Fair access to care

Levels of risk

The Government has developed a framework to help decide who should receive community care services from social services departments. This is called fair access to care and the eligibility criteria is as follows:

Critical risk to independence

  • Life is, or will be, threatened.
  • Significant health problems have developed or will develop.
  • There is, or will be, little or no choice and control over vital aspects of the immediate environment.
  • Serious abuse or neglect has occurred or will occur.
  • There is, or will be, an inability to carry out vital personal care or domestic routines
  • Vital involvement in work, education or learning cannot or will not be sustained.
  • Vital social support systems and relationships cannot or will not be sustained.
  • Vital family and other social roles and responsibilities cannot or will not be undertaken.

Substantial risk to independence

  • There is, or will be, only partial choice and control over the immediate environment.
  • Abuse or neglect has occurred or will occur.
  • There is, or will be, an inability to carry out the majority of personal care or domestic routines.
  • Involvement in many aspects of work, education or learning cannot or will not be sustained.
  • The majority of social support systems and relationships cannot or will not be sustained.
  • The majority of family and other social roles and responsibilities cannot or will not be undertaken.

Moderate risk to independence

  • There is, or will be, an inability to carry out several personal care or domestic routines.
  • Involvement in several aspects of work, education or learning cannot or will not be sustained.
  • Several social support systems and relationships cannot or will not be sustained.
  • Several family and other social roles and responsibilities cannot or will not be undertaken.

Low risk to independence

  • There is, or will be, an inability to carry out one or two personal care or domestic routines.
  • Involvement in one or two aspects of work, education or learning cannot or will not be sustained.
  • One or two social support systems and relationships cannot or will not be sustained.
  • One or two family and other social roles and responsibilities cannot or will not be undertaken.