DiscoverOT Unplugged: Community of Practice Insights
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This week we discuss plans for the Christmas shutdown period and how OTs can use AI to support their OT practice:
Link to ACCC media release - https://www.accc.gov.au/media-release/ndis-providers-put-on-notice-about-consequences-of-misleading-advertising
Link to AI training workshops - https://www.verveotlearning.com.au/store/#business
If you would like to share anything with us, ask a question or suggest a discussion piece please complete this form! https://docs.google.com/forms/d/e/1FAIpQLSeHZswuTRmhDjRV6fBHKTZ9LuPKNLnEV_EaMI0MS9I-b_kujw/viewform
In this week's episode, we discuss eligibility reassessments and responding to requests for evidence.
Link to the Reasonable and Necessary Supports Across the Lifespan Paper:
https://individualisedliving.com.au/resource/reasonable-and-necessary-support-across-the-lifespan-an-ordinary-life-for-people-with-disability/?fbclid=IwY2xjawGhBjlleHRuA2FlbQIxMAABHbN8C5VfZcUj35tz-QvOxpBNXPg3E_U9TVzAaNG0Fxqh5OE96I62ZOOa5g_aem_dKHgVk6go_SCbk3Sx8Qufg
In this week's episode, we have a lengthy debate on all things NDIS OT Unplugged Listener Form
If you would like to share anything with us, ask a question or suggest a discussion piece please complete this form! https://docs.google.com/forms/d/e/1FAIpQLSeHZswuTRmhDjRV6fBHKTZ9LuPKNLnEV_EaMI0MS9I-b_kujw/viewform
NDIS OT COP Supervisor Register Form- https://docs.google.com/forms/d/e/1FAIpQLSf99Pi8xuUAwrbdtba4wZ_SWKdE2CkTJMof4WA8hNuN1h-0vw/viewform
In this week's episode, we discuss the latest on the NDIS commission reform, replacement support items under the transitional rule and the upcoming consultation on mandatory registration.
Early Childhood Intervention:
National Guidelines for Best Practice National Guidelines for Best Practice (2nd Edition)
Early Childhood Intervention Updated National Best Practice Launch Event Registration"
Webinar Registration - Zoom
Navigating NDIS Challenges Together
As the National Disability Insurance Scheme (NDIS) continues to evolve, participants, their families, and professionals are facing challenges that deserve attention. One major concern is the requirement for current diagnostic documentation, especially for older clients and those with autism transitioning into adulthood. For many, the absence of recent assessments creates barriers to accessing necessary support, leading to an uneven playing field where only those with financial means can afford to secure the required reports. There is a clear need for systemic change to find ways to ensure that everyone has fair access to resources and assessments.
Frustrating trends are emerging with plan reviews and assessments. Some participants have found their requests for supports denied based on outdated or incomplete information. For example, one family's request for supported independent living (SIL) was declined because a planner misinterpreted a sentence from a psychiatric report. These situations highlight just how important it is for families and practitioners to work together, ensuring the right information is available when decisions are made.
Another concern is the misclassification of participants. There have been cases where someone with an acquired brain injury (ABI) has been incorrectly identified as having a psychosocial disability. When these mislabels happen, it can severely impact the supports and funding a participant receives.
Given these challenges, it’s crucial for participants and their families to keep thorough records of their diagnoses and assessments. Staying organised and being proactive can help ensure everyone has the right documentation, especially during plan reviews. This is an essential step to protect access to the supports that are truly needed.
There are also worrying behaviours among a few practitioners who are trying to cut corners regarding funding for assistive technology and services. Some therapists are approaching different suppliers to get better pricing rather than working through the proper channels. This isn’t the way to do things - maintaining high ethical standards is vital to ensure every participant gets the fair treatment they deserve.
Looking ahead, important changes are coming. Particularly with the review of the NDIS practice standards and rules set for March 2025. Now is the time for participants, families, and practitioners to voice their thoughts and advocate for changes that reflect the community’s needs. Early intervention practices are vital, and ongoing learning and advocacy are essential as new guidelines are introduced.
The NDIS landscape is shifting, and it’s crucial for everyone – participants, families, and professionals – to engage in open conversations and work together to tackle these complexities. While the road ahead may have its challenges, by collaborating and supporting one another, a fairer and more nurturing environment for all NDIS participants can be created.
