austlii:cth/ARTA/2025/598
General information, not legal advice.
ARTA
2025-05-21
Original judgment source is linked above.
QGRY and National Disability Insurance Agency (NDIS) [2025] ARTA 598 (21 May 2025)
Respondent: National Disability Insurance Agency
Decision: The Tribunal sets aside the decision under review and remits the matter for reconsideration in accordance with a direction that the Applicant's Statement of Participant Supports include funding for:
......................[SGD].................................................
NATIONAL DISABILITY INSURANCE SCHEME (NDIS) - significant vision impairment -- home modifications -- whether support is reasonable and necessary - whether requested supports are a NDIS Support capable of being included in a Statement of Participant Supports - whether there is sufficient evidence that a requested support is a NDIS Support - whether funding for support whether funding for support is consistent with relevant law and policy - decision under review set aside and remitted for reconsideration.
National Disability Insurance Scheme (Supports for Participants) Rules 2013 (Cth)
National Disability Insurance Scheme Rules 2016 (Cth)
National Disability Insurance Scheme (Getting the NDIS Back on Track No.1) (NDIS Supports) Transitional Rules 2024 (Cth)
Drake and Minister for Immigration and Ethnic Affairs (No 2) (1979) 2 ALD 634
Dudgeon and National Disability Agency [2024] ARTA 154
Duse and National Disability Insurance Agency [2025] ARTA 37
FSWN and National Disability Insurance Agency [2025] ARTA 114
Hyde and National Disability Insurance Agency [2025] ARTA 365
McGarrigle v National Disability Insurance Agency [2017] FCA 308 (28 March 2017)
Madelaine and National Disability Insurance Agency [2019] AATA 4025
Public Trustee of South Australia as Litigation Representative for Isherwood and National Disability Insurance Agency [2023] FCA 852
Rogers and National Disability Insurance Agency [2022] AATA 2809
Warwick v National Disability Insurance Agency [2024] FCA 616
National Disability Insurance Scheme-Operational Guidelines
National Disability Insurance Scheme Operational Guidelines - Planning
Operational Guidelines for Home Modifications (OGHM)
(a) A Core Supports budget of $31,488.88. This includes $2,000.00 for level 1 and level 2 assistive technology, funding for ongoing cost of her guide dog, funding to assist her daily care needs and maintain her home environment, individual assistance to support Ms. QGRY's participation in community, social and recreational activities and $3,567.00 for transport. These supports were identified as self-managed.
(b) A Capacity Building Supports budget of $31,814.89 comprising:
(i) Improved Daily Living (CB Daily Activity) - $13,870.35 (Self-managed)
(ii) Support Coordination - $2,941.00 (Self-managed);
(iii) A Capital Supports budget of $5,000.00 (Self-managed);
35 hours per week of Disability Support Worker assistance which may be used flexibly;
15 hours for an Orientation and Mobility assessment;
I consider that the decision is incorrect because:
I require the supports requested (specifically those identified as requests 1 to 16 in the decision-maker's letter dated 17 September 2020), and importantly, at the support levels I proposed, to pursue my stated goals and aspirations; and I consider the proposed supports reasonable and necessary having regard to the s 34 criteria.
I was not offered the opportunity to provide supporting evidence addressing the reasonable and necessary criteria as part of the s 100 internal review process. By way of context:
I was unsatisfied with the statement of supports in my NDIS plan dated 22 June 2020.
The Local Area Coordinator (LAC) advised me that my only recourse was to seek an internal review under s 100. Under her guidance and direction, she instigated this review on my behalf. But, in doing so, she failed to exercise due care when advising me of, most importantly, the process that follows. The LAC's conduct denied me of the opportunity to use the 3-month review period to gather pertinent materials (eg expert reports addressing the 'reasonable and necessary' criteria set out in s 34) that would support and influence the outcome of the s 100 internal review and left me with an AAT appeal as my only recourse. Even though the LAC is not a delegate of the NDIS CEO, the LAC acted as an intermediary and held herself out as an agent of the NDIA (eg email address).
