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Amendments

2025

February 2025

Co-production

In February 2025, this new chapter was added to the Universal Procedures section.

Understanding the Mental Health Act 1983

In February 2025, text improvements were made to this chapter. This included adding information about the Right Care Right Person guidance used by the police and the interface between the Mental Health Act and the Mental Capacity Act 2005.

The Light Touch Review Conversation

In February 2025, this chapter was amended to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource section ‘Meeting Needs’.

AMHP Procedure

In February 2025, Section 5, How to Contact the Service, was updated to clarify that a request for a Mental Health Act assessment should be made at the earliest possible opportunity.

Setting an Indicative Budget

In February 2025, this chapter was amended to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource section ‘Meeting Needs’.

The Skilled Conversation (Carers)

In February 2025, Section 8, Good Information and Advice and Prevention was updated to include information about carers leave.

Recording and Keeping Records

In February 2025, Section 3, Principles of Good Recording was updated to include links to resources that support anti-discriminatory recording.

Deputyship and Financial Affairs

In February 2025, information about fixed costs and Deputy renumeration was updated in Section 5, Exploring all Available Options. Information about Sibstar was added to Section 2, Identifying Support Needs.

Equality, Diversity and Human Rights

In February 2025, the link to SCIE: Equality Act 2010 – overview for social care was removed in Section 6, Further Information and Guidance, as the page is no longer available.

Providing Information about a Person or Carer

In February 2025, Section 1, Maintaining Confidentiality about a Person or Carer was amended to clarify that the Data Protection Act 2018 and UK GDPR do not prevent the sharing of information for safeguarding purposes.

Recognising and Responding to Deprivations of Liberty

In February 2025, this chapter has been updated following a full tri.x legal review.

Death of a Person or Carer

In February 2025, information was added to Section 2, Notifying Others about notifications that may need to be made when a person/carer dies, including the requirement that local authorities should notify Ofsted of the death of any care leaver under the age of 25, where it is aware of their care leaver status.

Legal Requirements of a Care and Support Plan Review and Tools

In February 2025, this chapter was amended to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource section ‘Meeting Needs’.

Signing Off a Care and Support Plan and Agreeing a Final Personal Budget

In February 2025, this chapter was amended to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource section ‘Meeting Needs’.

Direct Payments

In February 2025, information about prepaid cards was added into Section 1, What is a Direct Payment.

Debt Respite Scheme (Breathing Spaces) Procedure

In February 2025, amendments were made to Section 5, Applying for a Mental Health Crisis Breathing Space. This was to reflect the changes to the definition of mental health crisis treatment that were made following the case Kaye v Lees [2023] EWCH 152.

NHS Continuing Healthcare Procedure

In February 2025, amendments were made to Section 2, An Introduction to NHS Continuing Healthcare Funding and Section 5, Providing Information and Advice about NHS Continuing Healthcare. This included adding information about PUPoC (Previously unassessed periods of care).

Care and Support Planning

In February 2025, this chapter was amended to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource section ‘Meeting Needs’.

Deprivation of Liberty Safeguards Procedure

In February 2025, Section 4, Understanding the Deprivation of Liberty Safeguards was updated to provide additional clarity about continuous supervision, free to leave and state imputability. In Section 5, Receiving a Standard Authorisation Request, a ‘need to know’ box was added with information about responding to requests from an eligible person. The link to the ADASS Priority Tool for Deprivation of Liberty Requests was updated in Section 5, Receiving a Standard Authorisation Request.

Joint Packages of Health and Social Care

In February 2025, an amendment was made to Section 3, Local Joint Package of Care Arrangements to clarify that the Care and Support Statutory Guidance requires the Local Authority and ICB to agree a local dispute resolution process to resolve any disputes regarding the apportionment of funding in joint funded care and support packages.   

