Early cessation of ST-MAX
Early cessation of service (not leading to long term support) - NHS funded care/End of Life/deceased
This applies when early cessation is NOT followed by a return to long term support provision by the council.
This sequel shows explicitly that further health care or palliative care was needed, or that the client died before ST-Max was completed.
Early cessation of service (not leading to long term support) – other reason
This sequel should be used for all other instances of ST-Max ending early where long term social care support does not resume. This is not expected to be a commonly used sequel as most ‘early cessation’ clients are expected to go on to receive ongoing health care or resume council support in their original setting.
Early Cessation of Service (return to long term support)
This is used when a client’s short term support ended early and long term services restarted, in any setting.
If the client is moving to residential or nursing care (from the community) then this sequel will also apply in Tables 1-3. Table 5 will additionally capture any change in setting.
This sequel should be selected only when the period of short term support was forced to be cut short in an unexpected or unplanned way. It can occur because of unexpected changes in client health, such as if the person suffers a stroke or other sudden event that means ST- Max is no longer appropriate.
Completion of ST-Max (Change in Setting)
Move to Nursing care (from community)
This should be chosen when clients complete ST-Max and then move to nursing care. It only applies to service users who were not already in residential or nursing care, i.e. who following ST-Max will move into a registered home offering nursing care support. For clients who are returning to nursing care following completion of ST-Max, ‘No Change in Long Term Support’ should be chosen. For clients who are moving to nursing care from residential, the sequel is ‘Level of Long Term Support Increased’ – see below.
Move to residential care (from community)
This should be chosen when clients will move to residential care following the conclusion of ST-Max support. This only applies to service users who were not already in residential or nursing care, i.e. who will move into a registered home following ST-Max. For clients who are returning to residential care following completion of ST-Max, ‘No Change in Long Term Support’ should be chosen. For clients moving to residential care from nursing care, the sequel ‘Level of Long Term Support Decreased’ will apply – see below.
Move to community
This sequel should be used when clients who completed ST-Max whose long term care package was based in residential or nursing care move into a community setting. This would usually be as a consequence of a reduction in care needs but may (rarely) result from a care home deregistering during the period of ST-Max.
Completion of ST-Max (No change in setting)
Level of Long Term Support Increased
This sequel will apply to community based users whose care package increases following completion of ST-Max and the resumption of long term support. It will also apply to residential care clients whose increased needs require nursing care following completion of ST-Max. For SALT purposes moves between residential and nursing care are not considered changes in setting.
No change in long term support
This sequel will apply to users who resume the same level of support following completion of ST-Max. It applies to community based clients as well as nursing care clients returning to nursing care (even if this involves a move to an alternative care home) and residential care clients returning to residential care (including moves to alternative homes or variations of support within that home).
Level of long term support decreased
This sequel will apply to community based users whose long term support resumes at a lower level following completion of ST-Max. It will also apply to nursing care clients whose decreased needs mean they ‘step down’ to residential care following completion of ST- Max. For SALT purposes moves between residential and nursing care are not considered changes in setting.
ALL Long Term Support Ended - no ongoing eligible needs
This sequel applies if NO long term support is required following the completion of ST-Max, i.e. the care package the client had before commencing ST-Max is reduced so that no component qualifies as ‘long term support’. For instance, clients who go on to receive community based short term support or ongoing low level support (e.g. equipment or home adaptations) are not classed as receiving long term support for SALT purposes and so this sequel would apply.
It also applies when a client will become a self- funding client (but not for a move to residential or nursing care when arranged under 12-week disregard or deferred payments arrangements).