Match support to current assessed need—not historical habit.
A specialist review of function, transfer technique, equipment, environment, rehabilitation potential and staffing to determine whether a care package is safe, proportionate and still appropriate.
Care optimisation starts with clinical reality.
The purpose is not automatic reduction. It is to test whether the existing package still reflects the person’s present ability and the safest practical way to deliver care.
Current function
Weight bearing, transfers, bed mobility, cognition, fatigue, falls, pain and day-to-day variability.
Current care tasks
Which tasks require support, how often, and whether staffing is tied to specific risks or simply carried forward.
Equipment & environment
Whether better positioning, compatible equipment or environmental change could make care safer or more efficient.
Rehabilitation potential
Whether practice, strength, confidence or transfer retraining could reduce avoidable dependency.
Staffing requirement
Whether one, two or more carers are required for each relevant task—with rationale and contingency planning.
Review triggers
Define what change should prompt a new assessment rather than allowing the package to drift.
Optimisation can mean less, more, or different support.
Current package remains clinically appropriate.
Same staffing but safer or more efficient delivery.
Some transfers may move from two carers to one after assessment.
Assessment may identify that current input is inadequate.
Need a defensible review of a high-cost or complex package?
Commission an assessment that links the staffing recommendation directly to current function, equipment, task and environment.