source/domain-registers/disability-care-and-support.v1.yaml

register_version: life-course-domain-register.v1
pack_id: pack-6-family-health-care
domain: disability-care-and-support
title: Disability, care and support
status: population_complete
observed_at: "2026-08-08"
link_receipts: evaluation/link-receipts/pack-6-family-health-care-2026-08-08
acquisition:
  mode: linked_reference_only
  snapshots_acquired: false
  source_response_bodies_retained: false
  publication_allowed: false
  rights_policy: link_and_summarize_source_family_decisions_recorded
_source_defaults: &source_defaults
  access_method: public_html
  version_model: live_service_guidance
  update_cadence: check_before_each_use
  rights_basis: linked_reference_summary_only_source_family_decision_recorded
  observed_at: "2026-08-08"
  checksum: not_applicable_no_snapshot
_family_defaults: &family_defaults
  primary_jurisdictions: [England]
  specialist_review: required
route_sources:
  - <<: *source_defaults
    id: disability-care-scotland-handoff
    jurisdiction: Scotland
    title: Health and social care in Scotland
    owner: Scottish Government
    authority_role: scotland_disability_care_handoff
    resource: https://www.mygov.scot/browse/health-social-care
    coverage: Routes people to current Scottish disability, care, capacity, support and benefit services.
    exclusions: Does not determine eligibility, local provision, capacity, safeguarding action or redress.
  - <<: *source_defaults
    id: disability-care-wales-handoff
    jurisdiction: Wales
    title: Social care in Wales
    owner: Welsh Government
    authority_role: wales_disability_care_handoff
    resource: https://www.gov.wales/social-care
    coverage: Routes people to current Welsh social-care policy and applicable local service information.
    exclusions: Does not identify an individual local authority route or decide eligibility or safeguarding action.
  - <<: *source_defaults
    id: disability-care-northern-ireland-handoff
    jurisdiction: Northern Ireland
    title: Caring for someone in Northern Ireland
    owner: Northern Ireland Executive
    authority_role: northern_ireland_disability_care_handoff
    resource: https://www.nidirect.gov.uk/information-and-services/caring-someone
    coverage: Routes people to current Northern Ireland carer, disability, benefit and care information.
    exclusions: Does not identify every trust service or decide eligibility, capacity or safeguarding action.
families:
  - <<: *family_defaults
    id: claim-disability-living-support
    title: Claim disability living support
    aliases: [disability benefit, PIP DLA attendance allowance, financial help disabled]
    description: Identify the age, circumstance and jurisdiction-specific benefit, use its current claim route and preserve review and appeal information.
    situations:
      - A disabled person or carer needs information about non-means-tested or related living-cost support.
    user_needs:
      - Find the correct benefit without a local eligibility calculation or medical assessment.
    source:
      <<: *source_defaults
      id: claim-disability-living-support-primary
      title: Financial help if you are disabled
      owner: Department for Work and Pensions
      authority_role: great_britain_disability_financial_support_handoff
      resource: https://www.gov.uk/financial-help-disabled
      coverage: Routes Great Britain users to disability benefits, vehicles, equipment, housing and work support.
      exclusions: Does not select a benefit, calculate eligibility, assess disability or establish Northern Ireland routes.
  - <<: *family_defaults
    id: get-social-care-needs-assessment
    title: Get a social-care needs assessment
    aliases: [adult social care assessment, council care assessment, assess daily living support]
    description: Ask the responsible local social-care body for an assessment, receive its written outcome and use the complaint route if the process or decision is disputed.
    situations:
      - A person may need support with daily living, safety, equipment, personal care or participation.
    user_needs:
      - Find the responsible local route and understand assessment, financial and complaint boundaries.
    source:
      <<: *source_defaults
      id: get-social-care-needs-assessment-primary
      title: Getting a care needs assessment
      owner: NHS England
      authority_role: england_local_social_care_assessment_guidance
      resource: https://www.nhs.uk/social-care-and-support/help-from-social-services-and-charities/getting-a-needs-assessment/
      coverage: Explains England local-authority needs assessments, outcomes, financial assessment and complaints.
      exclusions: Does not assess a person, decide eligibility, identify local provision or establish devolved law.
  - <<: *family_defaults
    id: get-carers-assessment
    title: Get a carer's assessment
    aliases: [unpaid carer assessment, council carers assessment, assess carer support needs]
    description: Ask the responsible social-care body to assess the unpaid carer's needs and use the resulting support, review or complaint route.
    situations:
      - An unpaid carer needs their own practical, wellbeing or participation needs assessed.
    user_needs:
      - Separate the carer's assessment from the cared-for person's needs and benefit decisions.
    source:
      <<: *source_defaults
      id: get-carers-assessment-primary
      title: Carer's assessments
      owner: NHS England
      authority_role: england_local_carer_assessment_guidance
      resource: https://www.nhs.uk/social-care-and-support/support-and-benefits-for-carers/carer-assessments/
      coverage: Explains England local-authority carer assessments, possible support and complaint routes.
      exclusions: Does not assess needs, decide support, identify local provision or establish devolved law.
