July 2019

This section provides a summary of how to use this Adults Policies, Procedures and Practice (APPP) resource, and its main features.


Finding your way around this Site

This site is divided into different sections. On the home page there are eight buttons:

When you are in the Policies and Procedures section, there are a number of tabs on the left side of the screen when viewed on larger screens or by clicking on the lined box in the top right corner on smaller screens (such as phones or tablets):

  • Home contains the introduction page of the policies and procedures section. It also includes Using this APPP which gives information about using this site, and Register with Us to receive notification when this APPP is updated.
  • Contents contains the policies, procedures and practice guidance chapters. These are divided into sections which can be viewed by clicking on the arrow on the right of ‘Contents’;
  • Resources provides a range of relevant supporting information (see below). The different sections can also be viewed by clicking on the arrow on the right of ‘Resources’;
  • Contact has a contact form for you to send a message to the Lincolnshire Adult Care staff who oversee the coordination of this APPP, should you have a comment or suggestion you wish to make.

Accessibility Options

This resource has a number of different options to aid online reading. When you are on the home page, choose ‘Accessibility’ drop down menu on the right side of the screen. There is large text, green, blue or pink backgrounds, yellow text on a black background or you can return to the default setting. You can use large text with any of the other options.

In addition, the site is designed to be accessible for users of text only and screen reader software programs which allow blind or visually impaired users to read the text that is displayed on the computer screen with a speech synthesizer or braille display. Our content is consistently structured, including headings, which makes using the software on our site easier. Also, when viewed though screen reader software, every page has a ‘Skip to main content’ link which allows software users to go straight to the main content of that page instead of receiving the full navigation options every time. Please share this information with blind or visually impaired colleagues.

Using the APPP Resource on Mobile Phones and Tablets

This resource works well on internet enabled mobile phones and tablets by typing in the weblink in the internet address bar. When used on a mobile phone, the website will immediately convert into a mobile phone friendly version, where the tabs sit behind the Menu button. If it does not work straightaway, tap on the refresh circle in the address bar.

If your phone or tablet has a reader option (it may be an ‘R’ or say ‘Reader’ in the address bar, you may have to install it), tap on it and it will convert the text into a more easy to read version for phones or tablets.


The Resources section contains a number of links and documents to supplement the information in chapters. It includes

For ease of use, if you can open the resource in two tabs next to each other you can click on the Resources section to consult related resources without leaving the chapter you are reading.


With each revised edition of this APPP resource, we indicate which chapters are new or have been updated. This information is available in the table below and at the top of the chapter. Where a chapter has specific amendments in particular sections these are referenced. Where a chapter has been changed in quite a number of places it is just noted that it has been amended as a result of local review.

The layout of this APPP changed significantly in December 2018. Mostly the information remains the same, but previous chapters were divided up to make them shorter, easier to find and read. Relevant Key Points have been added at the top of many of the chapters. It also changed to a new look site (see Finding your way around this Site).

If you cannot find the information you are looking for, please use the Search facility.