No Recourse to Public Funds (NRPF)

In February 2025, Section 11, Meeting Needs and Review was updated to include information about alternative temporary housing options that can be explored. Additionally, Section 13, People with NRPF who are Receiving After-Care under Section 117 of the Mental Health Act 1983 was refreshed and a link added to the Section 117 Aftercare chapter.

Protecting Moveable Property

In February 2025, a full tri.x review of the chapter, Protecting Moveable Property and Belongings was carried out. The chapter was renamed, and all content was updated. This included incorporating amendments made to the Care Act 2014 Resource chapter, Protecting Property of Adults being Cared for Away from Home following a recent full legal review.

The Light Touch Review Conversation (Carers)

In February 2025, this chapter was amended to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource section ‘Meeting Needs’. Section 8, Good Information and Advice and Prevention was updated to include information about carers leave.

Legal Requirements of a Support Plan Review and Tools

In February 2025, this chapter was amended to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource section ‘Meeting Needs’.

Support Planning

In February 2025, this chapter was amended to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource section ‘Meeting Needs’.

The Full Review Conversation (Carers)

In February 2025, Section 8, Good Information and Advice and Prevention was updated to include information about carers leave.

Signing off a Support Plan and Agreeing a Final Personal Budget

In February 2025, this chapter was amended to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource section ‘Meeting Needs’.

2024

August 2024

Introduction, Legal Requirements and Tools (Carers)

In August 2024, text amendments were made to Section 3, The Purpose of any Assessment. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘The Purpose of Assessment’.   

Preparing to Establish Needs (Child's Needs Assessment)

In August 2024, text amendments were made to Section, Arranging the Assessment and Preparing the Young Person. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Carrying Out an Assessment’.

Understanding and Applying Eligibility Criteria (Occupational Therapy)

In August 2024, Section 3, Applying the Eligibility Criteria was updated to include information from the Care and Support statutory guidance about establishing whether the person's needs arise from a physical or mental impairment or illness. And minor text amendments were made. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘The National Eligibility Criteria’.

Preparing to Establish the Needs of Young Carers

In August 2024, text amendments were made to Section 5, Arranging the Assessment and Preparing the Young Carer. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Carrying Out an Assessment’.

Preparing to Establish Needs (Carers)

In August 2024, text amendments were made to Section 5, Arranging the Assessment and Preparing the Carer. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Carrying Out an Assessment’.   

Preparing to Carry out a Support Plan Review

In August 2024, text amendments were made to Section 5, Arranging the Review and Preparing the Carer. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Carrying Out an Assessment’.

Preparing to Establish Needs (Occupational Therapy)

In August 2024, text amendments were made to Section 4, Arranging the Assessment and Preparing the Person. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Carrying Out an Assessment’.   

Understanding and Applying Eligibility Criteria (Carers)

In August 2024, minor text amendments were made to Section 3, Applying the Eligibility Criteria. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘The National Eligibility Criteria’.

Arranging Support and Services

In August 2024, Section 8, Out of Area Services was updated to reflect amends made previously to Ordinary Residence chapters following a legal review.

Discharge to Assess (Home First)

In August 2024, this chapter was reviewed and refreshed, including the addition of several national resources.

Introduction, Legal Requirements and Tools

In August 2024, text amendments were made to Section 3, The Purpose of any Assessment. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘The Purpose of Assessment’.

Preparing to Establish Needs

In August 2024, text amendments were made to Section 5, Arranging the Assessment and Preparing the Person. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Carrying Out an Assessment’.  

Preparing to Carry out a Care and Support Plan Review

In August 2024, text amendments were made to Section 5, Arranging the Review and Preparing the Person. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Carrying Out an Assessment’.

Understanding and Applying Eligibility Criteria

In August 2024, Section 3, Applying the Eligibility Criteria was updated to include information from the Care and Support statutory guidance about establishing whether the person's needs arise from a physical or mental impairment or illness. And minor text amendments. These amends have been made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘The National Eligibility Criteria’.

