If you’re new to the arena of NHS Continuing Healthcare Funding (CHC) this article will help you navigate some common terms and issues that you may face along the way to claiming free NHS funded care for you or a relative.
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ADVOCACY
You are entitled to advocacy support at any stage of the assessment or Appeal process. Don’t let the CCG’s assessors tell you otherwise. If they refuse to let you have an advocate present you must lodge your objection forcefully, as this is a clear abuse of process and instant grounds for appeal. See page 82 of the NHS National Framework.
Can The MDT Panel Refuse To Proceed If I Have An Advocate?”
Part 1 – Revealing Insights From A Continuing Healthcare Nurse Advocate…
Part 2 – Revealing Insights From A Continuing Healthcare Nurse Advocate…
APPEAL
Unless the CCG state otherwise, you only have 6 months from the date you receive the OUTCOME DECISION refusing or rejecting CHC funding, to launch an Appeal. See LRM and IRP below for more information.
Know your rights – Appealing the CCG’s refusal to grant CHC funding
Attending an Assessment or Independent Review Appeal?
Confused? Read This Before You Start Your Retrospective Appeal for CHC Funding…
Rejected for CHC Funding? Part 1: How To Appeal The MDT Decision
Rejected for CHC funding? Part 2: How to appeal the LRP Decision
AVOID PAYING CARE FEES UNTIL YOU’VE HAD A CHC ASSESSMENT
Before there is any discussion about how your relative will pay for their care, where you believe that they have a ‘PRIMARY HEALTH NEED’, you must ask the CCG for an assessment about their ELIGIBILITY for CHC before they pay a penny.
It is contrary to the NATIONAL FRAMEWORK for CCGs to engage in “financial gatekeeping” i.e. employing tactics to try and evade payment of care fees simply to protect their budgets. See Practice Guidance Note 37.3, page 129 of the National Framework.
“So will you be self-funding?”
How To Avoid Selling Your Home To Pay For Care…
Funding your relative’s care – who pays?
Worried about having to sell your home to pay for care?
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BENEFIT ENTITLEMENTS
Don’t forget that your relative may still be entitled to a range of benefits even whilst in receipt of CHC.
Is your relative claiming their full entitlement to benefits?
BEST INTERESTS
If your relative has lost mental capacity and has not created a LASTING POWER OF ATTORNEY, then you may not have the necessary legal authority to act and can be excluded from making decisions on their behalf. However, all is not lost as you may still be able to get involved in the decision-making process, whilst acting in their ‘best interests’.
BEWARE OF YOUR CCG’S ATTEMPTS TO EVADE PAYMENT
It is contrary to the NATIONAL FRAMEWORK for CCGs to engage in “financial gatekeeping” i.e. employing tactics to try and evade payment of care fees simply to protect their budgets. See Practice Guidance Note 37.3, page 129 of the National Framework.
The 10 Most Outrageous Excuses For Not Having An NHS Continuing Healthcare Assessment
Has your relative been “optimised?” NHS invent more delays to avoid CHC Funding…
Watch out for the CCGs’ latest tricks to save costs
Vital Information About Paying For Care
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CARE ACT 2014
The dividing line between social and health care needs in the COUGHLAN judgment and the ‘PRIMARY HEALTH NEEDS’ approach was subsequently incorporated into the Care Act 2014. The Care Act 2014 has been included into the revised edition of the National Framework for NHS Continuing Healthcare and reinforces the existing boundaries and limits of what care is the responsibility of a Local Authority, and what is the responsibility of the NHS. The Care Act makes it clear that if an individual may be eligible for CHC, they should be referred to the local Clinical Commissioning Group for an assessment.
CARE FACILITY
A generic term that can refer to a care home, nursing home, hospice or indeed any other setting where care is provided.
What’s the difference between a care home and a nursing home?
CHECKLIST
This is the start of the assessment process. The initial Checklist is a basic screening tool used by CCGs to determine whether an individual should proceed to a full assessment at a Multi-Disciplinary Team (MDT) assessment.
Understanding the Checklist Assessment
Getting through the Checklist assessment – avoid these common mistakes!
Can the NHS refuse to carry out an initial Checklist?
CLINICAL COMMISSIONING GROUP (CCG)
A local NHS organisation responsible for planning and commissioning healthcare services to meet an individual’s reasonable care needs in their local area. CCGs perform the NHS’s responsibilities for assessing, decision-making, implementing and carrying out the NHS Continuing Healthcare packages.
