NDIS to slash fees for key health workers to curb costs
The National Disability Insurance Agency says a review of more than 10 million transactions found that many pricing limits for NDIS therapies were out of step with broader market rates. In some cases, NDIS providers were charging fees that were 68 per cent higher.
The agency confirmed on Wednesday that the maximum hourly rate for NDIS physiotherapists would be cut by $10 from July 1, resulting in a new national cap of $183.99 an hour.
Similarly, dieticians and podiatrists will have their maximum hourly rates slashed by $5 in the new financial year, resulting in a new national cap of $188.99 for both professions.
'Inflated therapy price points – initially established to support market development in some states and territories in 2019, do not have conclusive evidence to continue,' the NDIA said in a statement.
'Data confirms that people with disability have been paying 'NDIS premiums' for certain therapies. As a result, a number of price points have been adjusted to align with non-NDIS market rates.
'These pricing adjustments are a big step towards further safeguarding participants to ensure they are charged the same as anyone else.'
While some professions have had their maximum NDIS rates cut as part of this year's annual pricing review, disability support workers will have their price limit lifted by 3.95 per cent to reflect the recent increase to the minimum wage.
Introduced in 2013 by the Gillard government, the NDIS today supports up to 700,000 Australians with a disability and contributes to some 500,000 jobs.
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The Advertiser
11 hours ago
- The Advertiser
Vaping attitudes changing, but addiction lingers for some
Ben, not his real name, did not think that trying a vape as a teenager would lead to years of fighting a nicotine addiction. "I wish I'd never had nicotine, it's like a door and once you open it, you can't close it. It's always in the back of your mind," Ben, now aged 20, said. The university student said he was never warned about the health impacts of e-cigarettes, which Cancer Council ACT says include delayed brain development, seizures, poisoning, insomnia and mood changes. University of Sydney research, funded by Cancer Council, said while vaping increased rapidly among young people from 2019, that trend may be slowing or even reversing. The federal government banned the import of disposable vapes in 2024. It is only legal to buy low-dose nicotine e-cigarettes from a pharmacy. Cancer Council ACT said, "data from the ACT General Health Survey tells us that around two-thirds of young people have tried vaping, but over one in three are either not taking it up, or have already quit". While vapes are still sold illegally by many Canberra shopfronts, including tobacconists, bottle shops, convenience stores, petrol stations and news agencies, their reputation among young people may be changing. "Vapes have a bad rep," Ben said. "There's a big stereotype on people who use vapes that you're weird or that you're childish." Generation Vape study lead author Associate Professor Becky Freeman said most young Australians have never used nicotine products. "We're increasingly hearing young people saying that they're embarrassed that they vape, they don't want to be vaping, and the realities of addiction are beginning to rear their heads," Dr Freeman said. Health authorities are concerned that e-cigarettes are a gateway to tobacco. Ben said people switch from vapes to cigarettes because they have to smoke them less frequently. A July 2025 Generation Vape report said fewer Australian teens, aged 14 to 17, were smoking. Only 6 per cent had tried a cigarette. Now Ben and his mates have ditched vapes in favour of nicotine pouches, also referred to as Zyns (a popular brand) or upperdeckies. They are similar to snus, but do not contain tobacco and come in flavours like cherry, mint, citrus, coffee and cola. "It was a lot better for me because there was no smoke involved, it was just nicotine," Ben said. "It's the cheaper and safest way." Cancer Council said 950 per cent more pouches were seized at the Australian border in 2023 than in the previous two years. "Nicotine pouches usually contain very high levels of nicotine. Alongside damage to the mouth, they are mostly linked to the symptoms of excessive nicotine use," Cancer Council ACT said. "For young people, nicotine changes the way the brain matures, and can affect learning, memory, and attention long term, as well as making young people more susceptible to other drugs of addiction later in life." Dr Freeman claimed the pouches were another marketing ploy by Big Tobacco to addict young people. "There is no evidence that pouches are an effective way to quit smoking or vaping. We do have lots of other evidence-based ways to help people quit," she said. Ben said he has about eight 20mg pouches a day, which is eight times stronger than the strongest vape bought legally and without a prescription. Only 2 per cent of 14 to 17-year-olds surveyed for the latest Generation Vape report said they had tried a pouch. Ben, who graduated in 2023, wishes the private high school he attended in the ACT had taught him that vaping, not just smoking cigarettes, was unhealthy. "They didn't advocate against it," he said. "They just said, 'If you do it and we catch you, you're f---ed, don't do it at school'. There was no message about health." Cancer Council ACT said their research suggested smoking and vaping education was a bigger focus for Canberra schools in 2025 than in 2023. The Association of