Supplying evidence for Continuing Healthcare assessments can feel daunting. You may be pursuing NHS Continuing Care funding for a relative, and yet you’re not sure what information should be taken into account.
In a nutshell, evidence for Continuing Healthcare assessments should be everything that demonstrates the full extent of your relative’s health needs, daily care needs and the extent to which they are at risk.
As part of this, it’s vital that proper risk assessments have been carried out and reviewed. It’s also vital that routine charts have been maintained and included, particularly those directly related to the various ‘care domains’ that are assessed in Continuing Healthcare.
This additional evidence will support the assessment scores that your relative is given. It can change the outcome. As a family representative, it’s not your responsibility to pull all this information together. However, it’s a good idea to check that assessors have done this – as evidence often gets overlooked – and you may need to pull together some of it yourself.
Evidence for Continuing Healthcare assessments
Risk assessments could include things like:
- Waterlow Risk Assessment Tool (to assess risk of skin breakdown/pressure sores) – or the Braden Scale
- MUST Tool (Malnutrition Universal Screening Tool)
- Moving & Handling & Falls Risk Assessment or a FRASE (Falls Risk Assessment Score for the Elderly)
And, aside from the usual stats (blood pressure, temperature, etc.), other charts and records could include:
- the Barthel Index – to assess degree of dependency/daily functioning
- oxygen saturation/absorption notes (SATS)
- pain charts
- weight charts
- medication charts
- SALT assessments (Speech & Language Therapy)
- wound/pressure sore assessment charts
- behavioural assessments
- specialist nursing/medical assessments (such as tissue viability, breathing, dementia, psychiatric assessments, etc.)
- assessments from therapists
… and of course:
- daily care notes
- care plans
- GP input
- hospital notes
- community care notes
- social care reports
- health needs reports
- mental health reports
…and input from any other relevant medics, nurses and other clinicians.
The evidence that is appropriate for your relative will depend on their individual health needs. It’s important that all of it is taken into account in any assessment for Continuing Healthcare.
The above is not an exhaustive list, but if you’re going through the Continuing Healthcare assessment process, make sure that all relevant evidence for Continuing Healthcare assessments is taken into account. We frequently hear of assessments carried out with much of this information missing, so be vigilant. Check what the assessors have actually taken into account.