Wlz Care Profiles for Residents of Utrecht
Care profiles under the Long-Term Care Act (Wlz) classify the intensity and nature of long-term care needs for clients in Utrecht. The Centre for Indicatiestelling Zorg (CIZ) assigns the appropriate profile, laying the groundwork for your care budget and services. In Utrecht, this is managed by the local care office. This article clarifies the system for Utrecht residents.
What do Wlz care profiles mean for Utrecht?
Under the Wlz, care profiles categorize individuals with a permanent 24-hour care need, whether at home in a Utrecht neighborhood or in an institution such as a nursing home on Amsterdamsestraatweg. There are seven profiles, ranging from basic guidance to intensive nursing with therapy. This uniform system ensures fair care allocation and enables comparisons across Utrecht province.
In practice, the profiles link care needs to modules such as admission, medical care, or therapy. For Utrecht clients, this determines whether you receive care in kind (ZIN) from local providers or a personal budget (PGB) for flexible choices.
Legal basis of Wlz care profiles
The foundation is in the Wlz, specifically Articles 3.2 and 3.3. The CIZ bases assignments on the Long-Term Care Regulation (Rlz), Annex 1, which provides detailed profile descriptions. Article 3.4 Wlz covers reassessments. The Treeknop methodology provides objective evaluation across domains such as mobility, personal care, and behavior, relevant to Utrecht care situations.
Overview of Wlz care profiles
This table summarizes the profiles. Profiles 6 and 9 are no longer issued.
| Care Profile | Name | Main Focus | Example for Utrecht |
|---|---|---|---|
| ZP1 | Wlz Residence | 24-hour institutional residence | Dementia with disorientation, admission to Utrecht nursing home |
| ZP2 | Wlz Guidance | Intensive guidance at home | Mild intellectual disability with behavioral issues in neighborhood like Kanaleneiland |
| ZP3 | Wlz Residence with Intensive Guidance | Residence + intensive guidance | Variable behavior with risks, suitable for Utrecht psycho-geriatric unit |
| ZP4 | Wlz Nursing | Nursing at home/institution | Somatic care such as palliative care in Overvecht |
| ZP5 | Wlz Nursing and Guidance | Nursing + guidance | Dementia with physical complaints |
| ZP7 | Wlz Nursing, Guidance and Treatment | Full package with therapy | Complex mental health care needs |
| ZP8 | Wlz Nursing, Intensive Guidance and Treatment | Very intensive, often clinical | Forensic or highly complex care in specialized Utrecht facilities |
How does the CIZ determine your care profile in Utrecht?
Start with an application to the Utrecht Care Office. The CIZ process includes:
- Application and file review: Provide medical data.
- Home visit: Consultant observes on-site in Utrecht.
- Treeknop analysis: Assessment across 10 domains.
- Provisional decision: Opportunity to review and respond.
- Final indication: Within 6 weeks.
Valid for up to 25 years, with option for review if circumstances change.
Rights and obligations with Wlz profiles
Rights:
- Objection to CIZ and appeal to Utrecht District Court (art. 3.6 Wlz).
- Choose ZIN or PGB via local Utrecht providers.
- Reassessment via Utrecht Municipality or care office.
Obligations:
- Provide accurate information to CIZ.
- Cooperate in care plan with Utrecht care providers.
- Submit PGB accountability report.
Utrecht practice cases for Wlz care profiles
Case 1: Mrs. Jansen (85) from Tuindorp with severe dementia and disorientation receives ZP1: indication for Utrecht nursing home placement.
Case 2: Mr. De Vries (40) from Lombok with mild intellectual disability and behavioral problems stays home with ZP2: PGB for intensive guidance.
Case 3: Mr. Smit (60) from Zuilen with COPD receives ZP4 for home nursing, including tube feeding.
These profiles provide tailored care in the Utrecht context.
FAQ: Wlz care profiles in Utrecht
Disagree with your profile?
File objection within 6 weeks with CIZ, with new evidence. Appeal to Utrecht District Court. Call Utrecht Legal Aid Office or see Wlz objection.
Difference from Zvw profiles?
Wlz for permanent 24-hour care (art. 1.1.1), Zvw for temporary. CIZ rigorously assesses Utrecht applications.
Change care profile?
Yes, request reassessment via Utrecht Care Office if circumstances change; free CIZ review.
Assigned ZP8?
For extremely complex cases with forensic needs. Maximum package, often in Utrecht clinics.