austlii:cth/ARTA/2025/552
General information, not legal advice.
ARTA
2025-05-12
Original judgment source is linked above.
(a) have regard to the participant's statement of goals and aspirations; and
(b) have regard to relevant assessments conducted in relation to the participant; and
(c) be satisfied as mentioned in section 34 in relation to the reasonable and necessary supports that will be funded and the general supports that will be provided; and
(d) apply the National Disability Insurance Scheme rules (if any) made for the purposes of section 35;
(e) have regard to the principle that a participant should manage his or her plan to the extent that he or she wishes to do so; and
(f) have regard to the operation and effectiveness of any previous plans of the participant; and
(g) have regard to whether section 46 (acquittal of NDIS amounts) was complied with in relation to any previous plan for the participant.[16]
For the purposes of specifying, in a statement of participant supports, the general supports that will be provided, and the reasonable and necessary supports that will be funded, the CEO must be satisfied of all of the following in relation to the funding or provision of each such support:
aa) the support is necessary to address needs of the participant arising from an impairment in relation to which the participant meets the disability requirements (see section 24) or the early intervention requirements (see section 25);
a) the support will assist the participant to pursue the goals, objectives and aspirations included in the participant's statement of goals and aspirations;
b) the support will assist the participant to undertake activities, so as to facilitate the participant's social and economic participation;
d) the support will be, or is likely to be, effective and beneficial for the participant, having regard to current good practice;
e) the funding or provision of the support takes account of what it is reasonable to expect families, carers, informal networks and the community to provide;
f) the support is an NDIS support for the participant.
a) An email from Ms D'Cruz to Ms Jessica Dinsdale (Ms Dinsdale) dated 5 October 2022 (5:14pm) with an attachment that is described as 'the Bunnings virtual pic of the old kitchen', marked 'Exhibit 3'. > > b) An email from Ms D'Cruz to Ms Dinsdale dated 5 October 2022 (5:31pm), marked 'Exhibit 4'.
'the phrase connotes supports which meet a threshold which justifies - by reference to the context, objects and guiding principles of the Act and the facts of the case - the expenditure of public funds for that support, for a particular participant ... [T]he phrase needs to be understood taking into account what has qualified a person as a participant, and the links between a person's impairment and their full participation in the community...'[24]
a) The old tap was hard for Ms D'Cruz to use, especially due to his left side deficit. > > b) The old cutlery and utensil drawers were not on rollers which made them difficult for Mr D'Cruz to pull out, and they were damaged from when Mr D'Cruz had gripped them during a seizure. > > c) The old cupboards were inaccessible for Mr D'Cruz. He struggled to get himself a glass, cup, plate, pot or pan; was having falls; and bending down to get things was problematic. > > d) The height of the old bench was not an issue for Mr D'Cruz, it needed changing because the cupboards were changed. > > e) The position of the microwave was too high for Mr Cruz to use safely. > > f) The toaster, rice cooker etc were stored in a roller-type cupboard which Mr D'Cruz needed help to operate. > > g) The pedal on the old bin was difficult for Mr D'Cruz to activate. He was having falls because of balance issues and would slip on food he had dropped beside the bin.[26]
a) Ms Karen Little (Ms Little), an occupational therapist from MSWA, did attend the home, and Ms D'Cruz asked her to consider what bathroom and kitchen modifications were required. Ms Little thereafter provided a Functional Assessment for Complex Home Modifications that addressed issues arising for Mr D'Cruz in the bathrooms.[37] Ms Little did not come back to Ms D'Cruz regarding the kitchen. > > b) Another occupational therapist named 'Jasmine' came to the home before Ms Little. Jasmine went through the home and Ms D'Cruz told her what issues Mr D'Cruz was having in the kitchen and bathrooms. She could not recall whether Jasmine observed Mr D'Cruz in the kitchen. She had understood a formal assessment would be completed after this initial discussion, however that never took place. > > c) There is no assessment in evidence or available from an occupational therapist who saw the old kitchen before the kitchen modifications were completed. This was not for lack of trying.
