[2025] FCA 877
General information, not legal advice.
Federal Court of Australia
2025-07-31
Collier J
Original judgment source is linked above.
Note: Entry of orders is dealt with in Rule 39.32 of the .
HER HONOUR: Good morning. Now, is there any appearance by the respondent?
MR NOLAN: As far as we're aware, your Honour, no. The last email correspondence we are aware of was when the registry emailed both ourselves, the applicant solicitors and the respondent on Thursday the 14th with the link. And the email response from the respondent was "Leave me alone". That was an email dated 5.59 pm.
HER HONOUR: Thank you.
MR NOLAN: On the 14th.
HER HONOUR: All right. Just to cover bases, Court Officer, can you please call the matter outside the courtroom?
COURT OFFICER: No appearance, your Honour.
HER HONOUR: Thank you, Court Officer. All right. Mr Nolan, thank you. I think we will proceed...
(transcript 18.11.24 page 2 lines 9-27)
REVIEW DECISION OF THE APPLICANT REFERABLE TO S 25 NDIS ACT
Access criteria: Section 25 Early Intervention
Decision: Not Satisfied
To meet the early intervention requirements, the NDIA must be satisfied that all of the three criteria in paragraph 25(1) have been met, and that the support is not more appropriately provided through other schemes or services.
Criteria (a) on impairments - an identified intellectual, cognitive, neurological, sensory or physical impairment that is (or is likely to be) permanent or (ii) an impairment due to a psychosocial disability that is (or is likely to be) permanent or (iii) a developmental delay.
I am not satisfied that this criterion has been met in relation to your psychosocial impairments.
Our Guidelines - Applying to the NDIS, explains that to meet this criterion, an applicant must have an impairment that is likely to be permanent. When deciding if a person has an impairment that is likely to be permanent, the NDIA considers the same things as in the disability requirements.
As outlined in Section 24(1)(b) of the Disability requirements, I am unable to conclude from the evidence provided your psychosocial impairments are permanent.
As such, it cannot be determined that you meet this criterion.
Criteria (b) on reducing future need for support - early intervention supports are likely to reduce future support needs in relation to disability.
I am not satisfied that this criterion has been met in relation to your psychosocial impairments.
To meet this criterion, Our Guidelines - Applying to the NDIS explain that early intervention (early access to supports) must be likely to reduce a person's future disability support needs.
Due to the long-standing nature of your psychosocial impairments, I am not satisfied the supports required are 'early intervention' in nature. From the evidence provided, early intervention supports are not likely to reduce your future needs for support in relation to disability.
Criteria (c) on improving capacity, which may be shown in any one of four ways:
Improvement (i) - lessen the impairment's impact on the functional capacity for communication, social interaction, learning, mobility, self-care or self-management.
or Improvement (ii) - prevent the deterioration of functional capacity
or Improvement (iii) - improve functional capacity
or Improvement (iv) - strengthen informal supports, including building the carer's capacity.
I am satisfied that this criterion has been met in relation to your psychosocial impairments.
Criteria 25(3) that the NDIS is the most appropriate support system, and that early intervention supports are not more appropriately funded through other systems of service delivery or support services.
I am not satisfied that this criterion has been met in relation to your psychosocial impairments.
To meet this criterion, the support a person requires must be most appropriately funded or provided by the NDIS.
A person won't be eligible if we decide the support required is more appropriately funded or provided:
- by other general systems of service delivery or support services, such as a workers compensation scheme
- under a universal service obligation that other government services must provide to all Australians, such as schools and public hospitals
- as a reasonable adjustment under discrimination law, such as making places or venues accessible for you.
The evidence provided does not indicate that early intervention supports are most appropriately funded by the NDIS. Early intervention for your psychosocial impairments are most appropriately provided through the Health System or other government services. Clinical treatment is the responsibility of the Health System and not the NDIS.
