substantial or critical need

[Pon]

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

 

[nitram]

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

 

[Pon]

Thanks Nitram
My husband fits all of these points

Pon