COMPLAIN!
If you remain dissatisfied with any stage of the assessment process or appeal process, or inherent NHS delays, then you must lodge a formal complaint. Don’t wait or else you might be out of time!
Frustrated with CCG delays? Here’s how to complain
CONSENT
Patients who lack mental capacity will need someone to speak for them and act in their BEST INTERESTS to ensure that they are looked after, kept safe from harm and get the proper care and attention that they need when they can’t communicate their needs themselves.
Tackling consent: Keeping control if your relative lacks mental capacity.
Denied access because you don’t have the necessary legal authority to act for your relative?
COUGHLAN CASE
A landmark Court of Appeal case that helped clarify the legislation underpinning the boundaries between health and social care in England and Wales. This distinction, and the need for nationally defined criteria, led to the drafting of the National Framework for NHS Continuing Healthcare Funding (CHC) and NHS-funded Nursing Care (FNC), and the development of the CHC CHECKLIST and DECISION SUPPORT TOOL as a means of determining individual eligibility for NHS-funded community care. See pages 152 and 153 of the National Framework.
Part 1: But Pamela Coughlan is Not Really Eligible for CHC, is She …?
Part 2: Pamela Coughlan – Needs of a “Wholly Different Category”
Part 3: Pamela Coughlan – Ancillary and Incidental to the Provision of Accommodation
How relevant is the Coughlan Decision Today?
The Coughlan case and Grogan case: Your 9-point checklist for NHS Continuing Care
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DECISION SUPPORT TOOL (DST)
The DST is a scoring ‘tool’ used at the MDT to build a picture of an individual’s health needs across the various 12 Care Domains and helps make informed decision-making as to whether they have A PRIMARY HEALTH NEED and are eligible for CHC Funding. The needs are summarised by reference to the 4 KEY INDICATORS (or Characteristics). If your relative meets the ELIGIBILITY criteria, then the MDT should ‘recommend’ to the CCG that CHC Funding is awarded, and that recommendation should be followed unless there are exceptional circumstances.
DELAYS
See AVOID PAYING CARE FEES UNTIL YOU’VE HAD A CHC ASSESSMENT and COMPLAIN above.
Battling NHS delays – join the queue!
Don’t Give Up When Faced With Ongoing Delays
DISCHARGE FROM HOSPITAL
At present, if an individual is discharged from hospital into a care or nursing home, and require a new or additional package of care, they are automatically entitled to receive free NHS funding for the first 6 weeks of their care, or until such later date as their long-term care needs have been assessed and the outcome is notified to you.
Things You Need To Check Before Your Relative Is Discharged From Hospital
DON’T GIVE UP!
The CHC assessment and appeal process is complex and can be frustrating, daunting and emotional whilst battling CCGs for CHC funding. Don’t give up!
Perseverance and stubbornness pays off, so don’t give up!
10 Common Issues Affecting Families seeking NHS Continuing Healthcare Funding
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ELIGIBLE
In the firsts instance, an MDT Panel will assess whether you are eligible for CHC Funding. If successful, the CCG should pay 100% of your assessed healthcare needs, including accommodation. Watch out for CARE FACILITIES charging UNLAWFUL TOP-UP FEES.
My Dad Has Dementia – So Will He Automatically Qualify For CHC Funding?
Your mum has ‘social’ needs, so she won’t get CHC funding…
EXCUSES!
See DELAYS above.
The 10 Most Outrageous Excuses For Not Having An NHS Continuing Healthcare Assessment
Let’s Talk Fast Track! Vital NHS Funding Withdrawn After 3 Months – The Latest NHS Controversy…
Has your relative been “optimised?” NHS invent more delays to avoid CHC Funding…
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FARLEY DWEK SOLICITORS
Established leading experts in the field of NHS Continuing Healthcare Funding who can help you at every stage of your journey through the NHS assessment and appeal process. They work with a team of specialist nurses who have all spent many years working within the NHS, specialising in Continuing Healthcare Assessments. Together, they can offer you expert advice and professional advocacy support.
FAST TRACK FUNDING
Individuals with a rapidly deteriorating condition that may be entering a terminal phase, may be fast tracked for immediate CHC Funding. If successful, CHC Funding for your relative’s care needs should be put in place within 48 hours of assessment.