The decision-maker had a duty to inquire and was under an obligation to request further evidence from me to satisfy herself that my support requests did not meet the reasonable and necessary criteria. She failed to, which meant I was denied the
opportunity to seek further evidence to substantiate my support requests. The
failure to provide the requested supports results in my health, safety and wellbeing
General Assistive Technology Assessment (Various), John Clower (Access Technology Specialist)
Extract of Interactions, Request Review of Decision, Applicant
Letter, Dr Kazunori Nakajima (General Practitioner)
General Assistive Technology Assessment (ORCAM), Allison Hocking (Occupational Therapist)
Extract of Interactions, Email Confirming Requested Supports, Applicant
Letter of Support, Michelle Seckold (Support Worker)
Letter of Support, Lorraine Rodrigues (Support Coordinator)
Dog Guide Information Sheet, Blind Citizens Australia
Pabst Constructions Quote, Kitchen/Lounge Modifications
Community OT Images and Scope for Kitchen Modifications
General Assistive Technology Assessment, Luke McKeown, Occupational Therapist
Letter of Support, , Applicant's sister and qualified in aged, disability, home and community care
Letter of Support, Luke McKeown (occupational therapist)
General Assistive Technology Assessment, Luke McKeown, Occupational Therapist
Letter of Support, Michelle Seckold, Support Worker
Applicant's response to Respondent's Statement of Issues dated 9 September 2022
Further material annexed to Whitehorse Council Ms. Houston's Home modification (Driveway vs Footpath) Recommendations (Duplicate of S5)
Documents filed with the Applicant's Statement of Facts, Issues and Contentions.
AT Complex Home Modification Assessment report by Luke McKeown
Kutinara et al 2013 Desing and Evaluation of a Kitchen for Persons with Visual Impairments
Greasley-Adams 2014 Good Practise in the Design of _ and sight loss
Home Modifications Guidance for Builders and Designers
2020_6606 QGRY and NDIS - Respondent's Statement of Facts, Issues and Contentions
Antonelli 2018 Effects of Spa Therapy on Stress Biomarker Review
Blasche 2010 Association of Spa Therapy with Improvement of Occupational Burnout_Study
Swedish Study of Effective Lighting amongst people with poor vision
Community OT Area Photos for Concreting (Duplicate)
Dr Kazunori Nakajima statement August 2020 (Duplicate)
Quote for Kitchen by Peter Gill Kitchen - Blackburn Kitchen (Duplicate)
Quote Ascot Group-COT-21-0870-[Applicant's Home Address] (Duplicate)
Report (amended), Phi-Van Houston (occupational therapist)
Supplementary Occupational Therapy Report, Phi-Van Houston
NEEF Induction Cooktop specification information, publicly available
Bosch Induction Cooktop specification information, publicly available
The Respondent, during the hearing, advised the Tribunal that it would no longer rely on the contents of Ms. Houston's report. For that reason, I do not propose to outline the contents of that report other than as referred to in the Respondent's statements of position to the Tribunal.
Concreting driveway and installing a rear pathway
(i) Monthly spa maintenance at a cost of $110.00. > > (ii) Repairs to the front driveway. > > (iii) A footpath to access the clothesline at the rear of the house. > > (iv) High contrast painting of wall and architraves throughout the home. > > (v) Additional task lighting (as per Mr. McKeown's letter of 17 January 2024). > > (vi) New bench tops raised to 1020 mm and 720 mm deep. > > (vii) New kitchen cabinets with pull out drawers and doors that open to 180 degrees. > > (viii) Removal of internal archways so as to make the kitchen and dining areas a single room. > > (ix) New vinyl flooring. > > (x) High contrast painting in the kitchen. > > (xi) Removal of existing gas stove top and installation of a Neff N90 Flex Induction Cook Top.
(a) Installation of a larger pantry in the same location as the existing pantry > > (b) Replacing the wall oven with a free-standing 60cm induction stove top between the refrigerator and the old gas stove top and adding shelving or mounted racks to this area. This has the advantage of ensuring kitchen appliances, the refrigerator, cupboards, and crockery are closely co-located. > > (c) Remove the kitchen bench and replace with a mobile island kitchen bench. That kitchen bench can be raised with a piece of timber or large castors. The cost of the mobile bench - prior to adjustments is around $400 - $500. > > (d) Provide a soft close, pull-out 3 tier basket to the right of the stove to house essential spices, oil, etc. for cooking. The example would cost around $170. > > (e) Shelving, or in the alternative, racks above the free-standing stove. > > (f) Install custom-built cupboards for storage either side of the archway..
