Does Eastham mean any AT claim where the s 24 impairment is mentioned will succeed?

No. The decision clarifies the standard. That is, that contributory causation rather than sole or dominant causation, but the causal connection must still be genuine. Delegates and the Tribunal assess each case on its facts. Weak or poorly documented claims will still fail. What the decision removes is the NDIA’s ability to rely on the existence of a second contributing factor to defeat an otherwise well-grounded claim.

Does this apply to low-cost AT, not just expensive items like mobility scooters?

The court’s ruling on s 34(1)(aa) — the contributory causation standard — is not limited to high-value items. It is a general interpretation of the statutory test that applies to any support claim under that provision.

My AT looks like something anyone could buy. Does Eastham help?

Potentially, but with an important nuance. The court confirmed that items are characterised by their inherent design character, not by participant-specific use. However, for items facing objection under the “everyday items” or “general living costs” exclusions (rather than items 6(b) and 6(f) addressed in Eastham), different provisions apply. The documentation approach remains the same: demonstrate the item’s specific functional purpose for this participant.

Will this decision change what the NDIA does at first review stage?

Not immediately. The NDIA has not updated its operational guidance. Delegates may continue applying the old approach until guidelines are updated. The decision’s practical value is greatest in review and Tribunal proceedings — which is why building strong documentation from the outset matters.

What is the difference between the Transitional Rules and the permanent rules?

The 2024 Transitional Rules are temporary instruments enacted to manage the transition to the new planning framework. They will be replaced by permanent rules. Justice Hespe’s decision interprets the test under these transitional rules. If the permanent rules are worded differently, the analysis may change.

Can the NDIS fund AT for a condition that wasn’t my access disability?

Yes — the key question is whether the AT is related to your disability support need s and meets the reasonable and necessary criteria, not whether it matches the single impairment that originally supported access. In practice, the NDIA (and the Tribunal/Court in Eastham-related reporting) focus on whether there is a real link between your impairment(s) and the functional need the AT addresses.

What evidence proves “contributory cause”?

Evidence “proves” contributory cause when it clearly shows how your impairment contributes to the functional problem the AT solves , even if other factors also contribute. The strongest evidence package usually includes: Functional evidence describing what you can’t do safely/reliably without the item (OT/physio report, FCA extracts, clinical notes). A clear “link statement” : impairment → functional impact → why this AT addresses it. Real-world context (your environment and routines), because reasonable and necessary decisions are made against your actual disability support needs , not a hypothetical situation. (Eastham-related public reporting highlights the combined impacts and practical barriers being central to the reasoning.)

Does Eastham apply to low-cost AT under $1,500?

Eastham is a legal decision about how the disability-link test is applied; the “under $1,500” threshold is an NDIA process category , not a different legal test. NDIA guidance says: Low cost AT is under $1,500 per item . For low cost AT, you can generally tell the NDIA what you need without specific written evidence , though some low-cost items that are high risk may need written evidence from an AT advisor . So: Eastham-type reasoning (disability link based on functional need) is relevant, but low-cost AT often requires less paperwork unless risk is higher .

What if the NDIA says it’s “transport” or a “general living cost”?

That’s a common refusal framing. Your job is to bring it back to the NDIA’s published test: Is it related to your disability support needs? Is it an everyday living cost not related to disability needs (e.g., groceries, rent, utilities)? If yes, it’s usually excluded. Is it actually AT/equipment that helps you function or participate , rather than paying for ordinary transport costs? If the NDIA labels it “transport”, respond by clarifying the character of the item: “This is assistive equipment to address a functional limitation and enable access, not a request to fund everyday travel costs.” (Then show the functional evidence and why alternatives aren’t workable.)

Do environmental factors like distance to public transport matter?

Yes — environment and access realities can matter because decisions must reflect your actual situation and disability support needs , not a generic assumption that “transport exists.” Public reporting about Eastham emphasises practical barriers (including access) in the reasoning pathway.

Do I need an OT letter for low-cost AT?

Not always. NDIA guidance says for low cost AT (<$1,500) you can generally tell them what you need without specific written evidence , but some low-cost items that may be high risk can require written evidence from an AT advisor . A practical rule for LowCost AT: if the item is higher risk, specialised, or likely to be challenged, an OT/AT advisor note is usually a smart defensive move — but it’s not universally mandatory for all low-cost items.

What’s the fastest way to strengthen my AT justification?

Fastest = tighten the logic chain so an NDIA delegate can say “yes” quickly: One-sentence functional problem (what fails, how often, what risk). One-sentence disability link (impairment contributes to that problem). One-sentence “why this item” (how it solves it, measurable outcome). One-sentence alternatives (what was tried / why not suitable). Cost and value (why it’s reasonable, effective, value for money). If you only add one thing: add functional evidence + a clean link statement (impairment → need → item).

What do I do if my AT request is refused?

Ask for the refusal reasons in writing and identify the exact ground (e.g., “not related to disability”, “day-to-day living cost”, “mainstream responsibility”, “value for money”). Add targeted evidence that addresses that specific ground (don’t re-submit the same pack). Request an internal review with a short, structured submission using the NDIA’s own reasonable and necessary criteria. If still refused, you can consider external merits review pathways (noting the system has changed over time); get advice for your specific circumstances.

