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NHS Digital

NHS Digital was formerly known as the Health and Social Care Information Centre (HSCIC), and is the national provider of information, data and IT systems for commissioners, analysts and clinicians in health and social care in England. In February 2023 it merged with NHS England.

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100% NHS Funded Care

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Some people with long-term complex health needs qualify for free social care arranged and funded solely by the NHS

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Abuse

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Abuse is a violation of an individual's human and civil rights. Abuse may consist of a single act or repeated acts and may affect one person or more. Abuse can take many forms the following are only examples. It may be physical, verbal, psychological, or discriminatory, it may be an act of neglect or an omission to act, or it may occur when a vulnerable person is persuaded to enter into a financial or sexual transaction to which he or she has not consented, or cannot consent. Abuse may take the form of honour based violence, modern slavery or exploitation.

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Accommodation Status

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

An indication of the type of accommodation that a client currently has. This should be based upon the client's main or permanent residence.

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Accommodation Status

NHS Digital - Client Level Data

https://www.ardengemcsu.nhs.uk/adult-social-care-client-level-data/

Categories in ASC-CLD: - Owner occupier or shared ownership scheme - Tenant - Tenant - private landlord - Settled mainstream housing with family / friends - Supported accommodation / supported lodgings / supported group home - Shared Lives scheme - Approved premises for offenders released from prison or under probation supervision - Sheltered housing / extra care housing / other sheltered housing - Mobile accommodation for Gypsy / Roma and Traveller communities - Rough sleeper / squatting - Night shelter / emergency hostel / direct access hostel - Refuge - Placed in temporary accommodation by the council (inc. homelessness resettlement) - Staying with family / friends as a short-term guest - Acute / long-term healthcare residential facility or hospital - Registered care home - Registered nursing home - Prison / Young offenders institution / detention centre - Other temporary accommodation - Unknown

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Action

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The activity or set of activities taken by the CASSR as a result of the initial safeguarding concern, or subsequent enquiry.

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Activities of daily living

NHS Digital: Health Survey for England 2018

Activities relating to personal care and mobility about the home that are basic to daily living

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Acute / long-term healthcare residential facility or hospital (e.g. NHS Independent general hospital / clinic, long-stay hospital, specialist rehabilitation / recovery hospital)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A range of hospital settings and can include specialist rehabilitation settings.

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Address unstructured

NHS Data Dictionary

https://www.datadictionary.nhs.uk/classes/address_unstructured.html

A subtype of ADDRESS. A recognizable postal address comprised of up to five lines of 35 alphanumeric characters. Note: the format relates to the physical layout, and not necessarily to the logical layout of the address.

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Adult Social Care Outcomes Framework

NHS Digital website

https://digital.nhs.uk/data-and-information/publications/statistical/adult-social-care-outcomes-framework-ascof

The Adult Social Care Outcomes Framework (ASCOF) measures how well care and support services achieve the outcomes that matter most to people. The ASCOF is used both locally and nationally to set priorities for care and support, measure progress and strengthen transparency and accountability.

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Adult social care client level data

NHS Digital: Social care collection materials 2023

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2023#short-and-long-term-support-salt-

The government is transforming adult social care data so that we can deliver better, joined-up care to people who draw on care and support. You can learn more about this in Care data matters: a roadmap for better data for adult social care. As part of this, from April 2023 the government is introducing a national mandatory person-level data collection – the Client-Level Data collection (CLD). CLD will replace the existing annual Short and Long Term (SALT) Support data collected by local authorities. CLD will be added to the single data list and will be mandatory for all local authorities from April 2023. View the specification, guidance and further information on CLD.

Further information

https://www.ardengemcsu.nhs.uk/adult-social-care-client-level-data/

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Advance care planning

Palliative care co-ordination: core content - Requirements specification (National Information Standard SCCI1580)

https://digital.nhs.uk/data-and-information/information-standards/information-standards-and-data-collections-including-extractions/publications-and-notifications/standards-and-collections/scci1580-palliative-care-co-ordination-core-content

A voluntary process of discussion and review to help an individual who has capacity to anticipate how their condition may affect them in the future and, if they wish, set on record choices or decisions relating to their care and treatment so that these can then be referred to by their carers (whether professional or family carers) in the event that they lose capacity to decide once their illness progresses. Under the terms of the Mental Capacity Act 2005 formalised outcomes of advance care planning might include one or more of the following: - advance statements to inform subsequent best interests decisions - advance decisions to refuse treatment which are legally binding if valid and applicable to the circumstances at hand - appointment of Lasting Powers of Attorney (‘health and welfare’ and/or ‘property and affairs’)