This determination is in line with Our Guidelines - Applying to the NDIS. Further information on when early intervention supports are more appropriately funded by the NDIS or by other services can be found here:
- Our mainstream and community supports guideline
- Schedule 1 of the NDIS (Supports for Participant) Rules
Conclusion
The Tribunal sets aside the decision under review and remits the matter for reconsideration, with a direction that the Applicant meets the early intervention requirements for access to the National Disability Insurance Scheme as set out in section 25 of the National Disability Insurance Scheme Act 2013 (Cth).
(footnotes omitted)
Whether the Tribunal, in determining that it was not satisfied that early intervention supports for the First Respondent were more appropriately funded through other systems, failed to ask itself the correct questions, misunderstood or misapplied s 25(3) of the NDIS Act or failed to perform its statutory task.
Question 1:
When addressing s 25(3) of the NDIS Act the Tribunal found (at [9] of its Reasons for Decision) that:
(a) The treatments suggested by Dr Ewer, and the supports the Applicant said she would require, are clinical in nature and are primarily the responsibility of the health system to deliver;
(b) The specific supports that may be provided are part of the planning process and these may yet be different from what the Applicant is asking for now;
(c) Due to the Applicant's psychosocial disability, she has been unable to access the recommended clinical services;
(d) There is a proper role for early intervention supports under the NDIS to assist a person with a psychosocial disability to access appropriate services; and
(e) It was not satisfied that early intervention supports are more appropriately funded or provided through other systems.
By making the above findings, the Tribunal asked itself the wrong questions, misunderstood or misapplied s 25(3) of the NDIS Act and did not perform its statutory task, as:
(a) Section 25 of the NDIS Act requires consideration of whether 'early intervention support' is not most appropriately funded or provided through the Scheme, and is more appropriately funded or provided through other general systems of service delivery or support services offered by a person, agency or body, or through systems of service delivery or support services offered as part of a universal service obligation.
(b) The Tribunal should have determined this question by determining what 'early intervention supports' were required by the First Respondent and whether they were not most appropriately funded through the Scheme.
(c) Instead the Tribunal determined this question on the basis that other 'early intervention supports', which had neither been sought by the Applicant nor recommended by Dr Ewer, 'may be provided' and 'may yet be different from what the Applicant was asking for now.'
(d) The Tribunal stated that the 'proper role' for early intervention supports under the NDIS was to assist a person with a psychosocial disability to access appropriate clinical services that lie outside the NDIS , when the correct question under section 25(3) was to determine whether the early intervention support is more appropriately funded or provided through other systems of service delivery, as opposed to the NDIS.
I have found that as the NDIS has moved in the mainstream of the disability sector. All access to resources are being moved over to the NDIS system. Meaning that people like myself are not even receiving the support that they need, as I am not considered disabled enough for the NDIS but on the other hand my access to any adequate support is accessible as they are all NDIS providers. I have been forced by the Government's hand to be on the NDIS not because I want to but because there is no other option for me now. But at the same time the government wants me to fight to prove im disabled enough to be deemed fit to access any help through the NDIS to which they are declaring I am not and my claim was denied. I am very confused as to how the government has considered me disabled enough to place me on a disability pension but then conclude I'm not disabled enough to not have any access to resources through the NDIS to support a recovery to get off the disability pension (which I think at this stage will never happen).
(errors in original)
Okay. Ms Jones, there's, to give you some background, two sections which apply when someone is trying to apply under the NDIS. The second of that is known as section 25 (indistinct). And that's to do with - - -?---Hurry up.
What's called early intervention supports. I'm trying to clarify, are you saying any of the supports you say you are requiring early intervention? Or are you saying, you're only - - -?---Do you think that I'm at the stages of early intervention? Early intervention, my love, would have been in 2004 when the first psychiatric report was written. That's why I'm suing the government right now. Because I should have got early intervention when I was in the foster care system. I got nothing. I should have got early intervention when I was a ward of the state. I got nothing. Early intervention, do you understand what the definition of early intervention is? Can you explain what you believe early intervention is?