a) Before the kitchen modifications, Mr D'Cruz could not prepare himself meals, was dropping items, and was at risk of scalds due to the position of the microwave and benchtops.[42] > > b) The kitchen bench height was unsuitable; the tap and sink were difficult for Mr D'Cruz to use due to left side deficit, and his difficulties using the sink resulted in several glasses and dishes being broken; bending to access cupboards increased Mr D'Cruz's risk of falls and loss of balance; the cutlery drawers were badly damaged from Mr D'Cruz's tremor and movements; the microwave was too high for Mr D'Cruz to safely retrieve hot items; and Mr D'Cruz could not safely and independently use the bin.[43] > > c) The lack of accessibility in the kitchen caused Mr D'Cruz a lot of frustration and agitation as he was reliant on his family to assist him with basic tasks.[44] > > d) They felt it necessary to proceed with the kitchen modifications due to Mr D'Cruz's high falls risk, restricted independence and activity participation, and the impact on his health and wellbeing.[45]
a) He appeared to be familiar with the layout of the kitchen and where frequently used items were located.[47] > > b) He is right hand dominant.[48] > > c) He independently used the flick lever mixer adjusting the temperature of the water and placed used dishes into the sink without prompting.[49] > > d) He independently opened the drawers which stored plates, glasses and cups; and independently opened the cupboard under the kitchen sink to use the rubbish bin.[50] He used the bin independently without prompting. > > e) He independently completed each of the steps required to make himself a cup of coffee and carried the mug of coffee to the dining table.[51] > > f) He independently completed each of the steps required to make himself a fried egg on toast.[52]
a) Mr D'Cruz typically prepares himself breakfast, and for lunch he will reheat pre-prepared meals.[53] Mr D'Cruz can prepare hot drinks for himself and others. Ms D'Cruz is encouraging Mr D'Cruz to assist with some meal preparation tasks, however he requires prompting and assistance when preparing dinners.[54] > > b) The replacement drawers are easier for Mr D'Cruz to access as he can visually see what is stored in them and can access them from a safer standing point, with increased stability and balance.[55] Mr D'Cruz is able to access items with increased ease and independence, and the flip-up top cabinet has assisted with storing and retrieving items such as the toaster.[56] The newly installed benchtop is reportedly better accessed by Mr D'Cruz, allowing him to adopt a better standing position and increased standing tolerance at the bench.[57] The replacement tap is reported to be better managed by Mr D'Cruz, and the new sink material helps to reduce accidental breakage.[58]
a) Marking temperature settings on the tap with a permanent marker would not have worked, as she understood from speaking with Mr and Ms D'Cruz that Mr D'Cruz also had difficulty adjusting the water flow and amount.[61] An extended lever addition to the tap would have been ineffective due to the position of the tap.[62] > > b) Unbreakable dinnerware and glasses were not a practical alternative to replacing the sink, as Mr D'Cruz lives in a family home hence excessive amounts of dinnerware and glassware would have had to be replaced.[63] > > c) Ms D'Cruz reported that a small container or compost bin near the sink, instead of replacing the bin, would not have been culturally appropriate for the family.[64] The new bin will likely last longer than cheaper equivalents.[65] > > d) It was reported to her that cupboard shelves could not have been adapted to pull out shelves/drawers.[66] Items like stacked plates are stored in the new drawers, and these are too heavy for slide shelves.[67] The new drawers allow Mr D'Cruz to pull them out completely giving him full view of what is stored in them, and rearranging items on cupboard shelves would not have achieved the same outcome.[68] > > e) The old kitchen bench could not be reused due to the disruption that the kitchen modification caused.[69]
a) She was unable to find disability related reasons for the full kitchen to be pulled out and a new one installed, as there are alternative solutions available to address difficulties that Mr D'Cruz may have had in the old kitchen.[73] > > b) If difficulty using the tap related to balance, a long lever mixer tap could reduce the need to overextend to operate the lever; and if an issue was knowing which direction to move the tap for hot/cold then a lever tap with a clear indicator would be suitable, though this could be done with a permanent marker.[74] There is definitely no clinical reason for the double sink to be replaced, as there are alternative options, and there are also cheaper lever taps.[75] She would recommend the family gradually change over their dinnerware and glassware to light weight and less breakable ones, which are available in supermarkets.[76] > > c) With respect to Mr D'Cruz having difficulty reaching and bending to get pots and pans from the cupboards, installation of the chrome pull-out drawer organiser from Kmart would have been appropriate, given the amount of food preparation/cooking by Mr D'Cruz would be minimal.[77] > > d) As an alternative to replacing the cupboards with drawers, items in cupboards could be rearranged with items frequently used by Mr D'Cruz located closer to the front and/or slide out shelves could be installed.[78] The latter cost around $29 at Kmart.[79] The last and more expensive option is to change the cupboard doors and hardware to convert some of the cupboards into drawers.[80] > > e) Soft close drawer runners/slides which the new drawers have could have been purchased to replace existing ones without having to completely change the drawers themselves.[81] > > f) There was no reason to change the kitchen benchtop.[82] There is only 3mm height difference between the old and new benchtop.[83] > > g) The location of the microwave was not a safe height for anyone, therefore is not a disability specific need.[84] > > h) As an alternative to relacing the bin, a container or small compost bin could be placed on the bench near the kitchen sink, and/or an under bench pull out bin could be purchased from Kmart or Target for $39.00.[85]