How To Fast Track The Continuing Healthcare Funding Process.
Let’s Talk Fast Track! Vital NHS Funding Withdrawn After 3 Months – The Latest NHS Controversy…
Fast Track Pathway Tool (revised October 2018)
FREE GUIDE
Check this link to get a Free Guide as to the CHC process.
FUNDED NURSING CARE (FNC)
If your relative has been rejected for NHS Continuing Healthcare Funding, but still needs nursing care, then they may be entitled to receive FNC – a weekly sum paid by the Clinical Commissioning Group directly to the nursing home, as a contribution towards the cost of their nursing care needs that are provided by a registered nurse, employed by the care home. FNC is not assessed or means-tested and is tax free.
Don’t Miss Out On Funded Nursing Care!
Have you considered NHS-Funded Nursing Care (FNC)?
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GET HELP!
Remember, you don’t have to fight this battle alone.
Browse through our Care To Be Different website to find lot of free information, resources and hundreds of helpful blogs.
Get our book How To Get The NHS To Pay For Care (paperback or PDF).
You can also speak to a specialist CHC Nurse Advisor or our General Advice Line.
For specialist advocacy or legal help for any stage of your claim for CHC, visit our 1-2-1 Support page.
GOOD RECORD KEEPING
You must regularly check your relative’s care home records as these will form an essential part of the assessment (and Appeal) process. Incorrect or missing entries can materially affect the outcome and the chances of getting CHC.
Problems with care home records? Mind your language…
June’s feature on flawed CHC assessments and the importance of good record keeping
Why is it important to check your relative’s care home records?
Need help getting copies of your relative’s care home records?
GRANT OF PROBATE
A Grant of Probate (‘Grant’) is legal confirmation from the court that the Will is valid and has been officially registered, and the Executors named in the Will are the only ones with authority to deal with the assets of the Estate.
GROGAN CASE
The Grogan Case came after the landmark COUGHLAN CASE and relied heavily on the legal argument that came out of that case. The court found that NHS Trust (Bexley) had moved the goalposts in terms of defining Maureen Grogan’s level of need (ie she had repeatedly been found ‘ineligible’ for NHS care) and had not followed the Coughlan Test in its decision-making process. The NHS were ordered to pay for her care. See page 154 of the National Framework.
GUNTER CASE
As the cost of care increases and CHC budgets are slashed, many families are told their relative will have to move into a residential facility in order to receive long-term NHS CHC Funding. The National Framework for NHS Continuing Healthcare provides that CHC Funding can be provided in any setting – even in your own home. So, if your relative is being forced into a CARE FACILITY you must read the Gunter case below.
Are You Missing Out On Your Entitlement To Care At Home? The Gunter Case
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How To Get The NHS To Pay For Care (paperback or PDF) – An invaluable resource guide to CHC funding that could potentially save you thousands of pounds. ‘Does what it says on the tin’. See TESTIMONIALS below.
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INDEPENDENT REVIEW PANEL (IRP)
If your appeal to a LOCAL RESOLUTION MEETING is unsuccessful, generally, you only have up to 6 months to lodge an APPEAL to NHS England. You will need to prepare detailed WRITTEN SUBMISSIONS in advance of the Appeal. As this is effectively your last chance of appeal, it is often useful to have a support from a professional advocate to maximise your chances of success.
Rejected for CHC funding? Part 2: How to appeal the LRP Decision
INTERIM CARE PACKAGE
Paragraph 112 of the National Framework provides that when an individual is being DISCHARGED FROM HOSPITAL and awaiting an assessment of ELIGIBILITY for CHC, they should continue to receive NHS funded care until a decision has been made. In the meantime, “there must be no gap in the provision of appropriate support to meet the individual’s needs.”
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JOINTLY FUNDED PACKAGE OF CARE
A joint package of care which is usually part-funded by both the NHS and the Local Authority. See page 69 -70 of the National Framework.
Are You Getting A Joint Package Of Care?
What is a joint package of care?
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KEY INDICATORS/CHARACTERISTICS
Although the NHS National Framework states that the DST should be used as an aid to decision-making, you still need to adopt a holistic approach by looking at the interaction of needs across all the various Care Domains in the DST and the impact of the 4 Key Indicators (sometimes also known as ‘Characteristics’) – ie ‘Nature’, ‘Intensity’, ‘Complexity’ and ‘Unpredictability’ – when determining whether your relative has an overall PRIMARY HEALTH NEED.
