Wlz Care Profiles in Leiden
For residents of Leiden, care profiles under the Long-Term Care Act (Wlz) are essential categories that determine the scope and nature of long-term care. The Centre for Care Indication (CIZ) assigns the appropriate profile based on your personal situation, which determines the available care and funding. This article explains how these profiles work, with tips for clients in Leiden.
What do Wlz care profiles mean for Leiden residents?
Under the Wlz, care profiles classify the care needs of individuals requiring permanent 24-hour care. They cover not only care intensity but also the setting, such as at home in Leiden or in a local facility. There are seven care profiles, ranging from basic guidance to intensive nursing with therapy. This uniform system ensures fair allocation and allows comparison of care needs in the region.
In practice, the profiles link care needs to modules such as admission, personal care, or therapy. For care in kind (ZIN) or a personal budget (PGB) in Leiden, the profile sets the maximum care capacity.
Legal basis for Wlz care profiles
The foundation is the Long-Term Care Act (Wlz), specifically Article 3.2 and Article 3.3 Wlz. The CIZ bases the indication on the Long-Term Care Regulation (Rlz), Annex 1, which provides detailed descriptions. Article 3.4 Wlz addresses reassessments and adjustments.
Using the CIZ Treeknop methodology, it objectively evaluates domains such as mobility, personal care, and behavioral challenges, relevant for care seekers in Leiden.
Overview of Wlz care profiles
Here is a table with key features. Note: Care profiles 6 and 9 are no longer issued.
| Care Profile | Name | Main Focus | Example Indication |
|---|---|---|---|
| ZP1 | Wlz Residence | 24-hour stay in a facility | Dementia with disorientation, no nursing required |
| ZP2 | Wlz Guidance | Intensive guidance at home | Intellectual disability with behavioral issues, independent living |
| ZP3 | Wlz Residence with Intensive Guidance | Residence + intensive guidance | Highly variable behavior, high-risk |
| ZP4 | Wlz Nursing | Nursing at home or in facility | Somatic care, such as palliative care |
| ZP5 | Wlz Nursing and Guidance | Nursing + guidance | Dementia with somatic problems |
| ZP7 | Wlz Nursing, Guidance and Treatment | Full package with treatment | Complex psychiatric disorder |
| ZP8 | Wlz Nursing, Intensive Guidance and Treatment | Very intensive, clinical | Forensic care needs |
How does the CIZ determine your care profile?
Start with an application to your regional care office. The CIZ process includes:
- Application and file review: Submit medical records.
- Home visit: Observation and interview on site in Leiden.
- Treeknop assessment: Evaluation across 10 domains to determine the profile.
- Preliminary decision: Opportunity to review and respond.
- Final decision: Within 6 weeks of a complete application.
The indication is valid for up to 25 years, with the option for reassessment if circumstances change.
Rights and obligations under Wlz care profiles
Rights:
- Objection and appeal (Art. 3.6 Wlz); appeal to the District Court of Leiden.
- Choice between ZIN or PGB.
- Reassessment in case of deterioration, free via the care office.
Obligations:
- Provide accurate information to the CIZ.
- Cooperate in the care plan with the provider.
- For PGB: Maintain proper administration.
Practical cases of Wlz care profiles in Leiden
Case 1: Ms. Van der Berg (82) from Leiden-Noord suffers from advanced dementia and disorientation. CIZ assigns ZP1: indication for residence in a local nursing home.
Case 2: Mr. Bakker (45) from the Stevenshof neighborhood has an intellectual disability with behavioral issues and lives at home. ZP2 provides intensive guidance via PGB.
Case 3: Ms. De Boer (65) from Leiden-Centre has severe COPD and requires home nursing. ZP4 covers tube feeding and oxygen therapy.
These examples illustrate tailored care within the Wlz framework for Leiden residents.
Frequently asked questions about Wlz care profiles
Disagree with your care profile?
File an objection with the CIZ within 6 weeks, with new evidence such as a doctor's statement. Rejection? Appeal to the District Court of Leiden. See our article on objection and appeal under Wlz. Assistance via The Legal Advice Centre Leiden.
Difference from Zvw profiles?
Wlz is for permanent 24-hour care for chronic conditions (Art. 1.1.1 Wlz); Zvw for temporary care. CIZ checks eligibility.
Can a care profile be changed?
Yes, request reassessment from the care office if circumstances change, such as deterioration. CIZ reviews free of charge.
What does ZP8 mean?
ZP8 for extremely complex care with forensic or clinical requirements. Full package, often in a specialized setting.