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Circular SWSG7/94 5458 - Community Care - The Housing Dimention

ANNEX 7

ALLOCATION OF RESPONSIBILITY BETWEEN HEALTH, SOCIAL WORK, AND HOUSING FOR THE PROVISION OF AIDS, EQUIPMENT AND HOUSE ADAPTATIONS

This annex sets out the responsibilities of health, social work and housing bodies for providing aids and equipment, and carrying out adaptations to housing, and reproduces, slightly amended, the appendix to circular SDD40/85: NHS1985(GEN)33: SWSG17(1985). See also Annex 5 (Sources of Funding) of this circular.

AIDS OR EQUIPMENT AVAILABLE TO ALL SECTORS



Financial responsibilities

1. Aids or equipment directly related to the management of an illness, especially to facilitate the patient's domicilliary nursing care or the rehabilitation of a person or child from hospital; and aids required on medical or nursing grounds such as bed-pans, walking frames and wheelchairs.

Health Board

2. Aids or equipment of a domestic character to afford the person or child greater independence within the home, such as removable bath and toilet aids, telephone aids and special furniture.

Social Work Department

3. Environmental control equipment to give the person or child a measure of independence and make care at home easier for relatives.

Health Board or Social Work Department - depending on the type of equipment supplied.

ADAPTATIONS TO PUBLIC SECTOR STOCK



Financial responsibilities

4. Adaptations which are designed to make dwellings suitable for particular disabled persons, and for disabled persons generally, and which are essentially permanent in nature such as installations of through floor lifts, immovable track hoists and entryphone systems installed as part of a scheme; widening doors; fitting permanent external handrails, special doors, windows and window ironmongery, special bath, shower or kitchen units, lever taps, high level power points; provision of permanent concrete ramps and additional bedrooms or bathrooms; strengthening of walls or ceilings to accept internal grab rails or hoists and other approved adaptations and additions to the building fabric.

Public Sector Landlord ie Local Housing Authority, Scottish Homes or New Town Development Corporation (until 1996)

5. Equipment installed in public sector housing authority houses to meet the needs of a particular disabled person, which might be removed when no longer required, such as additional internal grab rails, temporary ramps, door answering intercoms, removable stair lifts, laundry and cleaning equipment. For community alarms, social work/housing arrangements differ between areas, and it is for social work authorities and housing providers to determine the appropriate responsibility for capital and revenue funding to meet local circumstances.

Social Work Department

6. The installation of home dialysis equipment and units including associated costs.

Health Board

ADAPTATIONS TO HOUSING ASSOCIATION, PRIVATE RENTED, AND OWNER OCCUPIED STOCK



Financial responsibilities

7. Adaptations of a permanent nature and which are designed to meet the needs of a particular disabled person who has applied for home improvement grant; such as provision of accessible bathrooms, bedrooms, permanent concrete ramps, external handrails, widening doors, fitting special doors and windows, special kitchen units, lever taps, special bath or shower units, high level power points and other adaptations to the building fabric.

Private Landlord or owner-occupier responsibility with possible improvement grant assistance paid for by local housing authorities and met from the non-Housing Revenue Account housing capital allocations.

8. Adaptations which are in category (7) above and for which the Social Work Department may contribute at its discretion towards the occupier's or, dependant's share of the costs.

Social Work Department

9. Equipment installed to meet the needs of a particular disabled person which is removable and redeployable when no longer required, such as additional internal grab rails, temporary ramps, door answering intercoms, individual emergency call facilities, removable stair lifts, laundry and cleaning equipment.

Social Work Department

10. The installation of home dialysis equipment and units including associated costs.

Health Board

 

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