SERVICE USER CARE CATEGORY Sample Clauses

SERVICE USER CARE CATEGORY. (The standard weekly rates for these categories of care are as published for the current financial year and represent the MAXIMUM amounts payable by Bath and North East Somerset Council). PLEASE TICK ONE CATEGORY ONLY. RESIDENTIAL CARE NURSING Older People (over 65) ( ) Older People (over 65) ( ) Older People Mental Illness (including dementia) ( ) Older People Mental Illness (including dementia) ( ) Mental Illness (under 65) ( ) Mental Illness (under 65) ( ) Learning Difficulties ( ) Learning Difficulties ( ) Physically Disabled (under 65) ( ) Physically Disabled (under 65) ( ) 6. DETAILS OF PAYMENTS IN ADDITION to the standard Council weekly rate (Fair Price for Care (Elderly only) PERIOD Weekly Amount Insert “Extra Needs”, “Market Forces” or “Third Party” From To (where known) £ p Name of Manager authorising Extra Needs or Market Forces payment: Approval by Single Panel: Third party who has accepted responsibility for a Third Party Top-Up Fee above, if any Name: Address: Telephone Number: Has the named third party signed the agreement on the information sheet “Care Homes – Third party Contributions” This must be signed and attached to this Schedule 1. Signed and returned: Uploaded to Liquid Logic: Location of filed signed form: Liquid Logic
Sample 1
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