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Routines and wellbeing

What is a care and support plan, and how do you keep track of yours?

In England, a care and support plan is the written plan your local council produces after a needs or carer's assessment, setting out what support you need, how it will be given, and how much the council will spend. You should get a copy within a few weeks of the assessment.

Why is this harder than it sounds?

"Care plan" means different things in different places: the council's care and support plan, a hospital discharge care plan, or a plan a GP or specialist writes for a long-term condition. That's confusing when you're trying to find out what you're entitled to. The council plan matters because it's how support such as help at home, equipment or respite is arranged, and because it should be reviewed to check it's still working.

What should you do?

  1. Get assessed

    Contact social services at your local council. A needs assessment is for people who need care; a carer's assessment is for people who care for someone. Both are free.

  2. Know what should be in the plan

    What's important to you, what you can do yourself, what equipment or care you need, what your family and friends think, who to contact with questions, your personal budget, and how and when care will happen. Carers' plans also cover respite and support groups.

  3. Get a copy

    The NHS says you should get a copy within a few weeks.

  4. Check it against real life

    Is the support happening as planned? Note what's working and what isn't, with dates.

  5. Use the reviews

    Plans are usually reviewed in the first few months and then once a year. If you're unhappy at any point, call adult social services and ask for a review.

What tends not to work

  • Leaving things out of the assessment because they seem small. The NHS notes that leaving things out might reduce the care recommended.

  • Filing the plan away and never checking it against what's actually happening.

  • Waiting for the annual review when something has clearly changed.

Common questions

How often is a care and support plan reviewed?

The NHS says usually within the first few months of support starting and then once a year. You can ask for a review at any time.

Is a care and support plan the same as a hospital care plan?

No. A council care and support plan follows a needs or carer's assessment. Hospitals produce a discharge care plan if you need more care after leaving hospital.

Where Nura fits

Nura's "Care plans" are something different: they're your own plans inside the app, made from what you tell Nura, that keep track of what matters and check in on next steps. They don't replace a council care and support plan or anything a clinician writes. They can help you keep track of one, though: tell Nura what your council plan says, or send a photo of it, and Nura can check in on whether the support is happening and remind you before a review.

Sources

General information, not medical advice. Nura does not diagnose, prescribe or replace your clinician. In an emergency call 999 (UK) or 911 (US); in the UK, NHS 111 can help if you need medical help but it isn't an emergency.

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