What is the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care?
What is the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care?
From NHS Website
In June 2007, the Department of Health published the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, following public consultation during 2006. The guidance in the Framework is part of the Department of Health's continuing care policy in England. This policy covers:
• the criteria used to assess if you're eligible for continuing care, and
• the procedure for investigating cases where people may have been wrongly denied continuing care.
What is continuing care?
The National Framework describes continuing care as:
• care provided over an extended period of time to a person aged 18 or over to meet physical or mental health needs which have arisen as the result of disability, accident or illness.
If you need continuing care, your care needs will be complex, substantial and ongoing, caused by a disability or chronic illness, or following hospital treatment. Continuing care is also commonly known as long-term care.
Who provides continuing care?
If you need continuing care, you may need:
• healthcare services from the NHS, and/or
• social and community care services from your local authority.
Health services are provided through NHS organisations such as Primary Care Trusts, NHS Trusts and Mental Health Trusts.
Local authorities provide social and community care services, such as:
• personal care at home, for example, help with bathing, dressing, getting up and going to bed,
• delivery of hot or frozen meals,
• day centre facilities, and
• care provided in a care home.
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.
Nursing Home Fees and NHS Care
A typical scenario: your father is admitted to hospital, perhaps following a fall or a stroke at his home.
His doctor has said that he cannot return home because he would not be able to cope.
The nursing staff want his bed, and the local authority, after checking that your father owns his own home and therefore is "self-funding", gives you a list of care homes.
They imply that it is now up to you to find a care home for your father to move to, and quickly.
If your father lives in England, despite government guidelines and numerous cases in the courts and investigations, your father will still not necessarily receive the free care he is entitled to, unless a relative or friend knows the options available and has the confidence, and the time, to push for it.
'Self-funders'
So what should be happening in these circumstances?
Eligibility is not an objective test based on diagnosis, but an assessment of the needs of the patient
'Free personal care' for elderly
Q&A: Social care plans
The various parts of the United Kingdom have similar but not identical systems in place.
In England the local authority has a responsibility for the frail elderly, whether they are "self funders" - going to pay for care themselves - or not.
While you can assist if you wish to, it is not your responsibility.
So, the hospital should not discharge your father without:
• a multi-disciplinary assessment of his needs, including the observations not only of your father's doctors, but his immediate family or carers, occupational therapists, and any specialists dealing with his particular condition
Flight delay Cancellation Claim and refunds

Each year several million air passengers are the victims of overbooking, lengthy delays and sudden cancellation of flights. However, new rules which came into force from 17 February promise many air travellers compensation.
What's happening?
The new rules, originating from the European Union, will help millions of travellers worldwide who are left "stranded" at airports because of delays, cancellations or overbooking.
Will the rules only apply to EU residents?
No. Although the regulations have been created by the EU, you won't have to live within the EU to benefit.
Passengers travelling on all domestic and international flights taking off from any airport in the European Union, including French overseas territories, will be covered by the regulations.
If you are travelling from an EU airport, all airlines - whether European or not - are subject to the rules.
People flying into the European Union from overseas will also be covered by the new rules, as long as they are travelling on a European airline.
Are only scheduled flights covered?
It doesn't matter if you are flying no-frills, on a charter or scheduled service.
Flights originating from the EU, which have been sold as part of a package tour, will also be covered.
What happens if my flight is overbooked?
In an attempt to discourage airlines from overbooking, passengers can now get roughly double the existing compensation if they are bumped off a flight.
Compensation must be paid immediately.
These passengers must also be offered the choice of a refund, a flight back to their original point of departure, or an alternative flight to continue their journey.
If an aeroplane has been overbooked, passengers who have already been allocated seats can choose if they want to volunteer their seat in return for cash, negotiated with the airline.
If you volunteer you should also be offered the choice of a refund, a flight back to their original point of departure, or an alternative flight to continue your journey.
Passengers who are inconvenienced through overbooking may also have rights to meals, refreshments, hotel accommodation if necessary and, perhaps, even free e-mails, faxes or telephone calls.
What if my flight is cancelled?
You should be offered a refund of your ticket, along with a free flight back to your initial point of departure, when relevant. Or, alternative transport to your final destination.
You should also have rights to meals, refreshments, hotel accommodation if necessary and, perhaps, even free e-mails or telephone calls.
CANCELLATIONS
Airlines can only offer you a refund in the form of travel vouchers if you agree in writing
Refunds may also be paid in cash, by bank transfer or cheque
Boost for air passenger rights
If the reason for your flight's cancellation is "within the airline's control", it must pay compensation.
Compensation for cancellations must be paid within seven days.
View cancellation compensation rates
However, if the airline has given passengers at least two week's notice or has provided an alternative flight, close to the time of the original, it does not have to compensate those customers.
What if my flight is delayed?
When a flight is delayed, the airline may be obliged to supply meals and refreshments, along with accommodation if an overnight stay is required.
Whether you qualify will depend on the length of the flight and the delay.
For example, for flights of 1,500km or less where there is a delay of more than two hours, a passenger should be given meals and refreshments, along with two free telephone calls, e-mails, telexes or faxes.
