Participant assessment tools

We use assessment tools to monitor a participant's progress and to determine eligibility for the Scheme.

The main assessment tools we use are:

FIM and WeeFIM

If the injured person has sustained a brain injury or burns, functional assessment using either FIM or the pediatric version WeeFIM is part of the eligibility criteria for interim and lifetime participation in the Lifetime Care and Support Scheme.It is also used to monitor participants' progress.

We have a list of FIM and WeeFIM Service Providers.

FIM and WeeFIM® score sheets

We have developed score sheets for the FIM and WeeFIM.  They must be used for all lifetime participation applications. It's suggested that these score sheets are also used for applications to the Scheme for interim participation.

More information about the FIM and WeeFIM is also available from our FIM and WeeFIM information sheet.

FIM and WeeFIM training

To use the FIM and WeeFIM, assessors need to attend training and pass an online exam. Once an assessor has passed the exam, credentialing remains valid for two years after which time the exam must be sat again. For information about credentialing, see the AROC.

We run limited FIM and WeeFIM training courses every year. For more information see Training and workshops.

Care and Needs Scale (CANS)

CANS is used to measure the level of support needs of older adolescents (16 years or older) and adults with traumatic brain injury.

We carry out CANS training every year.For more information see Training and workshops

Download a copy of the Care and Needs Scale manual. For printed copies contact us on


Click here to download a copy of the Care and Needs Scale with LTCS number ID

Paediatric Care and Needs Scale (PCANS-2)

The PCANS-2 is designed to measure the type, extent and intensity of support needs of young people aged 5 to 15 years who have an acquired brain injury.

The PCANS-2 is intended to be administered by health care professionals who have experience working with young people with brain injury. The clinician administering the PCANS-2 should be familiar with the young person's medical history and have an understanding of their current functional status.

The clinician must have attended training on administration, scoring and interpretation of the PCANS-2. See training and workshops for more information.

Click to download a copy of the Paediatric Care and Needs Scale Version 2 (PCANS-2) manual. For printed copies contact the Authority on

An information sheet has been developed with answers to frequently asked questions.


The PCANS-2 has forms for different age groups for administering, scoring and interpretation of scores.

It is important that the correct age group forms are used to ensure accurate comparison to normative data. 

Note there is no normative data for children under 5 years or young people aged 16 years and over. For children under 5 years the PCANS-2 cannot be used. For young people aged 16 years and over, if the young person is still in school the PCANS-2 could be used, but please note there is no normative data for comparison to peers. If the young person aged 16 years and over is not in school, it is recommended that the adult Care and Needs Scale (CANS) be used instead.

The ePCANS-2 has been developed using Microsoft Excel and will work on Windows PCs or Apple Macs. The ePCANS-2 has been developed to:

  • Increase the accuracy of score calculations
  • Decrease the time taken to score the PCANS-2
  • Enhance interpretation of the results

The ePCANS-2 can be downloaded and saved onto your computer

For more information on how to use the ePCANS-2, read the instructions manual.

For any other questions about administration, scoring and interpretation of the PCANS-2, please email

American Spinal Injury Association (ASIA) scale

The ASIA forms part of the eligibility criteria for interim and lifetime participation in the Lifetime Care and Support Scheme for participants with a spinal cord injury.

Information about the ASIA scale is contained within the Guidelines for levels of attendant care for people with spinal cord injury. It is available from our Guidelines, policies and legislation page.

Further information can be found on the ASIA website.