In this week's episode, we celebrate all the amazing aspects of occupational therapy during OT Week 2024!
To access the NDIS OT superhero quiz, head to www.verveotlearning.com.au
Navigating unlikely spaces and situations as an Occupational Therapist
Occupational Therapists (OTs) are known for their ability to adapt and respond to the unique needs of their clients. The field is often filled with surprising and sometimes humorous scenarios that highlight the dynamic nature of our profession.
Teleportation, the ultimate wish for efficiency
Imagine having the superpower of teleportation. This ability would save precious time – no more long drives between appointments or time spent getting back to the office to get stuck into reports. Instead, OTs could maximise their time with clients, helping them right up until the last minute before dashing off. While it may seem far-fetched, this notion speaks to the daily challenges OTs face as they juggle a busy caseload and multiple responsibilities. The travel funding associated with our work often stretches budgets thin. Reducing travel time could revolutionise our approach to therapy.
Tales from the field
Humour is a vital part of our profession, as it helps us navigate the more ridiculous moments. One memorable story involves a colleague who had a home visit to a client with 17 cats, resulting in an unforgettable encounter with a Maine Coon that was almost too close for comfort. Such experiences remind us that while we may approach our work with seriousness and dedication, there’s always room for laughter – even amidst the chaos.
In another amusing tale, I had my own adventures with a company car while working in the UK. From reversing into a brick wall to accidentally filling up with the wrong fuel, these mishaps led to comical but costly outcomes. Yet, despite the challenges, I earned a certificate for “most expenses,” which I was able to laugh about with my team.
Unlikely places the OT assessment will take us
OTs often find themselves in unique locations that push the boundaries of conventional therapy settings. One fascinating story involved a landscape gardener’s worksite assessment at Kirribilli House, a prestigious location in Australia. While we may not encounter famous faces, the experience alone highlights the diverse environments OTs must navigate.
In another instance, a colleague faced the daunting task of conducting an assessment in a maximum-security prison. With strict protocols in place and limited resources, the situation required quick thinking and adaptability. This experience underscored the importance of understanding each client’s context, as the conversation turned to meal preparation and creative problem-solving in a confined space.
The heart of Occupational Therapy
These anecdotes not only provide a glimpse into the lighter side of Occupational Therapy but also remind us of the importance of adaptability, creativity, and a sense of humour. As we continue to navigate the complexities of our profession, let’s embrace these stories and the lessons they bring.
In this week’s episode we discuss the recent allied health awards and the introduction of the NDIS transitional rules support for participants. For those interested in the training workshop, please see link below:
https://www.verveotlearning.com.au/live-workshop-navigating-the-new-ndis-rules-and-operational-guidelines
Navigating the new NDIS Supports Transitional Rules
The recent changes to the National Disability Insurance Scheme (NDIS) have sparked a lot of discussion among participants and service providers. These updates focus on making sure NDIS funding is used for essential disability supports. While the changes aim to bring more clarity and fairness, many are still adjusting to the new rules, especially around Short-Term Accommodation (STA), respite care and other support services.
Short-term accommodation and what’s different
One of the biggest changes relates to funding for STA, especially for people who live alone. In the past, STA funding could sometimes be used for things like stays in nice accommodations, cruises and even international trips. This was possible because the funding covered everything from meals to activities, sometimes leading to what felt more like a holiday than respite care.
Some participants were receiving up to four weeks of STA a year, which could cost up to $20,000 per week if one-on-one support was needed. Understandably, this raised concerns about how NDIS funds were being used. The recent reforms make it clear that while STA is still available, it is meant for essential disability support and not for vacations or personal getaways.
The new rules are stricter but still allow for individual STA funding if it’s proven necessary for the person’s disability needs. For example, if someone needs constant care due to a severe condition like epilepsy, STA can still be funded to ensure they get the support they need. The idea is to provide the participant with time away from their informal supports, which in turn provides a break for their informal supports – the true meaning of respite.
This shift is about ensuring NDIS funds are used wisely and fairly. While some may feel disappointed, the goal is to return to supporting true disability-specific needs.
What stays and what goes in animal-assisted therapy
Another area seeing changes is animal-assisted therapy. The new guidelines say that while recreational activities involving animals, such as casual interaction with pets, won’t be funded, there’s an exception when animals are used in a therapeutic session led by an allied health professional.
