Care Needs assessment - no time limit

Wibbles

poppy123456 said:

2oldcodgers said:

Can somebody explain please why someone needs or wants a needs assessment? Is it for people who need to go into a care home? I've never heard of such a thing. 

No, you do not need to be going into a care home for a needs assessment. A needs assessment is when a Occupational Therapist will come into your home and assessed your needs. They will ask you about your health conditions and how they affect you and they will see what help (if any) can be given. https://www.nhs.uk/conditions/social-care-and-support-guide/help-from-social-services-and-charities/getting-a-needs-assessment/

Not necessarily a OT - In my case, a Social Worker came and failed to carry out a Needs Assessment !

Wibbles

Camellia said:

With regards to your eligibility for a  needs assessment you are eligible for a needs assessment - as long as you can demonstrate you have some needs -your income / resources /support from your wife should not be a factor in determining if you should be eligible for a formal needs assessment - with a full written report. 

You can do some googling yourself and / or speak with a disability law service to double check this and get some advice as to your next steps. 

I am guessing that that doesn't include home improvements?

Wibbles

The woman who  was supposed to have carried out the needs assessment but failed to do so - now they want to send another woman (the second OT assessment in 2 weeks) to try to write an assessment report !!

What a c*ck up !

What is the definition of “emergency” care ?

I am to have an op on my shoulders in a couple of months – meaning that I probably will have to stay in hospital until they are useable – due to poor/lack of  mobility, I have no alternative to get around the house / to the toilet etc – does this count as an “emergency” and would it not require free assistance from the council.

My wife has her own shoulder problems and I can't rely on her for assistance - she is really struggling at the moment...
If I do get the care help that I am supposedly entitled to - how will my wife survive?
I mean will she be left to struggle with her own problems?
She has looked after me with NO support at all for over 30 years 

From the councils own website :

"Introduction

The NHS and Social Care Services are working together to help prevent people being admitted to hospital when they have a short-term health need that could be met with support from a nurse and care provider in the community. 

How does it work?  

You will have contacted your GP in the normal way. Your GP will then talk to us to explore what resources are available and what we can help you with while you are not feeling well. It is possible that instead of admitting you to hospital you may be treated in your own home, or temporarily cared for in a care home. 

Social Care Workers and Health Staff will work together until you are better. They will discuss things with you to agree when your short-term help will end. 

How much does it cost?  

There is no charge to you for the care that is provided for the period of time that you would normally have been admitted to hospital. "

 

onebigvoice

@Camellia and admin team.

On the subject of Care needs assessment:
  This is information that I use and can be downloaded from one of the Web Sites I use on this subject.
I have a library of A - Z benefits and Laws that I am adding to all the time.  That said:
A guide to the Care Act, and Getting the Support you need.  This was written by Colin Slasberg  REAL CARE TOOLKIT
  The guide would be helpful if you believe you have grounds to complain about your assessment and the support plan you have been offered.
  The more you are able to quote from the Care Act the stronger your case will be.
It is written by a lay person for lay people.  (PLAIN ENGLISH, so we can understand)
Colin Slasberg is a social Care,not Legal, professional, however he has written extensively in Academic Journals in articles that feature the Care Act.
  Colin refers to Barnet throught this document, but the content can apply to any council across the country.
  This copied from Page 2, its only about 8 pages I have copied and only printed on one side and highlights headings and the section that is quoted.
example andd not in order:
Section 5 goes on to state "the council must", and then in embolden txt quotes the section.   
You can try this link:
  https://www.gov.uk/government/publications/care-act-2014-stat…
 or
 If you type in :  Care Act 2014 Easy read guide.  there is a government web page:

Care Act 2014: statutory guidance for implementation  and that gives either the full version or the one I down loaded here for you to see, I use the other one which is 46 Pages.

  Have a look and see if its any help?  I have already used this recently.
 

Wibbles

@Camellia

@onebigvoice

Found it :

8.14 The local authority must not charge for certain types of care and support which must be arranged free.

These are:

• intermediate care, including reablement, which must be provided free of charge for up to 6 weeks. However, local authorities must have regard to the guidance on preventative support set out in Chapter 2. This sets out that neither should have a strict time limit but should reflect the needs of the person. Local authorities therefore may wish to apply their discretion to offer this free of charge for longer than 6 weeks where there are clear preventative benefits, such as when a person has recently become visually impaired
• community equipment (aids and minor adaptations). Aids must be provided free of charge whether provided to meet or prevent/delay needs. A minor adaptation is one costing £1,000 or less
• care and support provided to people with Creutzfeldt-Jacob Disease
• after-care services/support provided under section 117 of the Mental Health Act 1983
• any service or part of service which the NHS is under a duty to provide. This includes Continuing Healthcare and the NHS contribution to Registered Nursing Care
• more broadly, any services which a local authority is under a duty to provide through other legislation may not be charged for under the Care Act 2014
• assessment of needs and care planning may also not be charged for, since these processes do not constitute ‘meeting needs’

Camellia

8.14 The local authority must not charge for certain types of care and support which must be arranged free.

• assessment of needs and care planning may also not be charged for, since these processes do not constitute ‘meeting needs

Good to know especially if one may need to otherwise partially or fully contribute to their care. 

