Social circumstances are assessed first
The ministry describes a sequence in which a social assessment precedes the medical assessment. Social workers examine a person’s circumstances and needs at home and in their social environment; the medical assessor then considers health and its functional effects. The resulting assessment serves social services, disability-related financial contributions and the social economy. The reform aims to reduce inconsistent assessments and coordinate processes that previously operated separately. This changes how needs are established, while the particular benefit or service remains subject to its own requirements. [1][2]
What applicants are asked to explain
The ministry’s practical guidance says an integrated assessment is requested through the labour and social affairs office responsible for the applicant’s permanent residence. It includes a self-assessment questionnaire intended to bring the person’s own understanding of their situation into the process. Assessment is carried out without regard to income or assets. The guidance recommends arranging home visits with applicants in advance. These details matter because an assessment can otherwise become a description of medical diagnoses without enough information about daily activities, barriers or the support someone actually uses. [2]
First figures came from the ministry
On 4 November 2025, the ministry reported that offices had issued 1,635 integrated assessments and made 6,800 home visits during the first two months. It also discussed 547 applications received during the first week of September. Those figures describe the administration’s early rollout report, rather than an independent assessment of applicants’ experiences. Labour Minister Erik Tomáš said the reform was meeting its goal of working effectively for citizens. Issuing an assessment, however, is a different step from delivering the support it identifies. [3][1]
Later guidance clarifies the process
The ministry’s updated questions and answers record a further change from 1 January 2026: a clinical psychological finding is no longer a compulsory attachment to the application. The guidance also distinguishes an assessment from a separate application for financial support. That distinction is particularly relevant to people seeking contributions for personal assistance or care. A shared assessment can reduce repeated examination of needs, but applicants still encounter separate decisions and service arrangements. The reform’s concrete contribution is a common assessment route; it does not itself guarantee every service recommended to an individual. [2]