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Working Together To Safeguard Children 2026 Update.

The Mental Health Act 2025 Reforms.

Medway Procedures, Practice Guidance and Tools for Adult Social Care

Contents

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1.The Care Act 2014 Resource

1.0.1The Care Act 2014 Resource

2.The Mental Capacity Act 2005 Resource and Practice Toolkit

2.0.1The Mental Capacity Act 2005 Resource and Practice Toolkit

3.Safeguarding Adults

3.0.1Safeguarding AdultsNovember 20, 2025

4.AMHP & Deprivation of Liberty Team

4.0.1Deprivation of Liberty Safeguards ProcedureNovember 20, 2025
4.0.2AMHP ProcedureMay 8, 2025

5.Universal Procedures (used by all teams)

5.0.1Equality, Diversity and Human RightsNovember 20, 2025
5.0.2Recording and Keeping RecordsNovember 20, 2025
5.0.3Providing Information about a Person or CarerNovember 20, 2025
5.0.4Financial AssessmentNovember 20, 2025
5.0.5Brokerage ProceduresMay 15, 2024
5.0.6Direct PaymentsNovember 20, 2025
5.0.7TelecareMay 8, 2025
5.0.8Risk AssessmentNovember 20, 2025
5.0.9Lone WorkingNovember 15, 2022
5.0.10Co-productionNovember 20, 2025
5.0.11Recognising and Responding to Deprivations of LibertyMay 8, 2025
5.0.12Joint WorkNovember 15, 2022
5.0.13Social Media (use of)November 20, 2025
5.0.14Storage of Data on Practitioners' Mobile DevicesNovember 20, 2025
5.0.15Interpreter and Translation ServicesNovember 20, 2025
5.0.16Death of a Person or CarerMay 8, 2025

6.Specialist Procedures

6.0.1Deputyship and Financial AffairsMay 8, 2025
6.0.2Debt Respite Scheme (Breathing Spaces) ProcedureMay 8, 2025
6.0.3Housing and HomelessnessNovember 20, 2025
6.0.4CareCubed ProcedureMay 15, 2024
6.0.5Minor Works and Low Level EquipmentNovember 15, 2022
6.0.6Joint Packages of Health and Social CareNovember 20, 2024
6.0.7NHS Continuing Healthcare ProcedureNovember 20, 2025
6.0.8NHS-funded Nursing Care Procedure (FNC)May 15, 2024
6.0.9End of Life Procedures and Practice GuidanceMay 8, 2025
6.0.10Legal ServicesNovember 22, 2021
6.0.11Ordinary Residence ProcedureNovember 20, 2023
6.0.12Continuity of Care ArrangementsMay 15, 2024
6.0.13Cross Border PlacementsMay 15, 2024
6.0.14Protecting Moveable PropertyNovember 20, 2025
6.0.15Service Interruptions and Provider FailureMay 15, 2024
6.0.16No Recourse to Public Funds (NRPF)November 20, 2025
6.0.17Prisons and Approved PremisesNovember 20, 2025
6.0.18Understanding the Mental Health Act 1983May 8, 2025
6.0.19Community Mental Health FrameworkNovember 20, 2023
6.0.20Social Circumstances ReportNovember 20, 2024
6.0.21Section 117 AftercareMay 15, 2024
6.0.22Working Effectively with Parents and Children's ServicesNovember 20, 2025
6.0.23Acting as an Appropriate AdultNovember 20, 2025

7.Enablement

7.1Arranging Enablement

7.1.1The Enablement PlanNovember 20, 2025
7.1.2Arranging the Enablement ServiceNovember 15, 2022

7.2Monitoring and Reviewing Enablement

7.2.1Monitoring EnablementMay 15, 2024
7.2.2Monitoring Actions (Enablement)November 20, 2025
7.2.3The Enablement ReviewMay 8, 2025
7.2.4Deciding the Outcome of an Enablement Review and Making a Formal RecordNovember 15, 2022
7.2.5Actions Following an Enablement ReviewNovember 20, 2025

8.Integrated Discharge Team

8.1Contact and Referral

8.1.1Receiving a Contact or ReferralNovember 20, 2025
8.1.2Deciding the Outcome of a Contact or Referral (Integrated Discharge Team)November 20, 2025
8.1.3Actions and Next StepsNovember 20, 2025

8.2Establishing Needs

8.2.1Introduction, Legal Requirements and ToolsMay 15, 2024
8.2.2Preparing to Establish NeedsNovember 20, 2024
8.2.3The Skilled ConversationNovember 20, 2025
8.2.4Agreeing Needs and Making a Formal RecordNovember 15, 2022
8.2.5Understanding and Applying Eligibility CriteriaNovember 20, 2025
8.2.6Communicating the Outcome and Next StepsNovember 20, 2025

