Welcome to the revised edition of the Bedford Adult Services Adult Policies, Procedures and Practice (APPP) resource.
This page provides a summary of how to use this site and its main features. It also provides a summary of the latest changes (see Amendments).
This site is structured into different sections.
There are two large tabs at the top of the site on the right: a blue ‘Hub’ tab and a purple ‘APPP’ tab. Click on the Hub tab and it takes you to an information portal which contains links to key sites that staff in Bedford Adult Services most regularly use.Click on the APPP tab and it takes you to the home page of the Bedford APPP site.
When in the APPP site, the smaller tabs along the top are key areas:
It is easy to find your way around this site. There are four tabs along the top. Hover your cursor over one, and a drop down list will appear with each named section / page. Click on the one you want and it will take you to the specific information you require.
When you are on a section / page, the remaining contents list for that tab is accessible via the buttons below. You can either click on one of these, to go to the next section you want, or you can use the back / forward arrows in the top left next to your address bar or the page up / page down buttons on your key board.
This site has a number of different options to aid online reading. When you are on the home page, choose ‘Accessibility’ drop down menu on the right side of the screen. There is large text, green, blue or pink backgrounds, yellow text on a black background or you can return to the default setting. You can use large text with any of the other options.
In addition, the site is designed to be accessible for users of text only and screen reader software programs which allow blind or visually impaired users to read the text that is displayed on the computer screen with a speech synthesizer or braille display. Our content is consistently structured, including headings, which makes using the software on our site easier. Also, when viewed though screen reader software, every page has a ‘Skip to main content’ link which allows software users to go straight to the main content of that page instead of receiving the full navigation options every time. Please share this information with blind or visually impaired colleagues.
This APPP resource works well on internet-enabled mobile phones and tablets via the web address www.bedfordappp.co.uk. When used on a mobile phone, the website will immediately convert into a phone friendly version, where the tabs sit behind a main Menu button. If it does not work straightaway, tap on the refresh circle in the address bar.
If your phone or tablet has a reader option (it may be an ‘R’ or say ‘Reader’ in the address bar; you may have to install it), tap on it and it will convert the text into a more easy to read version for phones or tablets.
The Resources section contains a number of links and documents to supplement the information in the main chapters. It includes
For ease of use, if you can open this site in two tabs next to each other you can click on the Resources section to consult related information without leaving the chapter you are reading.
If there are any documents or links you would added to this section, please let us know by contacting Gillian Abbott, your local contact for this resource.
With each revised edition of your APPP site, we indicate in the table below which chapters are new or have been updated. This information is also available at the top of each chapter.
|Care Act 2014||This chapter has been amended as the cap on care costs, introduced by the Care Act 2014 and planned for 2020, will no longer be implemented.|
|2.4 Personal Budgets||This chapter has been updated as the cap on care costs, introduced by the Care Act 2014 and planned for 2020, will no longer be implemented. Reference to the care account, which tracked a person’s progress towards the cap has also been removed.|
|2.11 Transition (Preparing for Adulthood) to Adult Care and Support||Section 16, Eligibility has been updated as the cap on care costs, introduced by the Care Act 2014 and planned for 2020, will no longer be implemented.|
|2.12 End of Life Care||This chapter has been significantly revised and should be re-read. In particular there is additional information in Section 2, Addressing Inequalities in End of Life Care and Section 3.1, Do not resuscitate has been expanded. A link has also been added to A Second Class Ending: Exploring the barriers and championing outstanding end of life care for people who are homeless, published by the Care Quality Commission.|
|3.5 Learning Disabilities Service||This chapter has been amended to include a link to a suite of guidance documents for social care staff on how to help people with learning disabilities get better access to medical services to improve their health, published by Public Health England. An additional paragraph has also been added in Section 3, Assessment in relation to mental capacity.|
|4.1 Mental Capacity||This chapter has been amended to add a link to a Brief Guide to carrying out Capacity Assessments, published by 39 Essex Chambers.|
|4.3 Deprivation of Liberty Safeguards||This chapter has been amended to make reference to recent case law.|
|4.4 Defining Mental Disorder||This chapter has been amended to include a link to Guidance for the implementation of changes to police powers and places of safety provisions in the Mental Health Act 1983, published by Department of Health and Home Office. Additional information regarding category amendments to the MHA have also been added at the end of Section 2.1, Amendments to the Act.|
|6.2 Charging and Financial Assessment for Adult Care and Support||A link has been added to the revised Bedford Charging and Financial Assessment Policy 2018-19. A note has been added below in relation to recent case law.|
|6.4 Self-funders||This chapter has been amended to reflect the fact that the Government is no longer progressing with a cap on care costs in 2020, delayed from 2016.|
|11.2 Outcomes in Adult Social Care||This chapter has been updated to link to the most recent Handbook of Definitions and ASCOF information.|
|Best Interests||This chapter outlines the main issues related to best interest decisions and provides links to relevant guidance.|
|Local Contacts||The Mental Health Teams section has been updated, as has the second number for the Supported Housing Team.|
|End of Life Care||This chapter was revised to include a new Section 2, Addressing Inequalities in End of Life Care with associated documents published by the Care Quality Commission. A leaflet published by Bedford Clinical Commissioning Group was also added above, Planning for Dying an give You Peace of Mind for Living.|
|Registers of Sight Impaired Adults and Disabled Adults||This chapter has been amended due to changes in the Care and Support Statutory Guidance. More detail has also been added in relation to Section 3, The Certificate of Vision Impairment.|
