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See Also: Choosing
Care / Care at Home
/ Assistive Devices
/ Respite Care
Many issues need to be considered when making
assessments for long-term care. Information about these issues
is gathered by means of a care needs assessment.
Typically this assessment will be carried out
either by Social Services,
by a hospital multi-disciplinary team co-ordinated by a Discharge
Liaison Nurse, or in the community by members of the Primary
Care Team such as a District Nurse or Special Worker for Older
People (formerly Health Visitor for the Elderly). The source
of the assessment will depend on the older person’s
circumstances when the need for long-term care is identified.
The Government is currently introducing the
Single Assessment Process as outlined in the National Service
Framework for Older People. It recognises that many older
people have both health and social care needs and that agencies
need to work together so that assessment and subsequent care
planning are tailored to the individual, effective and co-ordinated.
Central to the assessment are the older person’s
own needs and wishes and it is important to remember that
an assessment does not mean that advice given has to be taken.
An assessment can also be carried out by an Independent
Care Adviser who, with the older person’s consent,
will liaise with the social or health care professionals involved
until the right care solution is found.
Care Assessment Criteria
Assessments of long-term care needs may vary
according to both source (hospital, Social
Services or community team) and local policy, but will
generally cover the following:
Current home environment e.g.
bungalow, sheltered accommodation
or care home
support - support already provided by carers should
be explored to establish the nature of the support, the strength
of the relationship and the support the carer may require
to help them continue to care for the older person.
Ability to perform activities of Daily Living
- Eating and drinking
- Using the toilet
- Getting washed and dressed
- Preparing light snacks and meals
Home requirements e.g.
- Personal care
- Domestic help
- Food services
- Personal alarm
Relevant medical history and medication
(including mental health issues)
Prognosis and likely outcome
- Occupational therapy (including assistive devices)
- Speech therapy
Likely need for registered nursing care
- when discussing options of care and the most suitable setting
for this care, consideration is given to the stability, predictability,
risk factors and complexity of the older person’s problems.
- Private funding (assets over £23,250 in England,
£25,250 in Scotland, £23,725 in Wales and £23,250
in Northern Ireland)
- Eligibility for Local Authority or NHS funding
- Eligibility for State Benefits
When the assessment has been completed, the
NHS and Local Authority have to decide whether to provide
treatment and / or support.
The NHS will be guided by the “National
Service Framework for Older People” which sets out the
country's standards and guidelines with regard to the care
of older people, and ensure that decisions are based on clinical
The Local Authority will be guided by “Fair
Access to Care Services”.
However both the NHS and the Local Authority
have to take their own resources into account when setting
Irrespective of funding issues the older person
will need guidance to ensure they obtain appropriate care
within the resources available to them.
If you require further assistance or would like to speak to
the Independent Care Adviser this site recommends please call
0800 137 669 or complete the e-mail