8.3Meeting Needs

8.3.1Establishing Ordinary ResidenceMay 8, 2025
8.3.2Requesting a Financial AssessmentMay 15, 2024
8.3.3Setting an Indicative BudgetNovember 20, 2024
8.3.4Care and Support PlanningNovember 20, 2025
8.3.5Signing Off a Care and Support Plan and Agreeing a Final Personal BudgetNovember 20, 2024
8.3.6Arranging Support and ServicesNovember 20, 2024

8.4Reviewing Support and Services

8.4.1Legal Requirements of a Care and Support Plan Review and ToolsNovember 20, 2024
8.4.2Preparing to Carry out a Care and Support Plan ReviewMay 8, 2025
8.4.3The Full Review ConversationNovember 20, 2025
8.4.4The Light Touch Review ConversationNovember 20, 2025
8.4.5Deciding the Outcome of a Care and Support Plan Review and Making a Formal RecordMay 15, 2024
8.4.6Actions Following a Care and Support Plan ReviewNovember 20, 2025
8.4.7Monitoring Urgent or Interim Support and ServicesMay 15, 2024
8.4.8Reviewing a Direct Payment

9.Locality Teams

9.1Contact and Referral

9.1.1Receiving a Contact or ReferralNovember 20, 2025
9.1.2Deciding the Outcome of a Contact or Referral (Locality Teams)November 20, 2025
9.1.3Actions and Next StepsNovember 20, 2025

9.2Establishing Needs

9.2.1Introduction, Legal Requirements and ToolsMay 15, 2024
9.2.2Preparing to Establish Needs (Locality Teams)May 8, 2025
9.2.3The Skilled Conversation (Locality Teams)November 20, 2025
9.2.4Agreeing Needs and Making a Formal Record (Locality Teams)November 15, 2022
9.2.5Understanding and Applying Eligibility Criteria (Locality Teams)November 20, 2025
9.2.6Communicating the Outcome and Next Steps (Locality Teams)November 20, 2025
9.2.7Establishing Ordinary ResidenceMay 8, 2025
9.2.8Requesting a Financial AssessmentMay 15, 2024

9.3Care and Support Planning to Meet Needs

9.3.1Setting an Indicative BudgetNovember 20, 2024
9.3.2Care and Support PlanningNovember 20, 2025
9.3.3Signing Off a Care and Support Plan and Agreeing a Final Personal BudgetNovember 20, 2024
9.3.4Arranging Support and ServicesNovember 20, 2024

9.4Arranging Equipment

9.4.1Providing EquipmentMay 15, 2024
9.4.2Equipment in a Care HomeMay 15, 2024
9.4.3Providing Direct SupportMay 15, 2024

9.5Major Adaptations

9.5.1Establishing Likely Eligibility for a Disabled Facilities GrantMay 15, 2024
9.5.2Applying for a Disabled Facilities GrantMay 15, 2024
9.5.3The Outcome of the Disabled Facilities Grant Application and Next StepsMay 15, 2024

9.6Reviewing Care and Support Plans and Interim Support

9.6.1Legal Requirements of a Care and Support Plan Review and ToolsNovember 20, 2024
9.6.2Preparing to Carry out a Care and Support Plan ReviewMay 8, 2025
9.6.3The Full Review ConversationNovember 20, 2025
9.6.4The Light Touch Review ConversationNovember 20, 2025
9.6.5Deciding the Outcome of a Care and Support Plan Review and Making a Formal RecordMay 15, 2024
9.6.6Actions Following a Care and Support Plan ReviewNovember 20, 2025
9.6.7Monitoring Urgent or Interim Support and ServicesMay 15, 2024
9.6.8Reviewing a Direct Payment

9.7Monitoring and Reviewing Equipment or Adaptations

9.7.1Monitoring and ReviewNovember 20, 2025

10.Transition and Review Team

10.1Children's Procedures

10.1.1Children's Procedures

10.2Deciding Whether to Start Transition

10.2.1Deciding Whether to Start TransitionNovember 20, 2023
10.2.2Deciding Whether to Start Carers TransitionNovember 3, 2021
10.2.3Recording the Decision and Next StepsNovember 3, 2021

10.3Child's Needs Assessment

10.3.1Introduction, Legal Requirements and Tools (Child's Needs Assessment)May 15, 2024
10.3.2Preparing to Establish Needs (Child's Needs Assessment)May 15, 2024
10.3.3The Skilled Conversation (Child's Needs Assessment)November 20, 2025
10.3.4Agreeing Needs, Making a Formal Record and Next Steps (Child's Needs Assessment)November 20, 2023

