Choosing and arranging care
Moving from independent living into paid care, or arranging care after a hospital stay, follows a recognisable sequence in most of the jurisdictions this hub sources: an assessment of need comes first, a written plan follows, legal and financial groundwork sits alongside, and safeguarding runs throughout. This guide walks that sequence using England's social care system, where each step is documented by an official source — the order and the institutions differ elsewhere, and this guide does not extend the England-specific steps to other jurisdictions.
Methodology
Start with a needs assessment
The first step is a needs assessment from the local council, which anyone can ask for. It establishes what help is needed before the council can recommend a service, and it is free.
Get a written care and support plan
After the needs assessment, the support agreed is written up as a care and support plan, which should arrive within a few weeks. There are two kinds of assessment behind a plan: one for the person who needs care, one for someone who cares for another person.
Put a lasting power of attorney in place
A lasting power of attorney (LPA) is a legal document that lets a person appoint one or more attorneys to make decisions on their behalf if they later lack the mental capacity to make those decisions themselves. Putting one in place ahead of a crisis, rather than during one, is what makes it usable.
Advance care planning, for future decisions about care
Advance care planning (ACP) sets out how a person's future care and treatment should be decided if they can no longer make those decisions themselves. In England, the Universal Principles for Advance Care Planning were jointly published by a coalition of NHS and care partners in response to a Care Quality Commission report on decisions about living and dying well.
Plan the transition out of hospital
Leaving hospital into ongoing care is its own step, distinct from arranging care from home: it covers planning to leave hospital, and the care that supports recovery afterwards, including after a fall, injury or illness.
Know the safeguards against abuse and neglect
Everyone has the right to live in safety, free from abuse and neglect, wherever they receive care — at home, in hospital, at a day centre or in a care home. The person causing harm is, more often than not, someone the person at risk already knows and trusts, such as a care professional, relative or neighbour.
Sources
What this page is based on — every source is verified and links out so you can check it yourself.
- Verified / official
- Provisional
- Out of date
- Getting a care needs assessment - Social care and support guide - NHS
- Care and support plans - Social care and support guide - NHS
- Make, register or end a lasting power of attorney - GOV.UK
- Universal Principles for Advance Care Planning (NHS England)
- Care after a hospital stay - Social care and support guide - NHS
- Abuse and neglect of adults at risk (safeguarding) - Social care and support guide - NHS