If the delay is for five hours or more, passengers are also entitled to a refund of their ticket with a free flight back to your initial point of departure if this is relevant.
Any catches?
Yes.
Airlines won't have to pay compensation if the reason for delays or cancellations was due to "extraordinary circumstances".
LEGISLATION
Regulation (EC) No 261/2004 of the European Parliament and of the Council of 11 February 2004 establishing common rules on compensation and assistance to passengers in the event of denied boarding and of cancellation or long delay of flights, and repealing Regulation (EEC) No 295/91
Airlines are likely to argue that bad weather, strike action, or delays caused by air-traffic control or security alerts are outside their control.
Most airlines are not happy with the new rules and they have been seeking to challenge them in the courts.
They are also warning fares could rise as passengers will ultimately foot the bill for any additional costs incurred as a result of the regulations.
I'm a disabled traveller. Do I get any extra help?
Airlines must also "pay particular attention" to the needs of people with "reduced mobility" and anyone accompanying them.
What if I've got a cheap ticket?
If you bought your ticket through a frequent flyer programme or a discounted deal, you should still be covered by the new rules.
What if I'm upgraded or downgraded?
Airlines cannot charge extra if they need to upgrade passengers.
If someone is downgraded to economy, for example, because of an overbooking in business class, they must receive compensation within seven days proportionate to the type of ticket.
How will I know I have these new rights?
Airlines must ensure there is a clear notice about the new rights at check-ins.
And, if a passenger is denied boarding or a flight is cancelled, they must be given a written notice explaining the rules.
What if I'm on a package holiday, which originates outside the EU?
It's tough luck for the moment.
However, in 2007 the European Commission may be extending rights to passengers who fly into the EU on a European airline when the flight is part of a "package tour".
Who can I complain to?
Each EU member state has an enforcement body dealing with complaints that may arise from the rules. The full list is available on the European Commission's transport website (see link on top right).
British travellers can complain to The Air Transport Users' Council (AUC), which also has detailed guidance on its website (see link on top right) about the changes.
COMPENSATION: OVERBOOKING AND CANCELLATIONS
Length of journey Delay to destination Compensation
Up to 1,500km More than 2 hours 250 euros (£173.04)
1,500km to 3,500km Up to 3 hours 200 euros (£138.40)
1,500km to 3,500km More than 3 hours 400 euros (£276.83)
More than 3,500km More than 4 hours 600 euros (£415.26)
Source: Air Transport Users' Council
If you have your own web site or blog, I'd be extremely grateful if you could add a link to www.claimbankchargesback.co.uk - The more people using the site, the better it will become! Please tell your friends and family about us, and help them claim their own bank charges back.
Unfair Loan Insurance Refunds
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If you have your own web site or blog, I'd be extremely grateful if you could add a link to www.claimbankchargesback.co.uk - The more people using the site, the better it will become! Please tell your friends and family about us, and help them claim their own bank charges back.
PPI Sale Ban to go ahead - Claim Back PPI
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BBC May 2010 |
If you have your own web site or blog, I'd be extremely grateful if you could add a link to www.claimbankchargesback.co.uk - The more people using the site, the better it will become! Please tell your friends and family about us, and help them claim their own bank charges back.
Panorama BBC - Bank Charges are a rip off.
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If you have your own web site or blog, I'd be extremely grateful if you could add a link to www.claimbankchargesback.co.uk - The more people using the site, the better it will become! Please tell your friends and family about us, and help them claim their own bank charges back.
Bank Overdraft Charges a Rip Off (167% interest)
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If you have your own web site or blog, I'd be extremely grateful if you could add a link to www.claimbankchargesback.co.uk - The more people using the site, the better it will become! Please tell your friends and family about us, and help them claim their own bank charges back.
Credit Card Charges Claims
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If you have your own web site or blog, I'd be extremely grateful if you could add a link to www.claimbankchargesback.co.uk - The more people using the site, the better it will become! Please tell your friends and family about us, and help them claim their own bank charges back.
Money savings expert , Martin Lewis, bank charges and Financial hardship
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But, he is advocating claims for financial harship. It goes like this...we lost teh bank charges case (i.e the consumers), but if you are in debt, unable to make ends meet, and are deemed in financial hardship then the banks are obliged to look into your case and help you. This would be wonderful only I have heard that it is so unusual as to almost be a waste of time. I spoke with Claims Financial and of their 4800 financial hardship claims only a handful resulted in ‘goodwill’ payments despite endless form filling etc. I do however encourage you to claim back all your credit card charges going back 6 years. You probably have 3 credit cards right now and the average claim is about £550 per card. Also, please check your loans, credit cards, mortgages and finance agreements for this infamous PPI....which has been sold about 20 million times in the Uk and the average refund due is £2000. You cannot reclaim it unless you know you have it so please check!!! You can reclaim here. |
If you have your own web site or blog, I'd be extremely grateful if you could add a link to www.claimbankchargesback.co.uk - The more people using the site, the better it will become! Please tell your friends and family about us, and help them claim their own bank charges back.