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LowCost AT

Pressure Relief Gel Seat Cushion | NDIS Skin Integrity Aid

$53.99

Liquid error (snippets/price line 89): divided by 0% OFF

In stock

Product variants

Building Capacity & Independence

Pressure Injury Prevention: The elastic honeycomb grid collapses to redistribute weight, reducing peak pressure on the coccyx and hips to protect skin health.
Active Air Circulation: Unlike foam, the open-cell structure promotes constant airflow, reducing heat and moisture to prevent skin maceration.
Postural Stability: Provides a stable, non-bottoming out surface that supports pelvic alignment and reduces the need for constant repositioning.
Portable & Foldable: Uniquely designed to fold for easy transport, ensuring participants have consistent pressure care during travel or community access.
Hygienic & Waterproof: The non-absorbent TPE material is easy to sanitize, and the removable mesh cover allows for regular laundering to maintain hygiene.

NDIS Claims Ready Code: 03_120000911_0105_1_1

What does "Claims Ready" mean?

Support Item: Postural Support - Foam and/or Gel Component System

Category: ["Category 03: Consumables"]

Our products are curated to support a range of disability-related needs and to assist participants to pursue their individual NDIS goals, in line with the principles of choice and control.

The term “NDIS Claims Ready” refers to our documentation and invoicing process, which is designed to support participants, nominees, support coordinators and plan managers when submitting a claim.

Important: It does not guarantee funding. Whether an item is funded depends on the participant’s disability-related needs, their approved plan and goals, and whether the item is considered reasonable and necessary by the NDIA or the participant’s Plan Manager.

View our full NDIS Claim Information Guide →

View full details

Frequently Bought Together

Safeguard skin health and improve sitting tolerance with the Pressure Relief Gel Cushion. Classified as low cost assistive technology, this therapeutic cushion is engineered for NDIS participants who spend extended periods seated in wheelchairs, office chairs, or vehicles.

Static sitting creates sustained pressure on the ischial tuberosities (sitz bones) and coccyx, which can lead to pain, fatigue, and dangerous pressure injuries. Unlike traditional foam which traps heat and compresses over time, this cushion utilizes a medical-grade TPE honeycomb grid. This elastic structure collapses under load to redistribute body weight evenly, eliminating sharp pressure points. The open-cell design facilitates continuous airflow, managing the "microclimate" of the skin by reducing heat and moisture buildup—a critical factor in preventing skin breakdown.

How This Device Supports NDIS Participants

Skin Integrity Management: The honeycomb structure redistributes weight away from bony prominences, significantly lowering the risk of developing pressure sores (decubitus ulcers) for participants with limited mobility.
Pain & Fatigue Reduction: By absorbing shock and offloading the tailbone, the cushion alleviates sciatica and lumbar strain, allowing participants to sit for longer periods with less pain.
Thermal Regulation: The breathable grid design prevents heat accumulation and sweating, reducing the risk of moisture-associated skin damage (maceration) during hot weather or prolonged use.
Community Access: The unique foldable design allows the participant to easily transport their pressure care solution to cars, planes, or stadiums, ensuring consistent support outside the home.

Key Features & Benefits

Honeycomb Pressure Grid: A flexible TPE network that conforms to individual body contours to maximize the surface area of support and minimize peak pressure zones.
Cooling Airflow Channels: The open structure allows air to circulate freely beneath the user, keeping the skin cool and dry compared to solid foam or memory foam.
Non-Slip Stability: The included mesh cover features a high-friction base to ensure the cushion remains securely positioned on wheelchair seats or smooth surfaces, preventing sliding and poor posture.
Foldable Portability: Designed to fold in half for compact storage, making it an ideal travel companion for appointments or social outings.
Hygienic & Washable: The removable cover is machine washable, and the inner gel grid is waterproof and easy to wipe down, ensuring high standards of hygiene.

Package Includes

1 x Foldable Honeycomb Gel Cushion
1 x Non-Slip Black Mesh Cover

NDIS CLAIMS READY

Funding & Eligibility

This product is designed to support daily living goals and is generally compliant with Core - Consumables funding.

Support Item Name: Low Cost AT - Personal Mobility
Support Item Number: 03_120000911_0105_1_1
Budget Category: Core - Consumables

How to Order:

Plan Managed: Add to cart and select "NDIS Checkout". This generates a formal tax invoice for your Plan Manager to pay via email.
Self Managed: Purchase online for an instant tax invoice, or use "NDIS Checkout" if you prefer an invoice to upload to the MyPlace portal before paying.
NDIA (Agency) Managed: Use the "NDIS Checkout" to generate a quote. We will then arrange a service booking (endorsement might be required).

*Participant's funding eligibility is subject to their individual NDIS plan goals.

The Pressure Relief Gel Cushion is a specialized Skin Integrity & Comfort Aid. It is designed to assist NDIS participants who experience functional limitations regarding mobility, sensation, or chronic pain associated with sitting.

How This Item Can Support NDIS Goals

This device directly supports NDIS goals related to maintaining physical health, increasing social participation, and managing pain by:

Protecting Skin Health: Reducing the risk of costly and debilitating pressure injuries caused by static seating.

Increasing Endurance: Improving sitting tolerance allows the participant to engage in work, education, or social activities for longer durations.

Enabling Travel: The portable nature of the cushion ensures the participant can access the community without compromising their pressure care regime.

Meeting 'Reasonable & Necessary' Criteria

This cushion aligns with NDIS criteria as a value-for-money core support. It is a durable, preventative tool that supports essential health outcomes (skin integrity) at a significantly lower cost than complex custom seating.

Some products are shipped through authorised logistics partners, including Amazon. Your purchase is always with LowCost AT, and we remain your responsible Australian supplier and NDIS registered provider.

Assistive Benefit: Pressure redistribution & skin integrity protection.

NDIS Category: Core Consumables / Mobility.

Material: Cooling TPE Gel.

Size: 47cm x 32cm x 4cm.

Pressure Relief Gel Seat Cushion | NDIS Skin Integrity Aid