Drafting the 4 Key Indicators is an acquired still and we strongly recommend you seek early specialist help to maximise your chances of success when applying for CHC Funding. See GET HELP!
See also MDT above.
PART 1- Looking At The 4 Key Indicators: Unlocking the basics
PART 2 – Looking At The 4 Key Indicators: Gathering pieces of evidence
PART 3 – Looking At The Four Key Indicators: Completing the Jigsaw
PART 4 – Looking At The Four Key Indicators: Drafting Your Conclusions
Take a holistic approach to improve your chances of getting CHC Funding
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LASTING POWER OF ATTORNEY (LPA)
If your relative has mental capacity, as ‘donor’, they can grant Lasting Power of Attorney to their appointed representative(s), known as their ‘attorney’, to act on their behalf and make decisions (about health and welfare decisions; and/or property and finance) at a time when they can’t do so for themselves should they lose mental capacity. An attorney is usually someone the donor trusts to act in their best interests such as a spouse, child, parent or trusted professional adviser. LPAs automatically lapse on death. See WILLS.
I have a will, so why do I need a Lasting Power of Attorney?
Essential: Have You Got A Power Of Attorney
Self-defence – Protect yourself and make a Lasting Power of Attorney
LOCAL AUTHORITY
Provides SOCIAL CARE which is means-tested, and so you may have to self-fund and pay for all your care needs if you are above the threshold. See SOCIAL CARE and the CARE ACT 2014.
LOCAL RESOLUTION MEETING (LRM)
This is the first stage of the appeal process where the CCG will review its own OUTCOME DECISION if your relative has been rejected for CHC Funding or has had existing funding removed upon REVIEW.
Rejected for CHC Funding? Part 1: How To Appeal The MDT Decision
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MATHIAS (PHILIP)
Retired Admiral, known for his boundless energy and tireless campaign to bring the national scandal issues surrounding the unfair and complex NHS CHC assessment process and POSTCODE LOTTERY into the public domain.
‘Fighting for NHS funding for my mother was as complex as my work on the nuclear deterrent…’
MENTAL CAPACITY
If you don’t have capacity to make decisions for yourself, you will need someone to make them for you.
Cognition and mental capacity – what’s the difference?
See also BEST INTERESTS, LPA AND WILLS
MULTI-DISCIPLINARY MEETING (MDT)
After receiving a positive CHECKLIST assessment, your relative will pass on to the second stage – a full assessment of their healthcare needs before an MDT. The MDT panel will consist of at least 2 healthcare professionals, usually from both health and social care disciplines to determine ELIGIBILITY for CCH.
The purpose of the MDT is to make a recommendation to the CGC as to whether your relative is eligible for CHC Funding or not.
Can The MDT Panel Refuse To Proceed If I Have An Advocate?”
Preparing for the Multi-Disciplinary Team Assessment
What Happens At The Multi-Disciplinary Team Meeting?
Don’t let the Decision Support Tool become a ‘tick box’ exercise
What Is The Role Of The MDT Coordinator?
Learning valuable lessons prior to your MDT Assessment and how to avoid pitfalls
What to expect when you attend a Continuing Care assessment
Attending the Multi-Disciplinary Team meeting – some useful guidance
Rejected for CHC Funding? Part 1: How To Appeal The MDT Decision
Preparation, Preparation, Preparation! Never Take MDT Outcomes For Granted
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NHS CONTINUING HEALTHCARE FUNDING (CHC)
NHS Continuing Healthcare Funding is FREE funding available to an individual to meet the cost of their care and accommodation, whether living in a care/nursing home or in their own home. The place/setting where care is provided is not relevant. Unlike SOCIAL CARE, NHS Continuing Healthcare Funding is not means-tested.
NHS ENGLAND
An organisation supporting the NHS to deliver improved care for patients. Responsibilities include providing strategic leadership, planning, day-to-day operational running of the NHS, NHS budgeting, adherence to the NHS NATIONAL FRAMEWORK, holding CCGs directly accountable and ensuring that they discharge their functions properly, arranging and convening IRPs.
NATIONAL FRAMEWORK FOR NHS CONTINUING HEALTHCARE and NHS-FUNDED NURSING CARE
Put simply – the National Framework is the NHS CHC rule book!