(i) The Respondent accepts that the concreting of the front driveway is a disability related support, and subject to provision of an updated and reasonable quote, will meet s 34 of the Act. > > (ii) The Respondent accepts in principle that high contrast paint in the kitchen is a disability-related support and subject to provision of an updated and reasonable quote, will meet s 34 of the Act. > > (iii) The Respondent given Warwick does not contend that concreting in the back path, removal of archways in the kitchen, high contrast painting throughout the house, or replacing the kitchen benches are day-to-day living costs. Therefore, none of them are prohibited from being funded pursuant to r 5.1(d) of the Rules. The Respondent reserves its position in relation to the kitchen cupboards. > > (iv) The Respondent accepts the 8-in-1 Spa Tester proposed by Ms. QGRY is a reasonable alternative to spa maintenance. The Respondent does not accept spa maintenance meets section 34.
(i) Additional lighting in the back deck; corridor to the front door; attic; laundry; home office; and recreation room.
(ii) The replacement of the kitchen cabinetry, removal of the archway to install an induction cook top, and removal of the second archway.
(iii) Spa maintenance.
(iv) The concrete pathway in the backyard.
(v) High contrast painting in parts of the home other than the Kitchen.
(vi) The precise induction cooktop that may be reasonable and necessary. .
(2) People with disability should be supported to participate in and contribute to social and economic life to the extent of their ability... > > (4) People with disability should be supported to exercise choice, including in relation to taking reasonable risks, in the pursuit of their goals and the planning and delivery of their supports (...) > > (5) People with disability should be supported to receive reasonable and necessary supports, including early intervention supports... > > (11) Reasonable and necessary supports for people with disability should: > > (a) support people with disability to pursue their goals and maximise their independence; and > > (b) support people with disability to live independently and to be included in the community as fully participating citizens; and > > (c) develop and support the capacity of people with disability to undertake activities that enable them to participate in the community and in employment.
A participant's plan must include a statement (the statement of participant supports), prepared with the participant and approved by the CEO, that specifies: > > (a) the general supports (if any) that will be provided to, or in relation to, the participant; and > > (b) the reasonable and necessary supports (if any) that will be funded under the National Disability Insurance Scheme; and > > (c) the date by which, or the circumstances in which, the Agency must review the plan under Division 4; and > > (d) the management of the funding for supports under the plan (see also Division 3); and > > (e) the management of other aspects of the plan.
In deciding whether or not to approve a statement of participant supports under subsection (2), the CEO must:
(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; and
(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.
Reasonable and necessary supports > > (1) 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; > > (c) 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; > > (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. > > Note: For the purposes of paragraph (aa): > > (a) the time at which the disability requirements or the early intervention requirements need to be met is the time the CEO decides to approve the statement of participant supports; and > > (b) a participant's disability support needs arising from an impairment in relation to which the participant meets the disability requirements or the early intervention requirements may be affected by a variety of factors, including environmental factors or the impact of another impairment in relation to which the participant does not meet either of those requirements. > > (2) The National Disability Insurance Scheme rules may prescribe methods or criteria to be applied, or matters to which the CEO is to have regard, in deciding whether or not he or she is satisfied as mentioned in any of paragraphs (1)(aa) to (f).
Whether a support is "reasonable" requires a different assessment to whether a support is "necessary". Again, it is not necessary in the context of this proceeding to be definitive about the nature and extent of the meaning of the phrase, or its components. It is enough to observe that using the concept of necessity would appear to tie one aspect of the CEO's assessment to an evaluation of the kinds of factors set out in s 34(1)(a) and (b) and (d). The word "reasonable" would appear to be directed at factors such as those set out in s 34(1)(c) and (f). That is not to say the meaning of each word is exhausted by the factors set out in s 34(1): rather, it is to illustrate the different work that each concept does as an adjective in the phrase "reasonable and necessary supports".
(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:
(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).
This Operational Guideline provides an overview of the National Disability Insurance Scheme (NDIS), including the legal and policy framework it operates within and the variety of different ways it provides support and assistance to people with disability. > > In addition, this Operational Guideline outlines the objects and general principles of the National Disability Insurance Scheme Act 2013 and provides a summary of the information which is available in the remainder of the NDIS' Operational Guidelines.[42]
Modifications such as extensions that make a home bigger will not generally be funded.