a) She held concerns about the new location of the microwave as there is no bench surface for the hot food from the microwave to be set down when it is removed, creating a risk of scalding.[90] > > b) The old cupboards with shelves could have had the pull-out drawer sliding organiser installed to provide essentially the same feature as having a drawer.[91] Whilst there will be limitation on how many dishes could be stacked on a slide organiser, it would be enough for Mr D'Cruz to have items that he needs on them due to his disability.[92] With the new drawers, instead of cupboards, Mr D'Cruz still has to bend down if he is accessing the bottom drawer so the reality is that if it is not safe for him to bend to get things out of a cupboard shelf, even if the items are closer at the front, then he would not be able to retrieve items from the second/bottom drawer.[93] > > c) She was unsure of how Mr D'Cruz would have difficulty with the old flick mixer tap and not the new one.[94] > > d) The new sink is made from a composite material, and a reported disadvantage of composite granite sinks is that they are hard enough to break glassware when dropped on them.[95] This seems contrary to the claim that the new sink helps to reduce accidental breakage.[96] Further, 2 x 16 piece dinner sets would be suitable for a 4 person house, and those 2 sets could be purchased for $280.00.[97] Similar such options are available to replace glasses and mugs.[98] In combination these would cost less than the sink that has been purchased and installed as part of the kitchen modifications.[99] > > e) It does not necessarily follow that a cheaper bin to the new bin would be inferior.[100]
3.1 In deciding whether the support represents value for money in that the costs of the support are reasonable, relative to both the benefits achieved and the cost of alternative support, the CEO is to consider the following matters:
(a) whether there are comparable supports which would achieve the same outcome at a substantially lower cost;
(b) whether there is evidence that the support will substantially improve the life stage outcomes for, and be of long‑term benefit to, the participant;
(c) whether funding or provision of the support is likely to reduce the cost of the funding of supports for the participant in the long term (for example, some early intervention supports may be value for money given their potential to avoid or delay reliance on more costly supports);
(d) for supports that involve the provision of equipment or modifications:
(i) the comparative cost of purchasing or leasing the equipment or modifications; and
(ii) whether there are any expected changes in technology or the participant's circumstances in the short term that would make it inappropriate to fund the equipment or modifications;
(e) whether the cost of the support is comparable to the cost of supports of the same kind that are provided in the area in which the participant resides;
(f) whether the support will increase the participant's independence and reduce the participant's need for other kinds of supports (for example, some home modifications may reduce a participant's need for home care).
a) Ms D'Cruz's evidence is that a couple of alternative solutions were trialled, but they were ineffective; and whilst the microwave could fit on the bench more important items would have to be removed. > > b) Ms Houston's evidence is that there were alternative solutions available to address difficulties Mr D'Cruz may have had in the old kitchen, and those would have enabled Mr D'Cruz to undertake tasks that have been reported to be undertaken by him in the modified kitchen. Ms Houston opined those alternative solutions would cost at most one third of what the kitchen modifications cost. > > c) Ms Dinsdale's evidence is to the effect that the alternative solutions recommended by Ms Houston would have been ineffective or impracticable.
[2] E1, 18; Respondent's Statement of Facts, Issues and Contentions (Respondent's SFIC), [1].
[8] All sections referred to in this Statement of Reasons, including in the footnotes, are sections in the National Disability Insurance Scheme Act 2013 unless otherwise stated.
[10] Item 24, Part 5 to Schedule 16 of the Administrative Review Tribunal (Consequential and Transitional Provisions No.1) Act 2024.
[11] s 2 of the National Disability Insurance Scheme Amendment (Getting the NDIS Back on Track No. 1) Act 2024 (Amending Act).
[12] Items 124, 129, 132 of the Amending Act.
[17] McGarrigle v National Disability Insurance Agency [2017] FCA 308, [43].
[18] Drake and Minister for Immigration and Ethnic Affairs (1979) 46 FLR 409, 420.
[19] Home Modifications Guideline, 10-11; Exhibit 2 (E2), 1-2, 4, 22-24,
[20] Respondent's SFIC, [33]-[34], [42], [48]-[49], [51]-[52], [55]-56]; Respondent's closing submissions.
[21] ss 34(1)(c), 34(1)(f); Respondent's SFIC, [33]-[34], [42], [48]-[49], [51]-[52], [55]-[56]; Respondent's opening submissions; Respondent's closing submissions.
[22] Respondent's SFIC, [34], [42], [48].
[23] Public Trustee of South Australia (as litigation representative for Isherwood) v National Disability Insurance Agency (No 2) [2023] FCA 852, [29].
[24] National Disability Insurance Agency v WRMF [2020] FCAFC 79, [149]-[151].
[29] E1, 32-34, 36-38, 40; E2, 31-34, 63-65.
McGarrigle
National Disability Insurance Agency
McGarrigle v National Disability Insurance Agency [2017] FCA 308
National Disability Insurance Agency v WRMF [2020] FCAFC 79
Disability Insurance Agency (No 2) [2023] FCA 852