When is the Continuing Healthcare Decision Support Tool completed?

When is the Continuing Healthcare Decision Support Tool completed?

Continuing Healthcare Decision Support ToolIs the NHS Continuing Healthcare Decision Support Tool completed in advance of an assessment?

No. 4 in our series of 27 quick tips on NHS Continuing Healthcare…

We recently heard from a family who were presented with a completed Continuing Healthcare Decision Support Tool document before the Multidisciplinary Team (MDT) assessment (the full assessment) had even taken place.

Is this correct? No.

The National Framework guidelines makes it clear (page 27):

“The Decision Support Tool should be used following a comprehensive multidisciplinary assessment…of an individual’s health and social care needs and their desired outcomes.”

“The multidisciplinary assessment that informs completion of the Decision Support Tool should be carried out with the knowledge and consent of the individual, and they should be given every opportunity to participate in the assessment.”

“The Decision Support Tool…is a way of bringing together and applying evidence in a single practical format…”

In other words:

  • the MDT assessment (the full assessment – stage 2 of the NHS Continuing Healthcare process) should involve the individual being assessed (and/or their representative(s), e.g. family).
  • the information and views shared at the MDT assessment should be recorded in the Decision Support Tool document so that, by the end of the MDT assessment, there is a completed Decision Support Tool document.
  • the information in the NHS Continuing Healthcare Decision Support Tool then forms the basis of a recommendation about funding.

If you’re given a Continuing Healthcare Decision Support Tool completed before the assessment has even taken place, complain immediately. Insist that it’s completed again – but this time with your full involvement at the MDT assessment meeting.

Read more about the stages of NHS Continuing Healthcare assessment

Tip no. 3: What to do when an NHS Continuing Healthcare Checklist is rejected

Tip no. 5: Should you be paying care fees for a spouse or partner

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, Farley Dwek Solicitors are offering a free initial discussion on the phone. Being able to explain your case to a specialist and see which way you need to go next, can give you renewed energy and impetus to keep fighting. You can read more here.



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