KEY POINTS

  • Practitioners should ensure that people are given advice and information about equipment.
  • When a person does not meet the eligibility threshold, the practitioner must advise or signpost where the equipment can be purchased.
  • Telecare equipment will not be prescribed unless there are exceptional circumstances.

1. Introduction

The national eligibility threshold introduced by the Care Act 2014 should be applied to assessments where equipment or adaptation services funded by Adult Care may be a potential solution.

The Eligibility section within the Assessment chapter provides full guidance on applying the eligibility criteria.

2. Equipment and eligibility

At all stages of the assessment process, customers should have access to information and advice about how equipment could help them, where they may purchase it and how to access fitting services

Where required, equipment will be provided by Adult Care to people who are assessed as having eligible needs relating to the outcomes equipment is intended to address

People not meeting the eligibility threshold will be advised about where they can purchase equipment for themselves or will be referred to the Wellbeing Service (Lincolnshire County Council website)

Adult Care will not supply equipment as a preventative measure to people who do not meet the eligibility threshold

Equipment may be issued during episodes of care provided through the Reablement Service

Reablement provided through the Reablement Service is usually provided prior to an Adult Care eligibility assessment taking place. Adult Care assessors asked to undertake assessments with a view to equipment provision for people receiving short term reablement support should undertake a proportionate Needs Assessment and may issue equipment as follows:

  • minor equipment may be issued during an episode of home based reablement (reablement) where it is required to support reablement goals;
  • major equipment should only be issued to people eligible for on-going support. Consequently, major equipment should only be issued during reablement where it is vital to the safe provision of that service or to complete the assessment;
  • as a general rule, equipment, such as bath lifts, should not be issued during reablement until it is evident the person meets eligibility for the ongoing support;
  • any circumstances where it is felt necessary to issue council-funded major equipment for people not meeting eligibility criteria should be discussed with lead practitioners. Any major equipment issued during reablement is done so on the understanding with the person that it is a short term loan and will be withdrawn where people do not meet criteria for ongoing support.

People not meeting eligibility criteria should be advised about where they can purchase suitable equipment themselves or be referred to the Wellbeing service.

3. Hospital Discharges and Trusted Assessors

The council operates a Trusted Assessor Scheme to enable health professionals working in acute hospital settings to provide equipment deemed as essential to safe discharge. The Trusted Assessor Scheme operates across Lincolnshire’s hospitals and some hospitals in neighbouring areas.

The eligibility threshold does not need to be considered by hospital OTs when requesting equipment through the Trusted Assessor Scheme. The ICES Trusted Assessor Operational Procedure provides information and guidance about the scheme.

4. Telecare

Telecare equipment will not be prescribed by Adult Care practitioners unless there are exceptional circumstances.

Telecare installation and monitoring costs will be met by the customer

More information about the Telecare procedures can be found in Work Force Matters (Lincolnshire County Council intranet).and in the Telecare chapter.