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.