High intensity supports are everyday personal supports that carry enough clinical risk to require specific training, assessed competency and clinical oversight — such as PEG feeding, complex bowel care, tracheostomy care, catheter care, seizure management and complex wound care. The NDIS groups them as High Intensity Daily Personal Activities, or HIDPA.
A genuinely clinical team
Our multidisciplinary team includes Registered Nurses, Enrolled Nurses, Assistants in Nursing, Psychologists, Behaviour Support Practitioners and highly trained support workers, all working together to deliver high-quality, person-centred care.
Complex clinical needs we support
- Complex bowel care
- Enteral feeding (PEG/PEJ)
- Dysphagia management
- Ventilator and tracheostomy care
- Urinary catheter care
- Subcutaneous injections
- Complex wound care
- Epilepsy and seizure management
- Diabetes support
Module 2a registered
As a registered Module 2a provider, Care Alliance is authorised to implement regulated restrictive practices in line with NDIS requirements and approved Behaviour Support Plans. Our approach is grounded in professionalism, compliance, dignity and respect.
Every staff member delivering high intensity supports completes structured clinical eLearning and competency training, overseen by our nursing team.
How high intensity supports are staffed and supervised
High intensity supports are not simply support work with a harder task attached. They are delivered by workers who hold the relevant high intensity skills for that specific support, working to a plan written by the clinician responsible for it, with a registered nurse involved where the support is nursing-delegated.
That structure exists because the risk sits in the gap between plan and practice. A plan that is written well and applied inconsistently is not a safe plan. So the same organisation that writes the support also trains the workers delivering it, supervises them and reviews how it is actually going — and our 24/7 on-call team means a worker facing something unexpected at 2am has a clinician to call rather than a guess to make.
Common questions
What is HIDPA?
High Intensity Daily Personal Activities is the NDIS registration group covering supports with higher clinical risk — such as PEG feeding, complex bowel care or seizure management — which must be delivered by appropriately trained workers under clinical oversight.
Which supports count as high intensity?
Supports carrying enough clinical risk that ordinary personal care training is not enough on its own. Commonly: enteral (PEG) feeding, tracheostomy care, complex bowel care, urinary catheter care, ventilation support, subcutaneous injections, severe dysphagia support, seizure management and complex wound care. If you are unsure whether your situation counts, our nursing team can tell you.
Who is allowed to deliver high intensity supports?
Workers who have been trained and assessed as competent for that specific support and that specific person, working under clinical oversight — not simply anyone rostered on. At Care Alliance every staff member delivering high intensity supports completes structured clinical eLearning and competency training overseen by our nursing team, and Registered Nurses maintain oversight of the support.
What is Module 2a, and why does it matter?
Module 2a is the NDIS registration module covering the implementation of regulated restrictive practices. Care Alliance is a registered Module 2a provider, which means we are authorised to implement regulated restrictive practices where they are required — only ever in line with an approved Behaviour Support Plan and NDIS Commission requirements. In practice it matters because a provider without it cannot lawfully deliver supports for some participants with complex needs.