex bowel care, severe dysphagia, catheter care, complex wounds, subcutaneous injections) are funded here. **Capacity Building supports** — building skills and independence, including daily living skills, life transitions, employment support and allied health where funded. **Capital supports** — equipment, assistive technology, home modifications, and Specialist Disability Accommodation (SDA). > A note on this guide: PowerCare delivers Core-budget supports and community nursing under the eleven registration groups it holds. It does **not** provide SDA, plan management, support coordination or allied health — those are named here only to explain the plan, not as services PowerCare offers. ## Stated supports Some supports are **stated**, which means the funding is locked to that specific support and cannot be moved. SIL funding is commonly stated. If a plan says a support is stated, that money cannot be spent on anything else, however much you might need to. ## How the plan is managed The plan will say whether it is **agency-managed** (NDIA pays registered providers directly), **plan-managed** (a plan manager pays the invoices, registered or unregistered providers), or **self-managed** (the participant handles it). This determines which providers you can use. If a plan is agency-managed, the provider must be **NDIS-registered**. ## The dates A plan has a start date and an end date. Funding does not automatically roll over. The period before a plan ends — the plan reassessment — is when needs are re-evidenced, and it is when most support gaps are either fixed or baked in for another year. ## How to check whether the plan funds what you need 1. **Find the support you need in one of the three budgets.** If it is not in any of them, it is not funded, and no provider can make it appear. 2. **Check whether the amount is realistic** against the hours actually needed. A plan can fund a support and still fund far too little of it. 3. **Check whether high-intensity supports are properly evidenced.** If a participant has a tracheostomy or a PEG and the plan funds only standard personal care, the plan is probably under-built, because a Module 1 provider is required to deliver those supports. 4. **Check the management type.** It decides who you can call. If you are unsure, bring the plan to a conversation with a provider or a support coordinator and read it together. A provider that reads your plan honestly — including telling you that it does not currently fund what you are asking for — is being more useful to you than one that says yes to everything. --- ### How to change NDIS providers URL: https://powercare.au/ndis-guides/how-to-change-ndis-providers/ ## You are allowed to change Under the NDIS, the participant chooses the provider. You can change providers, and you do not need your current provider's permission or approval to do it. You do not owe anyone an explanation. Providers sometimes imply otherwise. They are wrong. ## The four steps **1. Read the service agreement.** It will state a notice period — commonly a set number of weeks. That is the notice you owe. It is a contractual term, not a rule of the NDIS. **2. Line up the new provider first.** This is the step people skip, and it is the one that matters. Sign the new service agreement, and get a confirmed start date, *before* you end the old one. **3. Give notice in writing.** Email is fine. A short, factual message stating the end date is enough. You do not need to give reasons. **4. Move the information across.** Ask for the participant's support plans, risk assessments, clinical protocols, medication charts and progress notes. This is the participant's information and you are entitled to it. Handing it to the new provider is what prevents them starting from zero. ## If there are clinical supports, plan the changeover This is where switching genuinely carries risk. A bowel program, a feeding regime, a wound dressing schedule or a tracheostomy protocol cannot have a gap in it while paperwork is being processed. A high-intensity support also cannot start instantly with a new provider, because the new provider's workers must be trained and assessed against the participant's specific clinical plan first, under registered-nurse supervision. That takes time. So the honest sequence is: new provider assesses, new provider trains its workers, new provider confirms a start date, *then* notice is given to the old provider with enough runway for the notice period to expire on or after that date. Where possible, overlap the two rather than leaving a gap. Any provider who tells you they can pick up a complex clinical support tomorrow is either not doing the training or not telling you about it. ## If the plan is agency-managed If the plan is NDIA-managed, the new provider must be **NDIS-registered**. If it is plan-managed or self-managed, you have more choice, but registration still tells you whether the provider is audited against the NDIS Practice Standards — which for high-intensity clinical supports is the whole question. ## What to ask a new provider before you switch - Which NDIS registration groups do you hold? - Do you hold Practice Standards Module 1, and which of the seven high-intensity supports do you deliver? - Who will actually deliver the clinical care — a registered nurse, or a trained support worker under nurse supervision? - How, and when, will your workers be trained against our plan specifically? - What is the realistic start date, and what would delay it? A provider that answers all five plainly is a provider worth switching to. A provider that answers none of them plainly has answered them anyway. --- ## Frequently asked questions ### Can you really take someone with a tracheostomy or PEG? Yes. PowerCare is a registered NDIS provider in Sydney that holds registration group 104 (Assist Personal Activities — High) with Practice Standards **Module 1**, which covers exactly seven high-intensity supports: tracheostomy management, enteral (PEG/NG) feeding, complex bowel