No Waitlist for Functional Capacity Assessments

Belong Health has immediate capacity for Functional Capacity Assessments, with experienced Senior Occupational Therapists providing comprehensive assessments and detailed reports throughout Western Australia.

We understand that many participants, families and Support Coordinators are working within important NDIS timeframes. Our team focuses on completing high-quality assessments while maintaining efficient communication and timely report completion.

Whether you require an FCA for an upcoming plan review, a change in circumstances, Assistive Technology, SIL, SDA or a comprehensive review of your current support needs, our team is here to help.
What Is a Functional Capacity Assessment?

A Functional Capacity Assessment (FCA) is a detailed Occupational Therapy assessment that evaluates how a person's disability affects their ability to participate in everyday life.

Rather than focusing solely on a medical diagnosis, an FCA examines how a person functions across a range of daily activities and environments, identifying both their existing strengths and the areas where additional support may be beneficial.
Occupational Therapists assess how an individual manages everyday occupations such as:
  • Personal care
  • Household activities
  • Mobility
  • Communication
  • Community participation
  • Learning
  • Self-management
  • Social interaction
  • Safety
  • Decision making
  • Organisation
  • Daily routines
The purpose of an FCA is to develop a comprehensive understanding of how disability affects everyday functioning and to provide practical recommendations that support meaningful participation, independence and quality of life.

Every Functional Capacity Assessment is individualised. No two reports are exactly the same because every person's goals, strengths, environments and support needs are different.
Not Sure if You Need a Functional Capacity Assessment?

Many people know they've heard of a Functional Capacity Assessment (FCA), but aren't sure whether they actually need one. The answer depends on your individual circumstances, goals and support needs. If you're wondering whether an FCA is appropriate for you or someone you support, our guide explains who may benefit, when an assessment is recommended and how to know if it's the right next step.

Learn more Do I Need a Functional Capacity Assessment?
What Does "Functional Capacity" Mean?

One of the most common questions we are asked is:
"What does functional capacity actually mean?"
Functional capacity refers to a person's ability to perform the everyday activities that are important to them.

This goes far beyond whether someone can physically complete a task.
Occupational Therapists consider questions such as:
  • Can the person complete the task safely?
  • Can they complete it consistently?
  • Can they complete it without excessive fatigue?
  • Can they complete it without assistance?
  • Can they complete it within a reasonable amount of time?
  • Can they adapt when something unexpected happens?
  • Can they complete the task across different environments?
For example, someone may technically be able to prepare a simple meal.
However, they may:
  • Require constant prompting.
  • Forget important steps.
  • Become overwhelmed by multiple tasks.
  • Need extended recovery time afterwards.
  • Be unable to safely use kitchen appliances.
  • Require supervision to reduce safety risks.
While the meal is eventually prepared, the person's functional capacity is clearly affected.
Understanding these real-world challenges is one of the key reasons Functional Capacity Assessments are so valuable.
Functional Capacity Is About Everyday Life

Occupational Therapists focus on how disability affects participation in meaningful occupations.
An FCA may explore how a person manages everyday activities such as:

Personal Care
Including:
  • Showering
  • Dressing
  • Grooming
  • Toileting
  • Oral hygiene

Domestic Activities
Such as:
  • Cooking
  • Cleaning
  • Laundry
  • Shopping
  • Meal preparation
  • Household organisation

Community Participation
Including:
  • Attending appointments
  • Shopping independently
  • Using public transport
  • Participating in recreation
  • Visiting family and friends
  • Accessing community services

Education
For children and young people this may include:
  • School participation
  • Classroom routines
  • Attention and organisation
  • Playground participation
  • Learning activities
  • Managing transitions

Employment
For adults this may include:
  • Attending work
  • Managing work routines
  • Fatigue
  • Organisation
  • Workplace participation
  • Executive functioning​

Independent Living
Occupational Therapists also consider:
  • Managing medications
  • Budgeting
  • Managing appointments
  • Decision making
  • Home safety
  • Problem solving
  • Self-management
The assessment examines how all of these areas work together to influence a person's overall functional capacity.
Why Are Functional Capacity Assessments Important?

A diagnosis alone does not explain how disability affects someone's everyday life.
Two people with the same diagnosis may have very different strengths, support needs and functional abilities.
For example, two individuals with Autism, Cerebral Palsy, Multiple Sclerosis or Parkinson's disease may experience very different challenges in daily living.

A Functional Capacity Assessment helps explain:
  • How disability affects everyday participation.
  • What supports are currently working well.
  • Where barriers exist.
  • Which supports may improve independence.
  • What equipment or environmental changes may be appropriate.
  • Whether current supports continue to meet the person's needs.
  • How recommendations align with the person's goals.
This information can help participants, families, Support Coordinators and the NDIA better understand the person's current functional capacity and future support requirements.
When Might a Functional Capacity Assessment Be Recommended?

A Functional Capacity Assessment may be beneficial when:
  • Applying for the NDIS.
  • Preparing for an NDIS plan review.
  • Experiencing significant changes in function.
  • Seeking additional funding.
  • Requesting Assistive Technology.
  • Exploring Home Modifications.
  • Applying for Supported Independent Living (SIL).
  • Applying for Specialist Disability Accommodation (SDA).
  • Transitioning between life stages.
  • Leaving hospital following illness or injury.
  • Planning therapy supports.
  • Existing reports no longer reflect current needs.
Many participants complete an FCA every few years to ensure their supports continue to reflect their current circumstances and long-term goals.
Functional Capacity Is More Than Independence

One of the biggest misconceptions about Functional Capacity Assessments is that they simply determine whether someone is independent or dependent.
​
In reality, functional capacity exists along a continuum.
A person may complete an activity independently but:
  • require significantly more time than others
  • experience substantial fatigue afterwards
  • rely on visual supports or reminders
  • require environmental modifications
  • need assistance during unexpected situations
  • only complete the task in familiar environments
Occupational Therapists recognise these important differences.
Our role is not simply to ask whether a task can be completed.

