IMCA involvement in accommodation decisions and care reviews


Local authorities and NHS trusts may consider cost as a factor when making accommodation arrangements for an individual. Some local authorities set amounts that they normally pay for someone with particular assessed needs (this may include the maximum that will be paid to support them to continue living in their own home). If a more expensive service is suggested, the funding body will need clear reasons why available cheaper options could not meet that person's needs. Alternatively, the person may be expected to pay the difference.

When making best interests decisions, the cost may need to be weighed against other factors related to the person's wishes and needs. At times an IMCA may need to challenge a local authority or PCT for giving too great a weight to cost as a factor, and in so doing possibly losing sight of the person's best interests.