For example, if a therapist uses an animal to help a participant engage more in their therapy, that session can still be covered. In this case, the animal-assisted therapy compliments the allied health intervention.
However when the focus of the activity directly involves the animal, such as horse riding, this and similar activities are now considered recreational and it appears for now that these sessions won’t be funded. While participants can still do these activities, they will need to cover the costs themselves or find other ways to pay for them.
Please keep in mind that even though the rules have changed, therapists can still recommend activities they believe will help their clients. The difference now is that participants may need to use their own money for some things.
Focusing on what’s essential
The new NDIS rules bring a clearer focus on what the scheme should cover – disability-specific supports that help people improve their quality of life. This means some services or items that may have been previously funded before might not be funded anymore.
For example, a therapist might recommend a simple item like a hooded-towel to help with independence in drying off after a shower. While this could be useful, it’s now something participants may have to buy on their own instead of relying on NDIS funding. The same goes for other tools or products that improve day-to-day living but aren’t strictly medical or therapeutic in nature.
This shift isn’t necessarily bad, as it encourages everyone to think carefully about what’s truly needed. Families and participants might find themselves considering private health options or paying out-of-pocket for some services, especially in cases where NDIS funding isn’t available or is reduced.
Looking ahead
The changes to NDIS funding are all about making sure the system remains fair, sustainable and focused on helping people with disability access the support they need. These reforms may feel challenging at first, but they also provide a clearer set of rules that everyone can work with. As the scheme moves forward, the goal is to ensure that NDIS remains strong and available to those who truly need it.
While it might be tough to adjust to some of these changes, it’s important to remember that the core purpose of the NDIS is to provide essential supports for people with disability. This doesn’t mean people can’t enjoy activities or improvements in their lives – it just means the funding will focus on what’s necessary to help them live more independently and comfortably.
Ultimately, the updates are about making sure NDIS can continue to support Australians living with disability in a way that’s fair and sustainable for the long term. With clear guidelines in place, both participants and service providers can focus on delivering and receiving the most meaningful and beneficial support possible.
How to stay on top of the NDIS updates
Join Sarah at the Inner Circle, where you will receive regular updates regarding the NDIS and guidance on how this impacts your OT practice. This includes updates delivered straight to your inbox, deep dives, masterclasses and Q&A sessions on all things NDIS, plus exclusive access to a group of like-minded OTs. We’d love to see you there.
In this week's episode, we discuss the disability reform roadmap, failed modifications, and payment integrity review checks
Disability Reform Roadmap - https://www.dss.gov.au/disability-and-carers/disability-reform-roadmap?HTML
In this week's episode, we discuss the latest on NDIS support lists and the recent update on provider registration .
Minister announcement on provider registration - https://ministers.dss.gov.au/media-releases/16021
In this week’s episode, we discuss Artificial Intelligence (AI) replacing OT, NDIS Support Needs Assessments and advocacy in the NDIS OT space
Link for the discussion paper
https://cdn.fbsbx.com/v/t59.2708-21/459001337_1643043409886673_9095844503395760586_n.pdf/Foundational-Supports-Discussion-Paper.pdf?_nc_cat=111&ccb=1-7&_nc_sid=2b0e22&_nc_ohc=ESnolvip34sQ7kNvgFyp95H&_nc_ht=cdn.fbsbx.com&oh=03_Q7cD1QHL20qOSSwitOfYmN4qX5rzm9O9Ju9_GPX1iq4-7VSLcA&oe=66E3C56A&dl=1
The Paralympics as a source of inspiration for OTs
The Paralympics have once again captured the world’s attention, not only for the incredible athletic achievements on display but for the way they showcase the powerful connection between sport and disability. Seated volleyball, blind soccer and rowing have all provided inspiring examples of adaptability and resilience. For OTs, these events highlight the critical role of the profession in helping people overcome physical barriers and thrive in their pursuits. It’s a powerful reminder of the work many OTs do in supporting athletes with disability, and we encourage those working in the Paralympic space to share their unique insights with the broader OT community.
OT professional development in action at the Gold Coast networking event
6 November marks an exciting opportunity for OTs to come together at the Gold Coast OT professional development networking event. This event is designed to create a space where OTs can connect, exchange ideas and sharpen their OT clinical supervision skills. Whether you’re flying in or local to the area, this event offers a chance to grow professionally while building connections with others who share your passion for occupational therapy. It’s a great way to deepen your expertise and support the future of the profession.
