Nhs continuing healthcare

System · 17 January 2017 at 8:44AM

SVFM - that's wonderful news. Well done for persevering! Be aware that there will likely be a three-month review. Stand your ground - and make sure you're involved and invited. Funding should stay firmly in place. The only reason it should ever be removed is if care needs reduce BUT only if they reduce to below the level of eligibility.

System · 17 January 2017 at 8:45AM

Fluffy Val - thanks for your very kind words. Appreciated.

ThemeOne · 17 January 2017 at 9:00AM

You must be so relieved SVFM and congratulations on persevering with this.

In my case I had managed to get my father into a hospice, and he then transferred to a nursing home. He got CHC, and I never had to do anything - was just told he'd be getting it and no nursing home fees would be payable.

Perhaps this was a case where the system worked as it should, or maybe if someone's already in a hospice, CHC is pretty much automatic if they transfer somewhere else?

FluffyVal · 17 January 2017 at 11:17AM

Well done SVFM!
IMHO once Continuing Healthcare has been awarded then the case is made that continuing care and support for illness is established. It should then be very difficult to take it away. In theory at least lol

Pennylane · 27 November 2017 at 8:38PM

Wow! I so wish I had seen this thread earlier. My mum was in hospital very poorly and I heard about CHC and asked them to assess her. I made sure I was there and the nurse and I went right through and she got several As and Bs, mainly because I upped what the nurse said but we were in agreement.

A few days later she appeared with the document and said she had given it more thought and altered it as she felt Mum was now more able. It was therefore downgraded and she said much as she would like to, Mum wasn't eligible.

I wish I had had the confidence to argue or stand my ground.

AdzWSM2019 · 3 March 2019 at 8:37PM

Can anyone help me?? My grandmother is having a NHS continuing care assessment in a couple of weeks.

She is in the nursing home receiving palliative care after leaving hospital from a stroke. She cannot eat or drink solids, she cannot walk, she is also using a catheter.....

She has no funds from savings and I am wondering if the continuing healthcare will be granted as she is a home owner?

Some advice no matter how big or small or what to expect will be much appreciated

Adz X

elsien · 3 March 2019 at 8:42PM

Finances/assets have no effect on CHC funding.
If she's palliative, I would expect them to use the fast track process.

Simple breakdown of the process:
https://www.mariecurie.org.uk/help/support/terminal-illness/care-needs/continuing-healthcare-assessment

Keep_pedalling · 4 March 2019 at 8:40AM

Does anyone hold power of attorney for her?

balooney2000 · 6 March 2019 at 4:59PM

I have/had 2 relatives in a nursing home (one has now passed away). At the end of 2017 I asked why neither had ever been assessed for CHC. Each was awarded free nursing care when they became resident in a nursing home, but has never been assessed since, despite continuing decling health.

Social services agreed and conducted the assessment for each relative. Despite scoring the top level on many of the categories, it was not awarded

I was told it was because they didn't score in enough categories at the highest level. Some categories were not applicable to them and so they could never score in these categories, thus downgrading what the overall score.

I then involved a solicitor to launch an appeal for both relatives. We have just had a Local resolution meeting with the local health authority, and are awaiting the outcome. However, we were warned that if a person has predictable decline in their health e,g through dementia, that is not considered complex and therefore they won't qualify. I did say to them "How ill does a person have to be?"!!

This has been going on for over a year and in that time one relative has passed away. I'm not holding my breath, since it seems to be very difficult to obtain this funding. Health authorities will use every excuse not to have to pay out, even when there are primary health needs.

lisyloo · 7 March 2019 at 5:25AM

balooney2000 wrote: »

However, we were warned that if a person has predictable decline in their health e,g through dementia, that is not considered complex and therefore they won't qualify. I did say to them "How ill does a person have to be?"!!

It all comes down to whether needs are medical or personal.
My MIL has dimensia and can’t dress, wash, walk without assistance however that assistance can be provided by carers and does not need medical professionals.
Feeding via mouth, washing, dressing, walking are not medical needs.
Someone can be quite incapable but still not need medical care.

If the person requires. injections, intravenous drips etc. then that is medical care.

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