care, severe dysphagia management, urinary catheter management, complex wound management, and subcutaneous injections. These are not exceptions we make. They are the supports we exist for. If you have been told by other providers that a trach or a PEG is "too complex", what they usually mean is that they do not hold Module 1. A provider without it genuinely cannot deliver these supports. A provider with it can. It is worth asking every provider you call whether they hold Module 1, and listening for whether they answer the question. See how we deliver [tracheostomy support](/complex-care/tracheostomy-support/) and [PEG and tube feeding](/complex-care/peg-feeding-support/) in Sydney, or read the guide on [what high-intensity supports are](/ndis-guides/what-are-high-intensity-supports/). --- ### Who actually delivers the clinical care? Depending on the participant's clinical needs and circumstances, high-intensity supports at PowerCare — a registered NDIS provider in Sydney — are delivered **either by registered nurses directly, or by support workers who hold high-intensity training and work under registered-nurse supervision.** Both are legitimate under the NDIS high-intensity framework, and both involve a registered nurse. The nurse assesses the clinical need, sets the support up against the treating team's plan, trains and assesses the workers, and is the person they escalate to when something changes. Your plan and your clinical needs tell us which model applies. We will tell you plainly which one it is before we start — not after. You should not be teaching our workers how to care for your family member. Training the workers is our job. --- ### Which areas of Sydney do you cover? We support participants across Sydney — {{SERVICE_AREAS}}. If you are not sure whether we reach you, call and ask. If we cannot get to you, we will say so on that call rather than leaving you waiting a week to find out. --- ### How quickly can support actually start? We will give you an honest start date on the first call. Here is what that date depends on. Standard supports — personal care, household tasks, community access — need a service agreement and a roster before the first shift. High-intensity supports need something more: workers trained against **your** specific clinical plan, assessed by a registered nurse, before anyone walks through your door. That takes time, and any provider who tells you it doesn't is either not doing it or not telling you the truth. So we will not promise you a number on a website. We will look at what the support actually is, tell you on the phone what it will realistically take, and then keep to it. --- ### Do you write behaviour support plans? No — and be wary of anyone who blurs this line. PowerCare **implements** behaviour support plans written by the participant's own NDIS behaviour support practitioner. That is what NDIS Practice Standards **Module 2A** covers, and it is the module we hold. Writing the plan is a different NDIS registration, which we do not hold and do not claim. The NDIS separates these two roles deliberately: the provider delivering the day-to-day support should not also be the one deciding what the behaviour support strategies are. If a provider is vague about which of the two they do, treat that vagueness as an answer. --- ### What supports are you actually registered for? PowerCare holds **11 NDIS registration groups**: - High-Intensity Personal Care (104) - Life Transition Support (106) - Personal Care & Daily Living (107) - Transport & Travel Assistance (108) - Community Nursing (114) - Supported Independent Living (115) - Innovative Community Participation (116) - Daily Living & Life Skills (117) - Household Tasks & Domestic Assistance (120) - Community Participation (125) - Group & Centre-Based Activities (136) We also hold NDIS Practice Standards **Module 1** (High-Intensity Daily Personal Activities) and **Module 2A** (Implementing Behaviour Support Plans). Just as usefully — here is what we **do not** do: we are not a plan manager, we do not provide Specialist Disability Accommodation (SDA), and we do not provide allied health of any kind (no occupational therapy, physiotherapy, speech pathology or psychology). If you need those, you need someone else, and we will say so rather than take the work. --- ### Do you provide the house as well? What's the difference between SIL and SDA? **SIL is the support. SDA is the building.** They are two different things, funded separately. **Supported Independent Living (SIL)** is the support delivered inside a home — a rostered team helping with everyday living. PowerCare holds NDIS registration group 115 and delivers SIL, including for participants with high-intensity clinical needs. **Specialist Disability Accommodation (SDA)** is the physical, purpose-built housing. **PowerCare does not provide SDA.** We are not a landlord and we do not supply housing. A participant can receive SIL in an SDA property, a private rental, a share house, or a family home. If a provider offers you a house and the support as one inseparable package, ask why — under the NDIS you are entitled to choose them separately. --- ### We already have a provider. Can we change? Yes. Under the NDIS you choose your provider, and you can change it. You do not need your current provider's permission, and you do not need to justify the decision to anyone. What you do need to do is check your service agreement for its notice period, give that notice in writing, and — this is the part that matters most — line the new support up before the old support stops. Nobody should have a gap in a bowel program or a feeding regime because of paperwork. If you are switching because of the clinical supports, tell us that on the first call. We will be honest about how long it takes to have workers trained against your plan, so the changeover can be planned rather than survived. For the full step-by-step, read our guide on [how to change NDIS providers](/ndis-guides/how-to-change-ndis-providers/). ---