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

Skip Hop Portable Changing Station | NDIS Hygiene & Storage Aid

$99.99

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

In stock

Product variants

Building Capacity & Independence

Accessible Hygiene Station: Consolidates nappies, wipes, and creams into one compact unit, reducing the need to dig through deep bags for parents with limited dexterity.
Versatile Attachment System: Features a robust clip that attaches securely to wheelchairs or strollers, plus a wrist strap for hands-free transport.
Visual Inventory Management: The translucent wipes case and mesh internal pocket provide clear visual cues, helping users track supplies and prevent running out while away from home.
Sanitary & Safe Surface: The extra-wide, wipe-clean changing mat offers a reliable barrier against public surfaces, ensuring infection control standards are maintained.
Zip-Off Flexibility: The changing pad can be detached from the clutch, allowing for versatile use and easier cleaning of individual components.

NDIS Claims Ready Code: 03_090000911_0103_1_1

What does "Claims Ready" mean?

Support Item: Low Cost AT - Personal Care and Safety

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

Simplify outings and maintain high hygiene standards with the Skip Hop Pronto Changing Station. Classified as low cost assistive technology, this portable "mobile command centre" is designed to support NDIS participants who are parenting with a disability or caring for a child with specific needs.

For carers with limited hand dexterity, executive dysfunction, or mobility challenges, digging through a deep nappy bag can be stressful and physically difficult. The Pronto Station solves this by consolidating all hygiene essentials into one compact, accessible unit. Featuring a zip-off wiping mat, a translucent wipes case, and organized pockets, it ensures that nappies, creams, and wipes are always within reach. The versatile strap system allows it to be clipped securely to a wheelchair, stroller, or wrist, keeping hands free and reducing the physical load of carrying heavy bags.

3. How This Device Supports NDIS Participants

Supporting Parenting with Disability: Provides a structured, easy-access system for hygiene supplies, reducing the fine motor skills and physical effort required to manage nappy changes.
Enhancing Executive Function: The mesh pockets and translucent wipes case provide visual cues, helping users with memory or organizational challenges keep track of supplies and recognize when refills are needed.
Facilitating Community Access: By compacting essentials into a clip-on unit, it removes the barrier of transporting bulky equipment, encouraging participants to leave the house with confidence.
Hygiene Management: The extra-wide, wipe-clean mat provides a clean, safe surface anywhere, essential for families managing compromised immunity or needing strict infection control.

4. Key Features & Benefits

2-in-1 Functionality: The changing pad zips off for independent use, allowing the clutch to be used solely as a toiletry organiser when the mat isn't required.
Visual Organization: Features a large mesh pocket that holds up to four nappies and creams, making it easy to identify contents at a glance without rummaging.
Accessible Transport: Equipped with a clip-on strap that attaches easily to stroller handles or wheelchairs, plus a wrist strap for one-handed carrying.
Hygiene Ready: Includes a translucent wipes case for timely refills and a wipe-clean laminated surface to sanitise quickly after use.
Personal Storage: A front zippered pocket provides a designated, easy-access spot for keys, phone, or wallet, reducing the need to carry multiple bags.

6. Meticulous Specifications

Product Type: Portable Changing Station / Nappy Clutch
Dimensions (Closed): 29.8 cm (L) x 10.2 cm (W) x 21 cm (H)
Material: Polyester (Wipe-clean, laminated)
Components: Detachable Mat, Mesh Pocket, Wipes Case, Zippered Pocket
Capacity: Approx. 4 large nappies + creams
Closure: Clip and Zips
Feature: Built-in pillow (Pronto Pillow)

7. Package Includes

1 x Skip Hop Pronto Changing Clutch
1 x Zip-off Changing Pad (Integrated)
1 x Translucent Wipes Case

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 Care And Safety
Support Item Number: 03_090000911_0103_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 Skip Hop Pronto Changing Station is a specialized Daily Living and Organization aid. It is designed to assist NDIS participants who are parenting or caring for a child and experience functional limitations in mobility, organization, or fine motor control.

How This Item Can Support NDIS Goals

This device directly supports NDIS goals related to independent living, parenting capacity, and community participation by:

Reducing Physical Strain: Eliminating the need to carry heavy, non-ergonomic nappy bags by providing a lightweight, clip-on alternative.

Improving Organization: Supporting executive function through visual storage, ensuring essential care items are always accessible.

Facilitating Community Access: Reducing the logistical barriers to leaving the house, promoting social inclusion for the parent and child.

Meeting 'Reasonable & Necessary' Criteria

This device aligns with NDIS criteria as a value-for-money core support. It is a durable, multi-purpose tool that significantly enhances the participant's capacity to provide care independently.

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: Portable hygiene organization for parenting with limited mobility/dexterity.

NDIS Category: Core Consumables / Low Cost AT.

Storage: 4 Nappies.

Feature: Wheelchair/Stroller Clip.

Skip Hop Portable Changing Station | NDIS Hygiene & Storage Aid