Actions and Next Steps (Occupational Therapy)
The Local Authority has a duty under section 4 of the Care Act to provide good general information and advice relating to adult Care and Support wherever it is requested or would be of benefit. This duty applies equally in respect of all local residents regardless of whether the person with Care and Support needs is known to, lives in, or is already receiving services from the Local Authority.
See: Providing Information and Advice to read more about the duty to provide information and advice under the Care Act, including how information and advice should be provided and the specific information and advice requirements around finances.
CAB
Citizen’s Advice Rotherham offers practical up-to-date information and advice that is free, confidential, independent and impartial. They offer advice on rights and responsibilities in a wide variety of enquiry areas. They also have an in-house team of specialist debt advisers who are able to give advice, support and information on dealing with debts.
About us - Citizens Advice Rotherham
Age UK
Age UK offers a range of services for older people and their carers. This includes service such as ‘EngAge’ which helps people stay connected within their local communities, ‘Linkline’ which is a telephone service to alleviate loneliness and isolation, hospital aftercare to enable timely discharge home i.e. through transport home from the hospital, ‘A Little Bit of Help’ to stay independent for longer and free and confidential information and advice on a range of topics.
Age UK Rotherham | Our Services
Rotheram Gismo
Gismo is an online directory of not-for-profit groups providing help and support to people living and working in the Rotherham area. The site features around 600 groups offering a wide range of support services to individuals in the community and has been administered by Voluntary Action Rotherham since 2013.
MECC link
This website offers signposting to places where you can access support and information for better health and wellbeing. This can be support with lifestyle such as alcohol intake or smoking, housing, mental health, gambling and suicide prevention.
Information & Support for people with Learning Disabilities and people with Autism
My Front Door
My Front Door is about providing choice and support for adults with learning disabilities and adults with autism to live a full and rich life. Here you can find information on activities, local success stories, different types of support, employment options and lots more.
Rotherham SEND Local Offer
Here you will find help, advice and information about the services available for children and young people up to the age of 25 who have a Special Educational Need or Disability (SEND).
Speakup Self Advocacy
Speakup is a Self Advocacy Group run by and for people with learning disabilities and autistic people. They help people have a voice, employment opportunities and be valued and included in society.
Find more information at www.speakup.org.uk
Kooth
Kooth is a service that offers mental health support and has done a lot of work around supporting neurodiverse people really well. See details for Kooth in ‘Health and Welbeing’ section.
RAADS
The Rotherham Adult Autism Diagnostic Service provides diagnostic assessments for Autism Spectrum Disorder for adults who currently live in the Rotherham area.
For more information on being assessed visit Adult Autism Spectrum Disorder (ASD)
Rotherham Parent Carers Forum
This is a registered charity run by and for families of children and young people (aged 0-25) who have Special Educational Needs and/or Disabilities (SEND). They work in partnership with service commissioners and providers to share knowledge and experience of families to help plan and develop the quality, range and accessibility of provision, creating better outcomes for families through participation and co-production.
RANSS
RANSS is a support service for autistic adults / adults with ADHD (18+) with a Rotherham GP.
Employment Solutions Supported Employment project
This is a project designed to support individuals with a Learning Disability and / or Autism to achieve their ambitions of securing meaningful and sustainable paid employment. This project adopts a person-centred approach bespoke to needs of the individual.
For more information contact the team on 01709 249 600 or via email employmentsolutionsteam@rotherham.gov.uk
Support for carers
The page on RMBC website is a good jumping off point for carers information and information on direct payments.
Information for carers – Rotherham Metropolitan Borough Council
Financial information
Disabled Facilities Grant information
Here you will find information on adaptations to your home, how you will be assessed on these and the cost implications as well as how to apply for a Disabled Facilities Grant.
www.rotherham.gov.uk/improvements-repairs/get-help-home-adaptations
Money Matters
Money Matters has a range of support available for those worried about the rising cost of living. Whether you are on low income, a pensioner, have children, are out of work or just can’t make ends meet – advice and guidance on available financial support is available here.
