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Nursing and welfare services

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Under long-term care in stationary conditions, nursing and welfare services, are provided to:

  • a patient who needs 24-hour nursing, care and rehabilitative services, who should continue their treatment,
  • a patient who does not require hospitalisation in a hospital, who received 40 or less points on the self-reliance scale (Barthel scale) (the requirement of evaluation with the use of Barthel scale does not apply to children who are less than 3 years old).

The patient’s self-reliance is evaluated by:

  • prior to admission to the health care institution – by a health insurance physician and health insurance nurse;
  • on the day of admission to the health care institution and at the end of each month – by a physician and nurse of a given health care institution.

Template of the evaluation card

A health care unit does not admit a patient, who, according to the Barthel scale evaluation, received 40 or less points, if the main indication for the care is advanced neoplastic disease, mental disease or addiction. Patients with advanced cancerous diseases may be granted palliative and hospice care after fulfilling certain requirements, while mentally ill patients receive guaranteed services related to psychiatric care and treatment of addictions.

Guaranteed services related to long-term nursing and care are implemented in stationary and home conditions.

Provided in care units for adults or children and teenagers who are less than 18 years old. The stay of a patient who obtained the decision on receiving special education before they turned 18 is extended until the moment of completing their education.

It is provided by:

  • a team providing long-term domiciliary care for adults, children and teenagers who are mechanically ventilated. The services are provided based on a referral of a health insurance physician to which the following documents are attached: hospital treatment information chart, the patient’s test results and qualification for domiciliary care, issued by an anaesthesiology and intensive therapy specialist.
  • long-term domiciliary nursing care. Long-term domiciliary nursing care is granted to patients who received 40 or less points on the Barthel scale of evaluation.

These services are provided Monday to Friday from 8.00 am to 8.00 pm, and on Saturdays, Sundays and bank holidays – in medically justified cases. The condition for providing the service is a physician’s referral and the patient’s evaluation card qualifying them for long-term domiciliary nursing care.


Rozporządzenie Ministra Zdrowia z dnia 22 listopada 2013 r. w sprawie świadczeń gwarantowanych z zakresu świadczeń pielęgnacyjnych i opiekuńczych w ramach opieki długoterminowej (Dz.U. z 2013 r., poz. 1480)

Ministry of Health

The Ministry of Health is an office of government administration serving the Minister of Health.

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