Many families report having NHS Continuing Healthcare funding removed – and a joint package of care put in its place
Tip no. 24 in our series of 27 top tips on NHS Continuing Healthcare…
What does it mean to have a joint package of care?
Essentially, a joint package of health and social care is where funding comes from more than one source – it’s usually a mixture of NHS and local authority funding.
One of the alarming trends families have reported is that people with full NHS Continuing Healthcare funding – whose needs have not reduced and are not likely to – are having their funding downgraded to a joint package of care.
The impact of this is, of course, that the local authority element of the funding will be means tested.
Other families report having NHS Continuing Healthcare assessments that show eligibility for full NHS Continuing Healthcare funding, and yet they’re given a joint package of care instead.
A joint package of care (generally speaking) means the NHS won’t have to pay the full cost of care.
The National Framework guidelines state that a joint package of care is given when a person has some healthcare/nursing care needs, but not enough to warrant full funding. It’s says that, “taken as a whole’ their needs are not beyond the powers of a local authority to meet”. At the same time, the NHS retains some funding responsibility.
This could, however, be seen as a contradiction: the National Framework makes it clear that where a person has a level of care needs such that the NHS is legally obliged to pay, the NHS should also cover ALL social care needs as well.
So, in any assessment where a joint package of care is recommended, the key question to ask the assessors is: why is full NHS Continuing Healthcare not being recommended instead.
There are several pages in the National Framework guidelines about joint packages of care. Use this link to help you find what you need in the National Framework document
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.