Money matters – Rotherham Metropolitan Borough Council
Laser Union
This is a Rotheram based Credit Union that describes itself as ‘A safe, honest, not for profit alternative to the banks’. They are based in the town centre.
LASER Credit Union | Savings & Loans Trix please link to
Advocacy services
Absolute Advocacy
This is an independent advocacy service in Rotherham who give people a voice, especially about their health, care and wellbeing. Their services are free and confidential for those who need them. They are not part of the NHS or social care services but they do understand how they work.
Contact on 01709 794294 or find more information at www.absoluteadvocacy.co.uk
Health and Wellbeing
Amparo
This is a phone service for those people bereaved/affected/exposed to suicide Leave a message on the Amparo telephone line and a member of the team will call you. This service offer practical and emotional support to all those bereaved and affected by suicide. There is not cut off for how long ago that suicide occurred and people can self-refer or be referred: Amparo Website
Contact number - 0330 088 9255.
Be the One
Here you will find Rotherham’s suicide prevention campaign which has lots of information about spotting the signs someone may be thinking about suicide, having conversations and what the response should be. There are also details of local and national organisations.
Please note – Be the One is not a live response website.
Crisis Team Rotherham
The Rotherham Crisis Team is a multi-disciplinary team including Approved Mental Health Practitioners (AMHPs), social workers, community psychiatric nurses, a non-medical prescriber, support worker and a psychiatrist. The team operates a 24/7 crisis telephone line accessible to all providing triage, advice, signposting and follow-up appointments, alongside comprehensive face to face assessments and consultation.
Telephone: 0800 652 9571 (this a freephone number)
For deaf/hard of hearing; please start your text with ‘Deaf’ to: 07771933869 (this is not a freephone number)
Opening hours: 24 hours a day, 7 days a week
Rotherham Healthwave
This is Rotherham’s public health and lifestyle behaviour change service.
The service provider is Connect Health Care Rotherham CIC, in collaboration with Rotherham United Community Sports Trust.
The services aim to focus on prevention and early intervention by promoting health and wellbeing across Rotherham. The services focus on stop smoking, weight management and get active.
Professional or self-refer to access the service:
Email: rotherham.healthwave@nhs.net
Call: 01709 850427
Visit: Rotherham Healthwave - Helping Boost Health and Wellness
IESO
IESO is a typed therapy which takes place online at a time that is convenient for you. Therapy can be accessed via computer, smartphone or tablet meaning it can happen whenever suits you and wherever you feel most comfortable.
Kooth
Kooth is an accredited service for Counselling and Psychotherapy providing a free, safe and non-judgemental place for young people to connect with others and know they are not alone. They have instant access to self-help materials, live moderated discussion forums and tools such as online journals and goal trackers. Kooth is available to young people in Rotherham across the ages of 11-25 years.
Qwell
Qwell is available for anyone aged 18+ in Rotherham. The service runs alongside the children and young people’s service Kooth.com and is a platform that can be accessed from any internet device 365 days, 24/7. As a safe and anonymous mental health and wellbeing online service, users can access Qwell.io free with no waiting lists, no referrals and no thresholds.
Listening Ear
If you’ve been affected by the death of a family member, friend or work colleague help is available with this service. Call for free and their trained staff will help you talk it through, in confidence. Contact number - 0800 048 5224
www.listening-ear.co.uk/covid-19
Rotherham Health App
The Rotherham Health App provides access to your local NHS services from your mobile device or the web. You can get quick and easy access to your local GP practice along with other NHS services available within Rotherham.
RotherHive
RotherHive provides a range of verified practical mental health and wellbeing information, support and advice for adults in Rotherham.
It has information on a variety of topics such as bereavement, debt, depression, self harm and a there is a wellness hive. The wellness hive provides a wide range of interactive resources on keeping yourself and others emotionally and mentally well - www.rotherhive.co.uk/wellness-hive
Please note - RotherHive is not a live response website.