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Advance decision to refuse treatment

Palliative care co-ordination: core content - Requirements specification (National Information Standard SCCI1580)

https://digital.nhs.uk/data-and-information/information-standards/information-standards-and-data-collections-including-extractions/publications-and-notifications/standards-and-collections/scci1580-palliative-care-co-ordination-core-content

An advance decision to refuse treatment (ADRT) is a decision to refuse a specific treatment made in advance by a person who has capacity to do so. This decision only applies at a future time when that person lacks capacity to consent to, or refuse, the specified treatment. This is set out in section 24 of the Mental Capacity Act. Specific rules apply to advance decisions to refuse life-sustaining treatment. An advance decision to refuse treatment: - can be made only by someone over the age of 18 who has mental capacity - is a decision relating to refusal of specific treatment and may also include specific circumstances - can be verbal, but if an advance decision includes refusal of life sustaining treatment, it must be in writing, signed and witnessed and include the statement ‘even if life is at risk’ - will only come into effect if the individual loses capacity - only comes into effect if the treatment and any circumstances are those specifically identified in the advance decision - is legally binding if valid and applicable to the circumstances - can be overridden by the Mental Health Act, but only for psychiatric treatment

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Advocate

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Someone who puts a case on someone's else's behalf

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Age

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Age is calculated as at the last day of the reporting period. If a client dies during the period, their age should be recorded as their age at death.

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Age requirement

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Is the age requirement met, i.e. the person is or will be 18 years old or older at the start of the proposed DoLS authorisation.

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Alcohol or drug dependency

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A strong and often uncontrollable desire to drink or take drugs

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All long term support ended

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

When the long term support service provided to a client comes to an end and no other long term support is being provided. This could be the result of the clients needs being re-assessed and there is no longer the need to provide the long term support or the support is temporarily suspended for other reasons such as a hospital admission.

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Approved premises for offenders released from prison or under probation supervision (e.g. probation hostel)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Premises intended for individuals released from prison or other types of custodial detention, who are usually ordered to stay there as part of their release from prison, or as a condition of bail or a Community Order.

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Assistive Equipment and Technology

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

This section includes the cost of telecare service contracts as well as equipment and adaptations. No further financial analysis is required between Primary Support Reasons or age groups.

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Asylum Seeker

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Asylum seekers are defined by the United Nations as people who move across borders in search of protection, but who may not fulfil the strict criteria laid down by the UNCHR 1951 Refugee Convention. Asylum seeker describes someone who has applied for protection as a refugee and is awaiting the determination of his or her status.

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Best interests requirement

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Is the best interests requirement met, i.e. it is in the person's best interests to be deprived of their liberty in this care home or hospital for the purpose of giving the proposed care or treatment, it is necessary to prevent harm to that person, and it is proportionate to the risk and seriousness of that harm.

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Bridging loan to allow sale of the property

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The loan is intended to cover the period until a property is sold to pay for care rather than a loan for the lifetime of the holder.

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CASSR Commissioned Support only

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A client with a package of services provided by the CASSR but not within a personal budget, with no cash payments.

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CASSR Managed Personal Budget

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A client in receipt of a personal budget where none of their personal budget is being taken as a direct payment.

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Capital Charges

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Capital charges i.e. depreciation, loss of impairment of assets, credits for capital grants and Revenue Expenditure Funded from Capital under Statute (REFCUS) should be recorded under service related expenditure (columns D and E) and as capital charges (columns P and Q). Capital charges and other residual costs associated with the closure of establishments should be included in FR007: Commissioning and Service Delivery Measure (columns D and E) and as capital charges (columns P and Q). Capital charges i.e. depreciation, loss on impairment of assets and credit for amortisation of capital grants should be recorded in the ASC-FR. It should be noted that credit for amortisation of capital grants is included, but the element of notional interest should be excluded from capital charges.

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Care home - nursing (location of risk)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Can be used whether the person is at the care home on a permanent or temporary basis.

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Care home - residential (location of risk)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Can be used whether the person is at the care home on a permanent or temporary basis.

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Care management

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The process of assessing and reviewing a client's needs and arranging service delivery.

