This chapter was last reviewed and/or updated April 2021.


  • Telecare is a preventative service.
  • People do not need an Adult Care assessment to access a telecare service.
  • In exceptional circumstances where Telecare has been identified as meeting an assessed need, funding will be included in their personal budget.

1. Introduction

Telecare has been reclassified as a preventative service enabling people to access the Telecare Service without the need for an Adult Care assessment.

If you believe a service user would benefit from the provision of Telecare you should record in Mosaic:

  • that you have explained what Telecare is, and why you think it may be beneficial;
  • that this is something the person will need to pay for privately;
  • that you have signposted the person or their representative to Nottingham Rehabilitation Service (NRS) or that they wish to arrange the service themselves with an alternative provider;
  • if a person declines to have Telecare that they have the capacity to make this decision, or if they do not, that you have considered and followed the Mental Capacity Act 2005 (see Mental Capacity).

2. Telecare Funding

Consideration to funding Telecare will be given where:

  • there has been an Adult Care needs assessment and eligibility determination completed in line with the Care Act;
  • the equipment is being proposed as a means of meeting an eligible care and support need;
  • the needs assessment identifies the person is at very high risk of deteriorating physical, mental health, or their safety and emotional wellbeing would be seriously impacted if the identified equipment was not provided.

All decisions to fund Telecare in such circumstances will be approved by the Lead Practitioner following a review of the assessment and the person’s individual circumstances. If Telecare is required to meet an assessed need, the costs will be included in the person’s personal budget; this will cover the whole cost of the telecare service and equipment. Orders can be placed via Mosaic, detailing the name of the authorising Lead Practitioner.

3. Identifying Risks

As every person we work with has a unique set of circumstances it is impossible to describe every eventuality, however examples of high risks when considering funding Telecare may include:

  • an individual with a history of many and frequent falls where Telecare equipment would enable the person to summon assistance;
  • an individual with an unstable medical condition where Telecare equipment could support the person avoid deterioration of their condition or hospital admission;
  • an individual who is at risk of harm due to unpredictable behaviour and Telecare equipment may alert others to potential dangers;
  • an individual whose carers may be suffering from stress or anxiety and Telecare equipment would enable them to maintain their caring role;
  • a vulnerable individual who is at risk of domestic violence, abuse, neglect or other forms of abuse and Telecare equipment would help them to remain safe.

4. Self-Funders

For everyone else they will be required to order directly and self-fund.

See Telecare in Local Contacts for contact details for placing orders.