10/11/2025
🚨 Time for Action on the Proposed Support Needs Assessments (SNA) 🚨
NOTE - This tool and format is currently proposed for the over-16 population on NDIS, not children HOWEVER - Their lack of insight is concerning for what they will propose for the under-16's also, in time.
Following the recent NDIA & DoHAC webinar on the new Support Needs Assessment process, many of us in the allied health and disability sector are deeply concerned.
The SNA is being promoted as whole-of-person, trauma-informed, and participant-led - HOWEVER - there are some serious red flags that can’t be ignored:
🔴 The same agency that conducts the assessment will also use it to determine the participant’s budget — that is a pretty clear conflict of interest.
🔴 Participants reportedly cannot appeal the assessment itself, only the resulting budget. If the underlying assessment is flawed, any appeal starts from a compromised foundation.
🔴 The assessment will NOT be conducted by an allied health professional — despite covering complex functional, environmental, and support needs. This risks losing the clinical reasoning and nuance needed for accurate, person-centred recommendations.
🔴 It’s unclear how essential supports like Assistive Technology, Home Modifications, or specialist therapy will be identified or quantified when the I-CAN tool (currently referenced) doesn’t assess therapy type or hours.
🔴 Describing it as “just a conversation” risks oversimplifying what, for many participants, are deeply complex and multifactorial support needs. This phrasing has the very real likelihood of 'downplaying' the significance of the discussion, for the actual $$ budget the individual will receive.
These issues raise significant fairness, transparency, and rights-based concerns for participants and the professionals supporting them.
🟣 There’s now a petition calling for a parliamentary inquiry into these new assessments.
If you share these concerns, please take a moment to read and sign here:
https://www.aph.gov.au/e-petitions/petition/EN8570
As OTs, we have an important role to ensure that:
1️⃣ Assessments and budget-setting remain independent.
2️⃣ Participants can review and correct their own assessment report.
3️⃣ Allied health and clinical evidence continues to inform funding decisions.
4️⃣ The system doesn’t become a cost-containment mechanism at the expense of participant outcomes.
Let’s keep the focus where it belongs — on people, their goals, and the supports that make participation possible.
e-petitions