10.4Carer's Transition Assessments

10.4.1Introduction, Legal Requirements and Tools (Carer's Transition)May 15, 2024
10.4.2Preparing to Establish the Needs of Parent CarersMay 15, 2024
10.4.3Preparing to Establish the Needs of Young CarersMay 15, 2024
10.4.4The Skilled Conversation (Parent Carers)September 27, 2021
10.4.5The Skilled Conversation (Young Carers)November 20, 2025
10.4.6Agreeing Needs, Making a Formal Record and Next Steps (Carer's Transition)May 15, 2024

10.5Transition Planning and Review

10.5.1Setting an Indicative Budget (Transition to Adult Care and Support)November 9, 2021
10.5.2The Transition PlanMay 15, 2024
10.5.3Reviewing a Transition PlanMay 15, 2024
10.5.4Reviewing an Education, Health and Care Plan (from 18 years)July 22, 2022

10.6Contact and Referral (Adults)

10.6.1Receiving a Contact or ReferralNovember 20, 2025
10.6.2Deciding the Outcome of a Contact or ReferralNovember 20, 2025
10.6.3Actions and Next StepsNovember 20, 2025

10.7Establishing Needs (Adult Care and Support)

10.7.1Introduction, Legal Requirements and ToolsMay 15, 2024
10.7.2Preparing to Establish NeedsNovember 20, 2024
10.7.3The Skilled ConversationNovember 20, 2025
10.7.4Agreeing Needs and Making a Formal RecordNovember 15, 2022
10.7.5Understanding and Applying Eligibility CriteriaNovember 20, 2025
10.7.6Communicating the Outcome and Next StepsNovember 20, 2025

10.8Meeting Needs (Adult Care and Support)

10.8.1Establishing Ordinary ResidenceMay 8, 2025
10.8.2Requesting a Financial AssessmentMay 15, 2024
10.8.3Setting an Indicative BudgetNovember 20, 2024
10.8.4Care and Support PlanningNovember 20, 2025
10.8.5Signing Off a Care and Support Plan and Agreeing a Final Personal BudgetNovember 20, 2024
10.8.6Arranging Support and ServicesNovember 20, 2024

10.9Reviewing Support and Services (Adult Care and Support)

10.9.1Legal Requirements of a Care and Support Plan Review and ToolsNovember 20, 2024
10.9.2Preparing to Carry out a Care and Support Plan ReviewMay 8, 2025
10.9.3The Full Review ConversationNovember 20, 2025
10.9.4The Light Touch Review ConversationNovember 20, 2025
10.9.5Deciding the Outcome of a Care and Support Plan Review and Making a Formal RecordMay 15, 2024
10.9.6Actions Following a Care and Support Plan ReviewNovember 20, 2025
10.9.7Monitoring Urgent or Interim Support and ServicesMay 15, 2024
10.9.8Reviewing a Direct Payment

11.Carers Procedures

11.1Contact and Referral

11.1.1Receiving a Contact or ReferralNovember 20, 2025
11.1.2Deciding the Outcome of a Contact or Referral (Carers)November 20, 2025
11.1.3Actions and Next Steps (Carers)November 20, 2025

11.2Establishing Needs

11.2.1Introduction, Legal Requirements and Tools (Carers)May 15, 2024
11.2.2Preparing to Establish Needs (Carers)May 15, 2024
11.2.3The Skilled Conversation (Carers)November 20, 2025
11.2.4Agreeing Needs and Making a Formal Record (Carers)April 12, 2022
11.2.5Understanding and Applying Eligibility Criteria (Carers)November 20, 2025
11.2.6Communicating the Outcome and Next Steps (Carers)November 20, 2025

11.3Meeting Needs

11.3.1Establishing Ordinary ResidenceMay 8, 2025
11.3.2Requesting a Financial AssessmentMay 15, 2024
11.3.3Setting an Indicative BudgetNovember 20, 2024
11.3.4Support PlanningNovember 20, 2025
11.3.5Signing off a Support Plan and Agreeing a Final Personal BudgetNovember 20, 2024
11.3.6Arranging Support and ServicesNovember 20, 2024

11.4Reviewing Support and Services

11.4.1Legal Requirements of a Support Plan Review and ToolsNovember 20, 2024
11.4.2Preparing to Carry out a Support Plan ReviewMay 15, 2024
11.4.3The Full Review Conversation (Carers)November 20, 2025
11.4.4The Light Touch Review Conversation (Carers)November 20, 2025
11.4.5Deciding the Outcome of a Support Plan Review and Making a Formal RecordNovember 3, 2021
11.4.6Actions Following a Support Plan ReviewNovember 20, 2025
11.4.7Monitoring Urgent or Interim Support and ServicesMay 15, 2024
11.4.8Reviewing a Direct Payment

Last Updated: November 20, 2025

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