Wlz Care Profiles for Rotterdam Residents
In Rotterdam, care profiles under the Long-Term Care Act (Wlz) are used to assess the care needs of residents requiring permanent 24-hour care. The national Centre for Indicatiestelling Zorg (CIZ) assigns the appropriate profile, which determines the amount of care and budget available. This article is tailored specifically for Rotterdam residents and explains how it works, with tips for local support through the Juridisch Loket Rotterdam.
What do Wlz care profiles mean for Rotterdam?
Wlz care profiles classify care needs for people requiring 24-hour care, whether at home in Rotterdam-Zuid or in a facility such as a nursing home in IJsselmonde. There are seven profiles, ranging from basic guidance to intensive nursing with therapy. This uniform system ensures fair distribution and allows for accurate comparison of care needs in the region.
In practice, the profiles link care needs to modules such as admission, nursing care, or therapy. For care in kind (ZIN) or a personal budget (PGB) – popular among Rotterdam residents receiving home care – the profile specifies the exact scope.
Legal basis for Wlz care profiles
The rules are set out in the Long-Term Care Act (Wlz), particularly Article 3.2 and Article 3.3. The CIZ relies on the Long-Term Care Regulations (Rlz), Annex 1, which provides detailed descriptions. Article 3.4 Wlz covers reassessments and adjustments. The CIZ's Treeknop method objectively measures needs across domains such as mobility, personal care, and behavioral issues, relevant to a wide range of Rotterdam residents.
Overview of Wlz care profiles
Here is a table with key features. Profiles 6 and 9 are no longer issued.
| Care Profile | Name | Main Focus | Example for Rotterdam |
|---|---|---|---|
| ZP1 | Wlz Residence | 24-hour institutional residence | Dementia with disorientation, no nursing; e.g., in Rotterdam nursing homes |
| ZP2 | Wlz Guidance | Intensive home guidance | Intellectual disability with behavioral issues, living in Rotterdam-West |
| ZP3 | Wlz Residence with Intensive Guidance | Residence + intensive guidance | Variable behavior with risks, such as in protected living arrangements |
| ZP4 | Wlz Nursing | Nursing at home or in institution | Somatic care, palliative care in the port city |
| ZP5 | Wlz Nursing and Guidance | Nursing + guidance | Dementia with physical issues |
| ZP7 | Wlz Nursing, Guidance and Treatment | Full package with treatment | Complex mental disorders |
| ZP8 | Wlz Nursing, Intensive Guidance and Treatment | Very intensive, often clinical | Forensic care needs in specialized Rotterdam facilities |
How does the CIZ determine your care profile in Rotterdam?
Start with an application to your regional care office, often via local channels of the Gemeente Rotterdam for Rotterdam residents. The CIZ process includes:
- Application and documentation: Submit medical records.
- Home visit: Consultant observes on-site at your Rotterdam home.
- Treeknop analysis: Assessment across 10 domains.
- Preliminary decision: Opportunity to respond.
- Final indication: Within 6 weeks.
Valid for up to 25 years maximum, with option for review if circumstances change.
Rights and obligations with Wlz profiles
Rights:
- Objection and appeal (Art. 3.6 Wlz), to Rotterdam District Court.
- Choose ZIN or PGB.
- Reassessment if condition worsens, via care office.
Obligations:
- Provide accurate information to CIZ.
- Cooperate on care plan with provider.
- PGB: Submit settlement.
Practical cases of care profiles in Rotterdam
Case 1: Ms. Van Dijk (82, Kralingen) with Alzheimer's and disorientation: ZP1 for admission to local nursing home.
Case 2: Mr. Jansen (45, Charlois) with intellectual disability and behavioral issues: ZP2 for home guidance with PGB.
Case 3: Mr. De Boer (65, Feijenoord) with COPD: ZP4 for tube feeding and oxygen at home.
This way, profiles provide tailored care in the Rotterdam context.
FAQ on Wlz care profiles in Rotterdam
Disagree with care profile?
Objection within 6 weeks to CIZ, with new evidence. Rejection? Appeal to Rotterdam District Court. See Wlz objection or Juridisch Loket Rotterdam.
Difference from Zvw profiles?
Wlz for permanent 24-hour care (Art. 1.1.1), Zvw for temporary. CIZ checks eligibility.
Change care profile?
Yes, reassessment via care office if changed, free re-evaluation by CIZ.
Assigned ZP8?
For extremely complex cases with forensic or clinical care. Maximum package, often in Rotterdam specialist facilities.