RotherHive – The wellbeing and mental health resource for Rotherham
NHS Talking Therapies
NHS Rotherham Talking Therapies - previously known as Rotherham IAPT - provides talking therapies to adults who are experiencing common mental health problems such as depression, anxiety and stress. The Rotherham team is made up of psychological wellbeing practitioners, cognitive behavioural therapists and counsellors. The team can offer a range of different talking therapies to support you in managing your mental health and improving your wellbeing.
To access the NHS Rotherham Talking Therapies service, you must be registered to a Rotherham GP surgery. You can self-refer to our service via the self-referral form or by calling 03000 215108. You will then be contacted by the team.
Alternatively, you can use the Rotherham Health App to refer and make appointments. The app is available from Google Play and the Apple App Store.
Please note - this is not a walk-in service.
NHS Rotherham Talking Therapies
Voluntary Action Rotherham
Voluntary Action Rotherham is the lead body for supporting, developing and promoting the voluntary and community sector in the Rotherham borough. It’s mission is o provide leadership, support and development to the voluntary and community sector in Rotherham.
Some examples of service based at VAR are –
- Rotherham Social Prescribing Service - The main aim of Social Prescribing is to help people become more connected, resilient and able to self-care. The Social Prescriber role is to address non-clinical issues by helping people to access voluntary and community activities and services. They assess individual needs and offer people a variety of practical, social and emotional support. Practical support may include services such as advocacy, respite for carers or help with welfare benefits advice. Social support may include befrienders taking people to social groups and emotional support may include counselling or bereavement support groups;
- Link Workers - A Social Prescribing Link Worker is there to listen to you and put you in touch with the people and activities that might help you to feel better. They can help you to connect to: local social groups and activities, mental well-being support and resources and practical support including food and medication. You can self-refer To Link Workers but must be over 18 years old and registered with a GP in Rotherham.
Home - Voluntary Action Rotherham (varotherham.org.uk)
With You
This service is for you if you’re living in Rotherham and are worried about your own drug or alcohol use or someone else’s. With You are based in Rotherham centre and you can refer online, via email or by phone.
www.wearewithyou.org.uk/services/rotherham-roads-rotherham-alcohol-and-drug-service
Sometimes it is helpful to contact a well-known national organisation with a dedicated information and advice service or help-line. See: National Organisations with Information and Advice Helplines for details of some national organisations offering this service.
Some national organisations do not have dedicated information and advice services but can still provide such support upon request. See: National Contacts for Adult Care and Support for a wider range of useful national contacts for adult Care and Support.
You can also see the Financial Assessment and Charging FAQ Response Support Tool for the answers to some frequently asked questions around financial assessment, including questions relating to Disabled Facilities Grants.
Information and advice must be provided in an accessible way so that the person for whom it is intended can best understand and make use of it.
If you feel the person for whom the information and advice is intended will need support to understand it then you should:
- Consider whether the person has anyone appropriate who can help them to understand it;
- Consider any steps that you can take to support them to understand it (for example talking through the information over the telephone or summarising it in a simpler format); and
- Consider the benefit of independent advocacy.
Under the Care Act the Local Authority has a duty to not only provide information and advice where it is needed, but to ensure that the information and advice it provides has been effective.
Therefore, when information and advice has been provided you should agree appropriate arrangements to follow up with the person to whom it was given in order to review how effective it has been.
The timescales for this follow up should reflect the individual circumstances and level of risk.
Where you are making arrangements for someone else to follow up on the information and advice you have given (rather than following up on it yourself) you must make sure that you have recorded this in a way that will ensure the person follows up on it at the agreed time.
Occupational Therapy is one of a range of services available where the focus is on the prevention, delay or reduction of needs. However other prevention services may also be beneficial alongside Occupational Therapy and should also be explored. These could include health services, enablement or Telecare.
Under Section 2 of the Care Act the Local Authority has a duty to prevent needs for Care and Support/Support whenever it identifies an opportunity to do so.
