Registered Nursing Care Contribution

Registered Nursing Care Contribution

Funded Nursing Care (FNC) or Registered Nursing Care Contribution (RNCC)

FNC and RNCC are the same thing. It’s a weekly payment made by the NHS to cover nursing care from a Registered Nurse.

Registered Nursing Care ContributionFNC is only provided if you need nursing care – and if you’re in a care home that can provide nursing care.

Remember: RNCC and FNC are not the same as NHS Continuing Healthcare.

FNC rate in England

2016-2017: £156.25 interim rate per week for people assessed after 1st October 2007. £215.04 per week interim rate for people assesed prior to 1st October 2007 and who had been receiving the high rate FNC band at that time. (Prior to Oct ’07 there were three bands, but now there’s just one.)

From 1st April 2017 the rate will be £155.05.

How is it paid?

FNC is paid directly to the care home and it aims to ‘reimburse’ the care home for any registered nursing care they’re giving you.

If you’re paying for your own care, and your fees are calculated to include all nursing care, your care fees should reduce once the NHS starts paying FNC. However, many people see no difference at all, even though the care home is obliged to show how FNC reduces the care fees. It’s always worth questioning this with the care home and, if necessary, with the Continuing Care Department at your local NHS Clinical Commissioning Group (CCG) – formerly the Primary Care Trust (PCT).

When is it paid?

Your eligibility for FNC is decided when you first go into a care home and you are assessed for free NHS Continuing Healthcare by means of an NHS assessment. You should be assessed for NHS Continuing Healthcare first. Only after that should you be assessed for FNC – not the other way round.

FNC is not paid if you have to go into hospital. (You may still have to pay for your care home place during this time though.)

Tax and benefits

FNC is a tax-free benefit and is not means-tested. It can also be withdrawn if the NHS decides you no longer need it.

FNC does not affect your entitlement to Attendance Allowance, however it’s always best to double check your payments as it has been known for government employees to confuse FNC with NHS Continuing Healthcare and, as a result, stop paying Attendance Allowance.

How is this nursing care contribution assessed?

Find out about your other benefits

19 Comments

  1. Lori 2 weeks ago

    I’m really confused about all the aspects of assessment and funding and how they should be applied to my father. Thank god for this website!!!

    My dad had a stroke and lost his mobility on the left side, he does seem to be making slow and steady progress though when he gets physio, which was few and far in between sessions at the hospital.

    Anyhow he was discharged into a care home a couple of days ago and I was talking to the administrator of the home today who was very helpful and told me that he had been assessed by the local authority and that he, under Funded Nursing Care, was being charged £136.60 per week, that he has to pay this weekly and this can last up to 8 weeks when it will be reviewed and if he’s likely to be permanent a residential a full assessment of assets would be required.

    I’m so confused because everything I have seen says that he should’ve been assessed for Continuing Healthcare and that I should be kept in the loop, I don’t know where this £136 fee has come from and I’m worried there might be a big bill coming that I’m not aware of.

    I don’t really know why he has to pay anything, he’s immobile because of the stroke and has been deemed a risk to go home, it really feels like we’ve no say in whats happening. He’s not aware of being assessed for anything, but he does recall being asked by several people if he owns his own home and I, his daughter being the only next of kin, know nothing about any of it.

    What can I do to put my mind at ease that he’s been assessed properly and fairly?

    • Author
      Angela Sherman 2 weeks ago

      Thanks for your kind feedback on the website, Lori.

  2. JULIE MILLINGTON 2 months ago

    Hello i am in the same position about Funded Nursing Care. The care home have not reduced this funding off the fee for the room. We did not realise they were paying this money until recently and the paperwork came to light when my mother in law passed away. We asked to see the contract and was presented with a contract which had not been signed by anyone. I was a counter signature on my mother in law’s account and when the home presented me with there bill i payed it. Surely any funding is paid towards the individual not a gift to the care home.

