Do you have to have complex needs to get NHS Continuing Healthcare?
No. 10 in our series of 27 tips on NHS Continuing Healthcare…
How ill do you have to be to get NHS Continuing Healthcare funding is a question many families ask – and often out of exasperation during the NHS Continuing Healthcare assessment process.
Some of the information about NHS Continuing Healthcare on the internet and elsewhere can be misleading, and may lead you to assume your relative won’t be eligible for NHS funding.
Much of this information leads people to believe they always have to pay for their care if they have savings – which is incorrect.
But another issue that frequently crops up is the way that a person’s health is described.
For example, in answering the question how ill do you have to be to get NHS Continuing Healthcare funding, many websites and guides state that you have to have “complex medical needs” or that you need to be “seriously ill”.
Those statements imply that you have to be in a critical condition or perhaps at end of life or at the very least under the care of umpteen consultants.
What’s more, your care needs don’t always have to be highly complex.
So if you’re asking how ill do you have to be to get NHS Continuing Healthcare funding, remember 3 things only:
- the Coughlan case – read about this to understand the legal basis for all NHS Continuing Healthcare assessments
- the local authority ‘legal limit’ – this establishes the legal line between NHS care and local authority social care
- the criteria in the Continuing Healthcare guidelines – read these before you attend any NHS Continuing Healthcare assessment
Tip no. 11: Should you agree to a means test for care fees?
You don’t have to fight this battle alone
Fighting a Continuing Healthcare funding battle alone can feel daunting. If you need to talk to someone about your case, read more here.