Accessibility

Glossary

Assessed eligible needs
The needs of an individual that have been identified during an assessment process with the council.

The council has a duty to meet these needs by providing support and/or other services if they fall within the council's eligibility criteria.


Assessment of need
The process to clearly identify what social care needs a person may have. It is completed by an assessor (such as a social worker) in partnership with the individual, their relatives or representatives.


Broker/brokerage
A broker is someone who helps individuals choose and access the support they need to be independent. They can also help with a support plan. A professional broker is someone you pay to do this.

Brokerage is the service offered by a broker. It can be done by the local council, voluntary organisations, private companies or an individual.


Commissioning
Commissioning is the process of selecting and securing care services to produce an individually tailored package of support. [redefine ... ask Andrew for a better definition]

Self-directed support gives service users and carers the control and choice in selecting and commissioning the support they decide will meet their needs and aspirations. The aim is to deliver the best possible support outcomes from the resources available.


Community care assessment
An assessment conducted by a local authority to determine a person's care needs.

There may be eligibility criteria detailing which levels of need will be met.


Critical need
One of four levels of need defined by government guidance Fair Access to Care Services (FACS). A need is deemed critical when:

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



Direct payment
Payments made to an individual following a community care assessment in lieu of services.


Disability Living Allowance
A non-means-tested cash benefit for people with a disability who are unable to be wholly self-sufficient. The allowance contributes to the extra costs incurred by disabled people.


Eligibility criteria
Eligibility criteria provide the framework used to determine who is eligible for social care services from their local authority.


Fair Access to Care Services (FACS)
Fair Access to Care Services (FACS) is guidance issued to local authorities about eligibility criteria for adult social care.

The guidance sets out the legal requirements for every local authority to follow when deciding who to give support to. The aim is to achieve fairer and more consistent eligibility and support decisions across the country.

The FACS guidance sets out four eligibility levels: Critical, Substantial, Moderate and Low. Eligibility depends upon a person's needs and circumstances.


Fairer contributions policy
The Fairer contributions policy is guidance for the calculation of an individual's contribution to their personal budget allocation for non-residential services.

Individuals who receive direct payments will generally have their payments reduced by the amount of their assessed contribution. Where a council provides or arranges services for an individual, then an invoice will be sent to cover the contribution.


Financial assessment
Depending on an individual's financial circumstances, they may be asked to make a financial contribution towards the cost of their care and support.
A financial assessment is a means to identify whether they can make a contribution.  This will be completed by social services, usually in a person's home and at a suitable time.


Independent Living Fund (ILF)
The Independent Living Fund (ILF) is a government funded trust that provides financial support for disabled people to enable them to live in the community rather than move into care homes.

There are plans to phase out the funding by spring 2015.


Indicative budget/allowance/allocation
An indicative budget gives a rough idea of the level of funding that will be allocated to an individual, in their personal budget, to meet their eligible needs.

It is based on what it would cost to meet their needs, as determined by the Resource Allocation System (RAS). The indicative budget allows individuals to create a support plan that will deliver the outcomes to best meet their identified assessed needs.

The indicative budget is used only as a guide. A final personal budget amount may be set higher or lower than this amount, depending on how a support plan shows the person's needs can be met.


Indirect payment
Indirect payments are similar to direct payments, but payments are made to a nominated individual or into a trust fund instead of being paid directly to the individual who needs the service. The nominated people or trustees can then use these payments to arrange and secure the services an individual has chosen to meet their needs.


Individual budget
An individual budget is a sum of money given to people with which they can buy the services and equipment they need to meet their support and care needs.

The person in receipt of the money and the local authority allocating the money should agree how the money is used.


Individual service fund
An Individual Service Fund is a sum of money managed by a service provider on behalf of an individual. The money is restricted for use on providing care and support services for that individual which meet the criteria set out in their support plan. It can include services purchased from other providers.


Joint strategic needs assessment (JSNA)
A JSNA is a means by which primary care trusts (PCTs) and local authorities work together to identify the 'big picture' in terms of the current and future health, care and well-being needs of their local community. They are designed to inform and drive future service planning and the priorities and targets set.


National Indicator 130 (NI 130)
NI 130 is a national performance indicator which measures the number of people receiving self-directed support. Councils may set targets on NI130 in their local area agreement.
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Outcomes
Outcomes are the results, changes or benefits a person wants to achieve through their social care and support.  They are the goals a person wants to reach to meet their needs.