See: Preventing Needs for Care and Support to read more about the duty to prevent needs for Care and Support, including the types of prevention services recognised by the Care Act, when to provide prevention services and how to charge for prevention services.
Sometimes the information gathered at contact, referral or through consultation with others will evidence that:
- Allocation for further assessment is not required; and
- The most appropriate and proportionate response is to provide minor works or low level equipment.
When arranging minor works and low level equipment (either directly or through a partner agency) you must ensure that appropriate mechanisms are in place to:
- Support the person (and any carer) to use the equipment provided safely;
- Monitor the effectiveness of the works and equipment; and
- Review the need for further assessment or intervention.
You should refer to available local guidance to confirm which works and equipment can be provided through the minor works scheme.
The Local Authority has a common law and legal duty to safeguard the confidentiality of all personal information. As an employee of the Local Authority you are bound contractually to respect the confidentiality of any information that you may come into contact with. Under no circumstances should such information be divulged or passed to any persons or organisation in any form unless you have authorisation to do so.
All information sharing that takes place must be in line with data protection legislation (namely the UK General Data Protection Regulation and the Data Protection Act 2018) and local policy.
The Caldicott Principles must also be regarded. The Caldicott Principles are a set of principles that apply to the use of confidential information within health and social care organisations and when such information is shared with other organisations and between individuals, both for individual care and for other purposes. For further information, see: The Caldicott Principles.
Any unauthorised disclosure of confidential information may result in disciplinary action of individual prosecution under the Data Protection Act 2018.
For further information and guidance see: Providing Information about a Person or Carer
It is important that the person making contact speaks to the right practitioner at the right time. Sometimes you may find that you are not the most appropriate practitioner to manage the contact.
When the person making the contact requests specifically to speak to or be contacted by a particular person you should establish as quickly as possible whether the contact should be forwarded to that practitioner.
You should check available systems to establish whether the person is allocated to the practitioner they have requested to speak to.
You should not transfer a telephone call to a named worker if it is clear that the worker is not allocated to the person. This will not be helpful to the worker or to the person as they will not be speaking to the right person to resolve the contact.
If the practitioner is not available
If the practitioner is not available you should try and establish when they may become available by looking at any electronic calendars they use or speaking with a colleague or manager who may know.
If you know when the practitioner is likely to become available you should:
- Inform the person of this;
- Leave the practitioner a message alerting them to the contact, any action undertaken and confirming the information given to the person about when to expect a call back;
- Undertake any actions that you are able to in order to resolve some or part of the contact, including any urgent actions that may be required should the practitioner be unavailable for more than a few hours;
- Agree with the person what they should do if the practitioner does not make contact at the expected time; and
- Make a proportionate record of all the above.
If it is not clear when the practitioner will become available you should:
- Inform the person of this;
- Leave the practitioner a message alerting them to the contact, any action undertaken and what information has been given to the person;
- Undertake any actions that you are able to in order to resolve some or part of the contact, including any urgent actions that may be required; and
- Agree with the person what they should do if the practitioner does not make contact within an agreed timeframe; and
- Make a proportionate record of all the above.
When a written contact is addressed to a named worker you should establish as quickly as possible whether the contact should be forwarded to that practitioner.
You should check available systems to establish whether the person is allocated to the practitioner that the written contact is addressed to.
You should not transfer a written contact to a named worker if it is clear that the worker is not allocated to the person. This will not be helpful to the worker or to the person as they will not be dealing with the right person to resolve the contact.
Before transferring the contact you should:
- Confirm that the practitioner the written communication is being transferred to is available within a reasonable timeframe for the action indicated by the contact, or that you have agreed with a manager how the contact will be managed;
- Where the communication is a letter or an e-mail, whether the practitioner wishes to receive the original contact (if not this should be filed securely); and
- Where a written response confirming the contact has been received is required or requested, agree who will provide this.
The most secure way to transfer a written contact is to send a message to the practitioner alerting them to the contact and where it can be found on the recording system.
Any original copies of e-mails must be sent via internal secure e-mail systems only and any original letters must be sent via internal postal services or secure delivery only.
