What is Prevention?

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What is Prevention?

The Care Act 2014 places a duty on local authorities to provide or arrange for the provision of services, facilities or resources which contribute towards preventing, delaying or reducing the development of care and support needs for people living within a community. This page provides a summary of how Wiltshire Council will deliver and develop prevention services in order to achieve this objective.

The number of people who need care and support services in Wiltshire continues to grow. Focusing on Prevention is one of the key ways in which the Council can ensure it has sufficient resources to meet peoples care and support needs in the most effective way. Prevention services are designed to give people the information and support they need at the right time, so that they do not develop needs that impact upon their ability to live independently.

There is no easy way to define prevention, which can range from measures for the whole population such as developing high quality leisure facilities, to specific services aimed at helping people to regain skills after a social care need has developed.

Prevention services are often categorised into one of three broad types:

  • Primary
  • Secondary
  • Tertiary

Primary Prevention

This generally includes universal services, facilities or resources to help an individual avoid developing needs for care and support, or to help a carer avoid developing support needs; by maintaining independence and promoting wellbeing.

These services are available without an assessment and are aimed at individuals who are at low risk of developing eligible needs.

Primary prevention services will be made available to all living in a community including people who are not currently supported by Wiltshire Council or other statutory organisations.

Access to good quality information, including the information portal.

Services that promote healthy lifestyles, independence and well-being.

Public transport networks.

Housing related support to help people maintain tenancies and live independently.

Services that promote healthy and active lifestyles, independence and well-being through local leisure services such as Wiltshire Councils health trainers.

Services, resources or facilities that may help slow down or reduce any further deterioration or prevent other needs from developing such as equipment providers who sell aids to help people in their own homes.

Services to reduce loneliness and isolation such as lunch clubs and signposting.

Support for people to remain active members of their local community including lunch clubs, community day centres and transport services.

Secondary (reduce)

This involves more targeted interventions aimed at individuals who have an increased risk of developing needs. The provision of services, facilities or resources may help slow down or reduce any further deterioration or prevent other needs from developing.

Some services such as falls prevention clinics will be jointly delivered with local community health services.

Fall prevention clinics.

Adaptations to housing to improve accessibility.

Telecare services.

Services which support people into economic independence through employment, and maintaining appropriate and stable housing.

Equipment to support independent living

Tertiary Prevention (delay)

These are interventions aimed at minimising the effect of a disability or deterioration for people and supporting people to regain skills. Tertiary prevention services may also be offered if people are identified as being at high risk of developing eligible needs. Many of these services are delivered through integrated health and social care pathways.

Intermediate care and reablement services delivered to maintain a customer’s independence or prevent admissions to acute services. Services will also support people when they are at risk of being sent to hospital to help them maintain or regain the ability to live independently. Services will be delivered when there is a significant risk that without support a customer's ability to live independently will be significantly affected. Intermediate care services will include support at a time of unexpected need such as rapid response services and urgent care at home. These services will include Home first care at home services, intermediate bed based care and the urgent care at home services.

How will Wiltshire Council Prevent Reduce and Delay Needs

Prevention services will be primarily developed to reduce the risk an individual will need to go into hospital, reduce the risk a person will need to go into a care home and to reduce the risk of a person not being able to live independently at home. The Service Directory contains information about a range of services and organisations that are available locally that might help you to remain independent and to live the life that you choose.

The Council is working with communities, local organisations and other key partners to develop an effective approach to prevention and we actively encourage individuals to help us with this. If you would like to get involved you should come along to your Local Area Board where you can talk about what you would like to see where you live. You could also contact us on 0300 456 0111 to discuss what’s available in your area and what other things you think might help reduce people going into hospital or needing long term care services.

Will I need to Pay for Prevention Services?

Some prevention services are provided free while others you may need to pay for based on your financial situation.

No charge regardless of financial position

You may have to pay dependant on your financial position.

Will always have to pay

Equipment aids or adaptations costing under £1000 that the Local Authority chooses to provide

Day Services

Top Ups for services over and above what the Council would reasonably expect to pay

Intermediate Care Services for up to six weeks

Care at Home services (sometimes called domiciliary care)

Care and Support services to meet non eligible needs

Services provided under section 117 of the Mental Health Act

 Personal assistants  

Services to support you in your role as a Carer

Personal care e.g. help with washing, dressing, getting up/going to bed  

Information and Advice about Care and Support

Residential care homes


Assessment Services

Nursing care homes


Healthcare Services

Extra Care Housing and Sheltered Housing


Care and support if you have Creutzfeldt-Jacob disease (CJD).

Adaptations costing £1000 or more


Statuary Advocacy Services

Community transport


More information and useful links

Page Reviewed 13th March 2018; Page updated 20th March 2018