  - <<: *family_defaults
    id: receive-direct-payments
    title: Receive direct payments
    aliases: [social care personal budget, direct payment for care, manage care budget]
    description: Use the responsible social-care authority's assessed personal-budget route and follow its agreement, payment, employment, monitoring and review requirements.
    situations:
      - An eligible person or representative is considering managing some assessed care support through payments.
    user_needs:
      - Find local administration and support without assuming eligibility, amount or employer responsibilities.
    source:
      <<: *source_defaults
      id: receive-direct-payments-primary
      title: Personal budgets and direct payments
      owner: NHS England
      authority_role: england_social_care_personal_budget_guidance
      resource: https://www.nhs.uk/social-care-and-support/money-work-and-benefits/personal-budgets/
      coverage: Introduces England personal budgets, direct payments and management options.
      exclusions: Does not decide eligibility or amount, manage payroll, recommend care or establish devolved routes.
  - <<: *family_defaults
    id: get-disability-home-adaptation
    title: Get a disability home adaptation
    aliases: [disabled facilities grant, adapt home for disability, home accessibility grant]
    description: Ask for the relevant needs and home assessment, then use the responsible housing or social-care body's grant, permission and works route.
    situations:
      - A disabled person needs changes to make a home safer, accessible or usable.
    user_needs:
      - Connect assessment, tenure, funding, permission, contractor and complaint boundaries.
    dependency: competent-and-insured-home-adaptation-provider
    source:
      <<: *source_defaults
      id: get-disability-home-adaptation-primary
      title: Disabled Facilities Grants
      owner: Department for Levelling Up, Housing and Communities
      authority_role: england_wales_home_adaptation_grant_guidance
      resource: https://www.gov.uk/disabled-facilities-grants
      coverage: Introduces England and Wales council Disabled Facilities Grant eligibility and application handoffs.
      exclusions: Does not assess need, award a grant, obtain landlord or planning consent, or establish devolved equivalents.
  - <<: *family_defaults
    id: get-residential-care
    title: Get residential care
    aliases: [find care home, nursing home assessment, arrange residential social care]
    description: Complete the applicable needs and financial assessments, check regulated provider information and agree placement, funding and review arrangements.
    situations:
      - A person may need accommodation with personal or nursing care.
    user_needs:
      - Navigate assessment, funding, provider regulation, contracts and safeguarding without recommending a home.
    dependency: registered-residential-or-nursing-care-provider
    source:
      <<: *source_defaults
      id: get-residential-care-primary
      title: Care homes
      owner: NHS England
      authority_role: england_care_home_guidance
      resource: https://www.nhs.uk/social-care-and-support/care-services-equipment-and-care-homes/care-homes/
      coverage: Introduces England care-home types, assessment, funding and regulated-provider finding.
      exclusions: Does not assess need, recommend a provider, inspect care or establish devolved arrangements.
  - <<: *family_defaults
    id: report-adult-safeguarding-concern
    title: Report an adult safeguarding concern
    aliases: [report abuse of vulnerable adult, adult at risk concern, care safeguarding referral]
    description: Contact emergency services for immediate danger and the responsible local safeguarding route for suspected abuse, neglect or exploitation.
    situations:
      - An adult with care and support needs may be experiencing or at risk of abuse or neglect.
    user_needs:
      - Reach the accountable urgent or safeguarding service without classifying risk or collecting personal data.
    source:
      <<: *source_defaults
      id: report-adult-safeguarding-concern-primary
      title: Abuse and neglect of adults at risk
      owner: NHS England
      authority_role: england_adult_safeguarding_guidance
      resource: https://www.nhs.uk/social-care-and-support/help-from-social-services-and-charities/abuse-and-neglect-adults-at-risk/
      coverage: Describes England emergency, police and local-authority adult safeguarding handoffs.
      exclusions: Does not assess risk, investigate, decide protective action or establish devolved procedures.
