When multiple concerns are presented, the use of a “rolling” assessment over several visits should be considered.
Approximately one-half of the ambulatory primary care for adults older than 65 years is provided by family physicians,1 and approximately 22 percent of visits to family physicians are from older adults.23 It is estimated that older adults will comprise at least 30 percent of patients in typical family medicine outpatient practices, 60 percent in hospital practices, and 95 percent in nursing home and home care practices.4A complete assessment is usually initiated when the physician detects a potential problem such as confusion, falls, immobility, or incontinence.
An Ec IA will often provide the competent authority with the information that it requires to satisfy itself that wider biodiversity issues have been addressed (to achieve consistency with Article 10 of the Habitats Directive).
back to top 2.4 ‘Scoping is the process of determining the content and extent of matters that should be covered in the environmental information to be submitted to a competent authority or other decision making body’.
2.3 Under the EIA Regulations, there is provision for a competent authority to request ecological or other environmental information if it considers that an ES is inadequate.