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SAP and MDS: the connection in depth

The guidelines for the Department of Health Single Assessment Process (SAP) specify four levels of assessment:
  • Initial Contact Assessment
  • Overview Assessment
  • In-depth (also known as Specialist) Assessment
  • Comprehensive Assessment.
TSO provides assessment tools for the contact, the overview and the comprehensive assessment.

A support manual , introducing the assessments, is available from TSO. It gives users detailed guidance on three of these assessments: the Contact, Overview and Comprehensive Assessments.

  • The MDS Contact Assessment includes the self-reliance algorithm which indicates who should receive a full Overview Assessment.
  • It contains triggers to assessment protocols that assist the professional in determining next steps for care planning, including consideration of where other assessment domains are relevant for identified needs, and which specialist professionals should be involved in further assessment.
  • The MDS–HC Comprehensive Assessment provides evidence to support determination of the Registered Nurse Contribution to Care (RNCC) for people admitted to nursing homes and NHS-funded continuing care. These levels can only be determined using specialist computer software or through Senectus (Visit www.senectus.org for more details)
Throughout the MDS, specific areas for recording the views of older people and their carers are included.