Mental Health and Substance Misuse
Reviews should be held at every CPA/care planning meeting or at least every year. Earlier reviews may be requested by the person, carer/s or any member of the person's care team. The Local Authority and CCG will consider the merits of conducting a review, but should not withhold permission to carry out an early review unnecessarily.
If a person no longer requires active care/case management, but still requires s117 services such as residential care they will remain on the active review s117 list and require annual reviews in line with the guidance.
At the conclusion of the review meeting recommendations must be made as to whether:
- the aftercare plan needs to continue, or
- the aftercare plan needs to be modified in response to changing needs, or the need for specific services to avoid a readmission comes to an end, or
- the aftercare plan can be ended and the person discharged from s117. This decision will be made at an MDT meeting with final approval from the Mental Health Funding panel or CLDS quality assurance panel in the relevant borough. There may be some people who receive s117 aftercare who go to the Camden or Islington ASC mental health quality assurance panel dependent upon which teams hold case management responsibility.
The review meeting must always consider the following elements:
- the services needed to meet the person’s needs and their purpose (including the differentiation between those services being provided under s117 and those provided as part of the person’s care and support package or universal services)
- if any changes to services require charging assessment
The care coordinator is responsible for recording the review on the s117 form in the assessment tab on Care Notes electronic patient record. If an adult social care review has been carried out than this document must state that the person is eligible for s117 aftercare. It is the responsibility of Camden and Islington local authorities to ensure that this information is recorded on their information systems.