    Kind Regards
    Julie

  3. sara 3 months ago

    Hi my father is currently in a care home and he has a state pension and private pension which comes to nearly £800 per month, so the care home takes all this to apparently pay it all towards his care, (is this right?) also he is meant to get a weekly allowance but he never has!
    Also he has been in and out of hospital in the last 3 months, twice with phemonia , so does he still have to pay his care fees as hes been in hospital for the best part of 3 months? And should he still get his weekly allowance,(not that they give it to him)
    also after having his assessments done in hospital they think he needs nursing care now, so does he still have to pay for this?
    Also while being in care he has become an ampute of his leg, does he get any kind of disability allowance?
    Thank you.

  4. Rachel Bates 6 months ago

    Hi, I’m a deputy for my grandma who is in a nursing home. She is awarded Funded Nursing Care (FNC) but the home are only deducting £112 off her fees. I have questioned this and they have said it’s so they don’t have to increase care costs ( I think). I’m really confused as most things I’ve read suggest that FNC should be deducted from the fee. I’ve never signed a contract with them as I refused because they sent one that was left blank in the fees section. Is there any way I can get them to agree to take the current FNC rate of £155.05 off the fee rather than £112? Thanks

  5. Jo 7 months ago

    Hi
    My mother is self-funding her care in a nursing home. She has Alzheimers and was admitted to the home with a high level of nursing needs that are now being well managed and have reduced. Funded Nursing Care (FNC) was not applied for until over a year after her admission. At the time of her admission we signed a contract that included payment for nursing care. She has now been awarded FNC but her fees have not been reduced, in fact they have increased. I am contesting this with the nursing home but need some clarification.
    Is FNC awarded to the person or the nursing home? I can find plenty of evidence to support the fact that the payment is made to the nursing home but need to know if it is awarded to the self -funding individual. If this is the case please could you point me to the relevant document that confirms this? Many thanks

  6. Gloria 12 months ago

    My 96 year old mother-in-law was awarded FNC at £156.25 weekly but received a reduction of £112 as the care home says the increases in costs have meant they keep the remaining balance for themselves.

    • Author
      Angela Sherman 12 months ago

      Gloria – the FNC payment goes directly to the care home, rather than to your mother-in-law, and depending on how your mother-in-law’s care home contract is written, it may or may not reduce her care fees. The actions of the care home do sound rather cynical in your case though.

  7. Helen 2 years ago

    My mother has been awarded Funded Nursing Care (FNC); she was not eligible for Continuing Healthcare funding (CHC). On discharge from hospital we placed her in a care home that provided nursing care. She is self funding and the terms of the care home are that she pays for the care home and the nursing element of £112 per week goes straight to the home, no reduction in fees for mother. Whilst it seems sad that she gets no reduction for the nursing element that the NHS are paying, the fact is she isn’t even getting any particular benefit from being in a nursing home as opposed to a care home. She had pressure sores when first in hospital but these where healed before she was discharged, but after a week at the home the sores were back and appear to be getting worse. Can we move my mother to an ordinary care home, or indeed arrange 24 hour live in care at her own home? I appreciate that she would no doubt lose the FNC nursing funding but in actual fact it does nothing at all to help her – seems to me the NHS is wasting its money. The homes in our area that provide nursing care are very basic and I think she would be looked after better elsewhere. Can we just move her elsewhere, or even take her home with privately arranged care?

    • Author
      Angela Sherman 2 years ago

      It’s correct that the Funded Nursing Care (FNC) payment goes directly to the nursing home. Whether or not your mother sees a reduction in her care fees can depend on how your contract is written. If the care fees quoted are exclusive of any FNC payment, then care homes will argue that the FNC payment is to cover their own additional nursing care. If the care home contract quotes the care fees as inclusive of the payment, then any FNC payment made to the care home should be deducted from your mother’s fees. See also my response to your comment on this page: http://caretobedifferent.co.uk/paying-care-home-fees/nhs-continuing-healthcare/

