Chapter 2: Responsibilities for the provision of long term care Flashcards
What is the Department of Health and Social Care (DHSC) and what is it’s key role?
The UK Government body responsible for public health. It enacts this by setting health and social care policy in England.
The DHSC’s key role is to set national standards and encourage modernisation across all areas of the NHS, social care and public health.
What is social Care?
Social care is non-medical care that is provided by the local authority or adult social services.
What is the Care Act 2014?
It covers most aspects of care provision and sets out duties that local authorities must follow. Other aspects are discretionary but even then local authorities are under an obligation to act under the guidance of the Secretary of State for Health and Social Care.
What is a local authority circular?
The DHSC issues guidance or clarification on care and other issues to councils and local
authorities via local authority circulars (LACs). They sometimes include directions on how
to approach a particular subject. On other occasions, they provide guidance where the
responsibility for interpreting and administering legislation rests with the local authority.
What is the Integrated care systems?
The funding of care in England is now the responsibility of the ICS.
The ICS is a partnership of all the public services that provide health and care so this includes the NHS, GPs, local councils and the voluntary sector.
The rationale here is to ensure that decisions about health priorities and how NHS budgets are spent and subsequently monitored are made locally
How are health needs and social and welfare needs funded?
Health needs funded via the NHS
Social and welfare needs funded via the social services and local authorities.
What is the he Single Assessment Process (SAP) and what does it assess?
The process used in England that recognises the need for healthcare professionals to work together. Before its introduction, health needs and social/welfare needs were assessed by separate specialists using different processes.
Health, social and welfare needs
What is the intention of a SAP?
Assess the individual’s needs and circumstances;
Assess whether they meet eligibility criteria, e.g. to provide domiciliary or social care;
Undertake a financial assessment (this must take place after or alongside the other two stages); and
Arrange an appropriate individual care package.
What is NHS continuing healthcare?
Individuals who demonstrate a ‘primary health need’. Also known as ‘fully funded NHS care’. This is medical care that is either provided or funded by the NHS. It is important to recognise that this care can be provided in a wide range of settings, e.g. hospital, care home, hospice or an individual’s private home.
- respite care
- palliative care
- NHS care provided in a hospital or care home, or at home
- specialist equipment.
Where the primary need is for continuous health care, this should be provided free by the NHS.
When would someone be eligible for NHS continuing healthcare?
This is only provided when their ‘primary need’ is a health need. If eligible, the cost of the care is met fully by the NHS.
Whether someone qualifies for NHS continuing healthcare will depend on the what?
nature, intensity, complexity and unpredictability of the condition.
When may someone be eligible for NHS-funded nursing care?
If someone is not fully eligible for NHS continuing healthcare, they may be eligible for NHS-funded nursing care. This is provided where an individual has medical needs that require the intervention of a registered nurse.
An individual with long term care needs would qualify for NHS-funded nursing care when they require?
The intervention of [or supervision by] a registered nurse.
What if an individual is not eligible for NHS continuing healthcare or NHS-funded nursing care?
This would result in them having to fully self-fund the costs of their own care (excluding any GP or hospital care required).
When is an individual is most likely to qualify for NHS continuing healthcare?
Have existing complex and unpredictable medical needs;
Are a danger to themselves or others;
Their condition is deteriorating.
