22/06/2025
One of our OT team has taken some time to write about the impact of the new NDIS price guide. Max often works outside the clinic, in the wider Cairns region and in people’s homes, and would like to raise awareness to the realities of the cost cutting measures the NDIS is implementing. If you have the time to read through, it would be much appreciated!
“A Message to Our Families and Community!
To our wonderful families and community, you deserve honesty and transparency about what’s happening with NDIS. I want to speak from the heart and share the reality of the situation our community and practices are facing.
The Impact of the New NDIS Price Guide:
The recently released NDIS Price Guide for 2025/26 has left our community deeply disappointed. One of the most significant changes is a 50% reduction in the travel time we can charge, capped at just half of the face-to-face time delivered. In real terms, this means our travel costs are now only a quarter of what they once were in some cases.
What This Means for Our Regional Families:
I’ve always been proud to serve families in regions like the Cassowary Coast and Tablelands, people who often miss out on the support and expertise they deserve. My outreach work has never been about convenience or profit. It’s about passion for equity and actively tackling longstanding barriers our community faces in accessing health care and support. While my role has always centred around ensuring access to quality care regardless of where they live, these funding changes now make outreach unsustainable.
The Hardest Part:
It has been a particularly devastating week as I began to face the heartbreaking task of informing many families that we are unable to continue services in their region. Through no fault of their own, but through the actions of NDIS, the people in our community who need support the most are now being left behind.
For many families to continue accessing therapy, this now means embarking on at least a four hour round trip to access essential services. For those living with complex disabilities, the travel may be required multiple time per week. When we consider the realities of living with and caring for someone with a disability, this is far too big of an ask.
What’s at Stake?
The NDIS expects businesses or families to absorb these cuts, but that is neither fair nor sustainable. While these changes might not be felt as significantly in metropolitan areas, they are devastating for regional providers and families. Some therapists who built their business and practice around outreach may be forced to close, making it even harder for vulnerable people to access the help they need.
A great piece that summarises the situation more thoughtfully and eloquently than I ever could is attached here below.
https://l.facebook.com/l.php?u=https%3A%2F%2Fwww.ashbytherapyservices.com.au%2Fblog%2Fwhen-your-government-makes-you-choose-between-dignity-and-survival-an-ndis-reality-check%3Ffbclid%3DIwZXh0bgNhZW0CMTEAAR63tGDhEOKfJk9CI7SA2EVW1bbZVPaMoFtzZTpSvVOMxYE_v_CUFzix2PTnsA_aem_-vgDID-tDHOMRFN0T1U7Bw&h=AT0D3yyOo9lZcAKj3ij6__1_oiGWv2p_ipkMEebE57dMQ0xxgwSBaHkX20O58hXyarpN8_-NTyqgjt-Bi7gurAzuSRVuN1C6yQ8tlS5jVBqdARX5v-9RLX4DnHaH&s=1
Standing Together: A Call to Our Community
I want you to know exactly how I feel in this moment. I am angry, hurt, scared, deflated, a whirlwind of complex emotions. Not for myself, but for those that these changes will have the most significant consequences for, our most vulnerable in the community and participants of the NDIS. After dedicating the majority of my career to this industry, I have never felt so profoundly let down by a government and leadership that we placed our trust in to provide the access and systems for those who need it most. The decisions being made have not just let me down, they have let all of us down: the people who rely on these systems for support, dignity, and hope. And I refuse to sit by in silence and watch this happen.
For too long, I have kept my frustrations to myself, but I have reached my limit. I can no longer stay quiet while our community is left to bear the consequences of decisions made by those who see you only as numbers on a page or figures in a budget spreadsheet. To the NDIS, you may be statistics, but to your therapists, you are people with stories, struggles, and dreams. We strive every day to see the world through your eyes, hoping to make even the smallest difference in your lives and to share in the journey with you.
Now more than ever, we need to raise our voices together. We cannot accept this level of negligence from a system that was supposed to protect the vulnerable. I urge you to join me in speaking up, demanding change, and standing up for those who need us most. Together, we can make a difference, because our community deserves better!
Thank you for listening.
Max.”
Share this if you like, send it to your MP, sign every petition you can! Help us take back the system designed to give those living with a disability control of their own lives, their healthcare, and their dignity.
AUTHOR : Giarne is a Multiply Neurodivergent Occupational Therapist, Mother, Wife What happens when the system designed to liberate you becomes the very thing that oppresses you? I wear many hats within the NDIS ecosystem. I’m a provider, an employer, a parent of a participant, and a participan