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How an FCA can complement medical and treating evidence

An OT FCA may add useful information when an assessment question concerns everyday activities and support needs that are not adequately described in the existing evidence.

Medical and other treating reports can already contain substantial functional information. An FCA should complement that evidence, not assume that a second report is always required because the first was written by a doctor or another profession.

Define the question

Please identify the intended use of the report and the gap it needs to address. The question may concern an NDIS access application, changed assistance, participation across settings or another specific purpose.

A DSP-related request needs to be identified from the outset because its requirements differ from NDIS planning. Expert witness and medico-legal reporting are not part of this general FCA service.

Include any deadline and relevant assessment already underway. This helps avoid overlapping work and makes it possible to check whether the proposed method is suitable.

Information that may help

Where relevant to the purpose, treating information may include the diagnosis and its basis, treatment history, current management, likely course and any uncertainty about permanence or change.

Functional observations are also useful. Please distinguish what you have observed or assessed from what the person or another contributor has reported. Existing information about activities, assistance and changes over time may reduce the need to repeat questions or commission further work.

The assessment should not require a more definite prognosis than the evidence permits. If a question remains uncertain, that is relevant information to retain.

What the OT assessment adds

The FCA can examine the steps involved in activities and the relationship between abilities, environment and assistance. It may bring together information across settings and explain the reasons for support recommendations.

The report should identify its sources and limits. For telehealth, this includes distinguishing reported activities from direct observation. Some questions need an in-person assessment, measurements, trials or another specialist service.

An FCA does not determine NDIS eligibility or funding. It should not infer a diagnosis or medical conclusion that the available evidence does not support.

Consent and communication

Confirm the person's consent to the referral and appropriate sharing of relevant information, or identify the lawful representative arrangement. Seeds also needs to confirm the intended report recipient.

Referring, arranging or paying for an assessment does not automatically entitle a person or organisation to the full report. Copies and further liaison should follow appropriate consent or other lawful authority.

After the assessment

Questions about factual accuracy can be raised within two days of receiving the report and are corrected at no charge; relevant new evidence can also be raised. The report's clinical conclusions must remain independent of a preferred funding outcome, while being open to reconsideration where the evidence warrants it.

Further information

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Quick answers

When does an OT FCA add to medical evidence?

An OT FCA may add useful information when an assessment question concerns everyday activities and support needs that are not adequately described in the existing evidence. Medical and other treating reports can already contain substantial functional information. An FCA should complement that evidence, not assume that a second report is always required.

What information from a treating doctor helps an FCA?

Where relevant to the purpose, treating information may include the diagnosis and its basis, treatment history, current management, likely course and any uncertainty about permanence or change. Functional observations are also useful. Please distinguish what you have observed or assessed from what the person or another contributor has reported.

Does referring a patient entitle the referrer to the full report?

No. Referring, arranging or paying for an assessment does not automatically entitle a person or organisation to the full report. Copies follow appropriate consent or other lawful authority.

Enquire about an FCA

Tell us what the report is for, any deadline and any communication or access needs. We will confirm whether this service is suitable and explain the proposed scope and fee.

Enquire about an FCA

About the Seeds FCA service