Eligibility for Adult Social Care Services

After an assessment the Council must decide if you are eligible for care and support, the Care Act 2014 introduces a national eligibility process which must be followed.

Eligibility for Adults 

The eligibility threshold for adults with care and support needs is based on identifying how a person’s needs affect their ability to achieve relevant outcomes, and how this impacts on their wellbeing. This consists of three criteria, all of which must be met for a person’s needs to be eligible. 

  1. The needs arise from or are related to a physical or mental impairment or illness.
  2. As a result of those needs the adult is unable to achieve two or more of the specified outcomes:
    • managing and maintaining nutrition
    • maintaining personal hygiene
    • managing toilet needs
    • being appropriately clothed
    • being able to make use of the home safely
    • maintaining a habitable home environment
    • developing and maintaining family or other personal relationships
    • accessing and engaging in work, training, education or volunteering
    • making use of necessary facilities or services in the local community, including public transport and recreational facilities or services
    • carrying out any caring responsibilities the adult has for a child
    3.  As a consequence of being unable to achieve these outcomes there is, or there is likely to be, a significant impact on the adult’s wellbeing

Go to Eligibility and Referral form

Eligibility for Carers 

Carers can be eligible for support in their own right. The threshold is based on the impact their caring role has on their wellbeing. When determining carer eligibility, local authorities must consider the following three conditions all of which must be met for a carer’s needs to be eligible. 

  1. The needs arise as a consequence of providing necessary care for an adult
  2. As a result of the carers needs either:
    • the carer’s physical or mental health is, or is at risk of, deteriorating
    • because of their caring role the carer is unable to achieve any one, or more, of the following outcomes:
      • carrying out any caring responsibilities the carer has for a child
      • providing care to other persons for whom the carer provides care
      • maintaining a habitable home environment in the carer’s home, whether or not this is also the home of the adult needing care
      • managing and maintaining nutrition
      • developing and maintaining family or other personal relationships
      • engaging in work, training, education or volunteering
      • making use of necessary facilities or services in the local community, including recreational facilities or services
      • engaging in recreational activities.
  3. As a consequence of that fact there is, or there is likely to be, a significant impact on the carer’s wellbeing.

‘Wellbeing’

There is also no single definition of wellbeing, as how this is interpreted will depend on the individual, their circumstances and their priorities. It covers a lot of different areas, including:

  • your personal relationships (e.g. whether you have a need for more social contact)
  • your physical and mental health
  • your safety
  • your financial wellbeing (such as whether there are any benefits you could be claiming)
  • your housing situation
  • the control you have over your daily life.

If your needs could have a big effect on at least one of the areas of wellbeing then this could be considered a ‘significant impact’. Or, if your needs have a bit of an effect on several of these areas of wellbeing, this could add up to having a significant impact on your wellbeing as a whole.  

You will receive a written copy of your completed assessment and the eligibility decision.

  • If you do not have eligible needs the Council will give you information and advice about what other services can help you and may also be able put you in touch with other organisations to help you.
  • If you have eligible needs, the Council will contact you to discuss what help might be available and what happens next.

If you are eligible for care and support from the council, and you want this to happen you may have to pay something towards the cost and you will then need to disclose details about your savings, assets and income. 

Useful links:

Last Updated: 9 January 2019