If the practitioner is not available
If the practitioner is not available you should try and establish when they may become available by looking at any electronic calendars they use or speaking with a colleague or manager who may know.
If the practitioner is not available within a reasonable timeframe for the action indicated by the contact you should:
- Leave the practitioner a message alerting them to the contact, where it can be found on the recording system and any action undertaken, including what has been agreed with the person if contact has been made with them;
- Undertake any actions that you are able to in order to resolve some or part of the contact, including any urgent actions that may be required and writing any acknowledgement letter to confirm arrival of the contact;
- When the practitioner is not available within any timeframes indicted in the written contact or for more than a few days inform the person making the contact of this;
- Agree with the person what they should do if the practitioner does not make contact within an agreed timeframe; and
- Make a proportionate record of all the above.
If, as part of any conversation or information gathering you become concerned that a vulnerable adult or child is experiencing, or at risk of abuse or neglect you must respond appropriately by raising a concern.
See Safeguarding Adults, which also includes information about how to raise a children's safeguarding concern.
If you are concerned that an adult or child is in imminent danger from abuse or neglect, or that a criminal act has taken place you should contact the police by dialing 999.
Whenever the outcome of a contact or referral is that the person will be involved in any adult Care and Support process (including any assessment, or safeguarding) the Local Authority has a duty under the Care Act to make an independent advocate available to the person when:
- There is no appropriate other person to support and represent them; and
- They feel that the person would experience substantial difficulty being fully involved in the Care and Support process without support.
tri.x has developed a tool that can be used as required to support effective and consistent decision making about when/which advocacy support should be made available.
See: Advocacy Decision Support Tool.
The Local Authority also has a power (but not a duty) to make advocacy available in other situations on a case by case basis if it deems this appropriate and is able to do so. This could include advocacy to support a person to understand information and advice, or advocacy to support a person to explore possible options available to them.
Having substantial difficulty is not the same as lacking mental capacity.
See: Determining Substantial Difficulty for information about how to determine substantial difficulty.
See the Mental Capacity Act 2005 Resource and Practice Toolkit, with guidance about assessing capacity and making best interest decisions.
An appropriate person for general representation purposes is not the same as an appropriate person for independent advocacy under the Care Act.
See: An Appropriate Other Person for information about the difference and how to establish whether there is already an appropriate person.
The role of an independent advocate appointed under the Care Act is not the same as the role of a general advocate or any other type of advocate (for example an Independent Mental Capacity Advocate or an Independent Mental Health Advocate).
An independent advocate appointed under the Care Act must both facilitate and maximise the involvement of the person with substantial difficulty in the Care and Support process that is taking place.
For information about the ways in which an independent advocate should fulfil their role, see: The Role of an Independent Advocate.
People who lack capacity will likely be legally entitled to advocacy under both the Care Act and the Mental Capacity Act 2005.
The Care Act statutory guidance recognises that it would not normally be appropriate or practical for a person to have 2 advocates and gives the Local Authority the responsibility to make a decision about the best type of advocacy support.
There are various factors that should influence this decision (such as existing rapport with an advocate or whether any important decisions are likely to be the outcome of the Care and Support process) and the Local Authority must ensure that whatever it decides, it does not deny the person any of the specialist advocacy skills they need or are entitled to.
tri.x has developed a tool that can be used as required to support effective and consistent decision making about when/which advocacy support should be made available.
People eligible for an Independent Mental Health Advocate (IMHA) under the Mental Health Act 1983 will likely be entitled to advocacy under the Care Act.
The Care Act statutory guidance recognises that it would not normally be appropriate or practical for a person to have 2 advocates and gives the Local Authority the responsibility to make a decision about the best type of advocacy support.
There are various factors that should influence this decision (such as existing rapport with an advocate or the likely outcome of the Care and Support process) and the Local Authority must ensure that whatever it decides, it does not deny the person any of the specialist advocacy skills they need or are entitled to.
tri.x has developed a tool that can be used as required to support effective and consistent decision making about when/which advocacy support should be made available.
