Adult Social Care - Services


The national eligibility criteria, set by the Department of Health, sets a minimum threshold for adult care and support needs and carer support needs which the Isle of Wight council must meet.  The Isle of Wight council will comply with this national threshold.

The introduction of a national eligibility threshold provides more transparency on what level of need is eligible.  More clarity will support authorities in deciding whether the earlier provision of information and advice or preventative services would delay a person from developing needs which meet the eligibility criteria or whether longer-term care and support might be needed.  It should also help the person needing care or their carer to think more broadly about what support might be available in the local community or through their support network to meet their needs and support the outcomes they want to achieve.

The National Eligibility Threshold for Adults Needing Care

The eligibility threshold for adults with care and support needs is set out in the Care and Support Regulations 2014 (the ‘Eligibility Regulations’).  The threshold is based on identifying how a person’s needs affect their ability to achieve relevant outcomes, and how this impacts on their wellbeing.

In considering whether an adult with care and support needs has eligible needs, the Isle of Wight Council must consider whether:

  • The adult’s needs arise from or are related to a physical or mental impairment or illness.
  • As a result of the adult’s needs the adult is unable to achieve two or more of the specified outcomes (which are described below).
                • managing and maintaining nutrition.
                • maintaining personal hygiene.
                • managing toilet needs.
                • being appropriately clothed.
                • being able to make use of the home safely.
                • maintaining a habitable home environment.
                • developing and maintaining family or other personal relationships.
                • accessing and engaging in work, training, education or volunteering.
                • making use of necessary facilities or services in the local community including public transport and recreational facilities or services.
                • carrying out any caring responsibilities the adult has for a child.
  • As a consequence of being unable to achieve these outcomes there is, or there is likely to be, a significant impact on the adult’s wellbeing.

An adult’s needs are only eligible where they meet all three of these conditions.