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Planning your care and support

This factsheet gives you the information you need to be able to plan the care and support you want. It will help you to understand whether you are eligible for support from your local authority or whether you need to pay for and organise your own care and support.

Are you eligible for support from your local authority?

Your local authority will carry out a free assessment of your needs to find out the best way support can be provided.  They will also assess your finances to see whether you need to make a contribution towards the cost of any services you receive.

Under the Care Act 2014 local authorities have a duty to assess anyone who appears to need care and support. 
 
The Care Act does not place a duty on the local authority to provide services.  Whether a local authority provides services to you depends on whether you meet the ‘national minimum threshold for eligibility’. 

National minimum threshold for eligibility

The ‘national minimum threshold for eligibility’ has been set to ensure that all local authorities meet the same minimum level of needs. They must provide for your needs if you meet all of the following three conditions:

1. Your needs arise from, or are related to, a physical or mental impairment or illness.
 
2. Because of your physical or mental impairment or illness you are unable to achieve two or more of the specified outcomes:

  • managing and maintaining your nutrition

  • maintaining your personal hygiene

  • managing your toilet needs

  • being appropriately clothed

  • being able to make use of your home safely

  • maintaining a habitable home environment

  •  developing and maintaining family or other personal relationships

  • accessing and engaging in work, training, education or volunteering

  • making use of necessary facilities or services in the local community, including public transport and recreational facilities or services

  • carrying out any caring responsibilities the adult has for a child

     

3. As a consequence of being unable to achieve two or more of these outcomes there is, or there is likely to be, a significant impact on your wellbeing.

The local authority will consider you unable to achieve an outcome if you:

  • are unable to achieve it without assistance

  • are able to achieve it without assistance but doing so causes you significant pain, distress or anxiety

  • are able to achieve it without assistance but doing so endangers or is likely to endanger the health or safety of you, or of others

  • are able to achieve it without assistance but take significantly longer than would normally be expected.

If you ask your local authority to assess your needs they will use these criteria to help them decide whether you are eligible for support.

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