National Health Service And Community Care Act 1990 Pdf


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25.01.2021 at 17:52
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national health service and community care act 1990 pdf

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Assessing the mental health needs of older people

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Community Care legislation

The intention is that the Care Act will make it easier for the public to understand why things happen in a particular way. Some of this legislation is described on other pages in this section see left-hand menu or in other areas of this site. Describes a duty for local authorities to offer cash payments for any community care services to all individuals to meet assessed eligible needs of disabled people aged 16 or over or who have parental responsibility for a disabled child or who is a carer aged 16 or over. Individuals must have been assessed as being willing and able to manage Direct Payments either alone or with support. Describes a duty for local authorities to make payments to NHS bodies where a persons discharge from hospital is delayed because care services or services to carers have not been provided. Requires NHS Hospitals to notify Local Authorities of anyone who is likely to need community care services when they are discharged from hospital. For more information on how to request an assessment from your local council click here.

This resource was last updated in April Please refer to ' Safeguarding adults: types and indicators of abuse ' instead. This section focuses on areas of law and policy that primarily affect the treatment and care of older people with a mental illness. It is particularly targeted at non-specialist workers who want to know more about the legal framework, including the circumstances under which a person can be detained in a psychiatric setting and what the law says about helping an older person who lacks capacity to make their own decisions. Broadly there are two types of legal provision for social care: permissive , where the law states that agencies 'may' or 'could' provide support, and obligatory, where the law 'requires' or lays down a 'duty' for a statutory agency. The vast majority of legislation relating to older people's welfare is permissive, and access to services is largely restricted to those 'in greatest need'. Most older people who need support from the NHS or local authority, and particularly 'long-term support, have to fulfil the agency's 'eligibility criteria' before they can be allocated a service, and most agencies must first carry out an 'assessment of need' prior to allocating a service see Assessment of need section.

The Act made provisions to split the provision and commissioning ie purchasing of healthcare. It marked the start of an internal market within the NHS, with the creation of NHS trusts and changes to the way in which local authorities carried out their social care functions. The Act gave the secretary of state powers to establish NHS trusts by order. These trusts were to assume responsibility for the ownership and management of hospitals or other facilities previously managed or provided by regional, district or special health authorities. These 'self-governing' trusts had greater freedoms to borrow money, generate income and raise revenue directly from providing services. Fundholding was voluntary, but many GPs who were competitive, independent contractors took to it with enthusiasm.

"The end of the NHS as we know it"? A guide to the Health and Social Care Act

On 1st April, the NHS will be "liberated". The Health and Social Care Act, which will change the way that healthcare is commissioned and provided, has proven to be highly controversial. To some , it's a response to an urgent need to 'reform' the NHS, which is buckling under the strain of rising demand and pressure on its budget.

Professional Reference articles are designed for health professionals to use. You may find the Personal Independence Payment article more useful, or one of our other health articles. NICE has issued rapid update guidelines in relation to many of these.

Care Act factsheets

The National Health Service and Community Care Act c 19 [1] introduced an internal market into the supply of healthcare in the United Kingdom, making the state an 'enabler' rather than a supplier of health and social care provision. The Act states that it is a duty for local authorities to assess people for social care and support to ensure that people who need community care services or other types of support get the services they are entitled to. Patients have their needs and circumstances assessed and the results determine whether or not care or social services will be provided. This also ensures that the people giving the care follow a certain set of rules called the care value base. Local authority resources can be taken into account during the assessment process, but if it is deemed that services are required, those services must be provided by law: services cannot be withdrawn at a later date if resources become limited. The Act also split the role of health authorities and local authorities by changing their internal structure, so that local authority departments assess the needs of the local population and then purchase the necessary services from 'providers'.

Under the National Health Service and Community Care Act any adult aged 18 or over who is eligible for and requires services from the Local Authority has the right to a full assessment of their needs and the services provided should be individually tailored to meet those assessed needs. The individual has a right to participate in the full assessment of their needs. A person may be charged for any services provided following a financial assessment although many people will be exempt from charges depending on their legal status [especially under the Mental Health Act ] or their level of income. The two main stipulations are: Everyone who requires services has the right to a full assessment of their needs and to be fully involved in that assessment. Everyone assessed who is eligible has the right to expect that the services they receive are tailored to meet their needs where reasonably practicable.

Казалось, все происходящее было от нее безумно. Джабба вздохнул и снова вытер пот со лба. По выражению его лица было ясно: то, что он собирается сказать, не понравится директору и остальным. - Этот червь, - начал он, - не обычный переродившийся цикл. Это избирательный цикл. Иными словами, это червь со своими пристрастиями. Бринкерхофф открыл рот, собираясь что-то сказать, но Фонтейн движением руки заставил его замолчать.


Authority may, as the provider, enter into an NHS contract (as defined in section 4 below) under which the goods or services to be provided are of the same.


Собрав все силы, Хейл, сильнее обхватив Сьюзан за талию, начал пятясь подниматься по лестнице. Она пыталась цепляться каблуками за ступеньки, чтобы помешать ему, но все было бесполезно. Он был гораздо сильнее, и ему легче было бы подталкивать ее вверх, тем более что площадка подсвечивалась мерцанием мониторов в кабинете Стратмора. Но если она окажется впереди, он подставит Стратмору спину.

Подойдя поближе, она увидела, что в руке Хейла зажат какой-то предмет, посверкивавший в свете мониторов. Сьюзан сделала еще несколько шагов и вдруг поняла, что это за предмет.

И снова Стратмор нетерпеливым взмахом руки заставил ее замолчать. Сьюзан в испуге взглянула на Хейла. Он стоял с безучастным видом, словно происходящее его никак не касалось.

 Мы терпим бедствие! - крикнул техник.  - Все линии устремились к центру.

2 Comments

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