High intensity supports in Moreton Bay from MediHealth Connect: complex care at home for NDIS participants on the Redcliffe Peninsula, in the North Lakes and Caboolture corridors, across Pine Rivers and on Bribie Island. Tracheostomy and ventilator care, PEG feeding, complex bowel, catheter and stoma care, seizure management and injections, with registered nurses in charge.
Under the NDIS, some personal care is classed as high intensity because getting it wrong could seriously harm the participant. This is the high intensity daily personal activities group, HIDPA for short. Providers must be registered for it, and the NDIS Practice Standards include a set of High Intensity Support Skills Descriptors that define the knowledge and skills a worker needs before performing each procedure.
The descriptors cover complex bowel care, enteral feeding, severe dysphagia, tracheostomy management, ventilation, urinary catheter management, subcutaneous injections, complex wound care, diabetes management and seizure management. What that means for a Moreton Bay participant is a guarantee about training and supervision, not just good intentions. MediHealth Connect holds registration for both high intensity daily personal activities and community nursing, so we can supply nurses and trained support workers as a single, coordinated team.
The following procedures are delivered in your home or supported accommodation, following a care plan written by a registered nurse and agreed with the specialists who treat you.
Suctioning, inner cannula cleaning, stoma care and humidification, with an emergency plan for tube blockage or displacement that is practised, not just written down.
Care for participants on invasive or non-invasive home ventilation, including circuit changes, settings checked against your prescription, alarm response and monitoring by staff trained on your machine.
Bolus and pump feeds, flushes, tube site care and medication via the tube, exactly as your dietitian has prescribed. Our guide to PEG feeding under the NDIS explains what is involved.
Regular bowel programs with digital stimulation, suppositories or enemas, and vigilance for autonomic dysreflexia in participants with spinal cord injury.
Care of indwelling and suprapubic catheters, catheter changes by a nurse, intermittent catheterisation support and early infection detection. See our article on catheter and stoma care at home.
Appliance changes and peristomal skin care for colostomy, ileostomy and urostomy, coordinated with your stomal therapy nurse.
Seizure observation and first aid, rescue medication given according to your epilepsy management plan and a record of every event for your neurologist.
Insulin, anticoagulants and other subcutaneous medications, with dose verification, site rotation and glucose monitoring where needed.
In Moreton Bay we staff complex care with a mix of registered nurses and support workers, and the line between their roles is set by the care plan, not by who happens to be available.
The registered nurse assesses you, writes the plan and is clinically responsible for it. Where a task can be delegated safely, the nurse trains each support worker on your care, watches them perform it, signs off their competence and schedules a reassessment. Nurses review you regularly, are available by phone to your workers during shifts and take over direct care when your condition changes. Tasks reserved for the nurse, such as catheter changes and ventilator adjustments, are stated in the plan.
Moreton Bay participants usually come to complex care through Redcliffe Hospital or Caboolture Hospital, both part of Metro North Health, or through specialist services in Brisbane. A safe transition home depends on everybody working from the same care plan, so we get involved as early as the hospital allows.
Before discharge we obtain the care plan, prescriptions and equipment list, train our staff on your specific care with the ward team where possible, and arrange consumables so the first weeks run smoothly. After discharge we send your GP the care plan and regular updates, provide the hospital teams with the reports they request and make sure any change to your regime is passed to every worker on your roster the same day.
We provide high intensity supports across the City of Moreton Bay, rostering nurses and support workers based near you so that shifts are reliable, including on Bribie Island.
North Lakes corridor: North Lakes, Mango Hill, Kallangur, Petrie
Caboolture and north: Caboolture, Morayfield, Burpengary, Narangba, Deception Bay
Redcliffe Peninsula: Redcliffe, Scarborough, Margate, Kippa-Ring
Pine Rivers: Strathpine, Brendale, Albany Creek, Warner
Islands: Bribie Island
Related services: community nursing in Moreton Bay, wound care in Moreton Bay and medication management in Moreton Bay. The high intensity supports overview covers South East Queensland as a whole.
High intensity daily personal activities are paid from your Core budget at the high intensity price limits, which reflect the training and nursing oversight involved. Nursing care is paid from Core as a disability-related health support. The NDIA needs evidence to include these supports: a report from your specialist or hospital that describes each procedure, its frequency and what could go wrong without trained staff.
Our nurses write the clinical reports the NDIA looks for, and a Moreton Bay support coordinator can help you present them at a plan review or request a variation if your needs have changed mid-plan.
Personal care involving a clinical procedure that carries significant risk, as defined by the NDIS High Intensity Support Skills Descriptors: complex bowel care, enteral feeding, severe dysphagia management, tracheostomy management, ventilation, urinary catheter management, subcutaneous injections, complex wound care, diabetes management and seizure management. Delivering them requires registration for high intensity daily personal activities.
Yes, provided a registered nurse has trained the worker on your particular care, confirmed their competence and continues to supervise, and your treating team agrees. Certain tasks, including catheter changes, remain with the nurse. The care plan spells out which tasks are delegated.
We can put together overnight and 24-hour rosters for Moreton Bay participants whose plans fund them, using nurses and trained support workers as the care requires. What we can commit to depends on the procedures and on staffing in your part of the region, including Bribie Island, so we confirm it before a service agreement is signed.
We aim to be involved before you leave Redcliffe or Caboolture Hospital: collecting the care plan, prescriptions and equipment list, training our staff on your care with the ward team where allowed, arranging consumables and confirming the first shifts. After discharge we keep your GP and hospital team updated, reconcile your medications against the discharge summary and review the plan after the first week.
Support workers complete training aligned to the NDIS High Intensity Support Skills Descriptors for tracheostomy management and ventilation, then participant-specific training and competency sign-off by a registered nurse on your equipment and plan, with scheduled reassessment. Our nurses hold current AHPRA registration and complete the same participant-specific training before working with you.