​We assess how it is completed, how consistently, how safely, under what circumstances, and what supports are required to make participation possible.

This functional approach provides a much richer understanding of everyday life than diagnosis or observation alone.
Functional Capacity Is Dynamic

Functional capacity is not fixed.
Many people experience fluctuations depending on factors such as:
  • Fatigue
  • Pain
  • Anxiety
  • Sensory overload
  • Mental health
  • Sleep quality
  • Medication
  • Environment
  • Time of day
  • Illness
  • Support availability
For this reason, Occupational Therapists consider not only what someone can do on their "best day", but also how consistently they are able to function over time and across different environments.

Understanding these fluctuations helps ensure recommendations are realistic, person-centred and aligned with the individual's everyday experiences.
What Happens During a Functional Capacity Assessment?

Every Functional Capacity Assessment is tailored to the individual.
No two assessments are exactly the same because every person's goals, disability, environments and support needs are different.

Rather than following a simple checklist, Occupational Therapists use clinical reasoning, evidence-informed assessment tools and functional observation to develop a comprehensive understanding of how disability affects everyday life.

Depending on the purpose of the assessment, the Functional Capacity Assessment process may include several stages.
Step 1 - Understanding Your Referral

The first step is understanding why the Functional Capacity Assessment has been requested.
Your Occupational Therapist will review available information and discuss the purpose of the assessment.
Common reasons include:
  • NDIS Access Requests
  • NDIS Plan Reviews
  • Change of Circumstances
  • Increased Support Needs
  • Functional Decline
  • Hospital Discharge
  • Assistive Technology
  • Home Modifications
  • Specialist Disability Accommodation (SDA)
  • Supported Independent Living (SIL)
  • Therapy Planning
Understanding the purpose of the assessment helps ensure the report addresses the specific questions being asked.
Step 2 - Learning About You

Before assessing function, your Occupational Therapist takes time to understand you as a person.
We want to understand not only your challenges, but also:
  • Your strengths
  • Your interests
  • Your goals
  • What is important to you
  • Your daily routines
  • Your support network
  • Your home environment
  • Your education or employment
  • Your community participation
This person-centred approach ensures recommendations align with your own goals rather than simply focusing on disability.
Step 3 - Reviewing Background Information

Where available, your Occupational Therapist may review previous information such as:
  • Previous Occupational Therapy reports
  • Medical reports
  • Specialist reports
  • Psychology reports
  • Speech Pathology reports
  • Physiotherapy reports
  • Hospital discharge summaries
  • Previous NDIS plans
  • Existing Functional Capacity Assessments
  • Behaviour Support Plans
  • School reports
  • Individual Education Plans (IEPs)
Reviewing existing information helps avoid unnecessary duplication and provides important clinical context.
Step 4 - Interview

A detailed interview forms an important part of the assessment.
Depending on age and support needs, this may involve:
  • The participant
  • Parents
  • Carers
  • Support workers
  • Support Coordinators
  • Family members
Topics commonly discussed include:
  • Daily routines
  • Personal care
  • Household tasks
  • Communication
  • Community access
  • Social participation
  • Mobility
  • Education
  • Employment
  • Emotional regulation
  • Fatigue
  • Pain
  • Sleep
  • Sensory needs
  • Current supports
  • Future goals
The interview allows your Occupational Therapist to understand not only what someone can do, but also how much support they require and how consistently they can perform everyday activities.
Step 5 - Functional Observation

One of the greatest strengths of Occupational Therapy is observing people completing meaningful everyday activities.
Rather than relying solely on interviews, Occupational Therapists observe how people actually function within real-life situations whenever appropriate.
This may include observing:
  • Walking
  • Transfers
  • Meal preparation
  • Personal care tasks
  • Household activities
  • Community access
  • Shopping
  • Organisation
  • Following routines
  • Managing appointments
  • Using assistive technology
  • School activities
  • Workplace tasks
These observations provide valuable information that cannot always be obtained through conversation alone.
Why Functional Observation Is So Important

Sometimes there can be significant differences between what a person believes they can do and what happens during everyday activities.
This is completely normal.
Factors such as fatigue, anxiety, sensory overload, pain or unfamiliar environments can influence functional performance.
For this reason, Occupational Therapists combine:
  • Interview findings
  • Functional observation
  • Clinical assessment
  • Standardised assessments
  • Professional judgement
to develop the most accurate understanding possible.
Step 6 - Standardised Assessments

Where appropriate, Occupational Therapists may use evidence-informed assessment tools to provide additional information about functional performance.
The assessment tools selected depend on:
  • Age
  • Diagnosis
  • Referral purpose
  • Functional concerns
  • Clinical presentation
Examples may include:
  • WHODAS 2.0
  • PEDI-CAT
  • Vineland (where appropriate)
  • Canadian Occupational Performance Measure (COPM)
  • Goal Attainment Scaling (GAS)
  • Functional Independence Measures
  • MoCA
  • SMMSE
  • RUDAS
  • Beery VMI
  • Sensory Profile
  • Clinical observation
  • Task-specific functional assessments
Not every participant requires formal assessment tools.
In many situations, clinical observation and functional assessment provide the most meaningful information.
Step 7 - Assessing Everyday Function

Rather than assessing isolated skills, Occupational Therapists evaluate how disability affects participation across everyday life.
This may include:

Personal Care
  • Showering
  • Dressing
  • Grooming
  • Toileting
  • Oral hygiene

Domestic Activities
  • Cooking
  • Cleaning
  • Laundry
  • Meal preparation
  • Household organisation

Community Participation
  • Shopping
  • Medical appointments
  • Recreation
  • Social activities
  • Public transport
  • Volunteering

Education
Where appropriate:
  • School participation
  • Classroom routines
  • Organisation
  • Attention
  • Learning activities
  • Transition between environments