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Care sequel

ASC Collections Data Dictionary (Beta v1.4)

https://digital.nhs.uk/data-and-information/data-tools-and-services/data-services/adult-social-care-data-hub?area=data-dictionary

A term used in the SALT return to identify what happened next. Entries in the ASC Data Dictionary v1.4 are: Sequel to planned/unplanned review- Community Setting: - When a client has a planned or unplanned review and it leads to a service in a community setting Sequel to planned/unplanned review- Nursing & Residential Setting - When a client has a planned or unplanned review and it leads to a service in a residential or nursing setting Sequel to request for support - This is the sequel identified as the result of an initial screening/assessment with the client/representative before any type of support is provided. This encompasses decisions to by-pass short term interventions and provided long term services immediately, as well as issuing equipment or signposting to universal or voluntary sector services. Sequel to Short Term Support to Maximise Independence(existing client) - Of existing clients who have received 'Short Term Support to maximise Independence' a breakdown of what followed the period of short term support Sequel to Short Term Support to Maximise Independence (new clients) - New clients where the sequel to a request for support was 'Short Term Support to maximise Independence' a breakdown of what followed the period of short term support

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Carer

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The definition of a carer is taken from the Carers and Disabled Children Act 2000 [now repealed] which utilises the following description: "Carers (aged 16 and over) who provide or intend to provide a substantial amount of care on a regular basis for another individual aged 18 or over". Although the Act only refers to carers aged 16 and over, younger carers of adults should be included in this return. The Act excludes from the definition of a carer, paid care workers and volunteers from a voluntary organisation. It is possible for a client to have more than one carer, and for a carer to additionally be a client in his or her own right.

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There are comments about this definition - please click here to read them

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Carer

NHS Data Model and Dictionary

https://www.datadictionary.nhs.uk/nhs_business_definitions/carer.html?hl=carer

A Carer is a PERSON. A Carer is a PERSON who is either providing or intending to provide a substantial amount of unpaid care on a regular basis for someone who is disabled, ill or frail. A Carer is usually a family member, friend or neighbour and does not include Care Workers (Carers (Recognition and Services) Act 1995.) Note: This NHS Business Definition is referenced by the approved Information Standard SCCI1580: Palliative Care Co-ordination: Core Content (Formerly End of Life Care).

Further information

https://digital.nhs.uk/data-and-information/information-standards/information-standards-and-data-collections-including-extractions/publications-and-notifications/standards-and-collections/scci1580-palliative-care-co-ordination-core-content

There are comments about this definition - please click here to read them

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Carer Support Reason

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The Carer Support Reason describes the needs of the carer. The carer's support needs may change based on their personal circumstances and on the adult receiving care needs.

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Carer role

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Indicator of client's responsibilities for caring for another person, i.e. 'carer'; or 'not a carer'.

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Carer-related

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Changes in the capacity or ability of the carer to provide support to the client. This may be a temporary issue relating to the carer, but the local authority is required to review the client to cover the gap in support or a more long term issue such as the death of carer.

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Casual contact

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A contact where personal details were not taken.

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Change in ommissioning arrangements

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Any changes in the arrangements between commissioners and providers

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Child & Adolescent Mental Health Services

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Specialist NHS children and young people's mental health services.

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Children's social services

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Social services support, care and protection for vulnerable children and young people. This is the most common route of transition to Adult Social Care.

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Client

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Customers of the CASSR who are 'on the books' for an assessment, a review or the receipt of services.

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Client contributions (Sales, Fees and Charges)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Income received as a result of Deferred Payment Agreements should be captured in this section as with any income from Client Contributions.

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Client did not meet statutory eligibility criteria i.e. discretionary

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

If the DPA-holder did not meet the eligibility criteria but was offered an agreement anyway (including a top-up), they should be classed as discretionary.

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Client level data

NHS Digital: Social care collection materials 2023

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2023#short-and-long-term-support-salt-

The government is transforming adult social care data so that we can deliver better, joined-up care to people who draw on care and support. You can learn more about this in Care data matters: a roadmap for better data for adult social care. As part of this, from April 2023 the government is introducing a national mandatory person-level data collection – the Client-Level Data collection (CLD). CLD will replace the existing annual Short and Long Term (SALT) Support data collected by local authorities. CLD will be added to the single data list and will be mandatory for all local authorities from April 2023. View the specification, guidance and further information on CLD.

