Eligibility decision

7.1   The council will make the eligibility determination in accordance with the Care and Support Eligibility Criteria) Regulations 2015 (the Eligibility Regulations). Needs will be determined to be eligible when: 

• the adult’s needs arise from or are related to a physical or mental impairment or illness

 and

• as a result of their needs, the adult is unable to achieve two or more of the outcomes specified in the Eligibility Regulations. Being unable to achieve an outcome means that the person:
  • •   is unable to achieve the outcome without assistance
    •   is able to achieve the outcome without assistance but doing so causes the adult significant pain, distress or anxiety
    •   is able to achieve the outcome without assistance, but doing so endangers or is likely to endanger the health or safety of the adult, or of others, or
    •   is able to achieve the outcome without assistance but takes significantly longer than would normally be expected

and

• as a consequence, there is or is likely to be a significant impact on the adult’s wellbeing

7.2   The council will advise the adult and / or their representative in writing of their eligibility decision. We will also provide advice about what help and support may be available to meet, prevent, reduce or delay needs which do not meet eligibility criteria. 

7.3   People who disagree with their eligibility decision should:

•   first try to resolve the matter through discussion with the council
•   then if the matter remains unresolved use the Complaints about adult social care procedure

   

7.4   People should contact the council to request a re-assessment if their needs and / or circumstances change.