Employment
Including:
  • Work routines
  • Fatigue management
  • Executive functioning
  • Workplace participation
  • Organisation
  • Productivity

Home Management
Your Occupational Therapist may also consider:
  • Medication management
  • Budgeting
  • Appointment management
  • Safety
  • Problem solving
  • Decision making
  • Self-management
Step 8 - Looking Beyond Physical Ability

One of the most important parts of an Occupational Therapy Functional Capacity Assessment is recognising that disability affects much more than physical function.
Your Occupational Therapist also considers:
  • Cognition
  • Executive functioning
  • Memory
  • Attention
  • Communication
  • Emotional regulation
  • Sensory processing
  • Behaviour
  • Mental health
  • Fatigue
  • Pain
  • Motivation
  • Environmental barriers
  • Informal supports
  • Cultural considerations
These factors often interact to influence everyday participation.
Step 9 - Clinical Reasoning

This is one of the most valuable parts of the entire assessment process.
Clinical reasoning is where your Occupational Therapist brings together all of the information collected throughout the assessment.

Rather than simply describing what was observed, we consider:
  • Why difficulties occur
  • How disability affects function
  • What supports are already working
  • What barriers remain
  • Which recommendations are likely to improve participation
  • Whether supports represent value for money under the NDIS
  • How recommendations align with the participant's goals
This process transforms assessment findings into meaningful recommendations.
Step 10 - Preparing Your Functional Capacity Assessment Report

Following the assessment, your Occupational Therapist prepares a comprehensive report.
The report is much more than a summary of the appointment.
It explains:
  • Assessment findings
  • Functional strengths
  • Functional limitations
  • Clinical observations
  • Standardised assessment results (where applicable)
  • Clinical reasoning
  • Impact on everyday life
  • Recommendations
  • Equipment needs
  • Therapy recommendations
  • Environmental recommendations
  • Future support needs
Reports are written in a way that clearly explains how disability affects functional participation and why specific recommendations are being made. 
Learn more about How to Prepare for a Functional Capacity Assessment
Why Does a Functional Capacity Assessment Take So Long?

One of the most common questions we receive is why a Functional Capacity Assessment involves significantly more time than the face-to-face appointment.
​
While the assessment appointment itself may take around two to three hours, a comprehensive FCA often requires approximately 10-15 hours in total, depending on the complexity of the individual's needs.
This additional time is spent on:
  • Reviewing background information
  • Interview preparation
  • Functional observation
  • Standardised assessment scoring
  • Clinical reasoning
  • Reviewing evidence
  • Developing recommendations
  • Writing the report
  • Quality reviewing the report
  • Communicating with relevant stakeholders where appropriate
A high-quality FCA report requires careful analysis rather than simply documenting what occurred during the appointment.

Our goal is to produce a report that accurately reflects the participant's everyday functioning and provides meaningful, evidence-based recommendations that can support future planning.

​The approximate cost for an FCA $1,939.90 (10hrs) - $2,909.85​ (15hrs)
Understanding the NDIS Functional Domains

One of the primary goals of a Functional Capacity Assessment is to understand how a person's disability affects their ability to participate in everyday life across multiple functional domains.

Rather than looking at a diagnosis alone, Occupational Therapists consider how disability influences day-to-day activities, independence, participation and quality of life.

The National Disability Insurance Scheme (NDIS) considers evidence relating to a participant's functional capacity when determining appropriate disability-related supports.

During a Functional Capacity Assessment, Occupational Therapists gather information across several important areas of everyday functioning to develop a comprehensive understanding of the person's strengths, support needs and long-term goals.

Every assessment is individualised. Some participants may experience challenges across multiple domains, while others may require support in only one or two areas.
​
Learn more about Understanding the NDIS Functional Domains
Communication

Communication is about much more than speaking.
Occupational Therapists consider how an individual communicates their needs, understands information and participates in everyday interactions.
Depending on the person's circumstances, this may include:
  • Expressing wants and needs
  • Understanding spoken language
  • Following instructions
  • Using alternative communication methods
  • Reading and writing
  • Social communication
  • Telephone use
  • Digital communication
  • Communicating in unfamiliar environments
  • Communicating during times of stress
For some participants, communication may be influenced by:
  • Autism
  • Intellectual disability
  • Acquired brain injury
  • Stroke
  • Neurological conditions
  • Psychosocial disability
  • Fatigue
  • Anxiety
Where communication needs are identified, recommendations may include support from a Speech Pathologist, communication aids or Assistive Technology where appropriate.
Mobility

Mobility involves much more than walking.
Occupational Therapists assess how individuals move safely and efficiently throughout their home and community.
This may include:
  • Walking
  • Transfers
  • Standing
  • Sitting
  • Stair negotiation
  • Community mobility
  • Public transport
  • Vehicle transfers
  • Balance
  • Endurance
  • Fatigue
  • Wheelchair mobility
  • Powered mobility
The assessment also considers how mobility affects participation in everyday activities.
For example:
Can the person:
  • Shop independently?
  • Attend appointments?
  • Access school or work?
  • Participate in recreation?
  • Visit family and friends?
  • Move safely around their home?
Where appropriate, recommendations may include:
  • Assistive Technology
  • Mobility aids
  • Home Modifications
  • Falls prevention strategies
  • Electric Mobility Equipment
  • Seating and Wheelchair Assessments
Self-Care
​
Self-care includes the everyday personal activities that help people maintain their health, wellbeing and independence.
Occupational Therapists may assess:
  • Showering
  • Bathing
  • Dressing
  • Grooming
  • Toileting
  • Continence management
  • Oral hygiene
  • Feeding
  • Medication management
Importantly, the assessment explores not only whether a person can complete these tasks, but:
  • How safely they complete them.
  • How consistently they complete them.
  • How much assistance they require.
  • Whether fatigue affects performance.
  • Whether environmental barriers exist.
  • Whether Assistive Technology or home modifications may improve independence.
Where greater detail is required, an Activities of Daily Living (ADL) Assessment may also be recommended.
Self-Management