Camellia

Wibbles as I have alluded to before I strongly suspect you may be eligible for a personal health budget PHB through the NHS - which as I understand matters is not means tested. From what I hear it can be very hard to get this funding and it is obviously based on a different area of disability law to a personal budget which is based on the care act. 

I also went to an online seminar yesterday on formal recognition of one’s disability related expenses to help you get your personal contribution for your support down to zero or as near zero as possible within the rules. There is a special calculator and guide along with template letters written by a disability rights lawyer. 

Would you like me to dig up some links to info on both these topics?  I warn you in advance the process of fighting for these things will likely be very gruelling and you will need to do a lot of legwork yourself even if you do find a disability law service and/or an advocacy service to support you. 

Wibbles

"any service or part of service which the NHS is under a duty to provide. This includes Continuing Healthcare and the NHS contribution to Registered Nursing Care.."
Is interesting as well

Also 
Community equipment (aids and minor adaptations). Aids must be provided free of charge whether provided to meet or prevent/delay needs. A minor adaptation is one costing £1,000 or less"
Does that mean £1000 in total or individual items? 

Camellia

@Wibbles

https://www.scrapcarecharges.com/dreguide

https://www.england.nhs.uk/personalisedcare/personal-health-budgets/frequently-asked-questions-about-phbs/

This may or may not be of help - as I obviously do not know your personal situation in any depth;  hopefully it will be. 

Wibbles

Camellia said:

Wibbles as I have alluded to before I strongly suspect you may be eligible for a personal health budget PHB through the NHS - which as I understand matters is not means tested. From what I hear it can be very hard to get this funding and it is obviously based on a different area of disability law to a personal budget which is based on the care act. 

I also went to an online seminar yesterday on formal recognition of one’s disability related expenses to help you get your personal contribution for your support down to zero or as near zero as possible within the rules. There is a special calculator and guide along with template letters written by a disability rights lawyer. 

Would you like me to dig up some links to info on both these topics?  I warn you in advance the process of fighting for these things will likely be very gruelling and you will need to do a lot of legwork yourself even if you do find a disability law service and/or an advocacy service to supply ort you. 

Yes please 
I am receiving an electric adjustable bed today and the council OT is arranging for an electric wheelchair in a while but what else should I be looking at? 
Home improvement /accessible toilet?
Even though we have savings of over £20 k? 

Wibbles

The PHB comes from NHS funds, I assume ?

My bed and wheel chair come from LA fund...

How does that work?

What's happens if you run out of budget; do they leave you to die?

Wibbles

Also - and probably more relevant in my case - can the PHB be used for private healthcare ?

ie) I urgently need my shoulders fixed - rotator cuff is a painful condition and if left could be permanent damaging my chances of recovery - but NHS can't even assess me for another 2 months with an op taking another 6 months minimum

Wibbles

https://www.gov.uk/government/publications/care-act-statutory-guidance/care-and-support-statutory-guidance#charging-and-financial-assessment

Care act 2014 says :

8.14 The local authority must not charge for certain types of care and support which must be arranged free.

These are:

• intermediate care, including reablement, which must be provided free of charge for up to 6 weeks. However, local authorities must have regard to the guidance on preventative support set out in Chapter 2. This sets out that neither should have a strict time limit but should reflect the needs of the person. Local authorities therefore may wish to apply their discretion to offer this free of charge for longer than 6 weeks where there are clear preventative benefits, such as when a person has recently become visually impaired
• community equipment (aids and minor adaptations). Aids must be provided free of charge whether provided to meet or prevent/delay needs. A minor adaptation is one costing £1,000 or less
• care and support provided to people with Creutzfeldt-Jacob Disease
• after-care services/support provided under section 117 of the Mental Health Act 1983
• any service or part of service which the NHS is under a duty to provide. This includes Continuing Healthcare and the NHS contribution to Registered Nursing Care
• more broadly, any services which a local authority is under a duty to provide through other legislation may not be charged for under the Care Act 2014
• assessment of needs and care planning may also not be charged for, since these processes do not constitute ‘meeting needs.

Reablement - https://www.highspeedtraining.co.uk/hub/what-is-reablement/

 I am to have an op on my shoulders in a few months – meaning that I probably would have to stay in hospital until they are useable – due to poor/lack of  mobility, I have no alternative to get around the house / to the toilet etc – does this count as needing intermediate care and would it not require free support from the local council in the home ?

Wibbles

This is complicated by the fact that I live in one LA/county and my GP is in another LA/county !!

but there must be others in a similar position ?