3 questions to ask an NHS Continuing Healthcare assessor

3 questions to ask an NHS Continuing Healthcare assessor

Questions to ask an NHS Continuing Healthcare assessorCheck the objectives of NHS Continuing Healthcare assessors

No. 8 in our series of 27 tips on NHS Continuing Healthcare…

There are some vital questions to ask an NHS Continuing Healthcare assessor if you’re going through the funding assessment process.

Many families who go through the NHS Continuing Healthcare assessment process report that some assessors don’t seem to be fully aware of the guidelines and the law relating to this funding.

Not only is this is pretty shoddy state of affairs, of course, but it also puts people at risk of not receiving the funding they’re entitled to.

So, in an assessment, it’s worth asking the assessors the following 3 specific questions:

3 questions to ask an NHS Continuing Healthcare assessor

1. “What is the purpose of this assessment?”

The answer should be to ascertain whether the NHS has a legal duty to cover the costs of care. It should not be to find out how much money your relative has or whether they have a house.

2. “Can you explain the relevance of the Coughlan case?”

The Coughlan case is just as relevant today as it was when Pamela Coughlan won her funding case back in 1999. Some assessors seem to (wrongly) think otherwise. Read more here about the Coughlan case here.

3. “Can you explain how much of the total tcare fees NHS Continuing Healthcare funding will cover?”

If a person is eligible for Continuing Healthcare, this funding should cover all the fees, including all social care fees.

The answers to these 3 questions will tell you an awful lot about what the assessors understand should happen in the assessment meeting.

If it’s clear they are not conducting the assessment properly:

  • refer them to their own National Framework guidelines
  • tell them the assessment will need to be repeated if it is not conducted properly
  • state that you will be making a strong complaint about each individual involved if the proper assessment process is not followed.

Tip no. 7: Who can you take with you to NHS Continuing Healthcare assessments?

Tip no. 9: Should you challenge flawed process in NHS Continuing Healthcare decisions?

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.

1 Comment

  1. James Allison 2 years ago

    I have multiple pathologies. When I was assessed for Disability Living Allowance (DLA), it was a farce. The Medical Assessors for the DWP (contracted out to private companies, who I won’t name for legal reasons) often have no knowledge or experience of medical conditions. In recent years, these companies hardly use doctors of medicine, instead they use nurses, occupational therapists and physiotherapists. Nearly 50% of chronically sick/disabled lose their DLA or Personal Independence Payment (PIP) as it’s been called for new claims since 2013. According to the latest figures from Her Majesty’s
    Courts & Tribunal Service, 65% of claimants who lose their DLA or PIP have the decision overturned at appeal. The main reason for the high success rate of appeals is down to inaccurate or inadequate reports written by Medical Assessors sometimes referred to as “Health Care Professionals”
    retired Welfare Rights Lawyer

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