Self-management refers to the ability to organise, plan and manage everyday life.
This domain is often affected by executive functioning, cognition, mental health and daily routines.
Occupational Therapists may consider:
  • Planning the day
  • Managing appointments
  • Time management
  • Organisation
  • Medication routines
  • Financial management
  • Shopping
  • Decision making
  • Problem solving
  • Safety awareness
  • Responding to unexpected changes
Some people appear highly independent but expend significant physical or cognitive effort completing these activities.
A Functional Capacity Assessment helps identify these hidden support needs.
Learning

Learning involves the ability to develop new skills, apply knowledge and participate in education, training and everyday problem solving.
For children this may include:
  • Classroom participation
  • Following routines
  • Attention
  • Organisation
  • Completing school tasks
  • Managing transitions
  • Executive functioning
For adults it may include:
  • Learning workplace tasks
  • Following procedures
  • Adapting to change
  • Learning new technology
  • Building independent living skills
Recommendations may include Occupational Therapy, Speech Pathology, Psychology, environmental supports or Assistive Technology depending on the individual's goals.
Social and Community Participation

Participation is one of the central concepts of Occupational Therapy.
A person may have the physical ability to leave their home but still experience significant barriers participating in community life.
Occupational Therapists consider:
  • Friendships
  • Family relationships
  • Recreation
  • Community groups
  • Sporting activities
  • Volunteering
  • Employment
  • Shopping
  • Medical appointments
  • Cultural participation
  • Religious participation
  • Transport
  • Confidence in unfamiliar environments
The goal is to understand not only whether someone can access the community, but whether they can participate in the activities that are meaningful to them.
Looking Beyond the Functional Domains

While the NDIS functional domains provide an important framework, Occupational Therapists also consider many other factors that influence everyday participation.
These may include:

Home Environment
The layout of the home can significantly affect safety and independence.
Occupational Therapists may assess:
  • Accessibility
  • Bathroom safety
  • Kitchen design
  • Bedroom access
  • Entryways
  • Flooring
  • Lighting
  • Storage
  • Mobility within the home
Where barriers are identified, a Home Safety Assessment may also be recommended.

​Assistive Technology
Equipment can often improve participation when matched appropriately to the individual's functional needs.
Examples include:
  • Shower chairs
  • Walking frames
  • Wheelchairs
  • Powered wheelchairs
  • Pressure care equipment
  • Environmental control units
  • Communication devices
  • Adaptive kitchen equipment
Recommendations are based on clinical need rather than diagnosis alone.

Informal Supports
Occupational Therapists also consider the support currently provided by:
  • Family
  • Friends
  • Carers
  • Support workers
  • Community organisations
Understanding existing supports helps identify where additional assistance may or may not be required.

Risk and Safety
Safety is considered across many everyday environments.
This may include:
  • Falls
  • Wandering
  • Road safety
  • Cooking
  • Medication management
  • Community access
  • Behavioural risks
  • Fatigue
  • Pressure care
  • Emergency planning
Where specific risks are identified, additional assessments such as Falls Risk Assessments, Risk Assessments or Pressure Care Assessments may also be appropriate.
Functional Capacity Is About Participation

One of the core principles of Occupational Therapy is that participation matters.
A Functional Capacity Assessment is not simply about identifying what a person cannot do.
It is about understanding:
  • What is important to the person.
  • What they would like to achieve.
  • What barriers currently exist.
  • What supports may help reduce those barriers.
  • How participation can be maximised across home, school, work and community life.
This strengths-based, person-centred approach ensures recommendations are aligned with the participant's own goals and aspirations.
Functional Capacity Is More Than a Checklist

Every participant has a unique combination of strengths, abilities, environments and support needs.
Two people with the same diagnosis may have very different functional capacity.

For this reason, Occupational Therapists do not rely solely on diagnosis or standardised assessment scores.
Instead, we combine:
  • Interviews
  • Functional observation
  • Standardised assessments where appropriate
  • Clinical reasoning
  • Participant goals
  • Family and support worker input
  • Environmental assessment
  • Evidence-informed practice
to develop recommendations that accurately reflect how disability affects everyday life.

This holistic approach is one of the reasons Functional Capacity Assessments completed by experienced Occupational Therapists are widely used to support therapy planning, Assistive Technology recommendations, home modifications and NDIS decision-making.
What Recommendations Can Come From a Functional Capacity Assessment?

A Functional Capacity Assessment is not simply about identifying areas of difficulty. It is also about identifying the supports, services and strategies that may help a person participate more fully in everyday life.

Every recommendation is individualised and based on the participant's functional needs, personal goals, current supports and everyday environments.

Recommendations may relate to one or many areas of life, depending on the purpose of the assessment.
Capacity Building Supports

Many Functional Capacity Assessments identify opportunities to develop skills through therapy and capacity building supports.
Recommendations may include Occupational Therapy to support:
  • Activities of Daily Living (ADLs)
  • Independent living skills
  • Executive functioning
  • Emotional regulation
  • Sensory processing
  • Fine motor skills
  • Upper limb rehabilitation
  • Fatigue management
  • Community participation
  • School participation
  • Employment supports
Where appropriate, recommendations may also include other allied health services such as Speech Pathology, Psychology, Physiotherapy, Positive Behaviour Support or Exercise Physiology.
Assistive Technology Recommendations

​For some participants, equipment may significantly improve independence, safety and participation.

