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Children and Young People Disability Service (CYPDS)

Eligibility criteria for the Children and Young People Disability Service Social Care

Introduction 

The Children Act 1989 places a duty on Children’s Services to provide or coordinate the  provision of services to all children and young people with disabilities. The overall provision of and responsibility for these services is based on good partnership working across all Children’s Services areas and associated health, voluntary sector and Adult Services.  The Children and Young People’s Disability Service (CYPDS) provides specialist services to a defined group of children and young people. The service includes support to access care or short breaks provisions if needed. 

This information details the eligibility of a child or young person for support and services from  CYPDS. The framework for the assessment of the children and young people will be used to gather information to determine if the threshold for the service is met or not, and will identify the level and type of resource provision needed. For some children and young people these resources will fall outside the criteria of the service. This includes children and young people without permanent and substantial disabilities at a severe to profound level. 

The definition of substantial and permanent are as follows: 

  • Substantial means considerable or significant factors that are life changing or limiting and might include issues to do with risk and dependency. 
  • Permanent means existing indefinitely and not expected to improve. However there  must be sufficient flexibility to take account of intermittent or episodic conditions.  

The CYPDS Social Care Team comprises Social Workers, Family Workers, Social Care  Occupational Therapist and an Adult Social Worker. This eligibility criteria applies to children and young people who have social care and/ or home occupational therapy needs relating to their permanent or substantial disability. 

Eligibility criteria for the Children and Young People’s Disability Service  

Children and young people aged from birth to 18 years who have permanent and substantial severe or profound disabilities who live in the Royal Borough of Windsor and Maidenhead, meet the eligibility criteria for the Children and Young People’s Disability Service.  The following table outlines and defines the factors taken into consideration when making a decision regarding eligibility.

An adult aged 18 to 25 years who has an Education, Health and Care Plan (EHCP), will be open to the Children and Young People’s Disability Service and will be assessed as to whether they require social care support through an Adult Social Care Assessment. If an adult does not have an EHCP (no longer in education), they will be referred to Adult Services. 

To qualify for support from the Children and Young People’s Disability Service, the child or young person (aged 0 to 25 years) must meet the requirements in the ‘profound or severe’  labelled columns in at least two of the dimensions, for example, in health and communication or self-care and safety.

Disability 

Meets criteria for specialist  

provision (CYPDS)

Meets criteria for inclusive provision  (inclusive provision - (not CYPDS)

Level Profound Severe Moderate Mild
Health

Complex health

needs prevents  participation in  social and  

educational  

activities without  

constant 24  

hour minimum  of one-to-one  specialist  

support.  

 

Condition is  

unable to be  

controlled by  

medication.

Requires daily  

specialist medical or  

nursing care. 

 

Regular admissions to  

hospital for treatment. 

 

Daily use of  

specialist equipment that needs operational  

assistance. 

 

Life limiting condition. 

 

Requires intensive  

therapy programme. 

 

Health needs have a  

significant impact on  

development and learning.

 


 

Regular nursing  

care and support  (more than once or  twice weekly). 

 

Uses specialist equipment that  

needs operational  assistance. 

 

A planned  

programme of  

therapy required  with the disability. 

 

Complex daily  

medication. 

 

Unstable health

which impacts  

adversely on the child  and/ or family. 

 

Health needs limit ability to perform  everyday tasks

 


 

Requires no or  

minimal nursing  care or support. 

Routine medical  checks only.

 

Nil or minimal  

treatment or  

medication. 

 

 

 

No or little 

therapy involved  with disability. 

 

Uses specialist  

equipment that  does not require 

operational  

assistance. 

 

Known health  

condition which is  under control and only occasionally  interfering with  everyday  

activities in a  

minor way.

 


 
Education

Child has  

profound  

learning  

difficulties. 

 

Attends  

educational  

provision for  

children with  

Profound  

Learning  

Difficulties. 

 

Follows P levels  of the  

curriculum.


 

Child has severe  learning  

difficulties. 

 

 

 

Attend educational  

provision for children with  

severe learning  difficulties. 

 

 

Follows P levels  of the  

curriculum.


 

Attends  

educational  

provision with one to-one support  

some of the time or a specialist  

provision not for  profound or severe  learning  

difficulties. 

 

Assessment shows  abilities will  achieve less than  70% of the  expected  

attainment for age.


 

Attends  

mainstream  

school or  

preschool with or  without support. 

 

Assessment  

shows abilities  

will achieve  

within 70 to 80% of the expected  attainment for  

age.

 Communication  

Non verbal  

communication. 

 

Unable to  

communicate  

needs using any  method. 

 

Unable to use  

communication  aid.

 

Severely delayed  processing skills.

 

None or very  

little  communication 

used but can  

communicate at least basic needs using any  

method. 

 

 

Significantly  

delayed  

processing skills.

 

Delayed or  

communication  

disorder including 

language disorders  causing significant  difficulty in  

communicating  

outside the home.

 

Reduced ability to  understand and  process  

information in  

comparison to  

peers. 

 

Marked delay in  language  

development.

 

Requires minimal  support to communicate. 

 

Able to use  

signing or other  communication  method  

consistently. 

 

Behaviour  

associated with  the disability

 

Profound  

challenging  

behaviour which  impacts on all  

aspects of the  child or young  person  

functioning and  the child or  

young person  

poses a severe  risk to self or  

others. 

 

Requires  

constant  

monitoring,  

supervision and a structured  

programme for  managing  

behaviour  

overseen by  

specialist  

services. 

 

Frequent  

behaviour that  may be of risk to  the child/ young  person or carers.

