When a high-intensity NDIS support requires nursing governance

Short answer: high-intensity supports carry clinical risk, so they need appropriately skilled workers and registered-nurse governance — assessment, competency sign-off, delegation, supervision and review. A support worker delivering these without that structure is a safety and compliance risk.

What counts as a "high-intensity" support

These are daily supports recognised as needing higher skill and clinical oversight. Carehaven is registered under NDIS group 0104 (High-Intensity Daily Personal Activities) to deliver:

• Complex bowel care
• Enteral feeding and management
• Tracheostomy management
• Urinary catheter management
• Ventilator management
• Subcutaneous injections
• Complex wound management
• Severe dysphagia management

We are also approved for day-to-day medication management and, where required, the implementation of restrictive practices under an appropriate behaviour-support plan.

Why nursing governance is required

For these supports, safe delivery means more than a trained pair of hands. It means:

• RN assessment of the participant and the specific support.
• Competency assessment and sign-off of the workers delivering it.
• Delegation and supervision by a registered nurse.
• Documented protocols and escalation for when something changes.
• Ongoing review as the participant's needs change.

Delivering high-intensity supports without nursing governance risks participant harm and sits outside safe practice. If you're a SIL or support provider without in-house nursing, this is exactly where a clinical partner is needed.

How Carehaven provides the governance

Within our NDIS registration and workforce competence, Carehaven can deliver these supports directly, or provide the clinical oversight layer — RN assessment, worker competency training, delegation and supervision — so your own team can support the participant safely. Clinical oversight for SIL providers →

Service area: Melbourne's outer north through Mitchell and the Macedon Ranges to Greater Bendigo.

Frequently asked

Can our support workers deliver these if we train them?

Trained workers can deliver some high-intensity supports, but under registered-nurse delegation, competency sign-off and supervision — not on their own. That governance layer is the point.

Do you provide the nurses, or just the oversight?

Either — direct delivery within our registration, or an oversight/training model for your team. We'll recommend the safest fit.

Is nursing governance funded?

Clinical assessment, training and oversight are recognised support types; we help check the participant's plan supports it during the suitability discussion.

Have a participant with a high-intensity support need?

Let's check clinical suitability and the safest way to deliver it.

Request a review →

Or call us on 1300 310 605

Clinical oversight for SIL providers: a practical guide → NDIS community nursing vs disability support work → Preparing for an NDIS community nursing assessment →

General information, not clinical, legal or funding advice. Supports delivered within Carehaven's NDIS registration conditions and worker competence. Sources: NDIS Commission high-intensity support guidance; NDIS pricing arrangements (ndis.gov.au).