Section 117 Aftercare

In August 2024, a scope box was added to top of this chapter, alerting and signposting practitioners to the statutory guidance issued in January 2024: Discharge from mental health inpatient settings. The chapter has also had a full legal review and additional information has been added in Section 5, Aftercare Planning and Assessment around support to claim benefits in line with the findings of the ombudsman decision NHS Devon ICB (22 008 927b).

Preparing to Establish the Needs of Parent Carers

In August 2024, text amendments were made to Section 5, Arranging the Assessment and Preparing the Parent Carer. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Carrying Out an Assessment’.

Requesting a Financial Assessment

In August 2024, text amendments were made to reflect changes made to the chapter ‘Financial Assessment’.

Debt Respite Scheme (Breathing Spaces) Procedure

In August 2024, Approved Mental Capacity Professionals were removed from the list of individuals that can apply for a Mental Health Crisis Breathing Space.

NHS Continuing Healthcare Procedure

In August 2024, relevant text amendments were made throughout to reflect the feedback received following a full tri.x legal review.

Social Media (use of)

In August 2024, Twitter was changed to X (formerly Twitter).

Service Interruptions and Provider Failure

In August 2024, minor text amendments were made to Section 3, Failure of a Regulated Provider. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Commissioning Responsibilities under the Care Act’.

The Reablement Review

In August 2024, text amendments were made to Section 7, Preparing for the Review. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Carrying Out an Assessment’.

Recognising and Responding to Deprivations of Liberty

In August 2024, relevant text amendments were made throughout to reflect the feedback received following a full tri.x legal review of the Deprivation of Liberty Safeguards Procedure.

Joint Packages of Health and Social Care

In August 2024, relevant text amendments were made throughout to reflect the feedback received following a full tri.x legal review of the NHS Continuing Healthcare Procedure.

Preparing to Establish Needs (Reablement)

In August 2024, text amendments were made to Section 1, Arranging the Assessment and Preparing the Person. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Carrying Out an Assessment’.

Deputyship and Financial Affairs

In August 2024, information was added to Section 4, Concerns About an Appointee, Deputy or Donee and Section 5, Exploring All Available Options to clarify that the Court of Protection can also revoke a Deputyship or Lasting Power of Attorney. Further information was also added to Section 6, Making a Property and Affairs Deputyship Application regarding notifications.

Continuity of Care Arrangements

In August 2024, text amendments were made to Section 1, An Introduction to Continuity of Care Arrangements. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘Continuity of Care when a Person Moves’.

Deprivation of Liberty Safeguards Procedure

In August 2024, relevant text amendments were made throughout to reflect the feedback received following a full tri.x legal review. In addition to this, information about use of the ADASS Priority Tool for Deprivation of Liberty Requests was added to section 5 ‘Receiving a Standard Authorisation Request’.

Introduction, Purpose and Tools (Reablement)

In August 2024, text amendments were made to Section 2, The Purpose of any Assessment. These amendments were made to reflect feedback received following a full tri.x legal review of the Care Act 2014 Resource chapter ‘The Purpose of Assessment’.  

NHS-funded Nursing Care Procedure (FNC)

In August 2024, relevant text amendments were made throughout to reflect the feedback received following a full tri.x legal review of the NHS Continuing Healthcare Procedure.

Prisons and Approved Premises

In August 2024, information about the Probation Finder was added to Section 2, Information about Prisons and Approved Premises.

Financial Assessment

In August 2024 this chapter was replaced with an updated version following a full review. This new version reflects feedback received following a full tri.x legal review of the Care Act 2024 Resource section C‘harging and Assessing Financial Resources’.

Direct Payments

This chapter has been replaced with an updated version following a full review. This new version reflects feedback following a full tri.x legal review of the Care Act 2014 Resource section Direct Payments.

February 2024

Actions and Next Steps (Carers)

In February 2024, information about the Caldicott Principles was added into the 'Providing Information about a Carer' section.

Actions and Next Steps (Contact and Access Team)

In February 2024, information about the Caldicott Principles was added into the 'Providing Information about a Person/Carer' section.