The advocacy referral can be made at any time and should be made without delay as soon as the duty applies.
Regardless of whether or not independent advocacy is available in the local area the duty to provide it still applies. A failure to do so is a breach of this duty and of the law. It is the role of commissioners to ensure that advocacy services are in place and available when required, and it is the role of practitioners to make timely referrals to advocates to prevent unnecessary delays in the meeting of its duty.
If you are aware that advocacy support is required and is not yet available you must not proceed to carry out any Care and Support process until it is in place.
In some circumstances urgent interim measures may need to be agreed without an advocate in place in order to reduce immediate risk to the person from inaction. However, Care and Support processes that will decide long term and important decisions must not be carried out without advocacy support.
The duty upon the Local Authority is to make independent advocacy support available to any person who requires it. Once made available the duty is met.
If a person decides that they do not wish to engage in the advocacy support that has been made available to them they do not have to do so, but the Local Authority must still provide it.
The Local Authority is expected under the Care Act to support the person to understand the role of an advocate and promote its benefit to them so as to reduce the likelihood that they will not engage.
You should familiarise yourself with available local guidance that confirms who is responsible for maintaining or repairing equipment in a range of circumstances.
Where equipment maintenance is not the responsibility of the Local Authority you must remain mindful that meeting the person's needs remains the duty of the Local Authority at all times. There could therefore be a need to support the person to get the equipment maintained (for example by contacting the repair service on their behalf) or to provide interim equipment or an alternative measure to meet the need whilst any equipment maintenance is carried out.
Direct support refers to the range of ways that an Occupational Therapy practitioner works directly with a person or a carer to ensure safe and effective use of equipment, aids or an adaptation.
Direct support includes:
- Training of informal and paid carers in the safe and proper use of equipment; and
- Supporting the person to safely and confidently use equipment or adapt to their environment after an adaptation.
Direct support:
- Builds the person's confidence to use equipment and access their adapted environment;
- Builds the confidence of any carers to use the equipment;
- Ensures that people using the equipment are suitably skilled to do so;
- Ensures that people using the equipment know when it may be faulty;
- Reduces the risk of unsafe use of the equipment;
- Reduces the risk of injury from unsafe or improper use of the equipment;
- Maximises the effective use of the equipment or adapted environments to promote independence or prevent, reduce and delay needs.
Equipment or adaptations cannot be provided without allocation for a formal assessment of the person's needs in their environment unless:
- Adequate information has been gathered at contact, referral or through consultation; and
- A decision has been made to provide minor works or low level equipment only; and
- Arrangements are in place to appropriately monitor the safe use and effectiveness of the minor works and equipment provided.
Where the outcome decision is for the person's case to be allocated to an individual worker to carry out an assessment (or other intervention) this allocation should take place in a timely way so as to:
- Avoid any unnecessary delays to the person;
- Reduce the risk of a deterioration in the situation; and
- Maximise the use of measures that will prevent, delay or reduce needs.
Where there are a significant number of people awaiting allocation for further work or assessment there should be a fair and consistent prioritisation process in place that takes into account:
- The level of risk;
- The level of need;
- Current support in place and the sustainability/effectiveness of this;
- The urgency;
- The likelihood of deterioration; and
- The potential for fluctuation.
An element of monitoring should be incorporated into any allocation process to ensure that you remain aware of every person's situation and are able to respond appropriately to any changes or need to re-prioritise allocation.
If a person is likely to remain unallocated for some time you must consider whether:
- There is appropriate support in place to meet any needs that they appear to have in the interim (either though a carer or an existing Care and Support Plan); and
- If not, the steps that need to be taken to ensure any urgent needs are met.
If there are unmet urgent needs you must take steps to ensure that these are met.
If a social work team is already involved with the person you should:
- Inform them that allocation has been delayed and that the person appears to have unmet urgent needs;
- Advise them of a possible timeframe for allocation; and
- Provide them with access to any information gathered through contact or referral so they can prioritise and consider the most appropriate course of action.