A Functional Capacity Assessment may recommend an Assistive Technology Assessment where specialised equipment requires further assessment and clinical justification.
Recommendations may include:
  • Shower chairs
  • Over-toilet aids
  • Transfer equipment
  • Pressure care equipment
  • Walking aids
  • Manual wheelchairs
  • Powered wheelchairs
  • Mobility scooters
  • Daily living equipment
  • Adaptive kitchen equipment
  • Environmental control systems
  • Communication devices
The Functional Capacity Assessment explains why equipment may be required and how it relates to the participant's disability and everyday functioning.
Home Modifications

Sometimes the greatest barriers to independence are found within the home environment rather than the individual themselves.
Where appropriate, an FCA may recommend a Home Safety Assessment, Minor Home Modifications Assessment or Complex Home Modifications Assessment.
Recommendations may include:
  • Grab rails
  • Handrails
  • Ramps
  • Bathroom modifications
  • Accessible showers
  • Widened doorways
  • Kitchen modifications
  • Lighting improvements
  • Flooring changes
  • Entry modifications
The goal is to create environments that support safe participation rather than expecting individuals to adapt to inaccessible spaces.
Supported Independent Living (SIL)

Some participants require daily support to live safely and independently.
Where appropriate, a Functional Capacity Assessment may recommend a dedicated Supported Independent Living (SIL) Assessment to explore:
  • Daily support needs
  • Overnight supports
  • Personal care
  • Household tasks
  • Community participation
  • Skill development
  • Supervision requirements

​An FCA may identify that SIL should be explored, while a SIL Assessment provides the detailed evidence required to determine the level and type of support that may be appropriate.
Specialist Disability Accommodation (SDA)

For participants with very high support needs or significant environmental barriers, a Functional Capacity Assessment may identify the need for a dedicated Specialist Disability Accommodation (SDA) Assessment.

An SDA Assessment considers whether specialised housing may better support the participant's functional needs, safety and long-term independence.

Recommendations are always based on clinical need and current NDIS eligibility requirements.
Support Worker Recommendations

A Functional Capacity Assessment may identify situations where additional support from disability support workers may improve participation in everyday life.
Recommendations may relate to:
  • Personal care
  • Household activities
  • Community access
  • Shopping
  • Meal preparation
  • Transport
  • Social participation
  • Skill development
  • Appointment attendance
Rather than replacing independence, support workers often assist individuals to participate more safely while developing skills and confidence over time.
Capacity Building Through Everyday Participation

One of the core principles of Occupational Therapy is that people develop skills through meaningful participation.
For this reason, recommendations often focus on increasing opportunities to participate in everyday life rather than reducing activity.
Examples may include:
  • Developing cooking skills
  • Improving community access
  • Increasing confidence using public transport
  • Building independent living skills
  • Developing routines
  • Improving organisation
  • Enhancing self-management
  • Building social participation
The aim is always to maximise participation while recognising each person's individual strengths and support needs.
Functional Capacity Assessments and NDIS Planning

Functional Capacity Assessments are commonly used to provide evidence during various stages of an individual's NDIS journey.
Depending on the participant's circumstances, an FCA may support:
  • Access requests
  • Plan reassessments
  • Scheduled plan reviews (where applicable under current NDIS processes)
  • Change of circumstances requests
  • Capacity building recommendations
  • Assistive Technology applications
  • Home Modification applications
  • SIL evidence
  • SDA evidence
  • Ongoing therapy planning
The Occupational Therapist's role is to provide clear, evidence-based information regarding how disability affects functional capacity and what supports may assist the participant to pursue their goals.

Funding decisions remain the responsibility of the National Disability Insurance Agency (NDIA) and are made in accordance with current legislation and operational guidelines.
Can a Functional Capacity Assessment Increase My NDIS Funding?

This is one of the most common questions we receive.
A Functional Capacity Assessment does not automatically result in increased funding.

Instead, it provides detailed evidence regarding the participant's current functional capacity, support needs and recommendations.

​Where the assessment identifies unmet disability-related support needs, the report may assist the NDIA in understanding why additional funded supports or changes to existing supports may be appropriate.

Every funding decision is made independently by the NDIA.
How Long Is a Functional Capacity Assessment Valid?

There is no fixed expiry date for a Functional Capacity Assessment.
However, an updated assessment may be beneficial when:
  • Functional abilities change.
  • Health conditions progress.
  • Goals change.
  • Support needs increase or decrease.
  • Significant life transitions occur.
  • Existing reports no longer reflect current circumstances.
  • Additional evidence is requested.
Many participants complete an updated FCA every few years, although the appropriate timing depends on individual circumstances.
Why Choose Belong Health?

Belong Health is committed to providing Functional Capacity Assessments that are comprehensive, clinically robust and centred around each participant's goals.

Our Senior Occupational Therapists have extensive experience completing Functional Capacity Assessments across a wide range of ages, disabilities and funding pathways.

We support:
  • Children
  • Adolescents
  • Adults
  • Older adults
  • NDIS participants
  • Private clients

Our Occupational Therapists complete assessments across:
  • Perth
  • Mandurah
  • Rockingham
  • Peel Region
  • Regional Western Australia
  • Telehealth where clinically appropriate

​Every Functional Capacity Assessment is:
  • Person-centred
  • Neurodiversity-affirming
  • Goal-focused
  • Evidence-informed
  • Individualised
  • Functional
  • Practical

We work collaboratively with participants, families, Support Coordinators, Plan Managers, General Practitioners, Specialists, hospitals, schools and other allied health professionals to ensure our recommendations are meaningful, realistic and aligned with the participant's long-term goals.
Ready to Get Started?

Whether you're preparing for an NDIS access request, plan review, Assistive Technology application, Home Modifications, SIL, SDA or simply want a better understanding of your current functional capacity, Belong Health is here to help.

Our experienced Senior Occupational Therapists provide comprehensive Functional Capacity Assessments throughout Perth, Mandurah, Rockingham, the Peel Region and wider Western Australia, with telehealth services available where clinically appropriate.

We understand that every participant's journey is different, and we take the time to understand your goals, strengths and support needs before developing practical, evidence-based recommendations that reflect your everyday life.

If you would like to learn more about our Functional Capacity Assessments or discuss whether an FCA is right for you, contact our friendly team today. We'd be happy to answer your questions and guide you through the process.

