Daily living component activity 3 descriptor F (8 points)
Needs supervision, prompting or assistance to be able to manage therapy that takes more than 14 hours a week
You should note that the same kinds of therapy are relevant to descriptor F as to descriptor C.
Who it’s most likely to apply to
Daily living component activity 3 descriptor F is most likely to apply to an individual who’s undergoing intensive and prolonged therapeutic treatment which requires the presence of another person to prompt, supervise or assist and without which the individual would be unable to undertake the therapy.
Consider reliability criteria
In making this decision, you should have considered the reliability criteria when identifying the appropriate descriptor.
Example: an individual with cerebral palsy who satisfies daily living component activity 3 descriptor F
Mary has cerebral palsy and is 20 years old.
She sees a physiotherapist once a day at home and her mum performs her physiotherapy exercises at home.
Once a week she has a massage therapist visit to help reduce her muscle tension and stiffness.
Her mum has completed her ADP application form and her physiotherapist has written a letter in support of her application.
Supporting information
The physiotherapist explains that:
- she visits Mary every morning where she performs an hour of physiotherapy, starting with her arms and hands and then exercising her hips, legs, knees and feet
- without these exercises twice a day, her muscles may become rigid and she would be unable to function well
Application
In her application form, her mum explains that due to limited NHS availability she can only see a physiotherapist once a day, so the physiotherapist has given her special training to perform these exercises in the evening as well.
This is confirmed in the physiotherapist letter.
The application form states that once a week, Mary sees a massage therapist who gives her a deep tissue massage to help with her muscle pain.
In total, she has two sessions of physiotherapy each day which are 1 hour long and her massage therapist session is 1 hour per week.
As Mary has to have her therapy at home and because she cannot perform her own physiotherapy, she requires assistance to do this.
Case manager’s decision
The case manager determines that Mary satisfies daily living component activity 3 descriptor F because each session is 1 hour and is twice weekly, which is 14 hours in total. Then she has a 1 hour massage therapy session.
She has assistance with a total of 15 hours of therapy each week.