Reclaim Care Home Costs for Free- New MSE guide

monkeyspanner

alicebean wrote: »

Thank you monkey spanner. It was about the funding difference and when the home thought they were going to lose money they suddenly found my nan difficult to deal with. This was almost 4 yrs ago. So if we apply, they find that my nan did and does have health needs would that then give the residential home grounds to say they can no longer accommodate her needs. She's 99 and a move would probably kill her. I am assuming that the point behind all this is that there are many people out there who in fact have health as well as social needs and therefore CHC should be footing part of the bill?

If the health needs are primary and CHC awarded the NHS pick up the entire cost of care and it is not means tested.

grant_pearson

My Father has recently sold his house as he has altzeimers and was not fit mentall to continue living on his own for safety reasons. We sold his house to help fund his care home costs. He receives £900 persoanl pension, £500 state pension and £300 for attendance allowance. We then pay £800 per month from his assets from the sale of his house. can i claim this £800 back. He has not been assessed by the local PCT.

grant_pearson

My Father has recently sold his house as he has altzeimers and was not fit mentall to continue living on his own for safety reasons. We sold his house to help fund his care home costs. He receives £900 persoanl pension, £500 state pension and £300 for attendance allowance. We then pay £800 per month from his assets from the sale of his house. can i claim this £800 back. He has not been assessed by the local PCT.

monkeyspanner

grant_pearson wrote: »

My Father has recently sold his house as he has altzeimers and was not fit mentall to continue living on his own for safety reasons. We sold his house to help fund his care home costs. He receives £900 persoanl pension, £500 state pension and £300 for attendance allowance. We then pay £800 per month from his assets from the sale of his house. can i claim this £800 back. He has not been assessed by the local PCT.

If your father received CHC funding the entire cost of his care would be funded by the NHS so he would keep his pensions and capital from the house sale. Attendance allowance would stop 28days after CHC funding began.

akfxxx

After reading the article two weeks ago, we contacted our PCT who were very helpfull and sent the forms within three days, We needed copys of will,power of atterny etc, after contacting our mums solicitor he gave us all for FREE, we contacted the care home where mum resided up to dying and they have given us all other details,records for FREE, so we have sent them into the PCT and they have replied within days advising they have statred looking into this for us, only downfall they have said at the moment cases are taking a year to complete, but hey thats ok we never thought we had a chance, THANK YOU for all your help Martin.:j:rotfl::money:

Wisdom123

So are the requests for assessments only in respect of cases where no consideration has been given for CHC?

If the DST has previously been completed and deemed not eligible I assume you can't go back and request another assessment as surely there will have been an appeals process in place at that time.

It seems you can only request another assessment if someone deteriorated and CHC wasnt considered again?

Thanks

Chesty434

Hi

First post on here!

20 years ago my mother suffered vira encephalitis in her eary 50's

Now in her seventies and having been in a nursing home for the past 12 years, we have paid care home fees that total near on £400,000

A few years ago we approached Hugh James solicitors to see if there was a chance the local PCT should have paid all, or at least part of these costs? A review by the PCT was made but was inconclusive and the solicitors felt it was not a case they were prepared to take on. So a claim was not made.

Now having studied the info on the MSE website I note the paragraph as follows - 'To keep it simple, ask yourself whether a reasonable person, who wasn't emotionally involved in this would say whether health needs - physical or mental, caused by disability, accident or illness - are the main reason for care being needed.

This is clearly the case as the overriding need for care is my mothers severe short term memory loss as a result of her illness.

Any views, feedback or advice on the above would be appreciated???

monkeyspanner

Wisdom123 wrote: »

So are the requests for assessments only in respect of cases where no consideration has been given for CHC?

If the DST has previously been completed and deemed not eligible I assume you can't go back and request another assessment as surely there will have been an appeals process in place at that time.

It seems you can only request another assessment if someone deteriorated and CHC wasnt considered again?

Thanks

I do not think it is restricted in this way. There woiuld of course be less chance of success if there had been previous DST based asessments and the appeal process had been exhausted. Often no retrospective review has been carried out for periods prior the first assessment and often people accept the initial rejection either after a checklist or after DST assessment.

monkeyspanner

Chesty434 wrote: »

Hi

First post on here!

20 years ago my mother suffered vira encephalitis in her eary 50's

Now in her seventies and having been in a nursing home for the past 12 years, we have paid care home fees that total near on £400,000

A few years ago we approached Hugh James solicitors to see if there was a chance the local PCT should have paid all, or at least part of these costs? A review by the PCT was made but was inconclusive and the solicitors felt it was not a case they were prepared to take on. So a claim was not made.

Now having studied the info on the MSE website I note the paragraph as follows - 'To keep it simple, ask yourself whether a reasonable person, who wasn't emotionally involved in this would say whether health needs - physical or mental, caused by disability, accident or illness - are the main reason for care being needed.

This is clearly the case as the overriding need for care is my mothers severe short term memory loss as a result of her illness.

Any views, feedback or advice on the above would be appreciated???

As there is an underlying medical condition and clearly this is the reason your mother is in a care home I believe it would be worth reconsidering and at least lodging a request for a review. Medical needs have to be complex and severe and it is advisable to familiarise yourself with the DST and do your own assessment. If your mother scores in a number of domains and scores high or severe you have a chance.

With solicitors like Hugh James who are offering a no win - no fee arrangements they have to balance their chances of success with the costs involved in taking the case. Considering that this is would be one of the largest financial claims their decision may reflect that they thought the chances of success were low.

skintwellie

Wonder if anyone is able to help - my mum went into hospital February 2011 following yet another fall and consequent fracture of her femur. My sister and I pushed for nursing home care but her assessment decided that she required an EMI home for her worsening dementia. Mum had very little in the way of savings and we had a choice of several homes where she could go using her pension/pension credit topped up by social services.
Mum sadly passed away last month, I was wondering if we are able to make a claim based upon the fact that she used her state pension payments to pay towards her care.

Any advice greatly appreciated, Thanks.