| Circular SWSG7/94 5458 - Community Care - The
Housing Dimention
ANNEX 3
GLOSSARY OF TERMS
Advocacy
Supporting and promoting the interests of the user by
negotiation with statutory and other agencies.
Assessment
The participatory process of understanding the needs of an
individual and/or that person's carer in order to establish eligibility for assistance and
to determine an appropriate care plan, including housing if appropriate.
Bridging Finance
Funding from Scottish Office to assist the movement of
services and people from inappropriate hospital settings into the community with a
consequential contraction in the institutional base.
Community Care Client Group or Care Group
Used to describe groupings of service user, by type of
disability or other characteristic relevant to Community Care. Main care groups comprise
people with Physical or Sensory Impairments, Learning Difficulties, Mental Health
problems, Elderly people with Dementia, Elderly people, Alcohol or Drug Misusers and
people with HIV/AIDS (and their carer, if any).
Community Care Package
A combination of services, accommodation and other
facilities designed to meet the assessed needs of a person requiring care in the
community.
Community Care Management
Any strategy for managing and co-ordinating services for
the individual user in a way which provides for continuity of care and accountability to
both user and agency. It comprises "care tasks" ie identification of needs,
screening, assessment of need, care planning, monitoring and reviewing.
Care Manager
Any practitioner (usually a social worker) who undertakes
all, or most, of the core tasks of case management for a user. It may carry a budgetary
responsibility.
Carer
A person who is looking after another who falls within a
community care client group, and where the care provided exceeds that implicit in normally
dependent relationships between family members.
Care Management
Any strategy for managing and co-ordinating services for
the individual user in a way that provides for continuity of care and accountability to
both user and agency. It comprises the "core tasks" of identification of need,
screening, assessment of need, care planning, monitoring and reviewing.
Commissioning Role
The function of specifying what services are required, and
then conferring upon a provider (statutory, voluntary or private sector) the duty to
provide these services usually through a formal contract.
Community Care
The provision of services and support for people who are
affected by problems of ageing, dementia, mental health problems, learning difficulties,
physical or sensory impairment, progressive illnesses, HIV/AIDS or problems arising from
misuse of drugs or alcohol, to enable them to live as independently as possible in their
own homes or in domestic settings in the community.
Community Care Plan
Strategic plan prepared by a health board or social work
authority, or both jointly, for the provision of community care in their area.
Consumer
See under User.
Contract
Any agreement enforceable by law.
Day Care
Care provided in the day time in a setting away from the
user's home. It could be provided in another person's home, a day care unit attached to a
residential home or supported accommodation, a separate day centre or in other community
facilities.
Discharge Plan
Plans drawn up before a patient's discharge from hospital
making appropriate arrangements for any necessary continuing care or treatment. The plans
should include a checklist of action to be taken by all those concerned with the patient
(e.g. medical, nursing, therapy, social work and housing staff) and should be agreed with
the patient and/or their carer.
Dischart Protocol
This summarises and sets out broad agreements reached
between health, social work and housing agencies on how to plan and undertake an effective
programme of hospital discharge arrangements.
DMUs
Directly Managed Units. NHS service providers which are
directly managed by Boards.
Domiciliary Care
Social and/or health care arrangements and services -
provided in a private household, or in supported or residential accommodation which
support an individual (either alone or in the care of a relative or other carer).
Fast Track Assessment
An arrangement to undertake a rapid assessment, (probably
less comprehensive than usual), in view of particularly urgent need. This will normally
happen when consideration is being given to urgent admission to supported accommodation or
residential care.
Health Board
The statutory body responsible within a given area for
obtaining health care for its resident population (including primary health care) and for
satisfactory collaboration with local authority services. It is accountable to the NHS
Management Executive of The Scottish Home and Health Department.
Health Care
Medical and nursing care which is provided by the National
Health Service and which is free at the point of access. It is recognised that there is
not always a clear distinction between health care and social care; this interface is for
local discussion and agreement between health boards and social work authorities.
Health Service Providers
Health Service Directly Managed Units, NHS Trusts, GPs and
the independent health sector.
Health Service Purchasers
Health Boards and GP fund-holders collectively.
Housing Association
Section 1 of the Housing Association Act 1985 defines a
housing association as a society, body of trustees or company which does not trade for
profit, and whose purpose or objective is to provide, construct or manage housing
accommodation. The majority are registered with Scottish Homes and many have charitable
status.
Independent Sector
This comprises both the private sector and the voluntary
sector, including housing associations.
Housing Authority
Local authority responsible for securing the provision of
housing under the Housing (Scotland) Act 1987 and related legislation - District and
Islands councils.
Joint Contract
An agreement between purchasers and providers of health or
social care.
Joint Community Care Plans
Community Care Plans which are jointly produced by health
boards and social work authorities.
Levels of Assessment
Different kinds of assessments should be made in response
to different types and levels of needs. A common distinction is between simple and complex
assessments. Some agencies identify other levels of assessment such as specialist or
comprehensive assessment.