Well, Ms Jones, I'm trying to clarify whether you're seeking to apply this section or not?---No. I am beyond early intervention, my love. I am, I have got a full blown disability. How are you going to intervene with that? How are you going to be early in intervening with that? No. I'm not looking for early, I am looking for permanent support. If someone had intervened earlier I maybe wouldn't have a disability now, hey?
All right. And just - - -?---Next question.
(transcript of hearing before the Tribunal 23 May 2024 page 20 lines 11-33)
(a) The CEO is satisfied that the person meets the age requirements (see section 22); and
(b) The CEO is satisfied that, at the time of considering the request, the person meets the residence requirements (see section 23); and
(c) The CEO is satisfied that, at the time of considering the request:
(i) the person meets the disability requirements (see section 24); or
(ii) the person meets the early intervention requirements (see section 25).
(1) A person meets the disability requirements if:
(a) the person has a disability that is attributable to one or more intellectual, cognitive, neurological, sensory or physical impairments or to one or more impairments attributable to a psychiatric condition; and
(b) the impairment or impairments are, or are likely to be, permanent; and
(c) the impairment or impairments result in substantially reduced functional capacity to undertake, or psychosocial functioning in undertaking, one or more of the following activities:
(i) communication;
(ii) social interaction;
(iii) learning;
(iv) mobility;
(v) self‑care;
(vi) self‑management; and
(d) the impairment or impairments affect the person's capacity for social and economic participation; and
(e) the person is likely to require support under the National Disability Insurance Scheme for the person's lifetime.
(2) For the purposes of subsection (1), an impairment or impairments that vary in intensity may be permanent, and the person is likely to require support under the National Disability Insurance Scheme for the person's lifetime, despite the variation.
(1) A person meets the early intervention requirements if:
(i) has one or more identified intellectual, cognitive, neurological, sensory or physical impairments that are, or are likely to be, permanent; or
(ii) has one or more identified impairments that are attributable to a psychiatric condition and are, or are likely to be, permanent; or
(iii) is a child who has developmental delay; and
(b) the CEO is satisfied that provision of early intervention supports for the person is likely to benefit the person by reducing the person's future needs for supports in relation to disability; and
(c) the CEO is satisfied that provision of early intervention supports for the person is likely to benefit the person by:
(i) mitigating or alleviating the impact of the person's impairment upon the functional capacity of the person to undertake communication, social interaction, learning, mobility, self‑care or self‑management; or
(ii) preventing the deterioration of such functional capacity; or
(iii) improving such functional capacity; or
(iv) strengthening the sustainability of informal supports available to the person, including through building the capacity of the person's carer.
Note: In certain circumstances, a person with a degenerative condition could meet the early intervention requirements and therefore become a participant.
(2) The CEO is taken to be satisfied as mentioned in paragraphs (1)(b) and (c) if one or more of the person's impairments are prescribed by the National Disability Insurance Scheme rules for the purposes of this subsection.
(3) Despite subsections (1) and (2), the person does not meet the early intervention requirements if the CEO is satisfied that early intervention support for the person is not most appropriately funded or provided through the National Disability Insurance Scheme, and is more appropriately funded or provided through other general systems of service delivery or support services offered by a person, agency or body, or through systems of service delivery or support services offered:
(a) as part of a universal service obligation; or
(b) in accordance with reasonable adjustments required under a law dealing with discrimination on the basis of disability.
(d) provide reasonable and necessary supports, including early intervention supports, for participants in the National Disability Insurance Scheme; and
(3) Despite subsections (1) and (2), the person does not meet the early intervention requirements if the CEO is satisfied that early intervention support for the person is not most appropriately funded or provided through the National Disability Insurance Scheme, and is more appropriately funded or provided through other general systems of service delivery or support services offered by a person, agency or body, or through systems of service delivery or support services offered:
(a) as part of a universal service obligation; or
(b) in accordance with reasonable adjustments required under a law dealing with discrimination on the basis of disability.
I certify that the preceding twenty-nine (29) numbered paragraphs are a true copy of the Reasons for Judgment of the Honourable Justice Collier.
National Disability Insurance Agency
Jones [2025] FCA 877