Transcript Medical Assessment Team 15/07/14 Medical Assessment Team •The medical Assessment Team use various models interchangeably.

Medical Assessment Team
15/07/14
Medical Assessment Team
•The medical Assessment Team use various models interchangeably. namely the
Canadian Model of Occupational Performance, Model of Human Occupational as
well as the Social Model.
•The team adopts frames of reference as well as the model simultaneously with
local, national and professional policy and codes of guidance when working with
anyone who comes in contact with the service.
•Some of these are educational frame of reference as well as biomedical frame of
reference, to name a few.
•Hackney-Housing Policy 2014 (John)
•NICE/COT/WHO/HPCP
•Occupational Therapist are trained and experienced to understand the effects of a
condition and how this condition impacts ones quality of life.
What do the Medical Assessment Team do?
Not an extensive list
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Assess applicants/tenants who require re-housing on medical ground,
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apply priority and make recommendations on suitable future housing
This includes bed blockers/Hospital non-discharge who are in Acute
Mental health wards and other specialist ward (rehab)
Conduct vulnerability assessments and medical recommendations for
Homelessness Team and Housing Advice team.
Homelessness Reviews
Tenancy disputes/successions
Direct offers & viewings
Recommendations on new builds
Major adaptations using shell units for bespoke homes for severely
disabled applicants to promote independence and improved quality of
life
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How cont..
Housing a record of the 811 housing applicants who have a need for accessible
housing
because of a physical disability.
– 72 families waiting for wheelchair standard
– 278 families waiting for properties with no steps to the front door
– 97 families need a property with a level access shower
– 364 families need a property with maximum of 4 steps.
Adapted Housing Transfer Scheme
– Aimed at those living in adapted or accessible housing but don’t need it.
Similar to the under occupation scheme. It is dealt with jointly by Medical
Assessment and Lettings Initiatives Teams.
Medical assessments
 The medical advisor’s assessment states the priority given and the type of
housing needed. The format is designed to make it clear what kind of
property the applicant is assessed as needing so they know what to bid
for.
Bidding
 Case work:
 Bidding advice to cases where there are high needs, to either main
applicant or support person identified.
 Check bidding history and work with family.
 Those who (have no support) have been assessed as experiencing
difficulty with bidding receive adverts via post.
 They can use adverts to bid by telephone. Autobid can be selected for
applicants who are not able to bid by telephone. We try to avoid this as
much possible as it does not allow flexibility.
Property adverts
 We advertise an accessible housing property in the same way as general needs
properties to maximise choice for applicants.
Viewings

OT or OTA from this team will sometimes attend viewings.
Outreach
 We facilitate housing workshop to professionals who are often the first service to
establish housing need for those with significant mobility problems or functional
difficulties.
Medical Priorities
Emergency Non Discharge Cases
Highly complex cases

When someone needs to be discharged from hospital however, due to
their medical condition they cannot return to their property (e.g. in a
wheelchair living in an un-lifted block).
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Where temporary accommodation is not suitable or not in the interest of
the Council; for example, where major adaptations are not possible or
costly aids and adaptations are required).
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Agreement-The hospital should give housing 7 days notice to the Housing
Needs team prior to discharge
Extra Bedroom/Own Bedroom
Those households containing persons who
require their own bedroom on medical
grounds who would otherwise be expected to
share with another household member.
This includes children and adults with complex
needs and care requirements
Medical Priorities
It is important to note that although medical priority is awarded
it is not this only that determines the band, for instance someone
is awarded a “B” General band but the household is severely
overcrowded which would place them in urgent band.
Therefore, applicant and tenants are advised to contact their
neighbourhood office or housing register team for any queries
related to Banding and band dates.
“A” Medical Priority: is only given to the most
urgent cases
“B” Medical Priority: Will be awarded to other urgent cases where
circumstances do not merit an “A” grade.
Medical Priorities
“A” Special Needs priority:
This priority is awarded is only available to a person for whom a
Community Care Assessment has been carried out and it is confirmed by
those professionals together with Medical Assessment Team Leader that
the provision of support services is not possible.
“B” Special Needs priority: There are two circumstances where this
award is applicable
1) For any person where a Community Care Assessment has been carried
out or an Occupational Therapist has made a written assessment of the
need.
E.g. The provision of care or support services would be significantly
limited in the present home.
2)For older people
Medical Priorities
“A” Carers priority may be awarded in the following circumstances:
• Level of personal daily care
• High level of dependence on carer – if care not given
social/health services would have to be provided
• Priority can be given to the carer or the person needing care
• An extra bedroom may be recommended if care is needed during the
night on a regular basis
“B” Carers priority may be awarded in the following circumstances:
• Regular, (probably daily) care is needed for a person who is
housebound but able to care for themselves within the home
• Provision of social contact/ support/shopping etc.
• Priority can be given to the carer or the person needing care
• There will not be consideration of any request for additional bedroom
Identifying Medical Priority Cases (some
guidance*
Concern
1)
2)
3)
Disrepair
Social
Environmental
Example
Sign post (at first instance)
Lift break down
Neighbourhood or landlord
Damp and
mould/leaks/ventilation/draft/heating
(unless the person has mentioned they are
severely affected because they suffer from
sickle cell)
Neighbourhood/Landlord or contact
private sector housing 0208 356 4556
Anti Social Behaviour
Neighbourhood or local safer
neighbourhood police
Family dynamics, relationship breakdown
Consideration of social priority process is
initiated through NO or Hackney council
Noise from public transport, members of
public
Neighbourhood or Landlord
Rodent infestation
Neighbourhood or contact private sector
housing-0208 356 4556
Natural light
Concern
Example
Sign post
If they fall within the policy then they will have
already attracted points for this therefore please
check UHT.
Sharing bedroom or lacking bedroom unless one of
the children or adult presents with a
condition/disability
Mention: “This is addressed through the
council’s overcrowding policy”
4)
Overcrowding
Storage for small equipment/goods/non medical
goods
To utilise storage available in property
5)
Homeless
Tenancy coming to end
You may wish to contact Advice & Options
team to discussing housing options (0208 356
5831)
Is homeless/sofa surfing/sleeping on floors or with
friends
6)
Other
Hearing voices
(suggested seeing GP for specialist referral)
Bereavement of a family member who also lived at
the same property
Issues with existing equipment or adaptations
Any issues with existing equipment, please
sign post them to Access team (0208 356
6262) or children's OT