If a social work team is not already involved you will need to make the relevant referral.
The Care Act recognises that each worker (regardless of whether or not they have a professional qualification) will possess specific skills, knowledge and experience that will enable them to carry out different Care and Support functions or work with particular people well.
Because of this there is no expectation that a particular role should carry out a particular function; instead the Local Authority should allocate tasks to the most appropriate person for the job.
Allocation decisions should take into account:
- The skills, knowledge and experience of the worker in carrying out the function or process required;
- The skills, knowledge and experience of the worker in working with the particular needs of the person (for example health needs or communication needs); and
- The views and wishes of the person themselves in relation to the skills required of the worker and who they feel would best support them.
tri.x has developed a tool that can be used as required to support allocation decisions.
See: Allocation Support Tool.
Sometimes it becomes clear that the required intervention would be better carried out or led by a different service area or team.
Any process for transferring a person's case between service areas or teams should be as simple and seamless as possible. It should involve the person and the potential services with the aim of reaching a shared agreement. Any transfer should not negatively impact the person or put them at risk through the delay of any Care and Support needs being met.
Though not a requirement, it would be prudent to apply the same criteria that the Care Act requires to be applied when deciding the most appropriate worker:
- The views and wishes of the person about which service/team would best support them must be regarded;
- The service/team must possess the skills, knowledge and competence to carry out the anticipated Care and Support functions; and
- The service/team must possess the skills, knowledge and competence to work with the particular person in question.
tri.x as developed a tool that can be used a required to support consistent decision making about team suitability.
See: Team Suitability Decision Support Tool.
The service area or team receiving the case should make effective use of the information gathered thus far and not make the person (or anyone else previously consulted) repeat information unnecessarily.
Occupational Therapy is often an integral part of many other adult Care and Support interventions. As such many referrals will require an element of joint working, for example when made by:
- A social work service carrying out a needs assessment;
- A health professional (for example, a community nurse);
- A service provider (for example a domiciliary care provider or a day service);
- An enablement or rehabilitation service.
The Care Act encourages joint working within organisations and across organisations, permitting anyone carrying out a Care and Support process to make any arrangements it deems necessary in order to facilitate joint working.
Where the Local Authority requests another party work jointly in some way to benefit the person with Care and Support needs that party has a duty to co-operate with the request (unless by doing so they will be prevented from carrying out their own duties under the Care Act or other legislation).
For further information about the duty to co-operate under the Care Act, see: Co-Operation.
When you have been asked to work jointly with another service, team or professional you should contact them to confirm your involvement and discuss the most effective way to work together. The things you should establish include:
- The work they are doing/will be doing/have done and whether they have any information that you need to know or can use to avoid duplication;
- Whether there are opportunities to co-ordinate systems and processes and, if so how this will be managed;
- What the expectations are in terms of joint-working (for example will you be expected to carry out a joint assessment, meet with the person together, produce joint records or just consult and share information);
- What the anticipated outcome of the joint work is (for example joint funding of support, on-going joint-work to monitor);
- What does the person with care and support needs know about the joint-work to be carried out (and if they don't know who and how should this be explained);
- Who will be the primary contact for the person (or their representative) to go to with any queries; and
- Who will be responsible for communicating progress and decisions to the person.
See: Joint Work for further practice guidance about effective joint working.
If there are likely to be delays in your commencement of joint work the person who requested the joint work will need to:
- Consider whether to proceed with their intervention; or
- Await your availability.
It is the responsibility of the person requesting joint work to make this decision (in agreement with the person and any carer) and to take steps to ensure that any urgent needs for Care and Support are met.
Any decision to request joint work should be made with the person (or their representative). Where the person is unable to provide consent to joint work decisions should be made in their best interests.
Joint work requests should be made in the manner preferred by the service, team or professional to which the request is being made. This may or may not take the form of a referral.
The request should explain clearly the nature of the joint work required and any specific skills, knowledge and competence requirements to support allocation.
Last Updated: February 13, 2025
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