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substantial or critical need

Discussion in 'Welcome and how to use Dementia Talking Point' started by Pon, Sep 24, 2015.

  1. Pon

    Pon Registered User

    Dec 11, 2011
    61
    wales
    Hi it's a long time since I posted a thread I'm wondering if anyone can help. My husband is in an EMI nursing home in Wales and I don't understand what the Welsh assembly mean by substantial or critical need when the patient has a needs assessment
    I'm hoping that someone knows

    Thanks

    Pon
     
  2. nitram

    nitram Registered User

    Apr 6, 2011
    19,268
    Male
    North Manchester
    2002 definition

    Setting the eligibility criteria
    5.16 Local authorities should use the following framework for determining their
    eligibility criteria. These should be developed in conjunction with statutory health
    bodies and the framework should assist in the development of unified eligibility
    criteria overtime.

    Critical – when:
    • Life is, or could be, threatened; and/or
    • Major physical or mental health problems have developed or are likely
    to develop; and/or
    • There is, or could be, an extensive loss of choice and control over vital
    aspects of the immediate environment; and/or
    • Abuse or neglect (self or other) have occurred or are likely to occur;
    and/or
    • There is, or could be, an inability (physical or mental) to carry out vital
    personal care, domestic or other routines; and/or
    • Vital involvement in work, education or learning is, or could be, at great
    risk of not being sustained; and/or
    • Vital social support systems and relationships cannot or will not be
    sustained; and/or
    • Vital family and social roles and responsibilities cannot or will not be
    undertaken.

    Substantial – when:
    • Significant physical or mental health problems have developed or are
    likely to develop; and/or
    • There is, or could be, some significant loss of choice and control over
    the immediate environment; and/or
    • There is, or could be, an inability (physical or mental) to carry out the
    majority of personal care, domestic or other routines; and/or
    • Involvement in many aspects of work, education or learning is, or could
    be, at risk of not being sustained; and/or
    • The majority of social support systems and relationships are, or could
    be, at risk; and/or
    • Individuals cannot undertake, or will be unlikely to be able to undertake,
    some significant family and social roles and responsibilities that are
    important to them and others.


    P41/42
    http://www.wales.nhs.uk/sitesplus/d...ir System for Assessing and Managing Care.PDF
     
  3. Pon

    Pon Registered User

    Dec 11, 2011
    61
    wales
    Thanks Nitram
    My husband fits all of these points

    Pon
     

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