The framework is based on individuals' needs and associated
risks to independence, and includes four eligibility bands -
critical, substantial, moderate and low. When placing
individuals in these bands, the guidance stresses that
councils should not only identify immediate needs but also
needs that would worsen for the lack of timely help.
At the heart of the guidance is the principle that councils
should operate just one eligibility decision for all adults
seeking social care support; that is, should people be helped
or not? Councils should not operate eligibility criteria for
the type and depth of assessments that they carry out;
likewise, they should not operate eligibility criteria for
specific services. The guidance explains how assessments and
subsequent care planning should be carried out, in proportion
to needs and in good time.
The guidance emphasises that reviews of individual service
users' circumstances should be carried out by appropriate
council professionals on a regular and routine basis. These
reviews should incorporate re-assessments of individuals'
need, and will help councils to reach decisions on continuing
eligibility. Councils are advised of the action they should
take when significantly reducing and withdrawing services
following a review, and of the particular sensitivity they
should exercise in situations where reviews have not been
carried out for some time prior to the implementation of the
guidance.
The guidance confirms that when setting their eligibility
criteria, councils should take account of the resources
locally allocated to adult social care. Because of the
different resource positions of councils, the guidance does
not require councils to reach similar decisions on
eligibility, or to provide similar services, to people in
similar needs. The guidance is fully consistent with the
financial settlements for Personal Social Services resulting
from the Government's Spending Reviews in 2000 and 2002.
The guidance also provides a starting point for eligibility
criteria for packages of continuing health and social care,
and joint eligibility for services provided under section 31
of the Health Act 1999.
The following Fair Access policy guidance documents can be
accessed by clicking on the links below:
- FACS - Guidance on eligibility criteria for adult social
care.
- Practice guidance in support of the policy guidance is
provided in a "question and answer" format. It
will be updated from time to time in the light of issues
and queries raised by councils and other stakeholders.
Original practice guidance was published on 2 August 2002.
It was updated on 6 March 2003 to assist councils with
their final preparations for implementation by 7 April
2003.