Reviewed by the Linked Anchor Allied Health clinical team · Last reviewed
What an FCA looks at
- Self-care: showering, dressing, eating and toileting
- Mobility and getting around at home and in the community
- Communication and social interaction
- Learning, memory and managing new tasks
- Self-management: money, appointments, routines and decisions
The NDIS focuses on functional impact. An FCA describes what a person can do, what they find hard, and what support they need across the main areas of life:
How the assessment works
The OT usually combines an interview, observation of real tasks and standardised assessment tools. Where possible we complete it face to face in the person's own home, because that is where everyday challenges show up most clearly. Telehealth can be used for parts of the interview when travel isn't practical.
Family members, support workers and other clinicians are often asked for input so the report reflects a typical week, not just a good day.
What the report includes
- A clear summary of functional strengths and limitations
- Links between the person's goals and the supports recommended
- Recommendations such as therapy hours, assistive technology, home modifications or support worker hours
- Reasons why each support is reasonable and necessary
The NDIA makes the final funding decision. A well-written report helps it understand the person's needs, but it cannot guarantee an outcome.
How to prepare
- Think about a hard day, not just an average one
- Gather existing reports, letters and current NDIS plan goals
- Ask someone who knows the person well to be present
- Book early if a plan review date is coming up
This guide is general information only and is not individual clinical, legal or funding advice. Funding is subject to eligibility and plan rules.