3 questions to ask at the end of an NHS Continuing Healthcare assessment meeting
Tip no. 22 in our series of 27 top tips on NHS Continuing Healthcare…
At the end of the NHS Continuing Healthcare assessment process, you’ll be told what the funding recommendation is.
If you get to the end of a full multidisciplinary team assessment meeting and are told your relative will be denied NHS Continuing Healthcare funding, what can you do?
You can of course make it clear you’re going to appeal – and then you’ll need to challenge (in writing) all the mistakes made during the assessment process. You’ll find several articles on the appeal process here.
However, it’s important to ask 3 questions first – and ask them before the end of the assessment meeting.
If the lead assessor says you’re being denied NHS Continuing Healthcare and then starts to draw the meeting to a close, immediately direct some questions to the local authority representative (usually the social worker).
If you’re denied NHS Continuing Healthcare, it means that you are by default the responsibility of the local authority (regardless of whether you’re going to be self funding or whether the local authority will pay).
However, a local authority can only take responsibility for a certain level of care. If you need care beyond that level, the NHS must, by law, cover the full cost. If it doesn’t, it will also be putting the local authority in an illegal position.
So it’s important to ask the social worker publicly in the meeting about their own legal position:
2. How confident is the social worker of their own legal position in accepting responsibility for care?
3. If the social worker indicates that the care needs might indeed be an NHS responsibility (and beyond the local authority’s legal remit), ask the social worker why they are not standing up for that position.
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.