Local Health Strategy
A 10 year plan drawn up by health boards setting out the
health services the health board intends to obtain for residents of its area.
Long Stay Hospital
Hospitals which provide hospital care for those patients
who are judged to require it beyond the normal acute and rehabilitation phases. The main
groups accommodated in such hospitals of interest for housing and community care are
people with mental health problems, those with learning difficulties, elderly people with
dementia, and frail elderly people.
Mental Illness Capital Grant
Grant payable by central government to voluntary
organisations for the development of community based facilities for the mentally ill.
Mental Illness Specific Grant (MISG)
Grant payable by Central Government to local social work
authorities towards the cost of specific community care projects for people with mental
health problems.
Mixed Economy of Care
A pattern of caring services involving the use of private
and voluntary providers (described collectively as the independent sector), and housing
associations, alongside public services.
NHS Contract
An agreement between a health service purchaser and a
provider of health care to deliver specified services for an agreed sum.
NHS Trusts
Bodies established by the Secretary of State under section
31 of the NHS and Community Care Act 1990 to assume responsibility for the ownership and
management of establishments previously managed by a Health Board, or to provide and
manage hospitals or other establishments.
Normalisation
The use of non-specialist services to enable people to live
ordinary valued lives.
Nursing Home Care
Care provided in a registered nursing home as defined in
section 10 of the Nursing Homes Registration (Scotland) Act 1938. Nursing homes must be in
the charge of either a registered medical practitioner or a qualified nurse, and may
include maternity homes or private hospitals.
Outcomes
The contribution to the well-being of the user of services
and accommodation provided.
Outputs
The result of the activity of a service or accommodation
provider in terms of the range, quantity, and quality of services and accommodation
provided.
Planning Agreement
An agreement between agencies involved in planning
community care services to establish local needs for community care; and the funding and
responsibilities for commissioning of health, housing and social work services for those
in need.
Practice Guidance (or Good Practice Guidance)
Documents designed to assist agencies to develop services
(including community care) in practice; such guidance will concentrate on specific aspects
of how to implement legislation and policy. The documents amplify the principles contained
in legislation and in policy guidance, and may identify detailed changes required in
systems and procedures or offer guidance and suggestions on aspects of good practice.
Primary Care (Primary Health Care)
"First Line" health care available to all and
provided through GPs and health centres.
Private Sector
Owner occupied and private rented housing.
Provider
Any person, groups of persons, or organisation supplying a
service.
Public Sector
Any accommodation or service (controlled) provided by a
government department or local authority or a new town or Scottish Homes or by any other
statutory agency.
Purchaser
The budget holder who contracts to buy a service.
Quality Assurance
The organisation, monitoring and reviewing of activities
within an organisation to ensure that users or purchasers received a service or
accommodation which is what they require and which it is fit for the stated purpose.
Registration of Social Work Establishments
The statutory controls exercised by local authorities under
the Social Work (Scotland) Act 1968 in respect of the conduct of private and voluntary
sector residential and other establishments providing social care.
Registered Housing Association
Housing Association registered with Scottish Homes and
subject to controls exercised by it.
Residential Care
Personal care or support, other than medical or nursing
care, provided for people living in a communal setting for the purpose of receiving such
care (who cannot, or choose not, to live in a private household even with the support of
day or domiciliary services and informal carers).
Respite Care
A service which offers time off to carers either during the
day, evening, overnight or for several days at a time, by taking care of the user they
care for.
Sensory Impairment
An impairment which impairs sight and/or hearing.
Service Specification
A set of minimum requirements relating to a service to be
supplied.
Social Care
Services that provide social support and assistance to
people in need and which sustain and promote the degree of independent living they can
manage. Social care includes the provision of advice, information and counselling,
domiciliary services, day and residential care and various forms of practical help such as
equipment. It is mainly arranged, and may be provided, by social work authorities. It is
recognised that there is not always a clear distinction between health care and social
care; this interface is for local discussion and agreement between health boards and
social work authorities.
Social Work Authority
Local authority responsible for securing the provision of
social care and acting as lead agency or provision of community care, under the Social
Work (Scotland) Act 1968 and related legislation - Regional and Islands councils.
Statutory Sector
That group of bodies which is required by statute to obtain
or provide particular service, principally local authorities, Scottish Homes and New Town
Development Corporations.
Social Rented Sector
Houses rented on a not-for-profit basis. Besides the public
sector (housing authorities, Scottish Homes, New Town development corporations); it
includes housing associations.
Supported Accommodation
Accommodation including in-house staff who provide social
and/or health care support for residents, who each have their own private accommodation
but share some communal facilities.
User
Anyone in receipt of any community care service.
Voluntary Sector
Organisations which provide services in the community and
which are always 'not-for-profit'. These services can be advisory, campaigning or direct
provision. In this circular, this does not include housing associations which are
discussed separately. |
