Double check what you’re told by Continuing Healthcare professionals
There are many myths flying around about NHS Continuing Healthcare. We’ve heard three pieces of ‘advice’ recently that rang alarm bells – because the statements were hugely misleading. Read on for 3 further myths about NHS Continuing Healthcare…
The comments on our blog reflect just how many people are given incorrect information by Continuing Healthcare assessors and local authority representatives.
Families are also sometimes given incorrect information by Continuing Healthcare advisors and solicitors. Such advisors can – and do – play a vital role in helping families through the Continuing Healthcare process. At the same time, however, it’s always worth double checking the information you’re given – no matter what the source – because everyone is fallible at times.
Here are 3 further myths about NHS Continuing Healthcare we’ve recently read or heard:
1) You can’t have NHS Continuing Healthcare in a residential care home.
2) You have to leave hospital and start paying for care before you can have an NHS Continuing Healthcare assessment.
3) You can’t challenge the outcome of a Checklist assessment.
These are ALL incorrect.
Let’s look at them in a bit more detail and include some references to help you:
1) “You can’t have NHS Continuing Healthcare in a residential care home.”
This is absolute nonsense – and a very basic error – and any advisor or assessor fully aware of the National Framework guidelines will know this. If you’re told this, you can counter it by quoting the following reference:
National Framework page 10, paragraph 13:
“Eligibility for NHS continuing healthcare places no limits on the settings in which the package of support can be offered or on the type of service delivery.”
Page 21 para 56:
“NHS continuing healthcare may be provided in any setting (including, but not limited to, a care home, hospice or the person’s own home). Eligibility for NHS continuing healthcare is, therefore, not determined or influenced either by the setting where the care is provided or by the characteristics of the person who delivers the care.”
Funded Nursing Care payments, on the other hand, are not available in residential homes/care homes without nursing. Read more about Funded Nursing Care here.
2) “You have to leave hospital and start paying for care before you can have an NHS Continuing Healthcare assessment.”
As many families have sadly discovered, once you’ve left hospital you have very little leverage to get the Continuing Healthcare assessment process started quickly. If you are discharged from hospital before the Continuing Healthcare assessment process gas been started, remember that the NHS is legally responsible for paying for care until the assessment process is complete.
3) “You can’t challenge the outcome of a Checklist assessment.”
This is incorrect. You certainly can challenge the outcome of a Checklist and ask for it to be done again. Also, a Checklist is not always essential; instead, a person can go straight to a full multidisciplinary assessment if their needs are such that they would obviously get through the Checklist stage.
These references may help you:
National Framework page 26, paragraph 76:
“Where the outcome is not to proceed [from the Checklist] to full assessment of eligibility, the written decision should also contain details of the individual’s right to ask the CCG to reconsider the decision. The CCG should give such requests due consideration, taking account of all the information available, including additional information from the individual or carer.”
National Framework page 27, paragraph 77:
“Once an individual has been referred for a full assessment for NHS continuing healthcare (following use of the Checklist or, if a Checklist is not used in an individual case, following direct referral for full consideration)…”
So remember that it’s always worth double checking any advice you receive – whomever it may be from – to make sure you have accurate information with which to argue your Continuing Healthcare case.