  8. Andrew 2 years ago

    I have read many of the articles on your excellent site, as my mother-in-law is about to be assessed for CHC. In relation to the legal precedents such as Coughlan, what I don’t quite get is how the distinction between CHC and FNC is drawn. Coughlan states that the NHS should fully fund a person’s care unless nursing services are incidental to the provision of accommodation; if that is the law, it appears almost all residents of care homes with nursing care onsite should be in receipt of CHC. Yet, as I saw commented on a different article, almost none are. My MIL was receiving a funded care package at home (4 visits daily) until January when she was admitted to hospital. She is now in a (nursing) care home on a temporary respite, expected to be made permanent. If she didn’t need the extra nursing, she would be back in her own house, so why should she have to pay for ‘accommodation’ that is only required because of her increased healthcare needs?
    I realise the CHC Checklist is used to make a decision on ‘eligibility’. I guess what I am asking is, can the NHS meet their legal responsibilities for funding care by providing FNC only?
    Many thanks

    • Author
      Angela Sherman 2 years ago

      Thanks for your comment, Andrew. Your conclusion that almost all residents of nursing homes should be in receipt of CHC is similar to the opinion expressed by the judge in the Coughlan case. The existence of FNC is, in many people’s views, an indication that nursing care is needed – and yet this ‘layer’ of (frankly inadequate) funding prevents many people formally qualifying for full CHC. A person in receipt of FNC is deemed to have primarily social care needs. You may find this article of interest: http://caretobedifferent.co.uk/difference-between-a-healthcare-need-and-a-social-care-need/ (Note: the Checklist does not indicate eligibility; it is simply stage one of the process – and determines whether or not a person will continue to stage two. It is at stage two, the full assessment, that an eligibility decision is made: http://caretobedifferent.co.uk/what-are-the-different-stages-of-nhs-continuing-care-assessment-and-appeal/)

      • Andrew 2 years ago

        Hi Angela,
        Thanks for your reply. While it’s good to have clarification that FNC is limited to primarily social care needs, I see your point that it can be (and no doubt is) used as a way of denying full NHS funding for care.
        Out of interest I have since asked one of the Clinical Managers at my MIL’s nursing home how many of the 98 residents there are receiving CHC funding. His answer was 4. From what I have seen there and read here, this is almost the exact opposite of what it should be!
        Best regards and keep up this great work!
        Andrew

        • Author
          Angela Sherman 2 years ago

          Thanks for you kind words, Andrew. The statistics you quote are a sad reflection of the situation in Continuing Healthcare. It’s hard to believe that only 4 people out of 98 (in a nursing home!) have sufficient nursing needs for Continuing Healthcare.

  9. Chantal 2 years ago

    FNC: in spite of us saying to the nursing home that the fees our friend for whom we have POA should reflect the fact that they are going to be in receipt of FNC for her nursing care, they still deny and say it is for them and cannot be deducted from our friend’s fees. They are adamant insaying that CQC told them they keep the money and don’t have to reduce our friend’s fees. We don’t know what to do. Please some help as our 98 year old friend has dementia and needs all the help she can get. DEMENTIA is after all a disease, but everybody seems to wash their hands.

  10. Nicola James 2 years ago

    Funded Nursing Care. I understand that this can only be paid directly to a care home that provides nursing care. However, does a qualifying person have to be resident, or can this payment be used to fund or partly fund, day care respite in a nursing home?

    • Author
      Angela Sherman 2 years ago

      You’re correct that it’s paid directly to a nursing care home. It’s awarded only after an assessment for Continuing Healthcare, which is for people who need full time care. Page 36 of the National Framework may help regarding respite care: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213137/National-Framework-for-NHS-CHC-NHS-FNC-Nov-2012.pdf

      • Nicola James 2 years ago

        My Mother has already been assessed for CHC, but pending appeal, has only so far been awarded Funded Nursing Care. The specific question that I need answered, is can we use this weekly allowance/payment to ‘fund or partly fund (pro-rata the nursing proportion) day care respite in a nursing home’? The National Framework (NF) refers to periods of respite shorter than a week and prorate, but is not clear. The parts of NF you referred me to, does not seem to answer this? And I cannot get a clear and informed response from any of the agencies, charities or authorities.

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