Start with the person’s current clinician-directed plan, relevant worker training and assessed capability, escalation arrangements and the records required for the support. A generic policy or kit cannot establish that a worker can safely perform a specific clinical task.
Identify the actual support
The Commission’s high intensity daily personal activities module includes areas such as complex bowel care, enteral feeding and management, severe dysphagia management, tracheostomy management, urinary catheter management, ventilator management, subcutaneous injections and complex wound management.
The Commission links registration group 0104 (104), high intensity daily personal activities, to the relevant Module 1 standards. Registered providers may deliver only the high intensity supports listed in their registration certificate. Enteral-feeding discussions may refer to PEG feeding; the individual plan and relevant activity requirements still control the support.
The exact requirements differ by activity and person. This guide covers documentation and governance; it does not teach clinical procedures, dosing, equipment settings or emergency treatment.
Use a readiness record for each relevant activity
| Question | Evidence to check |
|---|---|
| What support has been planned? | Current participant-specific plan and its authorised clinical source |
| What does the person want? | Relevant preferences, communication and consent arrangements |
| Who may provide it? | Role, training and assessed capability relevant to the person and activity |
| What changes need escalation? | Current clinician-directed instructions and responsible contacts |
| What must be recorded? | Approved activity record and exception/escalation process |
| What triggers review? | Plan change, equipment change, changed needs or capability concern |
Record the location and version of the plan. Do not copy selected clinical instructions into several uncontrolled sheets where one may become stale.
Fictional example: a plan changes
Example Supports receives a revised enteral-feeding plan from the responsible clinician. The coordinator records receipt, verifies the version and arranges review of what changed. Affected workers are briefed and their readiness is checked through the organisation’s appropriate process.
The old accessible copy is retired. The current plan, worker readiness evidence and contact arrangements are available at the point of support. Any uncertainty about the clinical instruction is referred back to the responsible clinician; workers do not improvise from a blog.
The useful quality question is not “Do we own an enteral-feeding policy?” It is “Can the appropriately prepared worker locate and follow the current plan for this person, and get help when needed?”
Separate records that serve different purposes
A policy describes the organisational approach. A person’s support plan directs their individual support. Training and competency records relate to worker readiness. Activity records show what occurred. Incident and escalation records capture exceptions and responses.
Keeping all these distinctions clear helps prevent a generic template being mistaken for individual clinical authority.
Check handover and after-hours coverage
Use a tabletop exercise with a fictional plan version mismatch. Ask who notices it, where they seek clarification and how continuity is maintained safely. Do not use a simulated exercise as evidence that someone is clinically competent.
Review who is authorised to update plans, who checks changed instructions and how urgent information reaches the next worker. Record unresolved issues and responsibility for resolution.
Questions to take to the responsible clinician and service lead
Ask which plan is current, which training and assessment apply, which records are required, which signs or changes require escalation and how the plan will be reviewed.
A document kit can help organise these systems. It cannot replace participant-specific clinical assessment, appropriate training, current instructions or the worker’s scope of practice.
Sources & checking
- NDIS Commission: high intensity daily personal activities · checked 2026-09-23
ProviderQMS editorial guidance and fictional examples. Source checking is not a professional endorsement. Our editorial method.