The NDIS consultation on foundational supports
There’s a lot of discussion right now about the future of foundational supports and their potential impact on the NDIS. With funding for these supports likely to be divided between federal and state governments, many are watching closely to see how this will affect people with disabilities who aren’t part of the NDIS. While this new system could fill service gaps, there’s concern that it may also serve as a way for some NDIS participants to be transitioned out. OTs, especially those in clinical supervision roles, are encouraged to stay engaged in this conversation to understand how these changes could influence the way services are delivered.
Understanding the new NDIS plan changes
The NDIS has introduced a new format for participant plans, aiming to make things clearer and more user-friendly. One significant change is the relocation of the 'About Me' section, now placed at the bottom of the plan. New categories for flexible and stated supports are also part of this update. For OTs working within the NDIS, it’s crucial to stay informed about these changes. Keeping up-to-date ensures that your documentation and guidance are aligned with the most current standards, allowing you to provide the best possible support to your clients.
Addressing the misuse of NDIS funds
A growing issue within the NDIS is the misuse of funds, and with increased scrutiny on plan managers and providers, OTs are finding themselves navigating some tricky situations. One of the challenges is when clients request retrospective justifications for purchases. Setting clear boundaries and being transparent with participants about what is possible, especially during clinical supervision, helps protect the integrity of services. Adhering to NDIS guidelines is more important than ever, ensuring that support is provided ethically and within the correct framework.
Building capacity in advocacy through OT clinical supervision
Empowering clients to advocate for themselves has never been more important in the context of OT practice, especially under the NDIS. Instead of writing retrospective support letters, OTs can help participants build capacity by teaching them to document their decisions and link these to their disability needs. This proactive approach leads to better compliance with NDIS requirements and more sustainable outcomes. Helping clients to navigate their NDIS journey confidently is a key part of OT clinical supervision and a way to make lasting, meaningful change in their lives.
The evolving role of OTs in foundational supports
As foundational supports continue to develop, OTs are encouraged to stay connected with ongoing consultations and policy updates. These changes could have a big impact on areas like mental health and paediatric services, making it essential for OTs involved in clinical supervision to be well-prepared. By staying informed, OTs can better guide their teams and clients through any transitions, ensuring that service delivery remains client-centred and effective.
Conclusion
From the inspiration of the Paralympics to important updates within the NDIS, these conversations serve as a reminder of the pivotal role OTs play in enhancing the lives of people with disability. By staying informed and engaged with these developments, OTs can continue to provide the high-quality, empowering care that their clients rely on. The profession’s dedication to growth and adaptability ensures that no matter how the landscape shifts, OTs will remain at the heart of delivering life-changing support.
If you’re an OT looking to stay on top of these emerging trends, make sure to engage in OT clinical supervision and explore opportunities for further professional development to enhance your skills.
Link below for Foundational Supports update: https://engage.dss.gov.au/foundational-supports
Link to the consultation introduction webinar on Foundational Supports by DSS to be held on 20/9/2024 : https://events.humanitix.com/webinar-foundational-supports
Link to the new look NDIS Plans - https://improvements.ndis.gov.au/participants/understand-your-plan/your-next-plan#a-new-look-plan
In this weeks episode we discuss the NDIS legislation update, price differentiation and incorrect AT prescription. Plus Sarah will deliver the best NDIS OT joke ever!
How to Save Money in Your Small Business - https://www.verveotlearning.com.au/live-workshop-How-to-Save-Money-in-Your-Small-Business
Best Practice Framework for Early Childhood Intervention. – Preci Australia
In this weeks podcast episode we discuss the importance of living a health OT lifestyle, recent news on NDIS payment blockages and the skill of NDIS report writing.
Webinar on the legislation changes - https://teamdsc.com.au/events/the-ndis-act-whats-changing
Functional assessment workshops - https://www.verveotlearning.com.au/store
This week, we are joined by Muriel Cummins to discuss the developments in the proposed NDIS reforms including the latest from the senate debate on the Getting the NDIS Back on Track bill.