July 2019

Chapter title Detail
Quality Practice Standards This chapter was revised to add information about accessing a print friendly version of the Quality Practice Standards.
Safeguarding Children This chapter has been updated to include four additional key points, at the top of the chapter.
Access to Information, Advice and Services: Introduction This chapter was revised to add an additional last paragraph in Section 4, Factsheets and Customer Guides.
Supporting People to Engage with Adult Care This chapter has been revised to include additional information in Section 4.1, Useful Contacts.
Benefits and Economic Wellbeing Section 1.1 Carer benefits and entitlements has been revised to add a link to the Money Advice Service website.
Motability Scheme Section 2, Motability Car Leases and Wheelchair Accessible Vehicles and Section 3, Motability Scooter and Powered Wheelchair Leases have been updated.
NHS Continuing Healthcare (CHC): Introduction Section 1, Introduction – the last three paragraphs have been updated to reflect revised local agencies and processes.
Knowledge and Awareness for Adult Care Practitioners This chapter has been revised as a result of local review.
NHS Continuing Healthcare Checklist This chapter has been revised as a result of local review.
Commissioning Healthcare This chapter has been revised as a result of local review.
Identifying a Case Coordinator This chapter has been revised as a result of local review.
Decision Support Tool Paragraph 6 was added, regarding submission of the Checklist.
Fast Track Pathway This chapter was revised to remove the Joint Funding section. This is now a separate chapter (see new chapters below).
NHS Continuing Healthcare Reviews This chapter was revised to remove the Ordinary Residence section. This is now a separate chapter (see new chapters below).
Direct Payments This chapter has been amended as a result of local review. Key Points, Section 1, Introduction and Section 4, Personal Health Budgets have been updated.
Financial Considerations regarding Residential Care A new Section 3.1 Universal Deferred Payment was added.
Charging and Financial Assessment This chapter was revised as a result of local review. Section 3.4, Unpaid customer contributions to residential care and Section 6, Debt Recovery and Credit Control are new.
Reviewing Care and Support: Introduction Key Points were added at the top of the chapter.
Supervision and Appraisal Section 2, Supervision, Section 3, Direct Observation of Practice and Section 4, Appraisal have all been updated.
Instructing Legal Services This chapter was amended to add reference to seeking authorisation before contacting legal services.
Telephone Use, GCSx and Secure Email, Reliance Alarms Section 2, Secure Email and Section 3, Lone Worker Alarms have been updated.
New chapters
Joint Funding This chapter provides information about a package of care funded jointly by the NHS and the local authority.
Funded Nursing Care This chapter outlines funding provided by the NHS to care homes with nursing, to care provided by a registered nurse.
Ordinary Residence This chapter was previously in the NHS Continuing Healthcare Reviews chapter.
Shared Lives This chapter outlines the Shared Lives service in Lincolnshire.

In addition to the above procedural amendments, all of the chapters have been reviewed for this edition.

If you wish to make a change to a chapter, or write a new one please first speak to your manager, or send a message to your colleagues who lead on the development of this APPP for Lincolnshire via the Contact Form.

The chapter you wish to amend must be copied into Word and amended using track changes. Click here Making Changes to Chapters for information about how to make the changes in the way we require.

Date of Next Revision

This APPP is usually updated every six months. The first revision of this resource will be available, therefore, in January 2020.


On the home screen, type in the word or phrase you are looking for in the ‘Search’ facility and press ‘Enter’. It will bring up a list of all the chapters where it appears. Click on the one you want. The word / phrase will remain highlighted in the chapter. If you want to narrow down your search add ” around the word, for example “safeguarding”.

If you want to search for specific text within a chapter or a pdf document, you can also press ‘Ctrl’ and ‘f’ together. A box will appear in the top right of your screen. Type in the word / phrase you want to find and press ‘Enter’. The number of times it appears in the chapter will be displayed next to your word. Use the up and down arrows next to it to find all the references.

Register with Us

We recommend you ‘Register with Us‘. This enables us to notify you that your APPP resource has been updated, which is usually every six months. By submitting this information, you will only receive email notifications from us in relation to APPP updates and your information will not be given to any third parties.


This resource has been designed to be used online. It is easier to update web-based procedures rather than a hard-copy manual, and version control is very effectively managed. Reducing or eliminating printing cuts costs, as well as preserving valuable resources.

If you print a chapter, to take to a meeting for example, please note it will have a water mark stating it is valid for 72 hours only and the date it was printed. Whilst APPP resources are usually updated every six months, there may be occasions when it is updated urgently as a result of a Safeguarding Adults Review or inspection recommendation, so it is important to be sure that you are using the most recent copy. That is why we recommend that if you have to print a chapter, you no longer refer to it after that time.


The chapter content in this resource can be accessed, downloaded and printed unchanged, on a temporary basis. Any content printed or downloaded may not be sold, licensed, transferred, copied or reproduced in part or in whole in any manner or format without the prior written permission of Lincolnshire County Council and Policy Partners Project Ltd.