Further information

https://www.ardengemcsu.nhs.uk/adult-social-care-client-level-data/

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Client met statutory eligibility criteria i.e. mandatory

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The client met the eligibility criteria and were offered a mandatory DPA. If they requested a top-up (which is strictly speaking a discretionary power as local authorities can refuse a DPA with a top-up), they should be counted in the mandatory DPA column.

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Clients receiving services

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Clients who are or have been recipients of services during the period, or who are still 'on the books' for services on the last day of the period.

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Co-morbidity

NHS Digital - Client Level Data

https://www.ardengemcsu.nhs.uk/adult-social-care-client-level-data/

Co-morbidity is an evolution of the Reported Health Conditions included originally in the Equalities and Classifications Framework (EQ-CL) and previously reported in SALT. Autism Spectrum Disorder combines the two Autism and Asperger's Syndrome conditions following an international classification convention. Dementia has been added, as have two new variables to identify if a client has reported a Hearing and/or Visual Impairment. Co-morbidities will complement the Primary Support Reason and allow for a richer client profile, where in SALT some conditions or impairments are lost as they are secondary or tertiary support reasons. The visual and hearing impairment variables will be important for information standards; to help to address communication needs and bring the collection more into line with the SSDA902 visual impairment register.

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Commissioning and Service Delivery

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

any expenditure on functions that support the delivery of the adult social care areas described in measures FR001 - FR004. The expenditure for this measure relates to: Commissioning or commissioning-related items: - Strategic Business Direction (e.g. Needs Analysis, Policy or Strategic development) - Business Planning (including Business Development, Performance and Budget planning and monitoring) - Commissioning and De-commissioning functions - Commissioning, Procurement and Management (including Market Management, Contract Procurement and Provider Monitoring) - Communications and PPE - Governance & Support - (Admin, Finance, IT & Information Management, Legal, non-front line Quality Assurance, Audit and Risk Management) - Responding to Complaints and Complaint Management. Infrastructure: - Building and premises management - IT.

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Community

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Community refers to those who live independently (including those in small group homes, sheltered housing or warden supported accommodation) who receive home or community based services.

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Community/Other route

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

This route of access reflects requests from clients (or on behalf of clients) based in the community, residential / nursing care or any other route of access not specified elsewhere.

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DPA Write-offs

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The value associated with DPAs which have been partially recovered or written off during the year. - The value written off for DPAs where recovery was attempted but no value recovered - The value written off and value recovered for DPAs where recovery was attempted and a partial value was recovered - The value written off for DPAs where the Local authority did not attempt recovery

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DPA for full cost of residential or nursing home place

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Following a means test the client is a self funder, and has agreed a DPA for the full costs of their care.

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DPA with no top up

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Deferred payment agreement, where no third party contributes to the cost of care.

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DPA with top up

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A deferred payment agreement where a third party contributes an amount on top of the DPA to cover the cost of care.

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Day centre or day activities

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A place providing care and recreation facilities for those who cannot be fully independent.

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Deferred Payment Agreement

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A DPA is a means by which an individual can 'defer' or delay accessing the equity in their home to pay for their care. The local authority pays the costs of care on an interim basis and is repaid at a later date - either after the sale of property (or other security) or after the person receiving care has died.

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Delivery mechanism

NHS Digital - Client Level Data

https://www.ardengemcsu.nhs.uk/adult-social-care-client-level-data/

Categories in ASC-CLD: Community: Direct Payment Community: CASSR Managed Personal Budget Community: CASSR Commissioned Support Prison: CASSR Managed Personal Budget Prison: CASSR Commissioned Support

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Dementia

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning

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Direct Payment only

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Direct payment describes a payment process where support is given via the issue of monetary payments by local CASSRs directly to adult clients who have been assessed as needing certain services. Examples here could be: the issue of a personal budget solely via direct payment of funds to the recipient, or the issue of a grant payment to support a carer.

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Data descriptor

of

from

Source

Discharge from Hospital

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

This route of access relates to clients who are being referred for support following a planned or an emergency admission to hospital.

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Data descriptor

of

from

Source

Discriminatory abuse

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Includes abuse based on a person's race, sex, disability, faith, sexual orientation, or age; other forms of harassment, slurs or similar treatment or hate crime/hate incident.