Independent Schools of the ACT said education around alcohol and other drugs is a key part of the Australian curriculum, which all schools follow. Ben, not his real name, did not think that trying a vape as a teenager would lead to years of fighting a nicotine addiction. "I wish I'd never had nicotine, it's like a door and once you open it, you can't close it. It's always in the back of your mind," Ben, now aged 20, said. The university student said he was never warned about the health impacts of e-cigarettes, which Cancer Council ACT says include delayed brain development, seizures, poisoning, insomnia and mood changes. University of Sydney research, funded by Cancer Council, said while vaping increased rapidly among young people from 2019, that trend may be slowing or even reversing. The federal government banned the import of disposable vapes in 2024. It is only legal to buy low-dose nicotine e-cigarettes from a pharmacy. Cancer Council ACT said, "data from the ACT General Health Survey tells us that around two-thirds of young people have tried vaping, but over one in three are either not taking it up, or have already quit". While vapes are still sold illegally by many Canberra shopfronts, including tobacconists, bottle shops, convenience stores, petrol stations and news agencies, their reputation among young people may be changing. "Vapes have a bad rep," Ben said. "There's a big stereotype on people who use vapes that you're weird or that you're childish." Generation Vape study lead author Associate Professor Becky Freeman said most young Australians have never used nicotine products. "We're increasingly hearing young people saying that they're embarrassed that they vape, they don't want to be vaping, and the realities of addiction are beginning to rear their heads," Dr Freeman said. Health authorities are concerned that e-cigarettes are a gateway to tobacco. Ben said people switch from vapes to cigarettes because they have to smoke them less frequently. A July 2025 Generation Vape report said fewer Australian teens, aged 14 to 17, were smoking. Only 6 per cent had tried a cigarette. Now Ben and his mates have ditched vapes in favour of nicotine pouches, also referred to as Zyns (a popular brand) or upperdeckies. They are similar to snus, but do not contain tobacco and come in flavours like cherry, mint, citrus, coffee and cola. "It was a lot better for me because there was no smoke involved, it was just nicotine," Ben said. "It's the cheaper and safest way." Cancer Council said 950 per cent more pouches were seized at the Australian border in 2023 than in the previous two years. "Nicotine pouches usually contain very high levels of nicotine. Alongside damage to the mouth, they are mostly linked to the symptoms of excessive nicotine use," Cancer Council ACT said. "For young people, nicotine changes the way the brain matures, and can affect learning, memory, and attention long term, as well as making young people more susceptible to other drugs of addiction later in life." Dr Freeman claimed the pouches were another marketing ploy by Big Tobacco to addict young people. "There is no evidence that pouches are an effective way to quit smoking or vaping. We do have lots of other evidence-based ways to help people quit," she said. Ben said he has about eight 20mg pouches a day, which is eight times stronger than the strongest vape bought legally and without a prescription. Only 2 per cent of 14 to 17-year-olds surveyed for the latest Generation Vape report said they had tried a pouch. Ben, who graduated in 2023, wishes the private high school he attended in the ACT had taught him that vaping, not just smoking cigarettes, was unhealthy. "They didn't advocate against it," he said. "They just said, 'If you do it and we catch you, you're f---ed, don't do it at school'. There was no message about health." Cancer Council ACT said their research suggested smoking and vaping education was a bigger focus for Canberra schools in 2025 than in 2023. The Association of Independent Schools of the ACT said education around alcohol and other drugs is a key part of the Australian curriculum, which all schools follow. Ben, not his real name, did not think that trying a vape as a teenager would lead to years of fighting a nicotine addiction. "I wish I'd never had nicotine, it's like a door and once you open it, you can't close it. It's always in the back of your mind," Ben, now aged 20, said. The university student said he was never warned about the health impacts of e-cigarettes, which Cancer Council ACT says include delayed brain development, seizures, poisoning, insomnia and mood changes. University of Sydney research, funded by Cancer Council, said while vaping increased rapidly among young people from 2019, that trend may be slowing or even reversing. The federal government banned the import of disposable vapes in 2024. It is only legal to buy low-dose nicotine e-cigarettes from a pharmacy. Cancer Council ACT said, "data from the ACT General Health Survey tells us that around two-thirds of young people have tried vaping, but over one in three are either not taking it up, or have already quit". While vapes are still sold illegally by many Canberra shopfronts, including tobacconists, bottle shops, convenience stores, petrol stations and news agencies, their reputation among young people may be changing. "Vapes have a bad rep," Ben said. "There's a big stereotype on people who use vapes that you're weird or that you're childish." Generation Vape study lead author Associate Professor Becky Freeman said most young Australians have never used nicotine