Ordinary Residence Procedure

In February 2024, a link to the ordinary residence section of the Section 117 Aftercare Procedure was added.

Monitoring Actions (Reablement)

Section 8, Reporting Concerns about a Service Provider was revised in February 2024 to better reflect the remit of the reablement team.

Deputyship and Financial Affairs

Section 6, Making a Property and Affairs Deputyship Application was updated in February 2024 to include more information about notifications. Information about Carer's Card accounts was added into Section 2, Identifying Support Needs.

Receiving a Contact or Referral

In February 2024, a new Section 5, Identifying Carers was added.

Section 117 Aftercare

Section 3, Ordinary Residence was updated in February 2024 to reflect the Supreme Court judgement R (Worcestershire County Council) v Secretary of State for Health and Social Care [2023] UKSC 31.

Understanding the Mental Health Act 1983

This chapter was added in February 2024.

Community Mental Health Framework

Acting as an Appropriate Adult

No Recourse to Public Funds (NRPF)

In February 2024, a link to the 'Supporting Migrants Lacking Mental Capacity in Relation to Immigration Matters' guidance was added into Section 1, Using this Procedure and Further Guidance.
A link to the government guidance 'Asylum support' was added into Section 7, Providing Information and Advice.
The Home Office Status, Verification, Enquiries and Checking service e-mail address was also updated.

Actions and Next Steps (Hospital Team)

In February 2024, information about the Caldicott Principles was added into the 'Providing Information about a Person' section.

Actions and Next Steps

Actions and Next Steps (Occupational Therapy)

Actions and Next Steps (Reablement)

Debt Respite Scheme (Breathing Spaces) Procedure

In February 2024, a new Section 2, Final Demand Guide was added. Updated in May 2023, the Final Demand Guide provides basic advice for health and social care workers, describing how they can practically help people with debt and mental health problems.

Providing Information about a Person or Carer

In February 2024, information about the Caldicott Principles was added.

The Transition Plan

In February 2024, the Government 'Making Finance Decisions for Young People: Parent and Carer' Toolkit was added to the list of tools to support the Transition Plan conversation.

Social Circumstances Report

In February 2024, this chapter was fully reviewed and refreshed.

2023

August 2023

Joint Packages of Health and Social Care

In August 2023, this chapter was fully reviewed and refreshed and a link to the new Section 117 Aftercare chapter.  

Deciding Whether to Start Transition

In August 2023, a broken link in Section 1, Using this Procedure was fixed.

NHS-funded Nursing Care Procedure (FNC)

In August 2023, this chapter was fully reviewed and refreshed.

Providing Information about a Person or Carer

This new chapter has been added in August 2023 to the Universal Procedures. The information previously sat in the chapter ‘Actions and Next Steps’ but has been relocated.

Establishing Likely Eligibility for a Disabled Facilities Grant

In August 2023, a broken link in Section 3.1, When DFG eligibility is likely to be met was fixed.

Deprivation of Liberty Safeguards Procedure

In August 2023, this chapter was refreshed. This included adding clarity about state imputability and adding 2 new sections: Section 15, Challenging an Authorisation using Section 21A and Section 16, The Future of the Deprivation of Liberty Safeguards. At the same time, the chapter Liberty Protection Safeguards Procedure was deleted.

Deputyship and Financial Affairs

In August 2023, this chapter was fully reviewed and refreshed.

No Recourse to Public Funds (NRPF)

In August 2023, this chapter was refreshed throughout and amended to reflect changes to the immigration status requirements for people from EEA countries.

Section 117 Aftercare

In August 2023, this new chapter was added to the Mental Health Section. At the same time, the Care Programme Approach chapter has been deleted as the CPA has been superseded by the Community Mental Health Framework.

Ordinary Residence Procedure

In August 2023, Section 5, Meeting the Urgent Needs of a Person who is not Ordinarily Resident was reviewed and refreshed.