Call us on 08 9586 3934,  submit an enquiry through our website, or speak with your Support Coordinator or healthcare professional about arranging a Functional Capacity Assessment with Belong Health. 

Have a question? or need more information

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Related Occupational Therapy Assessments

Depending on your circumstances, your Occupational Therapist may recommend additional assessments to provide a more comprehensive understanding of your support needs.
These may include:

Activities of Daily Living (ADL) Assessment
A detailed assessment of personal care, household tasks and functional independence.

Cognitive Assessment
Explores how cognition affects everyday participation, decision-making, executive functioning and safety.

Home Safety Assessment
Identifies environmental barriers and provides recommendations for improving accessibility, safety and independence.

Assistive Technology Assessment
Provides detailed recommendations for specialised equipment that supports participation and independence.

Falls Risk Assessment
Identifies factors contributing to falls and provides practical recommendations to improve safety and confidence.

Electric Mobility Equipment Assessment
Determines whether powered mobility equipment such as powered wheelchairs or mobility scooters may improve functional independence.

Seating and Wheelchair Assessment
Assesses complex seating, posture, positioning and pressure management needs.

Pressure Care Assessment
Provides recommendations to reduce the risk of pressure injuries and improve long-term comfort and skin integrity.

SIL Assessment
Explores daily support requirements for participants seeking Supported Independent Living funding.

SDA Assessment
Assesses whether Specialist Disability Accommodation may better meet a participant's long-term housing needs.
Related Resources
You may also find these resources helpful:
Frequently Asked Questions About Functional Capacity Assessments (FCA)

Understanding Functional Capacity Assessments

What is a Functional Capacity Assessment (FCA)?
A Functional Capacity Assessment (FCA) is a comprehensive Occupational Therapy assessment that evaluates how a person's disability affects their ability to participate in everyday life. Rather than focusing solely on diagnosis, the assessment explores how disability impacts daily activities, independence, communication, mobility, learning, self-care, self-management, social participation and community involvement. The assessment also provides evidence-based recommendations that may support therapy planning and NDIS decision-making.

What is functional capacity?
Functional capacity refers to a person's ability to complete everyday activities safely, consistently and as independently as possible.
Occupational Therapists assess not only whether someone can complete a task, but also:
  • How safely they complete it
  • How consistently they complete it
  • How much support they require
  • Whether fatigue affects performance
  • How long tasks take
  • Whether they can complete the task across different environments

What is the purpose of a Functional Capacity Assessment?
The purpose of a Functional Capacity Assessment is to understand how disability affects everyday life and identify practical supports, strategies and recommendations that may improve participation, independence, safety and quality of life.

What does Functional Capacity Assessment mean?
A Functional Capacity Assessment examines how a person's disability affects their functional abilities in everyday life. It focuses on what a person can do, what challenges they experience, the supports they currently use and what additional supports may assist them to achieve their goals.

What is an Occupational Therapy Functional Capacity Assessment?
An Occupational Therapy Functional Capacity Assessment is completed by an Occupational Therapist and focuses on how disability affects meaningful daily activities across home, school, work and community environments.

Is a Functional Capacity Assessment the same as a Functional Capacity Evaluation (FCE)?
Not usually.
A Functional Capacity Assessment (FCA) is commonly completed by Occupational Therapists to understand disability-related functional needs, particularly for the NDIS.
A Functional Capacity Evaluation (FCE) is more commonly used in workplace rehabilitation, return-to-work and workers compensation settings to assess work capacity.

Is there a difference between an NDIS Functional Capacity Assessment and a workplace Functional Capacity Evaluation?
Yes.
An NDIS Functional Capacity Assessment focuses on disability-related support needs and everyday functioning across multiple life domains.
A workplace Functional Capacity Evaluation focuses on a person's capacity to perform work-related tasks safely.

Is a Functional Capacity Assessment a medical assessment?
No.
A Functional Capacity Assessment is an Occupational Therapy assessment. It focuses on how disability affects everyday functioning rather than diagnosing medical conditions.

Is there a pass or fail?
No.
There is no pass or fail result.
The assessment is designed to understand how disability affects everyday life so appropriate recommendations can be made.

Why would someone need a Functional Capacity Assessment?
A Functional Capacity Assessment may be recommended when:
  • Applying for the NDIS
  • Preparing for an NDIS plan reassessment
  • Requesting additional supports
  • Exploring Assistive Technology
  • Considering Home Modifications
  • Applying for Supported Independent Living (SIL)
  • Applying for Specialist Disability Accommodation (SDA)
  • Planning therapy
  • Experiencing changes in functional ability

During the Assessment

What happens during a Functional Capacity Assessment?
The assessment may include:
  • Interviews
  • Functional observations
  • Standardised assessments where appropriate
  • Review of previous reports
  • Assessment of everyday activities
  • Home, school or community observations
  • Clinical reasoning
  • Preparation of a comprehensive report

How long does a Functional Capacity Assessment take?
The face-to-face assessment usually takes between two and three hours.
Additional time is then spent reviewing information, analysing findings, completing clinical reasoning and writing the report. The total assessment process commonly involves approximately 10–15 hours. ​The approximate cost for an FCA $1939.90 (10hrs) - $2,909.85​ (15hrs)

How should I prepare?
It may be helpful to have available:
  • Previous reports
  • Medical information
  • Your current NDIS plan (if applicable)
  • Information about equipment you use
  • A list of goals or questions
Your Occupational Therapist will let you know if anything further is required.

What should I bring?
Depending on your circumstances, you may wish to have:
  • Previous allied health reports
  • Medical reports
  • Current medications
  • NDIS plan
  • Equipment currently used
  • Glasses or hearing aids if applicable

Should my support worker attend?
Support workers are welcome where appropriate, particularly if they assist you regularly and can provide information about your everyday functioning.

Can my family attend?
Yes.
Parents, carers and family members often provide valuable information that helps build a more complete understanding of everyday support needs.

