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Eligibility criteria

about adult social care

We provide social care services for adults and older people in Leicester. We have to prioritise the support we provide so that we can reach those people who are most in need.

 

This webpage explains how we decide who is eligible for our help.


  • Risk levels - critical; substantial; moderate; low
  • Our threshold for social care
  • How much does the service cost?


More information

Our aim is to support those people who are most in need due to disability or illness, or because they might not have families, friends or neighbours to help them.

 

Because we have a limited budget, we have to make sure our services reach the people who need them most. That’s why, when you ask us for help, we will carry out an assessment to determine what your needs are and how we might be able to help.


We decide who might be eligible for our help and how we will prioritise what help we can give by following the Department of Health’s guidance.

 

This guidance is called Prioritising Need in the context of Putting People First – England 2010.


The guidance says there are four levels of risk to a person’s independence. They are low, moderate, substantial and critical.


Critical

  • Life is, or will be threatened
  • Significant health problems have developed or will develop
  • There is, or will be, little or no choice and control over vital aspects of the immediate environment
  • Serious abuse or neglect has occurred or will occur
  • There is, or will be, an inability to carry out vital personal care or domestic routines
  • Vital involvement in work, education or learning cannot or will not be sustained
  • Vital social support systems and relationships cannot or will not be sustained
  • Vital family and other social roles and responsibilities cannot or will not be undertaken

 

Substantial

  • There is, or will be, only partial choice and control over the immediate environment
  • Abuse or neglect has occurred or will occur
  • There is, or will be, an inability to carry out the majority of personal care or domestic routines
  • Involvement in many aspects of work, education or learning cannot or will not be sustained
  • The majority of social support systems and relationships cannot or will not be sustained
  • The majority of family and other social roles and responsibilities cannot and will not be undertaken

 

Moderate

  • There is, or will be, an inability to carry out several personal care or domestic routines
  • Involvement in several aspects of work, education or learning cannot or will not be sustained
  • Several social support systems and relationships cannot or will not be sustained
  • Several family and other social roles and responsibilities cannot or will not be undertaken 

 

Low

  • There is, or will be, an inability to carry out one or two personal or domestic routines
  • Involvement in one or two aspects of work, education or learning cannot or will not be sustained
  • One or two social support systems and relationships cannot or will not be sustained
  • One or two family and other social roles and responsibilities cannot or will not be undertaken

 

Our threshold for social care

Councils have to take into account the resources they have available to them when deciding where to set their threshold (the level above which people are eligible to receive support).


We have set our threshold at substantial.

 

This means anyone whose risks to independence have been identified as substantial or critical can expect to receive services to help them. These services will be arranged by us.

 

People at moderate or low risk levels are not eligible to receive our services. Instead, they will be provided with advice and information about how they can get support in the community that will help them to remain independent.

 

We will carry out an assessment to determine whether or not you are eligible for our services. This is sometimes called a needs assessment.

 

If you have any queries about the way in which we make decisions about eligibility, please get in touch.

How much does the service cost?

We provide many different social care services for adults, and these have different costs. You may be eligible for financial support from us to help meet these costs.


To find out more, see our section buying and paying for services and support.  


Contact us