The Road Ahead - Community of Practice event – Get your tickets from https://events.humanitix.com/ndis-ot-community-of-practice-event-looking-to-the-future-89stlcyt
Tell Them From Us Survey Link - https://forms.gle/P5HuAecYBzXNF4ep6
Draft List of Proposed NDIS Supports for Consultation –
https://engage.dss.gov.au/consultation-on-draft-lists-of-ndis-supports/draft-list-of-ndis-support/?fbclid=IwY2xjawEeNTRleHRuA2FlbQIxMAABHQPXUHUGagCoXEN6Wmglc3imQo4JJS9rg9RgevSWpOoOfVKuZo5jiRrZXQ_aem_NwMV_OlINGdYtox-GcyNnw
12th August 2024 Senate Hansard - https://parlinfo.aph.gov.au/parlInfo/download/chamber/hansards/28054/toc_pdf/Senate_2024_08_12.pdf;fileType=application%2Fpdf
NDIS OT Community of Practice Response to the Draft List of Proposed NDIS Supports – survey to add your comments which will be collated and submitted during the consultation period - https://docs.google.com/document/d/1flSMdUV9hbdgHxUwLBhh3yIfkExTNrjk/mobilebasic#heading=h.2zbgiuw
Review of Best Practice in Early Childhood Intervention Project - https://www.preci.org.au/bp-framework-eci/?fbclid=IwY2xjawEngSlleHRuA2FlbQIxMAABHZ3y6zcNCVaOgCa6W4BrWRetUOw_wuytZgZ7x4iex8iwWlWbLw9uiw_C5A_aem_SOf0befSiIKkihlkPEdhpQ
The Road Ahead - Community of Practice event – Get your tickets from https://events.humanitix.com/ndis-ot-community-of-practice-event-looking-to-the-future-89stlcyt
NDIS Worker Registration Taskforce Final Report
https://www.dss.gov.au/disability-and-carers-standards-and-quality-assurance-ndis-provider-and-worker-registration-taskforce/final-consultation-report-ndis-provider-and-worker-registration-taskforce
Draft List of Proposed NDIS Supports
https://engage.dss.gov.au/consultation-on-draft-lists-of-ndis-supports/draft-list-of-ndis-support/?fbclid=IwY2xjawEeNTRleHRuA2FlbQIxMAABHQPXUHUGagCoXEN6Wmglc3imQo4JJS9rg9RgevSWpOoOfVKuZo5jiRrZXQ_aem_NwMV_OlINGdYtox-GcyNnw
NDIS OT Community of Practice Response to the Draft List of Proposed NDIS Supports – survey to add your comments which will be collated and submitted during the consultation period - https://docs.google.com/document/d/1flSMdUV9hbdgHxUwLBhh3yIfkExTNrjk/mobilebasic#heading=h.2zbgiuw
CafSA NSW survey on Foundational Supports
https://forms.office.com/pages/responsepage.aspx?id=Ve2RWDP46EeQ1tafQuxpN_TJmCTu75ZDvEU8cUv60uFUNFNSUFBDTUkxUzVCMkJYWVQ2VDdKM1RKMS4u&fbclid=IwY2xjawEeOERleHRuA2FlbQIxMAABHd9Q9hgX3MoLgU8aD-hoqy6Kq5Jy9waH1Opl1fuqVmN1RHWXElOgBOZzcQ_aem_-TeWGjjP-EhljNP11F6ETw
Bronwyn Painter Nature Retreat
https://www.natureot.com.au/connectwithnatureprogramandimmersion
Michelle Bihari Caring Webinars
https://michellebiharyhealth.com/caringcostswebinars
In this weeks episode we discuss the latest on the NDIS taskforce on mandatory registration including the recent report leak. We also delve into the importance of self-care and the use of AHAs in OT practice.
Loving the podcast? We'd love for you to leave us a review! Head to the link below and scroll down to either rate the pod or leave a review:
https://podcasts.apple.com/au/podcast/ot-unplugged-community-of-practice-insights/id1731244064
In this weeks episode we discuss the importance of taking a break from the NDIS, further provider closures and short notice cancellations.
