Eligibility Criteria (previously known as FACS)
Last updated: 06/01/2014
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Are you eligible for a service?
This page explains how your eligibility is decided and
what happens after that.
Government requirements mean that since April
2003, clients who ask for support from Cornwall Adult Care, Health
and Wellbeing have been assessed using a framework called
Eligibility Criteria, previously known as FACS. This
applies both to new clients, and to existing clients when they are
reassessed. Services for children are not affected by the
The Eligibility Criteria identifies the risks which
threaten a person's ability to manage in the community. There are
four bands, described as "Risks to Independence":
These are determined through an interview with you in your
Cornwall Adult Care, Health and Wellbeing will undertake an
assessment based on your presenting needs at the referral
stage of the assessment. The assessment will identify if you have
any needs that ACHW can provide services for. The assessing worker
will identify the level of need using the eligibility criteria
guidance. If needs are identified, the department will provide or
commission services for people assessed in the
substantial bands of risk, but
not for those in the moderate and low bands.
Not everyone will have needs in every area of the assessment,
some people may have needs which could be eligible for
services but are met in another way, for example, carers.
These are called 'met' needs. If the assessment concludes that
you are not eligible for services, Adult Care, Health and Wellbeing
will endeavour to signpost you to other services.
The Eligibility Criteria is determined by Cornwall
Council and may change - and will be updated on this website.
How the level of risks to independence is determined
You and your assessor would establish which of these
difficulties you faced and look at them in detail:
- Autonomy and freedom to make
For example, how far are you able to exert choice and control over
your immediate environment?
- Health and safety including freedom from harm, abuse
and neglect, and taking wider issues of housing and community
safety into account
For example, are you in a life-threatening situation, or are you at
risk of serious abuse, neglect, health or housing
- The ability to manage personal and other daily
For example, how far are you able to carry out personal care and
- Involvement in family and wider community life,
including leisure, hobbies, paid and unpaid work, learning and
For example, are you able to work or take up education, or are you
isolated from places or people that are important to you?
- Your carer's
For example, how far is your carer affected physically or mentally
by his/her caring role?
Although each of these is assigned a risk banding, it is the
highest of them which would determine your level. A more critical
banding should reflect the presence of a greater variety or
intensity of risk and need.
What about my Carer?
A carer is someone who provides substantial or regular care or
support to another person. The help that your carer is able to give
you may impact on them and their circumstances. This should be
included in your assessment and in determining the Fair Access to
Care banding. Carers are entitled to their own separate assessment;
and the law states that it must be offered to them.
This Carers Assessment, as it is called, would help your
assessor to understand your needs and then "band" them more
precisely. The carers assessment should follow from, or be part of
an assessment of needs.
What happens if your assessor concludes that you are in a
critical or substantial band of risk?
The options would be considered and if services proved
necessary, Adult Care, Health and Wellbeing would seek best
value in managing the risks we identified as critical or
substantial. These are called eligible needs.
If you are in the critical or
substantial band of risk then the National Health
Service may be responsible for your care or have a responsibility
to contribute to your care. This would be determined through a
What happens if your assessor concludes you are a band of
risk not eligible for a service?
When Risks To Independence are assessed as below the threshold
for receiving a service, our primary functions are preventative
measures or signposting of assistance:
Adult Care, Health and Wellbeing can help in the
- Equipment to enable you to remain independent at home.
- Short term services to make you more independent and to prevent
things from getting worse.
- Referrals to, or making recommendation for, provision by other
agencies, such as the NHS. Or Occupational Therapy
recommendations for adaptations to the appropriate housing or other
- Setting up services, or recommending continuation of services
which you are prepared to pay for your self. For example you may
wish to continue at your local day centre at your own
expense. Or we might be able to get a better quote from a
domestic care agency than you can as an individual, for services we
cannot provide ourselves.
- Short term services to keep you out of, or get you home from
- Help and advice.
- A prompt response when you contact us.
Adult Care, Health and Wellbeing will not
- On-going Community Care Services; either our own or
commissioned from Community Care Agencies or Care Homes.
- Residential Care
- Monitoring or review visits by assessing staff (unless your
What if you do not agree with the decision of your
Ask your assessor to explain again, in a different way if
necessary so that you are clear why they have come to their
conclusion. You might prefer them to call again at another time
when you have someone at hand to help and support you.
If you are still not satisfied you can ask them to re-consider
their decision, and following that to ask for a second opinion.
If you are still dissatisfied after the second opinion,
especially if it's about the way the assessment was conducted, then
you have a right to complain.
You can find out how to complain to Adult Care, Health and
Wellbeing in our leaflet Have your say! Your assessor may have given you
a copy or you can ask for one at your local Adult Care, Health and Wellbeing office or
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