|Working with Adults Affected by Child Sexual Exploitation and Organised Sexual Abuse||A link to the Safeguarding Children from Sexual Exploitation procedures, published by Bedford Safeguarding Children Board has been added.|
|Work Planning and Appraisal||The revised edition of Bedford Borough Council’s Guide to PDRs. as above, replaces the previous version.|
|Dementia: Practice Guidance||This chapter outlines the different types of dementia and issues related to providing care and support to adults with dementia.|
|Making Advance Decisions||This chapter outlines some of the main factors including advance decisions to refuse treatment, lasting power of attorney and deputies and the related bodies and abuse by LPAs or deputies.|
|Joint Protocol Mental Health Act 1983: Section 117||This protocol was published by Bedford Borough Council and Bedfordshire Clinical Commissioning Group in November 2017.|
|Care and Support Guidance Annexes||Links have been added to all of the annexes in the Care and Support Statutory Guidance.|
|Research and Report Briefings||Click on the link to view short briefings regularly produced by Policy Partners Project, on topical issues.|
|Case Law||Click on the link to view a new section which is being developed to contain relevant case law.|
|Preventing, Reducing or Delaying Needs||Information relating to regulations relating to intermediate care and reablement in Section 7, Charging for Preventative Support has been amended as a result of changes to the Care and Support Statutory Guidance.|
|Eligibility||Section 9, Carers has been updated as a result of changes to the Care and Support Statutory Guidance.|
|Charging and Financial Assessment for Adult Care and Support||This chapter has been revised locally and should be re-read.|
|Managing Provider Failure||This chapter has had a link added Managing Care Home Closures: A Good Practice Guide for Local Authorities, Clinical Commissioning Groups, NHS England, CQC, providers and Partners Department of Health et al, 2015).|
|Ordinary Residence||This chapter was revised to reflect recent changes to the Care and Support Statutory Guidance (2016). This relates to the Department of Health’s position on the determination of questions of ordinary residence referred to the Secretary of State under section 40 of the Care Act 2014, following the Supreme Court judgment in the case of Cornwall Council v Secretary of State for Health and Others (Cornwall).|
|Cross Border Placements||This chapter was revised to add a link to Out-of-Area Safeguarding Adults Arrangements: Guidance for Inter-Authority Safeguarding Adults Enquiry and Protection Arrangements (ADASS, 2016)|
|Working with Adults Affected by Child Sexual Exploitation and Organised Sexual Abuse||This chapter has been revised to include reference in Section 1, Introduction to young adults who may be vulnerable to being targeted for the purposes of sexual abuse, particularly if they have learning or physical disabilities and are in residential care. The title has also been amended to reflect this change. Section 2.1, Definition and Section 3, Indicators of Sexual Exploitation / Organised Abuse have been changed following revised guidance published by the Department for Education in February 2017.|
|Outcomes in Adult Social Care||This chapter has been updated to reflect the change of name from Health and Social Care Information Centre to NHS Digital and to update the definition in Section 2, Adult Social Care Outcomes Framework.|
|Interface between the Mental Capacity Act 2005 and the Mental Health Act 1983 (amended 2007||This chapter outlines how the two acts work together for adults who have both mental health issues and lack mental capacity. It is adapted from the Mental Capacity Act 2005 Code of Practice and updated in relation to the Mental Health Act Code of Practice published in 2015.|
|Defining Mental Disorder||This is a short chapter defining mental disorder and referencing relevant legislation and code of practice.|
|Disability Related Expenditure||This chapter provides information about DRE which is the financial cost that an adult incurs, specifically because they are disabled or have health problems.|
|Mental Capacity and Mental Health||This is a new section that contains the existing Mental Capacity and Deprivation of Liberty Safeguards chapters, but also the two new mental health chapters as referenced above.|
|Adult Safeguarding||This is a new section, but contains existing chapters in relation to safeguarding adults.|
|Research and Report Briefings||Click on the link to view recent research and report briefings written by Policy Partners Project. These are usually issued monthly.|
This is the first revised version of the Bedford APPP resource. It is usually updated every six months. The next version will therefore be available by 12th November 2018.
If you want to make any changes to chapters, please first read Making Changes to Chapters for information about how to make the changes in the way we require. Before making any changes or writing new chapters however, please first contact Gillian Abbott, Commissioning Project Officer, who is the Bedford coordinator for this APPP.
On the home screen, type in the word or phrase you are looking for in the ‘Search’ facility and press ‘Enter’. It will bring up a list of all the chapters where it appears. Click on the one you want. The word / phrase will remain highlighted in the chapter.
If you want to search for specific text within a chapter or a pdf document, you can also press ‘Ctrl’ and ‘f’ together. A box will appear in the top right of your screen. Type in the word / phrase you want to find and press ‘Enter’. The number of times it appears in the chapter will be displayed next to your word. Use the up and down arrows next to it to find all the references.
We recommend you ‘Register with Us‘. This enables us to notify you that your APPP resource has been updated, which is usually every six months. By submitting this information, you will only receive email notifications from us in relation to APPP updates and your information will not be given to any third parties.
This APPP site has been designed to be used as an online facility. It is easier to update a web based facility, and version control is very effectively managed. Reducing or eliminating printing cuts costs, as well as preserving valuable resources.
If you print a chapter, to take to a meeting for example, please note it will have a water mark stating it is valid for 72 hours only and the date it was printed. Whilst this site is usually updated every six months, there may be occasions when it is updated urgently as a result of a Safeguarding Adults Review or inspection recommendation, so it is important to be sure that you are using the most recent copy. That is why we recommend that if you have to print a chapter, you no longer refer to it after that time.
The chapter content in this APPP site can be accessed, downloaded and printed unchanged, on a temporary basis. Any content printed or downloaded may not be sold, licensed, transferred, copied or reproduced in part or in whole in any manner or format without the prior written permission of Policy Partners Project Ltd.