One of the aims of self-directed support is to enable people to achieve the outcomes they set during the support planning process.


Person centred planning
Person centred planning is an approach to support which puts the individual at the centre of planning for their lives. There is an emphasis on the individual's choice and control and listening to what is important to them, both now and in the future.

Under self-directed support, person centred planning and support is central to the assessment and delivery process.


Personal assistant
A personal assistant is a person employed to provide someone with social care and support in a way that is right for them.  
A personal assistant may help with tasks such washing, using the toilet, shopping and cooking. They can be employed directly by the individual or they can be arranged through an agency.


Personal budget
A personal budget is money that is available to someone who needs support. The money comes from their local authority social services and is allocated to the individual to spend on help and support to meet their assessed eligible needs and agreed outcomes.

Individuals can choose to take their personal budget as a direct payment, let councils commission the goods and services they choose or a combination of both.


Personal health budget
A personal health budget is similar to a personal budget but applicable within health care.

Patients with a personal health budget are able to take control over the way in which the budget available to them is spent. They can choose the support services they want in a way that is most appropriate to them.


Personalisation
Personalisation is a Government led national policy to ensure everyone who uses support should have the choice and control to shape their own lives and the services they receive.  

The system puts the individual at the centre of the process and allows them to choose the service providers they use and the manner in which they receive support. The aim is to make services more personal and tailored to individuals needs.


Reablement
Reablement is a short term service, usually up to six weeks, for people who need support to live in their homes independently.

Reablement involves the use of focused support and therapy to help people regain daily living skills and become able do things for themselves again after an illness or accident. It can also include the provision of equipment and aids to help people live more independently.


Resource Allocation System (RAS)
The Resource Allocation System calculates how much money an individual is likely to need from adult social care for their social care and support needs.
The system has clear and rational guidelines to ensure funding is fair and transparent. It is based on points awarded to answers to a self-assessment questionnaire (SAQ) that aims to identify an individual's support needs.


Review
A review refers to the re-assessment of people's needs and circumstances. Reviews are carried out regularly to ensure that a person's arranged support continues to meet their assessed needs and desired outcomes, as set out in their support plan.


Risk enablement
Self-directed support promotes the choice and control of an individual in making decisions about their life and support. Providing choice and control for people who use social care means allowing people to take the risks they choose.

Risk enablement is concerned with managing these risks effectively and finding a balance between the need to protect vulnerable people and promoting the rights of the individual. Individuals will be allowed to take informed risks if they understand their responsibilities and the implications of their choices.  


Safeguarding
Safeguarding is a process of ensuring that vulnerable people are protected from being abused, neglected or exploited.


Self-assessment questionnaire (SAQ)
A self-assessment questionnaire (SAQ) is a standardised assessment carried out by an individual to identify their own needs and eligibility for support.

The questionnaire is part of the Resource Allocation System and helps determine, through a points system, how much money an individual is entitled to.


Self-directed support
Self-directed support is an approach to social care which gives people optimum choice and control over their support arrangements. In Control first figured out how self-directed support could work.

It gives people independence and flexibility over who provides their care and support and how and when it is delivered. The individual controls the money and how it is spent in a way which best suits them. There is help available to do this and families and advocates can also help to make these choices.  The main aim of self-directed support is to promote independence, health and well-being.


Seven steps to being in control

'Seven steps to being In Control' is a model of guidance to help individuals through the different stages involved in successfully directing their own support. It explains the seven steps to being in control of your support and offers help and advice at each stage. The seven steps are:

  1. Set individual budget
  2. Plan Support
  3. Agree Plan
  4. Control Individual Budget
  5. Organise Support
  6. Live Life
  7. Review


Substantial need

One of four levels of need defined by government guidance Fair Access to Care Services (FACS). A need is deemed substantial when:

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


Support plan
A support plan is a document highlighting how an individual will spend their personal budget to best meet their support needs and get achieve their identified outcomes.

They are created by the individual to get the life they want and may be written, videoed, or include pictures and sounds. There are people specialised in planning who can help produce a plan and family, friends or support workers can also help. The local authority will need to agree the plan before the individual receives the support money.


Trust
A trust is a group of people who the law says can receive and administer payments on a person's behalf.

The group has to set itself up as a legal trust, and can be made up of friends and family, or a private or voluntary organisation.

Last Updated : 20 January 2011. Page Author: Administrator.