Routine reassessments

The CLSC typically reviews care plans periodically — often annually or semi-annually for stable clients. The frequency depends on the complexity of needs and CLSC workload in your territory.

Routine reviews may be brief. A care coordinator may contact you by phone to check on the situation and confirm the care plan remains appropriate. A home visit reassessment is more thorough.

Triggered reassessments

A reassessment can be triggered at any time by:

• A significant change in the person's health status
• Hospitalization or discharge from hospital
• A fall or injury
• A new diagnosis or worsening condition
• Request from the family or the person themselves
• Request from a physician or specialist
• Change in family caregiver availability

You do not need to wait for the scheduled review if circumstances have changed significantly. You can — and should — contact your care coordinator to request a reassessment.

How to request a reassessment

Contact your assigned care coordinator directly. If you don't know who this is, call your local CLSC and ask for the home care team.

Be clear about what has changed and why you believe the current care plan no longer matches current needs. A written summary (notes from a physician, a caregiver log) strengthens the case for a timely reassessment.

See When to request a reassessment for more detail on how to make the case effectively.