NDIS Module 1 & 2 Competencies

High Intensity Support

Some participants require support workers with specific clinical training beyond standard disability support qualifications. Nurse Aid Australia staff hold NDIS High Intensity Support competencies — assessed, documented, and maintained.

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What High Intensity Support means

High Intensity Support in an NDIS context

NDIS High Intensity Daily Activities is a support category covering clinical procedures that require workers with specific assessed competencies. These are not general disability support tasks — they require workers who have completed the NDIS High Intensity Support Skills training framework and been assessed as competent in specific modules.

Regulated by the NDIS Practice Standards — providers must demonstrate worker competency
Workers must complete Module 1 (foundation) before any Module 2 skill-specific training
Each Module 2 competency is specific to a clinical procedure — training in one does not cover others
Competency must be assessed, documented, and maintained — not just attended
Clinical oversight by a registered nurse is required for many procedures
Participants with these needs require providers who can demonstrate — not just claim — capability

NDIS High Intensity Competencies

Module 1 & Module 2 skill competencies

NAA support workers hold the following NDIS High Intensity Support competencies. Each Module 2 skill requires successful completion of Module 1 and competency assessment before a worker may perform that procedure.

Module 1 — Foundation (required for all Module 2 competencies)

High Intensity Support Foundation

The prerequisite for all Module 2 competencies. Covers infection control, documentation, escalation protocols, and the legal and ethical obligations of delivering high intensity support.

Module 2a

Dysphagia Support

Support for participants with swallowing difficulties — including modified texture foods, thickened fluids, and safe mealtime assistance to reduce choking and aspiration risk.

Module 2b

Enteral Feeding

Administration of nutrition through enteral tubes including PEG and nasogastric tubes. Covers feed preparation, tube management, and recognition of complications.

Module 2c

Tracheostomy Management

Support for participants with tracheostomies — including suctioning, stoma care, emergency response, and communication with the clinical team.

Module 2d

Ventilator Management

Support for participants on home ventilators — including circuit management, alarm response, and escalation to clinical oversight.

Module 2e

Urinary Catheter Management

Catheter care including emptying and changing catheter bags, recognising infection signs, and maintaining dignity and hygiene throughout.

Module 2f

Complex Bowel Care

Support for participants requiring complex bowel management — including digital bowel care, suppository and enema administration under nursing oversight.

Module 2g

Subcutaneous Injections

Administration of subcutaneous injections including insulin and other prescribed medications — under nursing oversight and following participant-specific protocols.

Module 2h

Seizure Management

Recognition and response to seizure events — including first aid, timing, positioning, emergency medication administration (including midazolam where prescribed), and post-seizure documentation.

Staff Competency

How we maintain High Intensity competency

NAA's support workers hold a minimum of a Certificate III in Individual Support (or equivalent), along with the mandatory checks and training required to work on-floor, and complete ongoing training as participant needs require. The clinical model is backed by AHPRA-registered nurses — both Enrolled and Registered Nurses — with a Registered Nurse on call 24/7 for clinical guidance and escalation. Where a participant's plan involves behavioural complexity, NAA works closely with behaviour support practitioners, coordinating directly on the participants they share. Staff hold specific competencies relevant to complex support, including diabetes management, complex bowel care, dementia support, and mealtime management, refreshed through regular in-house training.

High Intensity Support competencies are not treated as a one-off tick-box. Workers complete the foundation (Module 1) competency before performing any Module 2 procedure, and competency for each specific procedure is assessed and recorded before a worker carries it out. Competency is maintained through ongoing review rather than assumed once attained, with registered-nurse oversight available for the relevant clinical procedures.

From A Service Coordinator

From my experience, their carers show genuine compassion and go above and beyond to understand each participant's individual needs. The team is highly professional — clear communication, strong data collection, and thorough attention to detail. I would highly recommend NAA as a SIL and care provider.

Julie Pike

Behaviour Practitioner

Frequently Asked

Questions coordinators ask about High Intensity Support

If your question is not here, call us directly. We answer during business hours and return all messages the same day.

NDIS High Intensity Daily Activities is a support category covering clinical procedures that require workers with specific assessed competencies beyond standard disability support training. It is funded under Support Category 1 and requires providers to demonstrate worker competency through the NDIS High Intensity Support Skills framework.

Participants with seizure conditions can access NDIS-funded SIL with trained seizure management support. Nurse Aid Australia staff hold Module 2h competency — covering seizure recognition, first aid response, emergency medication administration where prescribed, and seizure documentation for medical review.

Contact us via our referral form or by calling 1300 413 663. We will discuss the participant's specific high intensity support needs, confirm which competencies are required, and advise on whether our current team can meet those needs for the proposed placement.

[Placeholder] Client to confirm: proportion of staff holding Module 1 and specific Module 2 competencies, and how competency is maintained and documented across the team.

Module 1 is the foundation competency required before any Module 2 training. It covers the principles, documentation, and escalation requirements for high intensity support. Module 2 consists of separate skill-specific competencies — one per clinical procedure. A worker must hold both Module 1 and the relevant Module 2 to legally perform that procedure.

[Placeholder] Client to confirm: nursing oversight model — how registered nurse oversight is structured for high intensity procedures, frequency of review, and escalation pathway.

Or call us directly: 1300 413 663

✏️ Participant story link — populate once /evidence page is published

Referring a participant who requires high intensity clinical support?

Start a referral Or call us: 1300 413 663