National Health Service and Community Care Act 1990, No. 19 (as amended)

The National Health Service and Community Care Act 1990 was introduced in the United Kingdom to reform the provision of health and social care services. Here's a summary:

1. Purpose: The act aimed to modernize the National Health Service (NHS) and social care provision by introducing changes to funding, management, and the delivery of services. It sought to promote greater collaboration between health and social care agencies, enhance the quality of care provided, and improve access to community-based services.
2. Requirements: The act established new responsibilities for local authorities and health authorities to assess and meet the needs of individuals requiring community care services, including the elderly, disabled, and those with mental health needs. It introduced the concept of care management, requiring local authorities to assess individuals' needs, develop care plans, and arrange appropriate services to meet those needs.
3. Applicability: The act applies to health and social care services provided within the United Kingdom. It affects a wide range of stakeholders, including NHS trusts, local authorities, social care providers, healthcare professionals, and individuals in need of community care services. The act's provisions impact the planning, delivery, and funding of health and social care services across the country.

In summary, the National Health Service and Community Care Act 1990 aimed to modernize and improve health and social care provision in the UK. It introduced changes to promote collaboration between health and social care agencies, enhance the quality of care provided, and ensure individuals' needs for community care services are assessed and met effectively.

The National Health Service and Community Care Act 1990 primarily focuses on the provision and coordination of health and social care services rather than specific evidence requirements. However, compliance with the Act typically involves the collection and maintenance of evidence related to the assessment and delivery of community care services. Key aspects of evidence requirements may include:

1. Assessment Documentation: Local authorities are required to assess the needs of individuals requiring community care services. Evidence of compliance includes documentation of assessments conducted, including the nature and extent of individuals' care needs, assessments of their capacity and preferences, and consideration of any risks or vulnerabilities.
2. Care Plans: Following assessments, local authorities must develop care plans outlining the services and support individuals require to meet their assessed needs. Evidence includes documentation of care plans, detailing the services to be provided, arrangements for their delivery, and any involvement of individuals and their carers in the care planning process.
3. Service Provision Records: Local authorities are responsible for arranging and providing community care services in accordance with individuals' care plans. Evidence includes documentation of service provision, such as records of services delivered, appointments attended, and interventions provided to meet individuals' assessed needs.
4. Monitoring and Review Records: The Act requires ongoing monitoring and review of individuals' care needs and the effectiveness of the services provided. Evidence includes documentation of monitoring and review processes, including records of reviews conducted, outcomes achieved, any changes to care plans or services provided, and actions taken in response to identified needs or concerns.
5. Complaints and Feedback Records: Individuals have the right to provide feedback on the care and support they receive and to raise complaints if they are dissatisfied. Evidence includes documentation of complaints and feedback received, investigations conducted, and actions taken to address concerns raised, as well as any improvements made to service delivery as a result.

While the National Health Service and Community Care Act 1990 does not specify explicit evidence requirements, compliance typically involves maintaining comprehensive records and documentation to support the assessment, planning, delivery, monitoring, and review of community care services provided to individuals in need.