Designed to streamline the assessment process as to eligibility for CHC Funding. Recently updated on 1st October 2018 and consists of 167 pages of guidance governing the whole CHC assessment and appeal process. You need to familiarise yourself with its contents so that you can understand the core essence of CHC Funding, the assessment and appeal process, and use it to your advantage to spot any abuse of process.
The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care (revised 2018)
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OUTCOME DECISION
The written decision made by the CCG to accept or reject your relative’s application for CHC Funding whether after CHECKLIST, MDT or APPEAL stages.
What To Do If You Haven’t Received Your MDT Decision Or Received CHC Funding?
Should you pay care fees if your NHS Continuing Healthcare Funding is refused or withdrawn?
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PALLIATIVE CARE
Is a package of specialised holistic care provided to individuals with advanced, progressive or terminal illness to enable them to have a better quality of life.
PARLIAMENTARY AND HEALTH SERVICE OMBUDSMAN (PHSO)
Often thought of as the ‘last chance saloon’ to lodge your appeal or complaint as to the CCG’s (or NHS England’s) handling of your relative’s application for CHC. The PHSO are usually only interested in matters concerning abuse of process, not OUTCOME DECISIONS that you don’t agree with.
PERSONAL HEALTH BUDGETS (PHBs)
A lump sum of money to support the health needs of the individual agreed in advance between the individual patient, their representative and the CCG. PHBs aim to give patients with long term health needs more choice and control over the money which needs to be spent on their health needs.
What are Personal Health Budgets?
POSTCODE LOTTERY
An often-quoted term to refer to the nationwide disparity as to who is more or less likely to be receive CHC Funding depending purely on where you happen to live. See MATHIAS AND VICTORIA DERBYSHIRE.
Rationing NHS Continuing Healthcare Funding – The ‘NHS’s Best Kept Secret’
‘PRIMARY HEALTH NEED’
To get CHC Funding, your relative must have a ’primary health need’ . In simple terms, there is a dividing ‘line’ between care that the NHS must pay for which is free of charge and not-means-tested, and care that is the responsibility of a Local Authority, which is means-tested.
See also: KEY INDICATORS
‘Primary health need’ made simple – what does it really mean?
Apply for NHS Continuing Healthcare Funding if your relative has a ‘primary health need’…
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QUESTION AND CHALLENGE
Don’t be fobbed off if you are told that your relative won’t qualify for CHC Funding! No one can reach that decision until a formal assessment of their healthcare needs has been done.
The 10 Most Outrageous Excuses For Not Having An NHS Continuing Healthcare Assessment
5 Myths About Continuing Healthcare Funding
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RATIFICATION
The CCG should approve the MDT’s recommendation to grant CHC Funding. Failure to do so could lead to an APPEAL. See paragraphs 153 to 157 of the National Framework.
RETROSPECTIVE REVIEW
If you believe that your relative had a PRIMARY HEALTH NEED, you can ask the CCG to undertake a retrospective review of past care fees that were wrongly paid. If successful, your relative will be entitled to reimbursement and interest.
Confused? Read This Before You Start Your Retrospective Appeal for CHC Funding…
Retrospective Reviews for past periods of care – avoiding fatal mistakes
What Evidence Do I Need To Prove My Claim For Past Care Fees Paid?
Retrospective Review Claims – Everything You Need To Know About Claiming Interest
Can I claim interest on my refund of care fees paid?
REVIEW
Once CHC Funding has been awarded, CCGs should carry out a review initially after 3 months, and then every 12 months thereafter to ensure that the CHC package of care in place is still adequate to meet your relative’s needs.
Beware! Annual Reviews can lead to CHC Funded Care being withdrawn.
Is your relative waiting for a review of their CHC care package?
Can CCGs Use Annual Reviews to Ration Care Funding?
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SOCIAL CARE
Social care needs are provided by the Local Authority (Social Services) and are means–tested. So, if your relative has capital or assets above the threshold (currently £23,500) then they may have to pay for all their care (known as ‘self-funding’).
Social care includes things like needing help with well-being, activities of daily living, helping to maintain independence and social interaction and avoiding risks in vulnerable situations. Common examples of social care needs might include: help with getting in and out of bed, getting dressed and washed, toileting, meal preparation and eating, and assistance when going out shopping or visiting family and friends.
