Continued Health Care (CHC)

The_Shadow

Hi apparently to qualify for CHC health care you need 2 domains out of 11 rated as high on the check list
The person i am talking about has the following conditions which i think would be rated as high 
Could someone please advise if the person would be fully assessed on these domains and also  having a good chance of being awarded CHC.

I have listed 5 of the 11 domains which the person suffers from

1   Breathing : severe COPD
3   Continence : Double continence
4   Skin Integrity : Muscle wastage and very thin skin which bruises easy 
5    Mobility : Unable to walk, wash and dress and in bed 24/7 
10  Drug Therapies : needs medication to control breathing advised to be on oxygen

Thanks for any comments

CFrog

Hi Shadow. 

Did you get anywhere with this application? 

TBH, I only came across CHC by accident; nobody had mentioned this before and I spoke to a Co-ordinator for family Carers and she wasn't even aware of CHC !! 

My 89 y/o Father lives with my family and I am his f/t Carer and having (as a non-professional) completed the CHC Checklist he 'scores' as 3A + 2B (poss A) + 3B + 2C (poss + 1C.  His scores suggests he may have a reasonable chance of receiving some support.  Without going into details, his condition mirrors that set out in your original post plus he has Dementia with all the knock-on issues that introduces.

I would be v. interested in comments on my chances of securing any funding particularly given the setting where my Dad lives with me (as his Carer) in my home.

TIA

elsien

@CFrog, the initial poster made the process sound a lot simpler than it is. You don’t get a score just for double incontinence or dementia, for example. It’s about the impact on the person and the intensity/complexity rather than the label. 

So for skin integrity, thin skin that bruises easily would be a low score if it remains intact. Whereas someone who is prone to pressure sores despite all the attempts to prevent it would score more highly. 

The funding is specifically around health and nursing needs rather than day to day care needs. (There a huge overlap which the system doesn’t really recognise).
But in your case it would be full health funding or nothing. You wouldn’t be eligible for the “intermediate” top up FNC (which in my experience is what more people in care homes seem to get rather than full funding) because that is specifically for people living in care, not at home. 

The_Shadow

CFrog said:

Hi Shadow. 

Did you get anywhere with this application? 

TBH, I only came across CHC by accident; nobody had mentioned this before and I spoke to a Co-ordinator for family Carers and she wasn't even aware of CHC !! 

My 89 y/o Father lives with my family and I am his f/t Carer and having (as a non-professional) completed the CHC Checklist he 'scores' as 3A + 2B (poss A) + 3B + 2C (poss + 1C.  His scores suggests he may have a reasonable chance of receiving some support.  Without going into details, his condition mirrors that set out in your original post plus he has Dementia with all the knock-on issues that introduces.

I would be v. interested in comments on my chances of securing any funding particularly given the setting where my Dad lives with me (as his Carer) in my home.

TIA

Hi sorry as of today i have not got anywhere with CHC funding. Apparently CHC funding is very hard to get and from what i hear it is rejected at first, however there is an appeals process. I see you completed the checklist yourself it would be preferable to get a health care professional to do it with you and for the professional to send it off to the CHC group for a decision. They should give you a reply within 28 days but dont bank on it.

perfect10

It often isn’t a extra pot of money if you qualify, it just means social care claim that portion back from health. My mum didn’t qualify, she can’t walk, dress, cut up food, stand unaided etc but because she can ‘help’ with these things eg put one of her arms in a sleeve, brush teeth if someone hands her toothbrush with toothpaste on etc, she wouldn’t qualify.

elsien

perfect10 said:

It often isn’t a extra pot of money if you qualify, it just means social care claim that portion back from health. My mum didn’t qualify, she can’t walk, dress, cut up food, stand unaided etc but because she can ‘help’ with these things eg put one of her arms in a sleeve, brush teeth if someone hands her toothbrush with toothpaste on etc, she wouldn’t qualify.

It’s not because she can help, it’s because the things you have listed are primarily social care and not nursing needs.

perfect10

elsien said:

perfect10 said:

It often isn’t a extra pot of money if you qualify, it just means social care claim that portion back from health. My mum didn’t qualify, she can’t walk, dress, cut up food, stand unaided etc but because she can ‘help’ with these things eg put one of her arms in a sleeve, brush teeth if someone hands her toothbrush with toothpaste on etc, she wouldn’t qualify.

It’s not because she can help, it’s because the things you have listed are primarily social care and not nursing needs.

I chose wrong examples prob should have used examples like she has to be hoisted but can assist and cooperate as has one good arm etc!!

elsien

It’s still not really around how much people can help though.
With the mobility domain, the co-operation criteria is around risk. If someone can’t weight bear but understands they are being hoisted so is able to co-operate that is more likely to be a moderate score. If someone doesn’t understand what is happening so starts to struggle and needs two people to hoist safely then that will be a higher score because otherwise the chances of injury are a lot higher, 

Scotch_Bonnet_

I assisted someone with the process and was successful a few years ago. There are criteria that have to be met, its not only whether they are disabled, there are several domains that are assessed, and points are given on each thing.