Recognising and Responding to Deprivations of Liberty

In August 2023, this chapter was fully reviewed and refreshed. This included adding clarity about state imputability, moving information about Best Interests into the section ‘Applying to the Court’, adding information about the National Deprivation of Liberty Court and adding a new section ‘Challenging a DoLS Authorisation using Section 21A’.

End of Life Procedures and Practice Guidance

In August 2023, Section 10, Advance Care Planning was refreshed to include information about the Universal Principles of Advance Care Planning’.   

Applying for a Disabled Facilities Grant

In August 2023, a broken link in Section 1, When to use this Procedure was fixed.

Deciding the Outcome of a Contact or Referral (Occupational Therapy)

In August 2023, the section ‘Ordinary Residence’ was reviewed and refreshed.  

Deciding the Outcome of a Contact or Referral (Hospital Team)

Deciding the Outcome of a Contact or Referral (Contact and Access Team)

Deciding the Outcome of a Contact or Referral (Carers)

Deciding the Outcome of a Contact or Referral

Deciding the Outcome of a Contact or Referral (Reablement)

NHS Continuing Healthcare Procedure

In August 2023, this chapter was fully reviewed and refreshed.

Actions and Next Steps (Hospital Team)

In August 2023, information from this procedure relating to providing information about a person / carer has been used to create a new standalone chapter in the Universal Procedures section.

Actions and Next Steps

Actions and Next Steps (Carers)

Actions and Next Steps (Occupational Therapy)

Actions and Next Steps (Reablement)

February 2023

Preparing to Carry out a Support Plan Review

Section 5, Arranging the Review and Preparing the Carer was revised in February 2023 to better clarify the statutory requirements around the frequency in which Support Plans should be reviewed.

Care and Support Planning

Section 14, Deciding how the Plan will be Reviewed and Monitored was revised in February 2023 to better clarify the statutory requirements around the frequency in which Care and Support Plans should be reviewed.

Preparing to Carry out a Care and Support Plan Review

Section 5, Arranging the Review and Preparing the Person was revised in February 2023 to better clarify the statutory requirements around the frequency in which Care and Support Plans should be reviewed.

Social Circumstances Report

Section 2, A Brief Introduction to Social Circumstances Reports was updated in February 2023 to clarify who can complete a Social Circumstances Report. Section 6, Writing the Report was updated to include links to the HM Courts & Tribunals Service forms.

Legal Requirements of a Support Plan Review and Tools

Section 3, Legal Requirements of Review and Section 6, Responding to a Review Request were both revised in February 2023 to better clarify the statutory requirements around the frequency in which Support Plans should be reviewed.

Recording and Keeping Records

In February 2023, this new procedure was added to the Universal Procedures section. Relevant links to it were also added.

Actions Following a Care and Support Plan Review

Section 2, Deciding the Timeframe for the Next Review was revised in February 2023 to better clarify the statutory requirements around the frequency in which Care and Support Plans should be reviewed.

Actions Following a Support Plan Review

Section 2, Deciding the Timeframe for the Next Review was revised in February 2023 to better clarify the statutory requirements around the frequency in which Support Plans should be reviewed.

Legal Requirements of a Care and Support Plan Review and Tools

Section 3, Legal Requirements of Review and Section 6, Responding to a Review Request were both revised in February 2023 to better clarify the statutory requirements around the frequency in which Care and Support Plans should be reviewed.

Support Planning

Section 14, Deciding how the Plan will be Reviewed and Monitored was revised in February 2023 to better clarify the statutory requirements around the frequency in which Support Plans should be reviewed.

NHS Continuing Healthcare Procedure

In February 2023, all occurrences of Clinical Commissioning Groups/CCG’s across the tri.x site were replaced by Integrated Care Boards/ICBs. This change was made to reflect changes introduced by the Health and Care Act 2022. This change affected multiple procedures.

Deputyship and Financial Affairs

In February 2023, information was added into Section 6, Making a Deputyship Application. This information explains the Court's requirement for 3 respondents.