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Day Care Glossary Term

Provided within centres to which service users travel or are transported. Service providers vary from statutory agencies such as health or social services to the independent and voluntary sector. Day care may cater for users with high dependency needs in conjunction with home care and residential provision, and be integral to an intermediate care programme. Alternatively, day care, particularly within the voluntary sector, may offer social stimulation and be part of a preventative programme aimed at combating a move towards functional dependence and offering carer relief on a structured basis.
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Direct Payments Glossary Term

Direct Payments are means-tested payments made to service users in lieu of community care services they have been assessed as needing, and are intended to give users greater choice in their care. The money received should be enough to meet a person's assessed care needs. Direct Payments have been available since 1997 and are made to a wide variety of people, including carers, adult service users and people with short-term needs. Direct Payments are not the only way a person can have control over their care service funding. Someone else can hold the money for them - a family member or other representative, a trust, an organisation, or a Care Manager. See also Budgets - Personal, Budget - Managed, Budget - Individual and Indirect Payments.
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Disability Glossary Term

The Disability Discrimination Acts (1995 and 2005) define a disabled person as 'someone who has a physical or mental impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities'. Groups of people with disabilities include people with mental health issues, physical limitations and those with learning disabilities. The social model of disability starts from a different perspective. It is not concerned with how 'bad' a person's impairment is. Instead it establishes that everyone is equal and demonstrates that it is society which restricts their opportunities and erects barriers that prevent disabled people from participating fully.
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District Nurse Glossary Term

District Nurses are senior nurses who manage care within the community, leading teams of community nurses and support workers. Typically much of their work involves visiting 'house-bound' patients to provide advice and care, for example, palliative care, wound management, catheter and continence care, medication support. They may be trained to assess patient's needs for equipment provision such as mobility and independent living aids, medical equipment such as specialist beds and mattresses, as well as guidance in applying for grants and welfare benefits. Their work involves both follow-up care for recently discharged hospital inpatients and longer term care for chronically ill patients who may be referred by many other services, as well as working collaboratively with general practitioners in preventing unnecessary or avoidable hospital admissions.
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Domiciliary Glossary Term

Service/Services provided for people in their own homes. They include home care and the services of health workers (e.g. physiotherapists who treat people in their own home).
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