This information is for service providers and professionals who work with us or would like to work with us.

The following tables set out the type and level of care and support needs that are anticipated for each service category, along with the key factors that differentiate the service inputs required. 

The agreed fee rate for each service category will apply regardless of funding source.

Service categories

You can also view the following information as a pdf in a table format.

See also the needs description for residential care with nursing.

Needs summary (COC2)

In all cases, service users will be people who are not able to reside in their own homes, whether on a short or long-term basis AND have care and support needs that are prevalent 24/7 and may include night-time care needs AND have needs which cannot realistically be met in any other way, for example, through use of Assistive Technology, aids and equipment in their own home and/or because the frequency or unpredictability of the person’s needs, makes support at home non-viable.

 

Needs summary (COC2)

Service category and number Needs description:

Nursing 
3

The person may:

  • have a cognitive impairment and/or be physically frail and
  • have care and support needs which include those outlined in Category 2 (residential – high level needs) and
  • will include a requirement for health care tasks that can:
  1. only be met in a care home with nursing or
  2. will be most appropriately met in a care home with nursing

or

  • have requirement for health care tasks that can:
  1. only be met in a care home with nursing or
  2. will be most appropriately met in a care home with nursing
Nursing -
advanced dementia and mental health needs 
4

The person will:

  • have a cognitive impairment and/or be physically frail and
  • have middle or later stage dementia or other mental health care needs, which may include behaviours that require the development of a Positive Behaviour Support Plan and
  • have care and support needs which include those outlined in Category 2 (Residential – high level needs) and Category 3 (Nursing) and
  • include a requirement for health care tasks that can:
  1. only be met in a care home with nursing or
  2. will be most appropriately met in a care home with nursing
     
Advanced / complex nursing
5

The person may:

  • have a cognitive impairment and/or be physically frail and
  • have middle or later stage dementia or other mental health care needs, which may include behaviours that require the development of a Positive Behaviour Support Plan and
  • have care and support needs which include those outlined in Category 2 (Residential – high level needs) and Category 3 (Nursing) and
  • include a requirement for health care tasks that can:
  1. only be met in a care home with nursing or
  2. will be most appropriately met in a care home with nursing, and
  • require significantly enhanced service inputs to meet the person’s needs and to keep them and others safe

OR

  • have a requirement for health care tasks that can:
  1. only be met in a care home with nursing or
  2. will be most appropriately met in a care home with nursing. and
  3. require significantly enhanced service inputs to meet the person’s needs and to keep others safe

 

 

Key differences in service requirements

Key differences in service requirements

Service category and number Needs description:

Nursing 
3

  • timely and frequent health care interventions needed
  • risks to the person’s health are moderate or high requiring the oversight and monitoring of a Registered Nurse
  • risks around behaviours and non-compliance with care can be managed within planned interventions
  • level of risk to the service user or others is minor
Nursing -
advanced dementia and mental health needs 
4
  • timely and frequent health care interventions needed
  • risks to the person’s health are moderate or high requiring the oversight and monitoring of a Registered Nurse
  • risks around behaviours and non-compliance with care may not be manageable solely within planned interventions
  • level of risk to the service user or others is moderate
Advanced / complex nursing
5
  • timely, frequent and sustained health care interventions needed
  • risks to the person’s health are high requiring the oversight and monitoring of a Registered Nurse
  • risks around behaviours and non-compliance with care may not be manageable solely within planned interventions
  • level of risk to the service user or others is moderate

Maximum assumed direct care hours Per Service User Per Week (PRPW)

Maximum assumed direct care hours Per Service User Per Week (PRPW)

Service category and number Needs description:

Nursing 
3

26.8
Nursing -
advanced dementia and mental health needs 
4
27.8
Advanced / complex nursing
5
40

Maximum assumed nursing care hours Per Service User Per Week (PRPW)

Maximum assumed nursing care hours Per Service User Per Week (PRPW)

Service category and number Needs description:

Nursing 
3

7.9
Nursing -
advanced dementia and mental health needs 
4
7.9
Advanced / complex nursing
5
20

Estimated number / percentage long term placements per year, area-wide

Estimated number / percentage long term placements per year, area-wide

Service category and number Needs description:

Nursing 
3

76
Nursing -
advanced dementia and mental health needs 
4
58
Advanced / complex nursing
5
57