5. Home modifications > > Home modifications are changes to the structure, layout or fittings of the participant's home that are required to enable the participant to safely access and move around frequently used areas in their home as a result of their disability. > > It is expected that a home modification would only be considered where the home to be modified is the participant's primary residence and the participant intends to remain living at the residence. If the property is a rental property, then the written agreement of the owner of the property will be required before any modifications take place. > > There are a number of laws and regulatory frameworks, for example Building Codes and Australian Standards which regulate home modifications. The NDIA is unable to fund home modifications which, if provided, would be contrary to a law of the Commonwealth, state or territory (see which supports will not be funded or provided under the NDIS. > > Therefore, the NDIA must be satisfied that there are no laws, regulations or other planning restrictions which would prevent the home modifications being undertaken. > > In addition, the NDIA must also be satisfied, amongst other matters, that the home modification being considered 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 (section 34(1)(c)). > > When determining whether home modifications represent value for money, the NDIA will specifically consider:
The NDIA must also be satisfied that the provision of the support will be, or is likely to be, effective and beneficial for the participant, having regard to current good practice (section 34(1)(d)). > > Therefore, before including home modifications in a participant's plan, the NDIA will also consider whether the home is suitable to be modified, including having consideration to:
When complex and extensive home modifications are being considered, the NDIA may also fund oversight by a project manager or independent building certifier to ensure compliance of the modification and a qualified and experienced Occupational Therapist to certify the effectiveness of the modification to meet the participant's goals and likely future needs. > > Generally, the NDIA will fund reasonable and necessary home modifications:
Generally, the NDIA will also fund reasonable and necessary supports that are related or incidental to home modifications which may include:
It is generally expected that home modifications will be suitable for the participant's anticipated long term needs. Therefore, it is unlikely that further modifications will be funded for the same premises except where there are unforeseen and significant changes to the participant's needs. > > Where the NDIA has funded complex or extensive modifications and the participant, or their family subsequently sells the property the NDIA expects:
(1) 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;
(c) 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;
(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.
Note: For the purposes of paragraph (aa):
(a) the time at which the disability requirements or the early intervention requirements need to be met is the time the CEO decides to approve the statement of participant supports; and
(b) a participant's disability support needs arising from an impairment in relation to which the participant meets the disability requirements or the early intervention requirements may be affected by a variety of factors, including environmental factors or the impact of another impairment in relation to which the participant does not meet either of those requirements.
(2) The National Disability Insurance Scheme rules may prescribe methods or criteria to be applied, or matters to which the CEO is to have regard, in deciding whether or not he or she is satisfied as mentioned in any of paragraphs (1)(aa) to (f).
What supports are NDIS supports - general rule.
Supports that are NDIS supports unless otherwise provided:
(1) For the purposes of subsection 10(1) of the NDIS Act, a support covered by column 2 of an item in the table in clause 1 of Schedule 1 to this instrument is an NDIS support (subject to subsections 10(4) and (9) of the NDIS Act and subsection (2) of this section) for:
(a) participants specified in column 3 of the item who have old framework plans; and
(b) prospective participants specified in column 3 of the item, other than prospective participants who, if they were participants, would be required to be given notice under subsection 32B(2) of the NDIS Act (participants that are to have new framework plans).
Note 1: Subsection 10(4) of the NDIS Act allows supports to be declared to not be NDIS
supports for participants or prospective participants. Those supports are declared under
Note 2: Subsection 10(9) of the NDIS Act provides that a support is not an NDIS support for a
participant or prospective participant if the support consists of the provision of:
(c) drugs, the possession of which is a contravention of a law of the Commonwealth,
(2) For the purposes of subsection 10(4) of the NDIS Act, a support covered by column 2 of an item in the table in clause 1 of Schedule 2 to this instrument is not an NDIS support for any participant (subject to subsection 10(6) of the NDIS Act) or prospective participant.
Note 1: Subsection 10(6) of the NDIS Act allows the CEO, on application by a participant, to determine that a support is taken to not be declared under subsection 10(4) of that Act
in relation to the participant if, among other things, the CEO is satisfied that the support
would replace one or more other supports that are NDIS supports for the participant.
Note 2: Determinations under subsection 10(6) of the NDIS Act are referred to in this
instrument as replacement support determinations. For additional rules about replacement support determinations, see section 7 of this instrument.
