16 LTC: State Provision Flashcards
Outline the SAP and the 3 decision tools
The single Assessment Process also referred to as multi disciplinary assessment.
Provides a consistent approach in relation to assessing both Health Needs and Social Care needs
The decision tools
1 Checklist - screening tool
2 A decision Support tool - full assessment and DST will be completed
3 a Fast Track Tool - enable care package within 48 hours for someone extremely ill/terminally ill
Once assessed will be documented in a Care Plan as result of Care Act 2014
Outline NHS Continuing of where Care can be provided
Known as fully funded care where individual has a ‘primary health need’
Example of care
1 Respite Care
2 Palliative Care
3 rehabilitation care
4 primary care eg NHS opticians, dentists
5 In hospital or care home
Outline the National Framework for NHS Continuing Care
Decision should be transparent, fair and consistent
Fully funded by NHS
Decision Support Tool in relation to 12 care domains include: mobility, nutrition, breathing,
NHS con Care each domain has 6 levels rating from no needs, low, moderate, high, severe.
Only 4 domains can be a * above
NHS Funded Nursing Care FNC features
Also Referred to as Registered Nurse Care Contribution (RNCC)
1. Amount - In England £156.25pw single band intro 2007
- previously 3 levels of which high rate
was £215.04pw until death
2 NHS pays care home directly
3 Where self funding should reduce fees
Care Act 2014
when are 2 stages
1 From April 2015
2 From April 2020
Details within 21 sections
emphasis on wellbeing
where have substantial difficulties understanding who does care act appoint?
Act require advocate to be appointed under Mental Care Act 2005
Local Authority Funding 3 outcomes?
3 outcome
1 no care required
2 permanent residential care
3 Domiciliary care in own home
Care Authorities to Follow consistent approach of 4 steps for high level
1 Referral from doctor, hospital, social services
2 Needs Assessment non financial
3 Financial Eligibility
4 Arrange Care and Support
Financial Eligibility and rules
Rules under Care and Support (Charging and Assessment of Resources) Regulations 2014
previously CRAG rules
Care Self Funding Limits
Capital
1 Over £23,250 self funder
2 £14,250 to £23,250 tariff income
3
What is Capital
cash, savings. overseas prop, bus assets, land and bldgs., prop where ben, other prop
Valuing property allow 10% selling costs.
When Main Residence treatment generally disregard?
1 disregard 12 wks
2 care is temporary
3 relative over 60 occoupies and stll lives or incapacitated relative/child under 16
What is notional capital and how pensions treated
treated as capital even if not owned eg unclaimed premium bonds pensions funds chosen not to draw gift to eg grandchildren
Pension treated with pension Feedoms
Fund Value disregard
if tfc taken if occup or MP will be assessed
If drawing higher than an annuity then that the annuity level used
Tariff Income
capital translated into income £1pw/£250 of capital
Outline Deferred Payment Scheme
1 local authority take a charge
2 LA can now charge interest under care Act 2014
3 liquid assets below 23,250
3 May affect state benefit entitlement
