Entitlement to adult care services

Social Work has a set amount of money for community care services and because of this uses guidelines known as eligibility criteria. These ensure:

  • that everyone who asks for a service is dealt with according to his or her needs;
  • that citizens in the greatest need or at most risk are prioritised, and
  • that everyone understands what decisions are made about care.

The council has taken a policy decision, for the reasons explained above, that only those citizens with needs that have been assessed at Emergency/Urgent or High levels will be eligible for service. The Eligibility Criteria will be used to assess the urgency or your situation.

People assessed in the medium and low bands do not meet our eligibility criteria and so will not receive a service, but we will provide information and advice on other sources of help where possible.

The eligibility criteria apply to

  • all citizens who currently receive a service; and
  • anyone who may request or require an adult care service.

As the needs and services of citizens who currently receive a service are reviewed, the criteria will be applied just as they are applied to new service users. This means that some services currently provided to a citizen may be reduced or withdrawn if they are meeting needs that are not reassessed as a priority.

The aim is to ensure equity or fairness in allocating resources while meeting priority needs.

If your needs are assessed in this category then you require an immediate or rapid service response.

  • You are at risk of abuse.
  • You have a significant disability or health problem, which is or will be a serious threat to your safety or independence.
  • You are terminally ill and need essential non-medical services to support you at home.
  • You live alone and are housebound and essential daily personal care needs are not being met or are only being met by placing you at serious risk.
  • Essential daily care and support needs are being met by a carer whose health and well being is seriously at risk.
  • Current care situation cannot continue because you have had significant difficulties in your present living conditions placing you at serious risk.
  • Due to a disability or health problem vital family and other social relationships are at serious risk of breaking down placing you at immediate risk.

If your needs are assessed in this category then you require a priority service response.

  • You have a disability or health problem, which is or will be a significant threat to health, safety or independence.
  • You live alone and are housebound and essential daily personal care needs are not being met or are only being met by placing you at significant risk.
  • Essential daily care and support needs are being met by a carer whose health and well being is significantly at risk.
  • Current care situation cannot continue because you have significant difficulties in present living conditions placing you at significant risk.
  • Due to disability or health problems vital family and other social relationships are at serious risk of breaking down placing you at significant risk.
  • You are in hospital and cannot be discharged safely because of the circumstances described above.

You or someone acting on your behalf can refer your needs to Neighbourhood Services (Health and Care) for an assessment.

People with needs that do not reach the threshold will receive information and advice, or direction to alternative provision. If you feel you are unlikely to fit into the priority categories, but have special circumstances we should consider, then you should refer yourself for an assessment.

The Social Work team

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