Schedule 2 - Supports that generally are not NDIS supports:
1 Supports that generally are not NDIS supports.
The following table sets out supports that are not NDIS supports for:
(a) a participant (unless a replacement support determination covering the support is in force for the participant); or
Supports that generally are not NDIS supports.
1 Day-to-day living costs - accommodation and household
(c) - standard home security and maintenance costs, fencing, gates and building repairs;(d) pools, pool heating and maintenance, spa baths, saunas, and steam rooms;(e) standard home repairs. Home improvements standard renovations and maintenance.
The CEO may determine, in writing, that a support is taken to not be declared under
(a) the support is prescribed by the National Disability Insurance Scheme rules for the purposes of this paragraph; and
(b) the support would, apart from subsection (4), be an NDIS support for the participant; and
(c) the participant applies to the CEO in accordance with subsection (7) for the determination; and
(i) the support would replace one or more other supports that are NDIS supports for the participant; and
(ii) the cost of the support is the same or lower than the total of the costs of the supports it would replace; and
(iii) the support would provide the same or a better outcome for the participant than the supports it would replace; and
(iv) any other conditions specified in the National Disability Insurance Scheme rules for the purposes of this subparagraph are met in relation to the support, the participant, or bot
(1) For the purposes of paragraph 10(6)(a) of the NDIS Act, the CEO may make a replacement support determination in relation to a support covered by column 1 of an item in the table in subsection (3) of this section.
(2) For the purposes of subparagraph 10(6)(d)(iv) of the NDIS Act, the CEO must be satisfied that the conditions set out in column 2 of an item in the table in subsection (3) are met before making a replacement support determination in relation to a support covered by column 1 of the item.
1 Standard commercially available household items
(a) be necessary to address needs of the participant arising from an impairment in relation to which the participant meets the disability requirements or the early intervention requirements; and
(c) reduce or eliminate the need for a support worker or disability specific assistive technology.
Listed below are the Respondent's submissions relating to each of the remaining contested supports.
The spa maintenance falls within: 'pools, pool heating and maintenance, spa baths, saunas, and steam rooms.' The support is captured as a type of pool maintenance. Further or alternatively, if a spa bath is not a NDIS supports it follows the cost of maintaining it is also not a NDIS support.
The Agency submitted that while it acknowledged that Ms. QGRY could gain some disability related benefits from this support, it did not consider it met section 34(1)(c) (value for money) in that there was a cheaper alternative to Ms. QGRY in using a clothes rack at the rear of her house rather that a clothesline accessible by the pathway. Also, there was limited evidence of the need for Ms. QGRY to access the shed on a weekly basis or whether she may be able to store the items elsewhere or have support workers assist in moving these items.
High contrast painting architraves and skirting boards
The Agency raised certain objections to this requested support in these submissions. It asserted that the evidence before the Tribunal was that improving the lighting in the Applicant's home, combined with the dark gold paint may be sufficient. It referred to Mr McKeown's evidence in his post hearing letter dated 19 September 2024 to the effect that the combination of black and white together will provide the Applicant the maximum benefit and the Applicant's condition will deteriorate such that the greater contrast will eventually be required. However the Respondent further noted that there was no evidence as to the rate of that decline, that Ms QGRY may still be living in the property when that took place or the decline may be so rapid as to render the contrast painting ineffective
The removal of the second archway is a standard home renovation captured by item (e) in column 2, item 1 in Table 2. The removal of the second archway is a standard home renovation because it is not being removed to address a specific disability need of the Applicant (such as a need for higher bench tops or a safe location for her stove top). Rather, its purpose is to add more space to the dining room. The evidence indicates the other kitchen modifications would enable the Applicant to live as independently as possible and safely in her home.
An induction cooktop is a household cost as it is a 'standard appliance'. An induction cooktop is a standard household appliance. While the Applicant has sought an induction cooktop- the NEFF N90 - that has features beneficial for people with vision impairment it
remains a standard household item. There is no evidence the cooktop is prescribed or designed specifically for persons with vision impairment.
Removal of First Archway and remodelling of return bench
High contrast painting of architraves and skirting boards
Documentary evidence provided after the hearing.
