Many people are paying needlessly for their (or a loved one’s) care in a nursing home.
It is not necessarily the case that this care (c.£600 – 900 per week) must be funded privately or that families should have to apply for means-tested local authority support.
They may be eligible for 100% funding from the NHS, if the individual has a primary health need. However, families are not always made aware of this entitlement …..
This blog is a set of extracts from the National Framework for Continuing Health Care (2013), and the associated resources. It is provided as a reference point for finding the precise paragraphs that you may need to quote when checking that your application for CHC Funding has been dealt with fairly and legally.
A special message: If you are following this blog because you have just embarked on the process of applying for CHC Funding for yourself or a loved one, we wish you every good luck and the strength to carry on until you have been granted the funding – if you are truly eligible, of course – or the process of appeals and reviews has been exhausted. Chin up!
Some advice: take the time to familiarise yourself with what the National Framework actually says, and trust absolutely the assurances of no one who has any paid connection with the NHS or carehomes (even the friendliest, kindest and most lovely of people*). Even if everything seems to be going well write down everything that happens with dates and names of those involved, and finally, as well as seeking how to do the best for your loved one, think about how you can look after yourself in the days and weeks to come ….
* Why should I not put 100% trust in anyone’s assurances?
Because there are some things which are irreconcilable, such as
a) providing enough funding for everyone who is entitled to it
b) having a budget which is less than the funding needed.
It is undeniably the case that those involved in supporting your application for CHC funding or deciding on the outcome will have to make very difficult choices, sometimes impossible choices. NHS and carehome staff are invariably caring, hard-working people. They don’t want to wrong you, they WANT to help you if they can – but ultimately, in some cases, when there is not enough money to go round, it will be a choice of YOU or THEM going down the pan ….. and which will YOU choose?
- Contents of this website
- Find the National Framework and the associated resources here.
- Complaints – how to appeal, and other matters to do with complaining about the process or outcome of an application for CHC Funding
- The key test cases – Coughlan and Grogan
- Download the framework as a pdf from the GOV.UK website: National Framework for NHS continuing healthcare and NHS funded nursing care (2013)
- It is available here in three versions. 1. Read it online here, in full.
- It is also provided 2. on this blog with some key points highlighted.
- This version 3. contains selected passages from the framework.
- The Decision Support Tool – the DST
- Annex A – Glossary
- Annex B: The Coughlan Judgment
- Annex C: The Grogan Judgment
- Annex D:
- Annex E;
- Annex F: Eligibility and Disputes
- Annex G: Local NHS Continuing Healthcare Protocols
- The Fast Track Pathway Tool
- Practice Guidance Notes