Hounslow Council


Substantial needs

How do we define substantial needs?

These are situations where without help there will be serious harm or injury now or within 3 months.

The government’s Fair Access to Care Services eligibility frameworks says that risks will be defined as substantial when:

  • There is, or will be, only partial choice and control over the immediate environment

  • Abuse or neglect has occurred or will occur

  • There is, or will be, an inability to carry out the majority of personal care or domestic routines

  • Involvement in many aspects of work, education or learning cannot or will not be sustained

  • The majority of social support systems and relationships cannot or will not be sustained

  • The majority of family and other social roles and responsibilities cannot or will not be undertaken