The Respondent's response to the Applicant's additional evidence was received on 28 January 2025. As has been my practice throughout this decision I will address the detail of the response under the headings of each requested support:
are supported by her own evidence and that of Mr McKeown, Mr Stankowski and Ms Farmer. The Respondent for its part has not provided any expert evidence in support of its suggested alternatives.
This is located between the kitchen and dining room. It currently blocks natural light from entering into the kitchen and, if removed would allow greater light into the kitchen which would improve her ability to use the kitchen safely and efficiently. Its removal will also then create room for the installation of a bench with the NEFF N 90 induction cooktop.
However, citing the principle established in M_c_Garrigle, that once a support is 'identified and described' it should be fully funded such that if the Tribunal considers it to be a disability-related support it should be funded in full.
(a) Concreting the front driveway and installing additional features
(b) Installation of a concrete pathway in the backyard
(c) Removal of two archways in the kitchen/dining room area
(f) Removal of existing carpet in the dining area and replace with vinyl flooring
(g) High contrast painting of architraves and skirting boards
Stage 1 Ascertain if the requested support is an "NDIS" Support as defined. This inquiry is focused on the support, not the participant.
Step 1: Determine if the requested support is of a character that falls within the scope of a category of support specified in column 1 of the Table to Schedule 2 of the Transitional Rules by reference to the description of supports that fall within the scope of that category contained in column 2 of the Table.
If the answer to that question is "yes", then stage 1 is complete. The requested support is not a NDIS Support and cannot be approved for inclusion in a SoPS because of s 34(1)(f) (subject to a replacement support determination being made, as to which see following).
If the answer to that question is "no", then proceed to step 2 of stage 1:
Step 2: Determine if the requested support is of a character capable of falling within the scope of a category of support specified in column 1 of the Table to Schedule 1 of the Transitional Rules by reference to the description of supports that can fall within the scope of that category contained in column 2 of that Table.
If the answer to that question is "no", then the requested support will not be a NDIS Support and cannot be approved for including in a SoPS because of s 34(1)(f).
If the answer to that question is "yes", then the requested support will be a NDIS Support that is capable of being approved for inclusion in a SoPS by operation of s 34(1)(f), and stage 2 of the enquiry is reached.
Stage 2: Ascertain if the requested support satisfies each of the other criteria specified in s 34(1)(aa) to (e) and the associated Supports Rules. There is some overlap of the stage 1 and 2 enquiries. However, in my opinion stage 2 is primarily a participant focused enquiry. That is, it seeks to establish the benefit of the support to the participant. To the extent that stage 2 also requires examination of the efficacy of the support per se it adds nothing to the outcome of the stage 1 enquiry in my opinion.
The question of whether a requested support is, or is not, a NDIS support is a mixed question of fact and law. The issue of fact to be determined is whether the requested support falls within a category of items specified in column 1 of the Tables to Schedules 1 and 2 of the Transitional Rules. If it does, it will either be, or not be, a NDIS support by operation of law.
(f) the support is most appropriately funded or provided through the National Disability Insurance Scheme, and is not more appropriately funded or provided through other general systems of service delivery or support services offered by a person, agency or body, or systems of service delivery or support services offered:
(i) as part of a universal service obligation; or
(ii) in accordance with reasonable adjustments required under a law dealing with discrimination on the basis of disability.
The Tribunal must be positively satisfied the support is a NDIS Support pursuant to s 34(1)(f). If a support is listed in Schedule 2 of the Transitional Rules, it is not a NDIS Support. This is the case even if the support is required for a disability related purpose.[48]
Supports that design, change, or modify a participant's home to help the participant live as independently as possible and to live safely at home. This includes the following:
(a) Installing equipment or changing a building's structure, fixture or fittings.
(b) Internal and external building modifications to remedy damage arising exclusively from disability-related behaviours or use of NDIS funded assistive technology or equipment.
(c) Regulatory certification requirements for works.
any project that included some features that were modifications and adaptions to address a participant's impairment was found not to be standard, would defeat the purpose of the Transitional Rules. The result would be that standard home repairs and renovations which would otherwise not be NDIS Supports would be converted to NDIS Supports by minor alterations to design.
'We generally don't fund the following features':
Cosmetic finishes for fixtures, fittings, or materials, like tiles or tapware
Modifications that make your house bigger, like adding another story
Standard living costs or routine repairs and maintenance...