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Data descriptor

of

from

Source

Diversion from Hospital Services

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

This relates to requests for support relating to clients who are being referred as a means of preventing admission to hospital. Diversion will include some kinds of falls prevention and falls response services, as well as reablement type services aimed at avoiding hospital admission. It is intended to pick up those referrals made specifically to prevent admission to hospital. CASSRs will have well-defined programmes for preventing admissions, such as reablement.

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Data descriptor

of

from

Source

Domestic abuse

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

An incident or pattern of incidents of controlling, coercive or threatening behaviour, violence or abuse by someone who is or has been an intimate partner or family member regardless of gender or sexuality. It can include: psychological, physical, sexual, financial, emotional abuse; 'honour' based violence; Female Genital Mutilation; forced marriage.

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Data descriptor

of

from

Source

Dual impairment

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A combination of hearing and visual impairments.

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Data descriptor

of

from

Source

Early Cessation of Service (return to long term support) - any setting

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A period of short term support to maximise independence that was cut short in an unplanned way before the planned end date but this resulted in provision of long term services.

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Data descriptor

of

from

Source

Early cessation of service (leading to long term support)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

This is when a client's short term support ended early and long term services restarted, in any setting.

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Data descriptor

of

from

Source

Early cessation of service (not leading to long term support) - other reason

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

All other instances of short term support to maximise independence ending early where long term social care support does not resume. This is not expected to be a commonly used sequel as most 'early cessation' clients are expected to go on to receive ongoing health care or resume council support in their original setting.

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Data descriptor

of

from

Source

Early cessation of service (not returning to long term support) - NHS funded care/end of life/deceased

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A period of short term support to maximise independence that was cut short in an unplanned way (e.g. because of a health issue, client moving out of the local area etc.) and does not result in long term support provision.

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Data descriptor

of

from

Source

Eligibility Requirement

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Is the eligibility requirement met, i.e. the person is eligible for the DoLS to be used, rather than the Mental Health Act 1983, to authorise a deprivation of liberty.

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Data descriptor

of

from

Source

Eligible Population (ASCS)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

All service users, at the point data are extracted, who are in receipt of long term support services funded or managed by the council following a full assessment of need. This is the same population of service users who would be reported in table LTS001b of the SALT return.

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Data descriptor

of

from

Source

End of life care

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

End of life (EOL) care is considered to be any episode of social care support provided as part of palliative care, and which is intended to support the individual until the care is no longer required.

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Value set

for

from

Source

Ethnicity

NHS Digital - Client Level Data

https://www.ardengemcsu.nhs.uk/adult-social-care-client-level-data/

Categories in ASC-CLD: White (English / Welsh / Scottish / Northern Irish / British) White Irish White (Gypsy or Irish Traveller) Any other White background White and Black Caribbean White and Black African White and Asian Any other mixed / multiple ethnic background Indian Pakistani Bangladeshi Chinese Any other Asian background African Caribbean Any other Black / African / Caribbean background Arab Any other ethnic group Refused Undeclared / Not known [NB this list is now superseded by the categories in CLD Guidance, release 1 (February 2023)]

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Data descriptor

of

from

Source

Fairer Charging Income

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Section 17 of the HASSASSA Act 1983 provides that councils may recover such charges as they consider reasonable in respect of relevant services.

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Digital/TEC definition

of

from

Source

Fast Healthcare Interoperability Resources

NHS Digital

https://digital.nhs.uk/services/fhir-apis

Fast Healthcare Interoperability Resources (FHIR) is the global industry standard for passing healthcare data between systems. It is free, open, and designed to be quick to learn and implement. It is important that healthcare information can be shared quickly. This makes sure that the right information is available about each patient, so that providers can make the right decisions. Data sharing goes across organisations, and now includes mobile and cloud-based applications. FHIR are part of an international family of standards developed by Health Level-7 UK (HL7). The information models and APIs developed using this standard provide a means of sharing health and care information between providers and their systems no matter what setting care is delivered in.

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Data descriptor

of

from

Source

Financial abuse

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Includes theft, fraud, exploitation, pressure in connection with wills, property or inheritance or financial transactions, or the misuse or misappropriation of property, possessions or benefits.

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Data descriptor

of

from

Source

Financial or material abuse

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Includes theft, fraud, exploitation, pressure in connection with wills, property or inheritance or financial transactions, or the misuse or misappropriation of property, possessions or benefits.

