What Is NHS Continuing Health Care?
In England, NHS Continuing Health Care (NHSCHC) is care funded by the NHS. It can be obtained for people aged 18 and above and is provided to meet physical or mental medical care needs that have arisen through disability, accident or illness. NHSCHC is care that happens away from a hospital. Care can be provided at home or in residential accommodation.
Who Qualifies for NHS Continuing Health Care?
You’ll qualify for NHSCHC if you should be assessed as having a principal health need. The NHS Choices website provides an extremely unhelpful circular definition of this. A main health need, it is explained, is one that is on-going and substantial and is related to your health. View An assessment will take into account the character and complexity of your requirements; the intensity and severity of your requirements, and the unpredictability of your needs.
How Do You Get NHS Continuing Health Care?
In a nutshell, you have to be assessed. The assessment is carried out by a multidisciplinary NHS team. There is no directly to an examination, but when it would appear that you might need NHSCHC then a Clinical Commissioning Group (CCG) for your neighborhood must carry out an assessment.
The fact that you have a long haul medical condition is not, of itself, a qualification for NHSCHC. However, the next circumstances are likely to suggest that an examination is appropriate. 1. Where you are as a result of be discharged from hospital and you have long term needs, 2 Where an amount of intermediate care has arrive at an end, 3. Where your health declines significantly, 4. Where you are approaching the finish of your lifetime, 5. Where you reside in a nursing home and your health care needs are under review and 6. Where your health and social care needs are increasingly being assessed included in a residential area care assessment.
Generally in most circumstances, there is a two stage assessment process. The initial stage is an initial assessment. The purpose of that is to decide if you will need a full assessment. The initial assessment might be completed by a health care provider, social worker and other medical care professional.
The entire assessment is carried out by two or more health and/or care professionals. The assessment talks about the next criteria: behaviour, cognition (understanding), communication, psychological/emotional needs, mobility, nutrition (food and drink), continence, skin (including wounds and ulcers), breathing, symptom control through drug therapies and medication, altered states of consciousness, other significant needs.
Each of the criteria (or domains) is assessed on the next scale: no needs, low needs, moderate needs, high needs, severe needs or priority needs. The criteria in bold are assessed, on the entire scale, from low to priority. The criteria in italics are assessed from low to severe. The remainder are assessed from low to high.
You will undoubtedly be entitled to NHSCHC if one or more criteria are assessed at the priority level or two or more criteria are assessed as severe. It’s also possible to be eligible if one criteria is assessed as severe and you have needs assessed in lots and other criteria or several criteria are assessed as high and/or moderate.
A two stage assessment is clearly a little time consuming. It can take 28 days from the initial assessment to determine you eligibility by way of a complete assessment. Clearly in some cases that is far too slow. There is, therefore, a quick track procedure that can be utilized where your condition is worsening and/or you are terminally ill.
What May be the Cost of NHS Continuing Health Care?
There is no cost for your requirements if you qualify for NHSCHC.
Who Provides NHS Continuing Health Care Services?
NHSCHC services can be supplied by a variety of health professionals including physiotherapists, occupational therapists, speech therapists and domiciliary carers. When you are assessed as being entitled to NHSCHC, you will undoubtedly be allocated your own health budget. That is an amount of money that is used to support the wants that you have. It is comparable to the personal budgets allocated by social services to support social care needs.
Just much like a social care personal budget, you can request your individual health budget to be paid for your requirements in the shape of a direct payment. An immediate payment puts you in control of choosing who supplies your services. You do not have to complete this. You could, however, benefit from the freedom and choice that direct payments give you.