We have to make sure that we help those people with the greatest need for care and support. To do this we will assess your needs, how these impact on your wellbeing, and what you’d like to achieve in your day-to-day life.

Eligibility criteria

There are three criteria for the national eligibility threshold for adults with care and support needs. These criteria are:

  • whether your needs are due to a physical or mental impairment or illness
  • to what extent your needs affect your ability to achieve two or more specified outcomes
  • how much this impacts on your wellbeing


We must understand if you are able to take part in your assessment or if there is significant difficulty in any of the following areas:

  • understanding the information provided
  • retaining the information
  • using or weighing up the information as part of the process of being involved
  • communicating views, wishes or feelings.

Support for your assessment

If you need support in the assessment we will arrange for someone to help you. This person is known as an independent advocate. This could also be a family member, friend or unpaid carer who is willing to help you.

We can also support you if you are vulnerable and at significant risk because:

  • your main carers, relatives, friends (or neighbours who help a lot), cannot continue to give all the help you need
  • you have needs arising from the onset of a dementia type of illness or other significant physical or mental health deterioration
  • you are experiencing (or if there are reasons for us to suspect) abuse from others, such as physical, sexual, psychological or financial abuse

We don’t normally arrange support for:

  • housework
  • shopping
  • collecting pensions
  • collecting prescriptions
  • ironing or other household tasks
  • bathing, if you can manage a shower or full body wash

If you are not eligible for help, we will write to you with reasons why and options to find support for yourself.