  - <<: *family_defaults
    id: get-mental-capacity-support
    title: Get mental-capacity support
    aliases: [mental capacity assessment, help making decisions, capacity act support]
    description: Support the person to decide where possible and use the applicable professional, advocacy, representation or court route for the specific decision.
    situations:
      - There is concern about a person's ability to make a particular decision at the relevant time.
    user_needs:
      - Find decision-specific support without a capacity finding by the bundle.
    dependency: qualified-capacity-assessor-or-legal-adviser
    source:
      <<: *source_defaults
      id: get-mental-capacity-support-primary
      title: Mental Capacity Act
      owner: NHS England
      authority_role: england_wales_mental_capacity_guidance
      resource: https://www.nhs.uk/social-care-and-support/making-decisions-for-someone-else/mental-capacity-act/
      coverage: Introduces England and Wales decision-specific capacity, best-interests and protection principles.
      exclusions: Does not assess capacity, decide best interests, appoint a representative or establish devolved law.
  - <<: *family_defaults
    id: arrange-supported-decision-representation
    title: Arrange supported decision representation
    aliases: [make decisions for someone, appoint representative, advocacy and decision support]
    description: Identify the specific decision and existing authority, then use the applicable advocacy, attorney, deputy, guardian or court route.
    situations:
      - A person needs support to decide or another person may need formal authority to act.
    user_needs:
      - Distinguish support, consent, representation and court authority for each jurisdiction.
    dependency: regulated-advocacy-or-legal-provider
    source:
      <<: *source_defaults
      id: arrange-supported-decision-representation-primary
      title: Make decisions on behalf of someone
      owner: Office of the Public Guardian
      authority_role: england_wales_decision_representation_handoff
      resource: https://www.gov.uk/make-decisions-for-someone
      coverage: Routes England and Wales users among informal support, attorney and deputy authority.
      exclusions: Does not assess capacity, grant authority, provide legal advice or establish devolved instruments.
  - <<: *family_defaults
    id: access-mobility-support
    title: Access mobility support
    aliases: [disability transport help, mobility vehicle support, accessible travel assistance]
    description: Identify the relevant benefit, concession, vehicle, parking or assisted-travel route and apply through the responsible authority or regulated scheme.
    situations:
      - A disabled person needs financial, vehicle or service support for mobility.
    user_needs:
      - Navigate separate schemes without combining their eligibility or provider identities.
    dependency: regulated-mobility-scheme-provider
    source:
      <<: *source_defaults
      id: access-mobility-support-primary
      title: Vehicles and transport for disabled people
      owner: Department for Work and Pensions
      authority_role: great_britain_disability_mobility_handoff
      resource: https://www.gov.uk/financial-help-disabled/vehicles-and-transport
      coverage: Routes Great Britain users to vehicle, tax, parking and transport support information.
      exclusions: Does not determine eligibility, recommend a vehicle or provider, or establish Northern Ireland routes.
  - <<: *family_defaults
    id: obtain-workplace-disability-adjustment
    title: Obtain a workplace disability adjustment
    aliases: [reasonable adjustment at work, disability support from employer, accessible workplace change]
    description: Describe the work barrier, engage the employer's adjustment process and use occupational, Access to Work or employment-redress routes as applicable.
    situations:
      - A disabled worker or applicant needs a change to remove a workplace disadvantage.
    user_needs:
      - Connect employer duties, practical support and redress without deciding reasonableness or discrimination.
    dependency: competent-workplace-adjustment-provider
    source:
      <<: *source_defaults
      id: obtain-workplace-disability-adjustment-primary
      title: Reasonable adjustments for disabled workers
      owner: Department for Business and Trade
      authority_role: great_britain_workplace_adjustment_guidance
      resource: https://www.gov.uk/reasonable-adjustments-for-disabled-workers
      coverage: Introduces Great Britain employer adjustment duties and examples.
      exclusions: Does not decide disability, reasonableness, discrimination, funding or Northern Ireland law.
  - <<: *family_defaults
    id: challenge-care-or-disability-benefit-decision
    title: Challenge a care or disability-benefit decision
    aliases: [appeal disability benefit, complain about care assessment, mandatory reconsideration]
    description: Read the exact decision, identify whether review, complaint or appeal applies and use its current evidence, deadline and escalation route promptly.
    situations:
      - A person disagrees with a care assessment, support decision or disability-benefit decision.
    user_needs:
      - Select the decision-specific remedy without the bundle calculating time, grounds or prospects.
    dependency: regulated-welfare-rights-or-legal-adviser
    source:
      <<: *source_defaults
      id: challenge-care-or-disability-benefit-decision-primary
      title: Challenge a benefit decision by mandatory reconsideration
      owner: Department for Work and Pensions
      authority_role: great_britain_benefit_reconsideration_guidance
      resource: https://www.gov.uk/mandatory-reconsideration
      coverage: Explains the Great Britain mandatory-reconsideration route for covered benefit decisions.
      exclusions: Does not cover local care complaints, every benefit, Northern Ireland procedure, deadlines or appeal merits.