'W_e can only fund home modifications if they relate to your disability_'...'We don't fund home modifications that aren't related to your disability. These might include renovations, restorations or repairs, or changes to your home layout if they don't relate to your disability support needs'.[49]
pools, pool heating and maintenance, spa baths, saunas and steam rooms
standard item for a participant or prospective participant means an item that is not modified or adapted to address the functional impairments of the participant or prospective participant.
The fact an item has features suited to a person with an impairment does not mean it has been modified or adapted to address a person's functional needs. There is no evidence NEFF has modified their stove tops in the NEFF N90 so it can be used by a person with vision impairment. The Applicant seeks to purchase a standard NEFF N90 cooktop available to persons with or without a disability.
'standard household (including garden) items, appliances, tool and products.'
An induction cooktop is a household cost as it is a 'standard appliance'. An induction cooktop is a standard household appliance. While the Applicant has sought an induction cooktop- the NEFF N90 - that has features beneficial for people with vision impairment it remains a standard household item. There is no evidence the cooktop is prescribed or designed specifically for persons with vision impairment.[51]
it relies on Mr McKeown's report in relation to the NEFF N90 Cook top. Mr McKeown states that the NEFF N90 Cook top has 'tactile and audible features...uniquely suited to vision impaired users.' The fact an item has features suited to a person with an impairment does not mean it has been modified or adapted to address a person's functional needs. There is no evidence NEFF has modified their stove tops in the NEFF N90 so it can be used by a person with vision impairment. The Applicant seeks to purchase a standard NEFF N90 cooktop available to persons with or without a disability.
The NEFF N90 is not a standard appliance in the context of the Applicant's disability. Under the Transitional Rules, a "standard item" is one not adapted to address functional impairments. This cooktop, however, is recommended precisely because of its disability-adaptive features, which now also include smart control integration, and which directly accommodate the Applicant's vision impairment, making it inherently non-standard for her functional needs.
A standard cooktop, particularly one with full touchscreen controls, would be entirely unusable for the Applicant, offering no safe or independent means of operation. The fact that the Applicant suffers from vision impairment is precisely the reason that she is limited to specific appliances, guided by professional support and training.[52]
The critical distinction between standard appliances versus the disability-specific features required for the Applicants function are demonstrated below:
In my view adopting this definition means participant's choice and control would become significantly narrowed, foregoing the principles of accessibility and inclusion as they relate to people with disability and their full participation in life. I consider that adopting this definition would only proffer to widen the gap between the disability community and mainstream Australia. Adopting this definition would negate the fact that many mainstream devices or items are often highly innovative, cost effective, more widely available and generally more inclusive
The Respondent notes that building works may contain several component parts. Some parts of the project may be 'standard' repairs or improvements and therefore a day to day living cost within the meaning of the Transitional Rules. Other parts of the work may be identified as modifications that would be NDIS Supports under Item 22 of Schedule 1. The fact that some features of a building project are not standard, does not render the entire project a NDIS Support. Rather, the Tribunal should identify the components of the work
that constitute modifications or adaptions (i.e. not standard) and consider those as separate support requests.
This does not, as the Respondent has previously emphasised, conflict with the principle in McGarrigle v National Disability Insurance Agency [2017] FCA 308; 252 FCR 121. In McGarrigle her Honour Justice Mortimer at [93] held that once a support is 'identified and described' it must be fully funded. Following McGarrigle, the Tribunal may in this case separately identify features of the driveway works that are separate support requests. For example, the lighting in the driveway may be a modification for the Applicant's disability. The cost of that support - separate from the driveway works - may be a NDIS Support.
The alternative approach, whereby any project that included some features that were modifications and adaptions to address a participant's impairment was found not to be standard, would defeat the purpose of the Transitional Rules. The result would be that standard home repairs and renovations which would otherwise not be NDIS Supports would be converted to NDIS Supports by minor alterations to design.[56]
The Respondent considers that it could fund discrete aspects of a scope of works that involved expenditure that was 'properly related to an Applicant's disability' and that:
...the Applicant's family would need to provide a proposal that identified and quantified which costs were attributable to what disability-specific needs as distinct from general home renovations necessary to make a space habitable for any person (such as tiling, waterproofing, insulation, plastering, extending services etc)[59]
...the fact that alterations might have the consequence that they will renovate or improve an aspect of a home does not, of itself, mean that the works are not a reasonable and necessary support. ......