 

No awareness of  the impact of behaviour on  

others.

 

 

Behaviour  

demonstrates  

significant risk to  self or others. 

 

Requires  

monitoring supervision and a structured programme for  managing behaviour  

overseen by specialist  

services. 

 

 

Challenging  

behaviour which impacts  

significantly on  community life and requires specialist  

provision to function socially or educationally.

 

Behaviour  

demonstrates  

moderate risk to  self or others. 

 

Requires  

monitoring or  

supervision in  

some  

circumstances. 

 

Input required to  manage behaviour. 

 

Has difficulties in relating to peers. 

 

Behavioural or  

management  

difficulties which may require  

specialist advice.

 

Behaviour does  not demonstrate  risk to self or  

others. 

 

Need for  

monitoring or  

supervision  

appropriate for  age. 

 

Minor difficulties  in relationships  with parents,  

peers or others. 

 

Behaviour that  can be difficult to  manage at times. 

 

Behaviour can be  managed without  specialist  

provision.

 

Family and Social  Relationships

 

Inability to build  and maintain  

friendships and  relationships  

without constant  

support with all  aspects.

 

Limited ability to  build and maintain friendships  

without significant  

support with all aspects. 

 

Total  dependence on  carers for social  integration. 

 

Very limited  

awareness of the impact of behaviour upon others.

 

Difficulty building and maintaining  friendships and  

relationships  

without support.

 

Able to sustain  limited peer  

relationships and  social integration  with support.

 Self Care  

Fully dependent  on others for all  personal care  

(eating, drinking,  toileting and  

washing). 

 

Needs physical  support with all  personal care. 

 

Requires  

specialist  

equipment to  

support all their  care needs.

 

 

Needs physical  assistance with personal care. 

 

Needs a high  

level of supervision with  all personal care (eating, drinking, toileting and  

washing).

 

Requires some  

prompts and  

supervision greater than that expected  for developmental  age.

 

Independent in  majority of  

personal care  

activities. 

 

Requires  

occasional  

supervision  

beyond that  

expected for that  age. 

 Safety  

Needs constant  supervision both  during the day  and night. 

 

Does not have  any awareness of danger to self  or others.

 

Needs constant  supervision  

during the day. 

 

Would place themselves or others at risk without  

supervision. 

 

No awareness of  danger to self or others.

 

Needs some  

supervision at  

times. 

 

Limited perception of danger to self or  others

 

Occasionally  

requires more  

supervision than  children and  

young people of  the same age.

 

Some awareness  of danger to self  or others.

 

Mobility 

 

Unable to walk. 

 

Uses a  

wheelchair. 

 

Totally dependent upon  carer for  

mobility.

 

Unable to walk. 

 

May be able to stand or transfer with support. 

 

Able to manoeuvre her/himself  at least some of the time.

 

Walks but only  

with aids or  

assistance. 

 

May use  

wheelchair for  

intermittent use.

 

Able to walk and  function  

independently  

but with some  

limitation of  

function.

 Visual Impairment  

Mobility  

restricted  

without special  provision. 

 

Requires  

education by  

non-sighted  

method. 

 

Eligible for  

registration as  blind.

 

Mobility restricted  

without special provision. 

 

Unable to read large print  

without intensive  

educational assistance or  

aids. 

 

Severe visual field defect with  impairment visual acuity. 

 

Eligible for registration as  blind or partially sighted.

 

Able to read print with simple aids or  assistance. 

 

Defect of at least half visual field. 

 

May be eligible for registration as  

partially sighted.

 

Severe or  

profound  

problem with one eye. 

 

Less than half  

visual field loss. 

 

 

Able to function  independently.

Hearing  

Impairment

Total or near  

total loss of  

hearing (>95dB)

Severe hearing  loss (71-95dB)

Significant hearing loss but able to  

function with a  

hearing aid. 

 

Hearing loss (41- 70dB)

Severe or  

profound hearing  loss in one ear. 

 

 

 

Moderate  

hearing loss (20- 40dB)


 

Children under the age of 5 years old. 

This applies where a child under 5yrs has social care needs which are far greater than children of their age who do not have an additional need, and where there are clear difficulties in meeting developmental milestones as a direct result of their disabilities. Health needs would be assessed by the appropriate providers. 

Disability 

Meets criteria for specialist  

provision (CYPDS)

Meets criteria for inclusive provision  (inclusive provision - (not CYPDS)

Level Profound Severe Moderate Mild

Children under the age of 5 

years


 

Child requires significantly greater care and attention because of the profound nature of health or learning conditions. 

 

Significant failure to reach developmental milestones.

 

Child is functioning around ½ the level expected for age.

Child is functioning around ⅔ the level expected for age.


 

Child is functioning slightly behind the level expected for the age.

 

Children and young people who are NOT included in the eligibility criteria for CYPDS are the following: 

  • A disability or disabilities that are not permanent and substantial.
  • Social, emotional and behavioural difficulties due to social or environmental factors i.e the behaviour is not associated with a disability.
Case responsibility and management 

Taking into consideration all available information and the child or young person meets the eligibility criteria for the Children and Young People’s Disability Service, then a home visit will  be undertaken by a social or family worker. Once the child or young person's needs have been identified and the eligibility criteria is met for Short Breaks or a Social Care Support package, a referral will be made to either the Resource Panel or the Short Break, Social Care Support and Post 18 Panel, as to the most appropriate way to support the child or young person and their family.  

A child or young person may be reviewed at a minimum of every three months and the outcome may be assessed to close.