Continuing Care Funding NHS Claim

Continuing care NHS Funding
From NHS website
Continuing care is professional care given to meet the physical or mental health needs of adults with a disability, injury or illness over an extended period of time. NHS continuing healthcare means a package of care that is arranged and funded by the NHS and is free of charge to the person receiving the care. This is sometimes called fully funded NHS care.
Over the last few years, attempts have been made to make clear in law the type of healthcare needs that qualify for NHS continuing healthcare. A national framework has been developed to provide guidance to the NHS about this and to try to ensure that consistent decisions are made across the country.
NHS continuing healthcare assessments
Primary care trusts (who manage local health services) are required to carry out an assessment for NHS continuing healthcare where health services might be needed. For example, the assessment should be carried out:
• When patients are discharged from hospital. The NHS should carry out this type of assessment before referring the person to social services for help with social care needs.
• If the physical or mental health of the person you're looking after deteriorates significantly.
• Before any decision is made by the NHS to make a registered nursing care contribution when a person goes into a care home that provides nursing care.
There is guidance about the way assessments should be carried out. A checklist is commonly used to decide whether someone needs a full assessment. Some people who need an urgent decision, such as those who are terminally ill, should be fast-tracked to receive NHS continuing healthcare immediately.
The assessments should be organised to give the person you look after, yourself and/or family members enough advice and information to allow you to participate in informed decisions about the future care of the person you look after. The person being assessed should be informed in writing of the decision and how to ask for a review if they are dissatisfied.
Where is NHS continuing healthcare offered?
NHS continuing healthcare can be provided by the NHS in any setting, including a care home, hospice, hospital or the home of the person you look after. If NHS continuing healthcare is provided in a care home, it will cover the care home fees, including the cost of accommodation, personal care and healthcare costs. If NHS continuing care is provided in the home of the person you look after, it will cover personal care and healthcare costs.
Responsibilities of social services
If NHS continuing healthcare is provided at the home of the person you look after, local social services may still have responsibilities to provide some services for you and the person you're looking after. It is possible to receive 'mixed' packages of care, where some services come from the NHS and some from social services. Where local social services provides the care services, it will usually do a financial assessment to decide whether the person you look after must make any financial contribution.
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