What Is NHS Continuing Health Care?
In England, NHS Continuing Health Care (NHSCHC) is care funded by the NHS. It is available for individuals aged 18 and above and is provided to meet physical or mental health care needs that have arisen through disability, accident or illness. NHSCHC is care that takes place from a hospital. Care could be provided in your home or in residential accommodation.
Who Qualifies for NHS Continuing Health Care?
You’ll qualify for NHSCHC if you’re assessed as having a principal health need. The NHS Choices website provides an extremely unhelpful circular definition of this. A key health need, it is explained, is one that’s on-going and substantial and is related to your health. An evaluation will take into consideration the character and complexity of your needs; the intensity and severity of your needs, and the unpredictability of your needs.
How Do You Get NHS Continuing Health Care?
Simply speaking, you need to be assessed. The assessment is carried out with a multidisciplinary NHS team. There is no right to an examination, but if it seems that you may want NHSCHC then a Clinical Commissioning Group (CCG) for your area must carry out an assessment.
The fact that you’ve a long haul medical condition is not, of itself, a qualification for NHSCHC. Website However, the following circumstances will probably declare that an examination is appropriate. 1. Where you are because of be discharged from hospital and you’ve long haul needs, 2 Where a period of intermediate care has come to a conclusion, 3. Where your quality of life declines significantly, 4. Where you are approaching the end of your life, 5. Where you reside in a nursing home and your quality of life care needs are under review and 6. Where your quality of life and social care needs are being assessed included in a community care assessment.
In most circumstances, there’s a two stage assessment process. The first stage is a preliminary assessment. The objective of that is to choose if you’ll need a full assessment. The first assessment may be completed by a doctor, social worker and other health care professional.
The full assessment is carried out by several health and/or care professionals. The assessment talks about the following 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 following scale: no needs, low needs, moderate needs, high needs, severe needs or priority needs. The criteria in bold are assessed, on the total scale, from low through to priority. The criteria in italics are assessed from low to severe. The remainder are assessed from low through to high.
You will undoubtedly be eligible for NHSCHC if more than one criteria are assessed at the priority level or several criteria are assessed as severe. You may also be eligible if one criteria is assessed as severe and you’ve needs assessed in a number and other criteria or numerous criteria are assessed as high and/or moderate.
A two stage assessment is obviously a little time consuming. It can take 28 days from the original assessment to ascertain you eligibility by way of the full assessment. Clearly in some instances that is far too slow. There is, therefore, a fast track procedure that can be used where your condition is worsening and/or you are terminally ill.
What Is the Cost of NHS Continuing Health Care?
There is no cost to you if you qualify for NHSCHC.
Who Provides NHS Continuing Health Care Services?
NHSCHC services could be supplied by a variety of health professionals including physiotherapists, occupational therapists, speech therapists and domiciliary carers. When you’re assessed as being eligible for NHSCHC, you will undoubtedly be allocated a personal health budget. That is an amount of cash that’s used to guide the needs that you have. It is comparable to the non-public budgets allocated by social services to guide social care needs.
Just as with a cultural care personal budget, you can ask for your individual health budget to be paid to you in the form of a primary payment. A direct payment puts you in control of choosing who supplies your services. You don’t have to do this. You may, however, enjoy the freedom and choice that direct payments give you.