products. "We're increasingly hearing young people saying that they're embarrassed that they vape, they don't want to be vaping, and the realities of addiction are beginning to rear their heads," Dr Freeman said. Health authorities are concerned that e-cigarettes are a gateway to tobacco. Ben said people switch from vapes to cigarettes because they have to smoke them less frequently. A July 2025 Generation Vape report said fewer Australian teens, aged 14 to 17, were smoking. Only 6 per cent had tried a cigarette. Now Ben and his mates have ditched vapes in favour of nicotine pouches, also referred to as Zyns (a popular brand) or upperdeckies. They are similar to snus, but do not contain tobacco and come in flavours like cherry, mint, citrus, coffee and cola. "It was a lot better for me because there was no smoke involved, it was just nicotine," Ben said. "It's the cheaper and safest way." Cancer Council said 950 per cent more pouches were seized at the Australian border in 2023 than in the previous two years. "Nicotine pouches usually contain very high levels of nicotine. Alongside damage to the mouth, they are mostly linked to the symptoms of excessive nicotine use," Cancer Council ACT said. "For young people, nicotine changes the way the brain matures, and can affect learning, memory, and attention long term, as well as making young people more susceptible to other drugs of addiction later in life." Dr Freeman claimed the pouches were another marketing ploy by Big Tobacco to addict young people. "There is no evidence that pouches are an effective way to quit smoking or vaping. We do have lots of other evidence-based ways to help people quit," she said. Ben said he has about eight 20mg pouches a day, which is eight times stronger than the strongest vape bought legally and without a prescription. Only 2 per cent of 14 to 17-year-olds surveyed for the latest Generation Vape report said they had tried a pouch. Ben, who graduated in 2023, wishes the private high school he attended in the ACT had taught him that vaping, not just smoking cigarettes, was unhealthy. "They didn't advocate against it," he said. "They just said, 'If you do it and we catch you, you're f---ed, don't do it at school'. There was no message about health." Cancer Council ACT said their research suggested smoking and vaping education was a bigger focus for Canberra schools in 2025 than in 2023. The Association of Independent Schools of the ACT said education around alcohol and other drugs is a key part of the Australian curriculum, which all schools follow. Ben, not his real name, did not think that trying a vape as a teenager would lead to years of fighting a nicotine addiction. "I wish I'd never had nicotine, it's like a door and once you open it, you can't close it. It's always in the back of your mind," Ben, now aged 20, said. The university student said he was never warned about the health impacts of e-cigarettes, which Cancer Council ACT says include delayed brain development, seizures, poisoning, insomnia and mood changes. University of Sydney research, funded by Cancer Council, said while vaping increased rapidly among young people from 2019, that trend may be slowing or even reversing. The federal government banned the import of disposable vapes in 2024. It is only legal to buy low-dose nicotine e-cigarettes from a pharmacy. Cancer Council ACT said, "data from the ACT General Health Survey tells us that around two-thirds of young people have tried vaping, but over one in three are either not taking it up, or have already quit". While vapes are still sold illegally by many Canberra shopfronts, including tobacconists, bottle shops, convenience stores, petrol stations and news agencies, their reputation among young people may be changing. "Vapes have a bad rep," Ben said. "There's a big stereotype on people who use vapes that you're weird or that you're childish." Generation Vape study lead author Associate Professor Becky Freeman said most young Australians have never used nicotine products. "We're increasingly hearing young people saying that they're embarrassed that they vape, they don't want to be vaping, and the realities of addiction are beginning to rear their heads," Dr Freeman said. Health authorities are concerned that e-cigarettes are a gateway to tobacco. Ben said people switch from vapes to cigarettes because they have to smoke them less frequently. A July 2025 Generation Vape report said fewer Australian teens, aged 14 to 17, were smoking. Only 6 per cent had tried a cigarette. Now Ben and his mates have ditched vapes in favour of nicotine pouches, also referred to as Zyns (a popular brand) or upperdeckies. They are similar to snus, but do not contain tobacco and come in flavours like cherry, mint, citrus, coffee and cola. "It was a lot better for me because there was no smoke involved, it was just nicotine," Ben said. "It's the cheaper and safest way." Cancer Council said 950 per cent more pouches were seized at the Australian border in 2023 than in the previous two years. "Nicotine pouches usually contain very high levels of nicotine. Alongside damage to the mouth, they are mostly linked to the symptoms of excessive nicotine use," Cancer Council ACT said. "For young people, nicotine changes the way the brain matures, and can affect learning, memory, and attention long term, as well as making young people more susceptible to other drugs of addiction later in life." Dr Freeman claimed the pouches were another marketing ploy by Big Tobacco to addict young people. "There is no evidence that pouches are an effective way to quit smoking or vaping. We do have