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Only those with "substantial" needs will be covered and this creates a lot of scope for interpretation, particularly when budgets are stetched.
People whose social care needs are currently defined as "critical", under the classification system used by local authorities, would be the first to have charges removed, with free care extending to those with "substantial" needs as the economy improves.
Under the proposals, only elderly or disabled people with "substantial" needs or above would receive free care.
Those with substantial needs are individuals judged to be at risk of abuse or neglect and people who need help to ensure their safety.
The combination of high caseloads, patients with substantial needs, and significant administrative duties results in staff burnout related to feelings of ineffectiveness.
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Local authorities should review their funding policies to ensure home solutions such as telecare and assistive technology are free to all with substantial need.
The odds are high that a "postcode lottery" will be created with patients with identical conditions paying their own way in some districts and having free care in others.So the report recommends that those with "critical" and "substantial" needs (the top two categories) should be provided with free healthcare (excluding residential costs), regardless of their means, via a national scheme.
Our research findings are in line with previous research showing that caregivers of people with dementia have substantial needs for professional support [ 14, 19, 20].
With more than 90% of councils only providing help to people with critical and substantial needs, the unspoken fallback position is that their children will pick up the slack.
The commission says an additional £3bn will be needed initially to make social care free for people with critical or substantial needs, rising to £5bn by 2025.
Rahman has pledged not to close libraries, children's centres or leisure centres and will keep home care free for people with "critical" and "substantial" needs.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com