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Definition

of

from

Source

Frailty

Palliative care co-ordination: core content - Requirements specification (National Information Standard SCCI1580)

https://digital.nhs.uk/data-and-information/information-standards/information-standards-and-data-collections-including-extractions/publications-and-notifications/standards-and-collections/scci1580-palliative-care-co-ordination-core-content

Frailty is a distinct health state related to the ageing process in which multiple body systems gradually lose their in-built reserves. Around 10% of people aged over 65 years have frailty, rising to between a quarter and a half of those aged over 85 years. Older people living with frailty are at risk of adverse outcomes such as dramatic changes in their physical and mental wellbeing after an apparently minor event which challenges their health, such as an infection or new medication.

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Data descriptor

of

from

Source

Full cost paying clients

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A full cost paying client is one who pays the full direct costs of the services they receive but whose support is arranged by the CASSR which includes regular reviews, support planning etc.

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Data descriptor

of

from

Source

Grants to Voluntary Organisations

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Grants to voluntary organisations to enable them to provide a service should be included under the column 'Grants to Voluntary Organisations' (Non SALT & Totals worksheet Column F). Additionally, record in this column any expenditure for which you are unable to match activity. Such grants should be recorded against the most appropriate finance measure, e.g. grants to the Third Sector aimed at supporting people in the community through low-level support or advocacy should be included in the Information and Early Intervention measure.

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Data descriptor

of

from

Source

Gross Current Expenditure

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Gross total expenditure minus capital charges

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Data descriptor

of

from

Source

Gross SSMSS

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Includes things like ICT, HR, property and finance costs, which may be directly or indirectly assigned to Primary Support Reasons. These should be included in the SSMSS column, so that the actual service cost for comparison purposes can be deduced. Some overhead costs are charged directly, e.g. ICT equipment, phone charges, but these are true costs of running the business and aren't generally included in SSMSS (where they aren't charged directly they may end up as part of the overall ICT overhead included in the SSMSS column, but these differences would not be material enough to affect unit costs).

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Definition

of

from

Source

Healthcare provider

NHS Data Dictionary

https://www.datadictionary.nhs.uk/nhs_business_definitions/health_care_provider.html?hl=healthcare%2Cprovider

A Health Care Provider is an ORGANISATION acting as a direct provider of health care SERVICES. A Health Care Provider is a legal entity, or a sub-set of a legal entity, which may provide health care under NHS SERVICE AGREEMENTS; it may operate on one or more sites within and outside hospitals. This definition covers Local Authorities with social care responsibilities working in cooperation with an NHS Health Care Provider on nationally targeted and prioritised care as delivered within Care Spells. Lead responsibility for such care may be solely led by one Health Care Provider or jointly shared by two or more Health Care Providers each of which must share equal responsibility. The following ORGANISATIONS may act as Health Care Providers: - GP Practice - NHS Trust - NHS Foundation Trust - Registered non-NHS Provider (e.g. Independent Provider, Independent Sector Healthcare Provider etc) - Unregistered non-NHS Provider - Care Trust - Local Authorities with social care responsibilities - Other agencies

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Data descriptor

of

from

Source

Hearing impairment

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The United Nations World Health Organisation (WHO) defines hearing impairment as the complete or partial loss of the ability to hear from one or both ears and can be graded as mild, moderate, severe or profound.

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Data descriptor

of

from

Source

Home care

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Home care is care that allows a person with needs to stay in their home. It might be for people who are getting older (aging in place). It could also be for people who are chronically ill, recovering from surgery, or disabled.

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Data descriptor

of

from

Source

Hospital (Planned and Unplanned episodes)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

This significant event relates to reviews carried out after an admission to or treatment in hospital. Even when a hospital admission or treatment was known about in advance, the result of medical treatment may be unexpected and result in a request for a review to the CASSR. If an unexpected admission to hospital or treatment in hospital is required, this may result in the care needs of a client changing when they are due to return home

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Data descriptor

of

from

Source

Hospital - acute (location of risk)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The individual at risk could be a patient or a visitor.

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Data descriptor

of

from

Source

Hospital - community (location of risk)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The individual at risk could be a patient or a visitor.

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Data descriptor

of

from

Source

Hospital - mental health (location of risk)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The individual at risk could be a patient or a visitor.

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Data descriptor

of

from

Source

In a community service (location of risk)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Can include places like community centres, day care centres, leisure centres, libraries, schools, GP surgeries and dental surgeries.