Will you speak with my GP or other therapists?
With your consent, your Occupational Therapist may communicate with your GP or other treating professionals if this assists in understanding your functional needs.

Can the assessment be completed over more than one appointment?
Yes.
Where appropriate, assessments may be completed across multiple appointments, particularly if additional observations or information are required.

Where can the assessment take place?
Depending on your circumstances, assessments may be completed:
  • At home
  • At school
  • In the community
  • In hospital
  • In residential care
  • In our clinic
  • Via telehealth where clinically appropriate

Occupational Therapy Questions

Why do Occupational Therapists complete Functional Capacity Assessments?
Occupational Therapists specialise in understanding how health conditions affect everyday activities and participation, making them well placed to assess functional capacity across multiple life domains.

What assessment tools may be used?
Depending on the referral, assessment tools may include:
  • WHODAS 2.0
  • PEDI-CAT
  • COPM
  • MoCA
  • SMMSE
  • RUDAS
  • Beery VMI
  • Sensory Profile
  • Clinical observation
  • Functional task analysis
Not every participant requires every assessment tool.

Do you use standardised assessments?
Where appropriate, yes.
Occupational Therapists combine standardised assessments with interviews, functional observations and clinical reasoning to develop a comprehensive understanding of everyday functioning.

Can children have a Functional Capacity Assessment?
Yes.
Children commonly have FCAs to understand how disability affects participation at home, school and within the community.

Can adults have a Functional Capacity Assessment?
Yes.
Adults of all ages may benefit where disability affects everyday functioning.

Can older adults have a Functional Capacity Assessment?
Yes.
Older adults experiencing disability, neurological conditions or reduced independence may benefit from an assessment to guide future supports and planning.

Can people with psychosocial disability have a Functional Capacity Assessment?
Yes.
Occupational Therapists may assess how psychosocial disability affects everyday functioning, participation and support needs.

NDIS Questions

What is an NDIS Functional Capacity Assessment?
An NDIS Functional Capacity Assessment is an Occupational Therapy assessment that provides evidence about how disability affects everyday functioning and may support NDIS planning and decision-making.

Why does the NDIA request a Functional Capacity Assessment?
The NDIA may request current evidence regarding how disability affects a participant's functional capacity to assist with planning and funding decisions.

Does the NDIS fund Functional Capacity Assessments?
In some circumstances, participants may use available funding to purchase a Functional Capacity Assessment where it aligns with their plan and funding category. Individual circumstances vary.

Can a Functional Capacity Assessment increase my NDIS funding?
Not automatically.
The assessment provides evidence regarding disability-related support needs. Funding decisions are made independently by the NDIA.

Can a Functional Capacity Assessment support an NDIS access request?
It may provide valuable evidence describing how disability affects everyday functioning. Eligibility decisions remain the responsibility of the NDIA.

Can an FCA support a Change of Circumstances?
Yes, where a participant's functional needs have significantly changed, an FCA may provide updated evidence.

Can an FCA support a Plan Reassessment?
Yes.
Functional Capacity Assessments are commonly completed before NDIS plan reassessments.

Can an FCA recommend Core Supports?
Where clinically appropriate, an Occupational Therapist may recommend supports that align with identified functional needs. Funding decisions remain with the NDIA.

Can an FCA recommend Capacity Building Supports?
Yes.
Recommendations may include therapy and other capacity building supports where appropriate.

Can an FCA recommend Assistive Technology?
Yes.
The assessment may identify the need for Assistive Technology or recommend a dedicated Assistive Technology Assessment.

Can an FCA recommend Home Modifications?
Yes.
Where environmental barriers are identified, recommendations may include a Home Assessment or Home Modifications Assessment.

Can an FCA recommend Supported Independent Living (SIL)?
Yes.
Where appropriate, an FCA may recommend a dedicated SIL Assessment.

Can an FCA recommend Specialist Disability Accommodation (SDA)?
Yes.
Where clinically appropriate, an FCA may recommend a Specialist Disability Accommodation Assessment.

Can an FCA recommend therapy?
Yes.
Recommendations may include Occupational Therapy, Speech Pathology, Psychology, Physiotherapy, Positive Behaviour Support and other allied health services where appropriate.

How does the NDIA use a Functional Capacity Assessment?
The NDIA may consider information contained within the report alongside other available evidence when making planning and funding decisions.

Functional Domains

What are the six NDIS functional capacity domains?
The NDIS considers:
  • Communication
  • Social interaction
  • Learning
  • Mobility
  • Self-care
  • Self-management
An FCA explores how disability affects each relevant domain.

Does an FCA assess mobility? Yes.

Does an FCA assess communication? Yes.

Does an FCA assess learning? Yes.

Does an FCA assess self-care? Yes.

Does an FCA assess self-management? Yes.

Does an FCA assess social interaction? Yes.

Does an FCA assess community participation?
Yes.
Community participation is considered throughout the assessment because it is closely linked to functional capacity and quality of life.

Reports

What does a Functional Capacity Assessment report include?
Reports commonly include:
  • Background information
  • Functional findings
  • Clinical observations
  • Standardised assessment results where appropriate
  • Clinical reasoning
  • Recommendations
  • Therapy recommendations
  • Equipment recommendations
  • Environmental recommendations

How long does it take to receive the report?
Timeframes vary depending on complexity and current demand.

Can I receive a copy of my report? Yes.

Can my Support Coordinator receive a copy? Yes, with your consent.

How long is a Functional Capacity Assessment valid? There is no fixed expiry date.

When should I get another Functional Capacity Assessment?
When functional needs change, goals change or updated evidence is required.

Costs and Referrals

How much does a Functional Capacity Assessment cost?
Costs vary depending on complexity, travel and reporting requirements. Please contact our team for an individualised quote.

Can I pay privately? Yes.

Is there a Medicare rebate?
Generally, Functional Capacity Assessments completed for disability support planning are not eligible for Medicare rebates. Eligibility depends on the funding pathway and current Medicare arrangements.