lots of other evidence-based ways to help people quit," she said. Ben said he has about eight 20mg pouches a day, which is eight times stronger than the strongest vape bought legally and without a prescription. Only 2 per cent of 14 to 17-year-olds surveyed for the latest Generation Vape report said they had tried a pouch. Ben, who graduated in 2023, wishes the private high school he attended in the ACT had taught him that vaping, not just smoking cigarettes, was unhealthy. "They didn't advocate against it," he said. "They just said, 'If you do it and we catch you, you're f---ed, don't do it at school'. There was no message about health." Cancer Council ACT said their research suggested smoking and vaping education was a bigger focus for Canberra schools in 2025 than in 2023. The Association of Independent Schools of the ACT said education around alcohol and other drugs is a key part of the Australian curriculum, which all schools follow.
Perth Now
a day ago
- Perth Now
Expert reveals secrets to flawless sleep
A new report has revealed the extent of Australia's silent sleep epidemic, with one expert offering simple fixes for the nation's most common sleeping difficulties. The Great Aussie Wake-Up, commissioned by Holiday Inn Express, found that 91 per cent of Australians struggle to fall or stay asleep in a typical week, and 93 per cent regularly wake up too early. Sleep expert Olivia Arezzolo said the research showed the issue had progressed from a problem to a crisis. But she said three core controllable elements could be implemented to form the foundation for good sleep. 'When you look at the biomechanics of the circadian rhythm, there are key factors which control it,' she said. An increase in stress hormone cortisol is a common side effect of sleep problems. Supplied Credit: Supplied 'Light is one, eating is another, and temperature is another. Before adding the nice-to-haves, you need to get the essentials right first.' In terms of food, Ms Arezzolo stressed the importance of having breakfast and warned against all too common late night snacking. 'I think a really big factor which is often overlooked, is there's this massive growth in intermittent fasting,' she said. 'It's one of the biggest trends of 2025 and this is meaning that a lot of Gen Z, but also just overall Aussies, are skipping breakfast. 'The stat from the Holiday Inn research was that 76 per cent of Aussies are losing part of their morning routine and one in four are not eating breakfast. 'Breakfast is absolutely critical for circadian rhythm alignment. I'm sure you've heard that term with reference to light and temperature, but eating is also a regulator of the circadian rhythm. 'It essentially anchors the body clock. So in order to fall asleep with ease in the evening, we need to be having breakfast within the first hour of being awake.' Ms Arezzolo says missing the first meal of the day can set you up for sleep failure. Supplied Credit: Supplied Ms Arezzolo said you ideally want three hours in between your last meal of the day and bedtime. For coffee it was a minimum of eight hours. 'I have a 2pm absolute latest cut-off time (for coffee), but ideally, you want nothing after 12 o'clock, especially if you're struggling to sleep.' For light Ms Arezzolo recommended getting 20 minutes of light within 30 minutes of waking and staying away from blue light producing screens close to bedtime. 'Like eating, light is a factor controlling the circadian rhythm. 'Essentially, if you're exposed to blue light in the evening, then you have the suppression of melatonin, which is your key sleep hormone to fall and stay asleep. 'This is akin to having a coffee before bed. As soon as you have that blue light enter your eyes, you have the biological signals to remain alert and awake.' Another key finding of the report was an overreliance on the snooze button with more than half (52 per cent) of Australians hitting snooze every morning. Gen Z were among the worst offenders, with a massive 70 per cent regularly hitting the button – and one in ten tapping snooze at least 120 times a month. Sleep expert Olivia Arezzolo said light, food, temperature and exercise form the cornerstones of good sleep. Supplied Credit: Supplied 'When you're hitting the snooze button regularly, every time the alarm goes off, you get a spike in your stress hormone cortisol,' Ms Arezzolo said. 'Too much cortisol leads to chronic states of anxiety, burnout, having that 'wired but tired feeling', being unable to sleep, and particularly 3am wakings. 'You're essentially setting your nervous system up to be on overdrive from the moment you wake up simply by pressing the snooze button, not just once, but multiple times. So that one is definitely alarming. Pardon the pun.' Ms Arezzolo said in the course of her regular life, people are constantly asking her to fix their sleep however they tend to focus on alternative aids rather than focusing on the essentials. 'I'm like, 'okay, but tell me about your mornings and tell me about your evenings. What are you doing just before you're waking up and just before you're going to sleep? What are you doing just when you're waking up? Do you have the foundations right'? And nine times out of 10, they don't. 'You can't overlook these and then just pick and choose which sleep strategies you want to employ because you prefer that. It doesn't work like that. It's biology. 'Circadian rhythm is controlled by light, temperature and eating. So you have to get these things right.' Following the research, Holiday Inn are offering guests free hot breakfast across each of their locations.