Part 1. Explaining The Vital Difference Between Social Needs vs Healthcare Needs
Part 2 – Explaining The Vital Difference Between Social Needs vs Healthcare Needs
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TESTIMONIALS
See what our readers say about us.
Share your experiences of CHC and learn from others who have been through the assessment process when you join the conversation on Facebook.
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UNLAWFUL TOP-UP FEES
If your relative is awarded CHC Funding, it is supposed to cover all of their assessed healthcare needs and accommodation. CARE FACILITIES should not try and charge them any extra. However, ‘hotel-style ‘or ‘spa facilities’ or personal preferences can lawfully be charged. Challenge any unlawful top-up fees.
Are You Paying Top-Up Fees Unnecessarily?
Have you been coerced into paying unlawful care home top-up fees?
TOP-UP FEES – Unfair Care Home Practices Now Face Government Sanctions
Paying Unfair Top-Up Fees? Latest Developments Will Send Shockwaves To Care Homes
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VICTORIA DERBYSHIRE
Her BBC programme (11/06/19) exposed the national scandal surrounding CHC and the POSTCODE LOTTERY. Andrew Farley of FARLEY DWEK and ADMIRAL MATHIAS were prominently featured on the programme.
Exposed: NHS Continuing Healthcare makes headline BBC News
https://www.bbc.co.uk/iplayer/episode/m0005x2h/victoria-derbyshire-11062019
VISIT
Visit our website caretobedifferent.co.uk for lots more free information and resources to help you understand the CHC process and secure your relative’s entitlement to fully-funded NHS care.
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‘WELL-MANAGED NEEDS’
CCGs often try and evade ELIGIBILITY for CHC by arguing that the individual’s needs are ‘well-managed’ and so they don’t qualify for CHC. Watch out for this ploy as well-managed needs are still need! Just because a need is under better control (ie well-managed), doesn’t necessarily mean that it has gone away – it may still exist, but is just better handled – that’s all.
Using the ‘Well-Managed Need’ Principle To Your Advantage
Do you really understand the “Well-Managed Needs” argument? – 2018
Care is routine” – misleading NHS Continuing Healthcare information
WILLS
A Will is a legal document setting out what you (the ‘testator’) says should happen to your estate (e.g. your property, home, bank accounts, investments, savings, assets, possessions and personal belongings etc.) after you die, and enables the testator to appoint chosen representatives (known as ‘Executors’) to automatically deal with their estate after death.
Why you should consider making Lasting Power of Attorney or a Will
WRITTEN SUBMISSIONS
A written document to be lodged with the CCG prior to an appeal to LRM or IRP, setting out your arguments as to why your relative is entitled to CHC Funding. A critical document that needs careful consideration with supporting evidence as to need. Can take considerable time to draft well. We recommend seeking professional advice here.
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‘EXPECT’
Expect delays! CCGs are generally under-staffed and under-resourced and therefore slow to process appeals. COVID has, in most cases, compounded delays and created huge backlogs for CCGs. Unfortunately, this can often mean that an application for CHC Funding turns into a RETROSPECTIVE CLAIM if the individual passes away in the meantime.
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YOU MUST…
We strongly recommend that you prepare for your MDT or appeal diligently and well in advance. Do not leave your preparation until the last minute! Collate all necessary care and medical records in advance and familiarise yourself with the NATIONAL FRAMEWORK. Remember to get your WRITTEN SUBMISSIONS in on time. Get professional help early on if you need it.
YOUNG ADULTS ARE ENTITLED TO CHC TOO!
Remember that CHC is available to anyone over the age of 18 who has a PRIMARY HEALTH NEED and that includes young adults, too, not just the elderly and infirm with chronic and challenging long-term illnesses.
For young adults with complex needs, you may be pleased to hear of a unique service offered at: https://www.farleydwek.com/young-adults-with-complex-needs/
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ZERO TOLERANCE!
If there has been a clear abuse of process or unreasonable DELAY, don’t wait! Chase the CCG frequently for progress. Delays could result in you paying many thousands of pounds in care fees each month unnecessarily, or even having to sell your relative’s home to fund their care whilst waiting for the CCG to respond.
If you need to help, call us on 0161 979 0430 or email your enquiry to enquiries@caretobedifferent.co.uk
If you want to speak to a specialist CHC nurse or just get some general advice about your case, visit our Advice Line Services or else get 1-2-1 expert legal support and advocacy help with your assessment or appeal.
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