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Council Services:

Eligibility

Once we have completed your assessment we are required to determine whether you are eligible for Care and Support.

Your assessment will usually identify needs which may be met in a range of different ways. Some of your needs will be referred to as eligible needs. The government has introduced a new national eligibility threshold to determine which people will be eligible for support. Eligible needs are those which if they are not being met by other means, Adult Care would have to ensure they are met by providing care and support.

The council does not need to meet any eligible needs which can continue to be met by your informal carer or by other support arrangements. But we must make sure we assess your carers’ needs if they need support to continue helping you.

Eligibility threshold

The national eligibility threshold has three steps to deciding eligibility.

Step 1 - First we need to ensure that your needs result from you having a physical or mental impairment or illness. This will be explored in the health and wellbeing area of the assessment. If your needs don’t stem from illness or impairment your needs will not be eligible for support.

Step 2 - Where your needs do stem from illness or impairment, we then consider whether they prevent you from achieving any of the ten ‘eligibility outcomes’ set out in the government’s regulations. To meet the eligibility threshold you need to be unable to achieve two or more of these eligibility outcomes. Unable to achieve them can mean totally unable or able but with significant difficulty, pain or distress. The outcomes are:

  • Managing and maintaining nutrition
  • Maintaining personal hygiene
  • Managing toilet needs
  • Being appropriately clothed
  • Being able to make use of the home safely
  • Maintaining a habitable home environment
  • Developing and maintaining family or other personal relationships
  • Accessing and engaging in work, training, education or volunteering
  • Making use of necessary facilities or services in the local community including public transport and recreational facilities or
  • Carrying out any caring responsibilities the adult has for a child

Step 3 - Where you are unable to achieve two or more of these outcomes we are required to make a judgement about whether there is a significant impact on your wellbeing as a result. We will explore what impact your needs have on your wellbeing in each area of the assessment. It is important we explore this fully as this is what we will base this judgement on.

If you meet the eligibility threshold we will look at the needs we have identified, and state which are eligible and which are ineligible.  If we believe any of your needs do not prevent you from achieving any eligibility outcomes or are not contributing to the significant impact on your well-being we will record these as ineligible needs.

Ask your assessor if you would like more details about the national eligibility threshold or you can find more information by downloading the Care and Support Statutory Guidance - extract.

If you are not happy with the outcome of the assessment, you can ask us to look at your situation again with you. If you are still not happy, you can get in touch with us to make a comment, suggestion or complaint.

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Last updated: 3 November 2016

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