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Data descriptor

of

from

Source

In the community (excluding community services) (location of risk)

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Can include places like businesses, offices, pubs and other people's homes.

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Data descriptor

of

from

Source

Income from NHS

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

All income received from NHS bodies which has been spent on the provision of Adult Social Care. This includes funds received as part of a joint arrangement with an NHS body. Income received by the Local Authority as part of the Better Care Fund should also be recorded under Income from the NHS.

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Data descriptor

of

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Source

Individuals Involved in Safeguarding Activity

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The number of individuals involved in the different types of safeguarding activity. Individuals involved refers to the adults at risk.

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Data descriptor

of

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Source

Individuals Involved in Safeguarding Adult Reviews

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

When an adult at risk dies from or suffers from serious harm, a SAR is conducted to identify how local professionals and organisations can improve the way they work together. A Safeguarding Adults Board (SAB) would usually make the decision to instigate a SAR and a report will be produced to document the findings and recommendations. This is a count of individuals involved in SARs which concluded during the reporting year. Individuals involved refers to the adults at risk.

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Data descriptor

of

from

Source

Information and Early Intervention

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Any expenditure on any service or support for which there is no test of eligibility and no requirement for review. The expenditure for this measure relates to the following items: Information and Advice: spend on advice and publication teams, leaflets and advertising, websites and other information channels Screening and Signposting: investment in contact centres, one stop shops, advice services etc. Prevention / low level support: non-attributable costs for drop in centres, supported luncheon clubs, falls prevention and low level brokerage services (e.g. supporting access to full costed services such as gardening or shopping) Independent Advocacy: Costs of supporting advocacy and associated functions.

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Definition

of

from

Source

Instrumental Activities of Daily Living

NHS Digital: Health Survey for England 2018

Activities which, while not fundamental to functioning, are important aspects of living independently

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Data descriptor

of

from

Source

Interpreter

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

A person who interprets, especially one who translates speech orally or into sign language

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Data descriptor

of

from

Source

Joint arrangements

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

The SEA states that in the case of pooled budgets and joint arrangements, only the CASSR's own expenditure contribution should be recorded; this is also the case for Care Trusts

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Data descriptor

of

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Source

Jointly with the cared-for person

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Utilised within the SALT collection this classification is used to report the circumstances of the assessment of the carers needs. Here the carer was assessed jointly with the cared-for person. The level of client involvement will vary, case by case and between councils. Nevertheless, if the cared-for person is known, linked to the carer on the client database and was involved in a significant way in the assessment / review of the carer, this should be included under this classification.

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Data descriptor

of

from

Source

Known to individual

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Other - Known to Individual and Other - Unknown to Individual cover all other sources of risk which are not social care support. The source of risk would be classed as known to individual if the adult at risk knows their name.

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Data descriptor

of

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Source

LA contributing to cost of care through the means test

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Following a means test the client is entitled to some LA funding to partially cover care costs, and therefore are not classed as self funders. The LA pays part of the clients care costs, and the individual has deferred the remaining care costs.

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Data descriptor

of

from

Source

Lacking Capacity

ASC Collections Data Dictionary (Beta v1.3)

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2022

Professionals must work in line with the Mental Capacity Act (MCA) and where an MCA assessment concludes an individual lacks capacity to make decisions about the safeguarding incident, decisions made on their behalf must always be in their best interest.

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Definition

of

from

Source

Lasting power of attorney

Palliative care co-ordination: core content - Requirements specification (National Information Standard SCCI1580)

https://digital.nhs.uk/data-and-information/information-standards/information-standards-and-data-collections-including-extractions/publications-and-notifications/standards-and-collections/scci1580-palliative-care-co-ordination-core-content

There are two different types of LPA: A property and financial affairs LPA: this replaces the previous Enduring Power of Attorney and does not have power to make health decisions. Please note Enduring Powers of Attorney were replaced by Lasting Powers of Attorney but may still be used if made and signed before October 2007. A personal welfare LPA: must be made while the individual has capacity, but only becomes active when the individual lacks capacity to make the required decision. The LPA must act according to the principles of best interests. Can be extended to life-sustaining treatment decisions (personal welfare LPA including health), but this must be expressly contained in the original application. A personal welfare LPA (PW-LPA) only supersedes an ADRT if the PW-LPA was appointed after the ADRT was made, and if the conditions of the PW-LPA cover the same issues as in the ADRT.

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