Michelle Bihary webinar series:
* 𝗔𝗱𝗱𝗿𝗲𝘀𝘀𝗶𝗻𝗴 𝘁𝗵𝗲 𝗖𝗼𝘀𝘁 𝗼𝗳 𝗖𝗮𝗿𝗶𝗻𝗴 𝟰.𝟭𝟱𝗽𝗺 AEST 𝗠𝗼𝗻𝗱𝗮𝘆 𝟮𝟵 𝗝𝘂𝗹𝘆
* 𝗠𝗼𝗿𝗮𝗹 𝗜𝗻𝗷𝘂𝗿𝘆 𝟰.𝟭𝟱𝗽𝗺 AEST 𝗧𝘂𝗲𝘀𝗱𝗮𝘆 𝟲 𝗔𝘂𝗴𝘂𝘀𝘁
* 𝗧𝗵𝗿𝗶𝘃𝗶𝗻𝗴 𝗦𝘂𝘀𝘁𝗮𝗶𝗻𝗮𝗯𝗹𝘆 𝟰.𝟭𝟱𝗽𝗺 AEST 𝗪𝗲𝗱𝗻𝗲𝘀𝗱𝗮𝘆 𝟭𝟰 𝗔𝘂𝗴𝘂𝘀𝘁
* 𝗦𝗲𝘁𝘁𝗶𝗻𝗴 𝗕𝗼𝘂𝗻𝗱𝗮𝗿𝗶𝗲𝘀 𝟰.𝟭𝟱𝗽𝗺 AEST 𝗠𝗼𝗻𝗱𝗮𝘆 𝟭𝟵 𝗔𝘂𝗴𝘂𝘀𝘁
𝗙𝘂𝗿𝘁𝗵𝗲𝗿 𝘁𝗼𝗽𝗶𝗰𝘀 𝗶𝗻𝗰𝗹𝘂𝗱𝗲:
* Self-Care * Self-Compassion * Caring for your team * Building Frustration Tolerance * Burnout Prevention * Leading through difficult times
If you're interested in attending any or all sessions, please complete the form here: https://bit.ly/3Y0KMPY Registration details will then be sent out prior to each webinar, recordings will be available.
Continuity Planning Course:
https://www.usc.edu.au/study/courses-and-programs/business-short-courses-and-microcredentials/queensland-government-funded-planning-courses/continuity-planning
Corporate Power of Attorney:
https://legalvision.com.au/3-steps-to-creating-a-company-power-of-attorney/
The latest episode of The OT Unplugged podcast is now out! Join us for the latest NDIS OT news and updates from the NDIS OT community of practice. In this weeks episode we discuss : NDIS Price Guide and Pricing Review Report, the proposed blended payments co design, and Bill Shorten's new advertising campaign.mp3
Pulse Survey – NDIS Annual Pricing review Survey from NDS: https://www.nds.org.au/index.php/news/pulse-survey-ndis-annual-pricing-review?fbclid=IwZXh0bgNhZW0CMTAAAR283IlOa63Z8TqfqJXtPSDUOdYzeT-bGgdp-RkPCyPX6aaQ3AU8fIRuD-U_aem_z6SNmY0FxUpjJ68DMP2yWg
Check In Survey from Julienne Locke-
https://forms.office.com/pages/responsepage.aspx?id=ZT_UtCBWpEanttWiivx-PQKNrOGQhG5Du7opHbWT3K1UMTgzRkkzMjE0TzdRMk4wTjZRRUpDUzFSVS4u&fbclid=IwZXh0bgNhZW0CMTAAAR3ytAzgIVzv9L2AVvDFcq8lgR7z9ZvQs_AC3URbwsDrum2X4BYJmQQ0VoY_aem_1ve7gKOUDfB6U7uiYGVmTQ
This week we discussed the NDIS pricing... or the lack thereof. The pause on draft legislation and the flaws in the NDIS decision making.
New graduate sessions referred to during this weeks podcast:
https://sensationalstart-au.zoom.us/rec/share/PZx3mzbWF6LnWlGdh0WpV9jzyu2TNR3fQi7tRHCmGkZfSkiOwt-3woiNhvpF2FCK.KXabYyuX0OJRrCA2
https://sensationalstart-au.zoom.us/rec/share/ZC9y9wH2H3APR-qZMtsBVT6mrhvTzuyvi4Aj5r_hKdZBO74NJBHb82QjxpJ1mAUw.FakMBqecQkXKxHNu
In this episode we discuss exit planning for your OT practice, the role of AHAs and handling unusual requests for AT prescription.
Guide to Self-management referred to, please see page 17 - https://www.ndis.gov.au/participants/using-your-plan/self-management
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