Annex A: Glossary

Annex A:    Glossary (taken from the national framework 2013)

Assessment

A process whereby the needs of an individual are identified and their impact on daily living and quality of life is evaluated.

Care

Support provided to individuals to enable them to live as independently as possible, including anything done to help a person live with ill health, disability, physical frailty or a learning difficulty and to participate as fully as possible in social activities. This encompasses health and social care.

 Care coordinator

A person who coordinates the assessment and care planning process, where a person needs complex and/or multiple services to support them. Care coordinators are usually the central point of contact with the individual.

 Care package

A combination of support and services designed to meet an individual’s assessed needs.

Care plan

A document recording the reason why support and services are being provided, what they are, and the outcomes that they seek.

Care planning

A process based on an assessment of an individual’s needs that involves working with the individual to identify the level and type of support to meet those needs, and the objectives and potential outcomes that can be achieved.

Carer

A carer looks after family, partners or friends in need of help because they are ill, frail or have a disability. The care they provide is usually unpaid.

Cognition

The  higher  mental  processes  of  the  brain  and  the  mind,  including  memory,  thinking, judgement, calculation, visual spatial skills, and so on.

Commissioning

The means to secure the best care and the best value for local citizens. It is the process of specifying  and  procuring  services  for  individuals  and  the  local  population,  and  involves translating their aspirations and needs into services that:

• deliver the best possible health and well-being outcomes, including promoting equality;

• provide the best possible health and social care provision; and

• achieve this with the best use of available resources.

 End of life care

Care that helps all those with advanced, progressive, incurable illness to live as well as possible until they die. It enables the supportive and palliative care needs of both patient and family to be identified and met throughout the last phase of life and into bereavement.  It includes management of pain and other symptoms, and provision of psychological, social, spiritual and practical support.

 Long-term conditions

Those conditions that cannot, at present, be cured, but can be controlled by medication and other therapies.

Mental capacity

The ability to make a decision about a particular matter at the time the decision needs to be made. The legal definition of a person who lacks capacity is set out in section 2 of the Mental Capacity Act 2005: ‘a person lacks capacity in relation to a matter if at the material time he is unable to make a decision for himself in relation to the matter because of an impairment of, or a disturbance in the functioning of, the mind or brain’.

Mental disorder

Mental disorder is defined in section 1(2) of the Mental Health Act 1983 (as amended by the Mental Health Act 2007) as meaning ‘any disorder or disability of the mind’.

Multidisciplinary

‘Multidisciplinary’ refers to when professionals from different disciplines (such as social work, nursing and occupational therapy etc) work together to address the holistic needs of their patients/clients, in order to improve delivery of care and reduce fragmentation.

Multidisciplinary assessment

An assessment of an individual’s needs that has actively involved professionals from different disciplines in collecting and evaluating assessment information.

Multidisciplinary team

A  team  of  at  least  two  professionals,  usually  from  both  the  health  and  the  social  care disciplines. It does not refer only to an existing multidisciplinary team, such as an ongoing team based in a hospital ward. It should include those who have an up-to-date knowledge of the individual’s needs, potential and aspirations.

Near future

Refers to needs that are reasonably considered by the multidisciplinary team to be likely to arise before the next planned review of the individual.

NHS continuing healthcare

A complete package of ongoing care arranged and funded solely by the NHS, where it has been assessed that the individual has a ‘primary health need’. It can be provided in any setting. Where a person lives in their own home, it means that the NHS funds all the care and support that is required to meet their assessed health and care needs. Such care may be provided either within or outside the person’s home, as appropriate to their assessment and care plan. In care homes, it means that the NHS also makes a contract with the care home and pays the full fees for the person’s accommodation, board and care.

NHS-funded nursing care

Funding provided by the NHS to homes providing nursing to support the provision of nursing care by a registered nurse. Since 2007 NHS-funded nursing care has been based on a single band rate. In all cases individuals should be considered for eligibility for NHS continuing healthcare before a decision is reached about the need for NHS-funded nursing care.

Palliative  care

The active holistic care of patients with advanced, progressive illness. Management of pain and other symptoms and provision of psychological, social and spiritual support is paramount. The goal of palliative care is achievement of the best quality of life for patients and their families.

Personalised

The term used to describe care and services received by a person that are individualised and tailored to their needs and preferences.

Registered  nurse

A nurse registered with the Nursing and Midwifery Council.

Rehabilitation

A  programme  of  therapy  and  re-enablement  designed  to  maximise  independence  and minimise the effects of disability.

Representative

Any friend, unpaid carer or family member who is supporting the individual in the process as well as anyone acting in a more formal capacity (e.g. welfare deputy or power of attorney, or an organisation representing the individual).

Social care

Social care refers to the wide range of services designed to support people to maintain their independence, enable them to play a fuller part in society, protect them in vulnerable situations and manage complex relationships (Our Health, Our Care, Our Say: a new direction for community   services,   paragraph   1.29).   It   is   provided   by   statutory   and   independent organisations, and can be commissioned by local authorities on a means-tested basis, in a variety of settings.

Social services

Social services are provided by 150 local authorities in England. Individually and in partnership with other agencies, they provide a wide range of care and support for people who are deemed to be in need.

Specialist assessment

An assessment undertaken by a clinician or other professional who specialises in a branch of medicine or care, e.g. stroke, cardiac care, bereavement counselling

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