Alterations which serve no purpose as a support for a participant may be characterised as renovations or repairs but that would be because they are not a reasonable and necessary support. However, it is an error to approach proposed supports that take the form of alterations to a home on the basis that if they might be characterised as resulting in some form of improvement or renovation to the home that they cannot be reasonable and necessary supports.
I accept that works such as tiling, waterproofing, insulation, plastering and extending services may be required in modifying or renovating any home. However, I do not consider that the proposed home modification may be characterised as 'standard renovations and maintenance.
Based on the evidence of (names removed) and the Applicant's mother, I accept that the entire proposed home modification is specific to the Applicant's needs and the Applicant's care, and so may be characterised as a support as described as 'supports that design, change or modify a participant's home to help the participant live as independently as possible and to live safely at home'. I find that the proposed home modification is a NDIS support.[60]
My kitchen is now unsafe and difficult for me to work in. My gas stove is in a corner that even for sighted people is challenging. I have been unable to move the stove due to the structural elements of the kitchen. The numerous windows are very important for natural light which helps my vision. As such I do not want to lose them, however, a stove cannot be located under a window. There is nowhere else in the kitchen to move the stove without removing the archway. Yet to leave the stove where it is means that I will only be able to safely use one of the four gas hobs, which in turn means a meal must be cooked in single stages. I cannot put the potatoes on to boil while I cook gravy, cook my meat, and steam my vegetables. To minimise the risk of burns, I must cook each item separately, meaning what should be a quick midweek meal takes me hours, and is no longer a pleasurable task. And even though I exercise the utmost care, I still burn myself or have near misses.
My kitchen is also very short on accessible storage space. I find the current space very dark and cluttered. As a result, when I try to cook, I struggle to identify ingredients, utensils, bowls, pans, containers, and so on. The benches, although a normal height seem to be too far from my functional vision to safely and accurately see what I am doing, without making a terrible mess while measuring, stirring, cutting, chopping, etc. Just the thought of how difficult it will be to cook discourages me from cooking at all, causing me to be reliant on others to complete an activity that I previously loved. The times I do cook, I struggle with my lack of vision. I often rely on AIRA, my son, or a support worker to help me locate items and ingredients which are right under my hands but unable to be located due to the clutter. This absorbs time in food preparation and means that I must allocate at least double the time an average person cooking would need for the same meal, just so the meal is served at a decent hour. Relying on others to help me with such simple tasks as finding the right bowl is also disheartening and erodes my confidence.
When I moved to Queensland between 2009 and 2012, I designed a kitchen with the assistance of an occupational therapist from Vision Australia. That kitchen catered well for my vision deficits. It has an abundance of storage space, smart task lighting over every surface and over each draw and cupboard to ensure adequate light on all tasks. The Queensland kitchen has contrasting benches and cupboards which assist me in identifying where everything is and helps me focus on what is on the bench tops. Draws and doors have no handles, allowing easy access to all areas without fumbling for (or bruising myself on) a knob or handle. It has high benches which bring the working surface closer to my field of functional vision. It has a Neff induction cooktop - the only induction stove I have found with a physical knob to adjust temperature, that also has audible output as you turn it up and down. During COVID whilst I remained in Queensland, I was again able to utilise this kitchen, and it was simply like going back in time to when I could cook with vision. All tasks from buttering toast to cooking Christmas lunch (tasks I couldn't even consider doing in the Blackburn kitchen) were completed without the barriers I have in my current setup. And I loved being able to cook again. This demonstrated for me that a purpose-built kitchen in my own home would enable my autonomy, and reduce my reliance on paid workers; something of utmost importance to me when it comes to family occasions where privacy and pride is important[61]
[41] Drake and Minister for Immigration and Ethnic Affairs (No 2) (1979) 2 ALD 634; Madelaine and National Disability Insurance Agency [2019] AATA 4025.
[42] National Disability Insurance Agency, 'Operational Guidelines: Overview of the NDIS Operational Guideline'
[43] National Disability Insurance Agency, 'Including Specific Types of Support in Plans Operational Guideline - Home modifications'
[45] Respondent's Final Submission 7 paragraph 36
[49] NDIS Home Modification Guideline pp3-4
[63] Respondent's October submission para 59