West Australian
a day ago
- West Australian
‘Crisis': Expert reveals secrets to how to get a flawless sleep
A new report has revealed the extent of Australia's silent sleep epidemic, with one expert offering simple fixes for the nation's most common sleeping difficulties. The Great Aussie Wake-Up, commissioned by Holiday Inn Express, found that 91 per cent of Australians struggle to fall or stay asleep in a typical week, and 93 per cent regularly wake up too early. Sleep expert Olivia Arezzolo said the research showed the issue had progressed from a problem to a crisis. But she said three core controllable elements could be implemented to form the foundation for good sleep. 'When you look at the biomechanics of the circadian rhythm, there are key factors which control it,' she said. 'Light is one, eating is another, and temperature is another. Before adding the nice-to-haves, you need to get the essentials right first.' In terms of food, Ms Arezzolo stressed the importance of having breakfast and warned against all too common late night snacking. 'I think a really big factor which is often overlooked, is there's this massive growth in intermittent fasting,' she said. 'It's one of the biggest trends of 2025 and this is meaning that a lot of Gen Z, but also just overall Aussies, are skipping breakfast. 'The stat from the Holiday Inn research was that 76 per cent of Aussies are losing part of their morning routine and one in four are not eating breakfast. 'Breakfast is absolutely critical for circadian rhythm alignment. I'm sure you've heard that term with reference to light and temperature, but eating is also a regulator of the circadian rhythm. 'It essentially anchors the body clock. So in order to fall asleep with ease in the evening, we need to be having breakfast within the first hour of being awake.' Ms Arezzolo said you ideally want three hours in between your last meal of the day and bedtime. For coffee it was a minimum of eight hours. 'I have a 2pm absolute latest cut-off time (for coffee), but ideally, you want nothing after 12 o'clock, especially if you're struggling to sleep.' For light Ms Arezzolo recommended getting 20 minutes of light within 30 minutes of waking and staying away from blue light producing screens close to bedtime. 'Like eating, light is a factor controlling the circadian rhythm. 'Essentially, if you're exposed to blue light in the evening, then you have the suppression of melatonin, which is your key sleep hormone to fall and stay asleep. 'This is akin to having a coffee before bed. As soon as you have that blue light enter your eyes, you have the biological signals to remain alert and awake.' Another key finding of the report was an overreliance on the snooze button with more than half (52 per cent) of Australians hitting snooze every morning. Gen Z were among the worst offenders, with a massive 70 per cent regularly hitting the button – and one in ten tapping snooze at least 120 times a month. 'When you're hitting the snooze button regularly, every time the alarm goes off, you get a spike in your stress hormone cortisol,' Ms Arezzolo said. 'Too much cortisol leads to chronic states of anxiety, burnout, having that 'wired but tired feeling', being unable to sleep, and particularly 3am wakings. 'You're essentially setting your nervous system up to be on overdrive from the moment you wake up simply by pressing the snooze button, not just once, but multiple times. So that one is definitely alarming. Pardon the pun.' Ms Arezzolo said in the course of her regular life, people are constantly asking her to fix their sleep however they tend to focus on alternative aids rather than focusing on the essentials. 'I'm like, 'okay, but tell me about your mornings and tell me about your evenings. What are you doing just before you're waking up and just before you're going to sleep? What are you doing just when you're waking up? Do you have the foundations right'? And nine times out of 10, they don't. 'You can't overlook these and then just pick and choose which sleep strategies you want to employ because you prefer that. It doesn't work like that. It's biology. 'Circadian rhythm is controlled by light, temperature and eating. So you have to get these things right.' Following the research, Holiday Inn are offering guests free hot breakfast across each of their locations.