Is the assessment covered by the NDIS?
If funding is available within your plan and the assessment aligns with your approved supports, it may be funded through the NDIS. Individual circumstances vary.

Do I need a GP referral? Not usually.

Comparing Assessments

What is the difference between a Functional Capacity Assessment and an ADL Assessment?
An ADL Assessment focuses specifically on daily living skills, while an FCA is broader and assesses multiple areas of everyday functioning.

What is the difference between an FCA and a Cognitive Assessment?
A Cognitive Assessment focuses on thinking skills, while an FCA considers how cognition affects everyday life alongside other functional domains.

What is the difference between an FCA and a Home Assessment?
A Home Assessment focuses on the home environment. An FCA evaluates overall functional capacity across multiple environments.

What is the difference between an FCA and an Assistive Technology Assessment?
An Assistive Technology Assessment focuses specifically on equipment prescription, while an FCA provides a broader understanding of functional needs.

What is the difference between an FCA and a Psychology Assessment?
A Psychology Assessment focuses on psychological functioning, diagnosis or cognitive ability depending on the assessment type. An Occupational Therapy FCA focuses on how disability affects everyday functioning and participation.

Practical Questions

Who can refer for a Functional Capacity Assessment?
Referrals may come from:
  • Individuals
  • Parents
  • Carers
  • Support Coordinators
  • General Practitioners
  • Specialists
  • Hospitals
  • Schools
  • Allied health professionals

Can a GP complete a Functional Capacity Assessment?
General Practitioners provide valuable medical information, but Functional Capacity Assessments are typically completed by Occupational Therapists because they assess how disability affects everyday functioning.

Who performs a Functional Capacity Assessment?
Functional Capacity Assessments are commonly completed by experienced Occupational Therapists.

Do you provide home visits? Yes.

Do you travel across Western Australia?
Yes.
Belong Health provides services across Perth, Mandurah, Rockingham, the Peel Region and many regional areas of Western Australia.

Do you provide telehealth Functional Capacity Assessments?
​Yes, where clinically appropriate.

Can I request an urgent appointment?
Please contact our team to discuss availability and timeframes.

What happens after the assessment?
Your Occupational Therapist will finalise the report and discuss recommendations where appropriate.

Why choose Belong Health for a Functional Capacity Assessment?
Belong Health provides comprehensive, evidence-informed and person-centred Functional Capacity Assessments completed by experienced Senior Occupational Therapists. Our reports are tailored to each participant's strengths, goals and support needs and are designed to provide practical, clinically reasoned recommendations that support everyday participation and informed planning.
Can I use my GP-referred OT sessions for a Functional Capacity Assessment (FCA) to save costs?

Yes, if your GP has referred you for 5 OT sessions under a Chronic Disease Management (CDM) plan, these can be applied towards a Functional Capacity Assessment (FCA) to help reduce overall costs. Here's how it works:

How Can My GP-Referred OT Sessions Be Used for an FCA?A CDM plan allows for up to 5 allied health services per eligible patient per calendar year, including OT sessions. Health.gov.au
These sessions can be utilised to assess key areas of your Functional Capacity, such as mobility, self-care, and cognition, forming the initial part of your FCA.

How Does This Save Me Money?

An FCA generally takes between 10-15 hours, depending on the complexity of your assessment. By using your 5 OT sessions from the CDM plan, you can cover part of the time spent on Functional Capacity evaluations. After using the 5 OT sessions, you would then need to pay for the remaining 5-10 hours required to complete the full FCA.
For private clients, this means you can save on the total cost of your FCA by applying your CDM plan OT sessions towards the assessment phase.
​
Will I Still Need a Full FCA?
Yes, a full Functional Capacity Assessment (FCA) is required, even if you use the 5 GP-referred sessions for part of the evaluation. The FCA includes a more detailed assessment and report that will be billed separately.

How Are the Sessions Billed?
  • GP-referred OT sessions under a CDM plan: These 5 sessions are billed according to the CDM plan at the standard OT session rate.
  • FCA: The remainder of the FCA (which is typically 5-10 additional hours, depending on the complexity) will be billed separately.

​By using your GP-referred OT sessions from a CDM plan, you can maximise your savings while still getting a thorough Functional Capacity Assessment to support your NDIS or other funding claims.
​Last reviewed: July 2026
This page is reviewed periodically to reflect current evidence, clinical practice and relevant NDIS guidance.

Let's Work Together

Accessing our Perth services

​Referrals to Belong Health
We are Medicare and Private Health fund registered for Occupational Therapy and Speech Pathology.

EPC/Team care arrangements/Chronic disease (CDM) or GP management plans and self-referrals are all acceptable.

WA NDIS Registered Provider  
Medicare
You can get a referral from your/your child’s GP for OT on a Chronic Disease Management (CDM) plan this gives you 5 sessions for OT per calendar year with a $53 rebate available on each session or a Helping Children with Autism/PDD/ or an eligible disability package (20 sessions between allied health professionals, as set up by a Paediatrician/Psychiatrist) which gives your child under 16 years a $75 rebate per session for the 20 sessions, you can use up to 10 sessions per Health Professional (up to 10 for OT) and you will need a separate referral letter from your child’s Paediatrician for each Allied Health Professional you are seeking services from. 
Private Health
Your Private Health fund may cover up to 75% of the cost of OT sessions if this is included in your cover, be sure to call them or check your policy for details.

No referral or self referral
You do not require a referral for accessing OT
NDIS Registered Provider
We are an NDIS Registered Provider
Whether you or your child have NDIS funding that is NDIS Managed, Third Party Plan Managed or you are Self-Managing your funds, you are able to use your funding to cover the full cost of therapy services plus travel costs. You will need provide us with your/your child’s NDIS number and plan details ahead of your first session. Once you have booked a session or contacted us, our team will be in touch to discuss our service agreement and provide you with our services price list. 

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Phone: 08 9586 3934

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