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Transfer and positioning health support for children and young people

Information on how education and care services provide proactive and reactive management for children and young people that require support with transfer and positioning.

The Transfer and positioning in education and care procedure (under development) describes how education and care services plan and manage children and young people that require support with transfer and positioning.

Transfer and positioning care plan

An transfer and positioning care plan HSP220 (DOC 432KB) is completed is completed by a physiotherapist, occupational therapist or treating health professional, in consultation with parents or legal guardians, when a child or young person requires assistance with transfer, positioning and mobility.

The transfer and positioning care plan will include recommendations around:

  • the situations where assistance is required ie toilet transfer
  • the level of assistance 
  • the type of transfer or positioning 
  • equipment to perform the transfer
  • learning targets and communication strategies.

Children and young people generally do not require an oral eating and drinking care plan for food phobias, eating disorders or oral sensitivities.

Health support agreement

Where a child or young person has a transfer and positioning care plan and requires support and assistance a health support agreement HSP120 (DOC 243KB) and safety and risk management plan HSP121 (DOC 147KB) must be completed.  

Health support agreement are completed by the parent and education or care service to document specific risk minimisation strategies, individualised management and treatment for the child in the context of the education or care service.

The guide to planning health support – HSP125 can assist in the development of the health support agreement by prompting through a series of questions and considerations. 

The health support agreement should clearly identify cultural, spiritual and language needs.

Transfer and positioning observation log

A transfer and positioning observation log HSP221 (DOC 147KB) is used to record the nature, frequency and outcome of transfer and positioning for a child.    

This information can be used to:

  • plan for support requirements for a child
  • manage health and safety requirements for a child and staff
  • assist education and care staff, parents and/or health professionals to monitor and review the transfer and positioning care plan.

Transfer and positioning in education and care

The transfer and positioning care plan and health support agreement describes safe and consistent practices for transfer and repositioning of a child or young person. Care plans and support agreements are developed to the specific and individual needs of the child in the context of the education or care service. 

Transfer and positioning care plans can be developed as long term supports or for shorter terms where the child’s condition is temporary ie restricted mobility due to broken bones following an accident.

The education or care service leader must ensure supporting staff have the required training and assistance to complete transfer and positioning as described in the care plan for the safety of the child and staff.

Where there are changes in the child’s support requirements the education or care staff should contact the parent to arrange for a review of the care plan by the treating health professional. Any changes to a care plan or support agreement must be negotiated with parents and the author of the care plan.  

A care plan should be reviewed when:

  • skills deteriorate or improve
  • there is a change of equipment
  • post surgery
  • the child transitions to a new site or there are environmental changes
  • support staff are having difficulty performing transfers.


Specialised equipment is available for loan from the Special Education Resource Unit (SERU) to enable children and young people with physical disabilities to participate in education and care. This includes a range of equipment for transfer and standing, toileting and mobility. 

Further information can be found on the SERU website or by contacting SERU on 
•    phone (08) 8235 2871
•    email dl.1409.admin [at] schools.sa.edu.au ">dl.1409.admin [at] schools.sa.edu.au 

Education and care staff using any specialised equipment must be given training and information on the appropriate use of the equipment to ensure the safety of the child and staff.

Training and education

To ensure the safety of children and staff all education and care staff providing assistance with transfer and positioning must be appropriately trained.  Where a child requires specialised equipment the supporting staff must be appropriately trained in the use of that equipment. 

The Transfer and Positioning Support (TAPS) Workshop is led by therapists from Novita to provide information and practical knowledge on the safe movement, transfer and positioning for children and young people.  

Staff can attend a TAPS workshop at Novita or arrange an on-site workshop that can be individualised to meet requirements of a child’s care plan in the context of the education and care service.

Contact Central Intake Novita
Phone: 1300 668 482
Email: training [at] novita.org.au


Care plans

Health support agreement

Planning and management tools


Disability and Complex Needs Team

Phone: 8226 0515
Email: education.health [at] sa.gov.au