What Is NHS Continuing Health Care?
In England, NHS Continuing Health Care (NHSCHC) is care funded by the NHS. It can be obtained for people aged 18 and above and is provided to generally meet physical or mental healthcare needs which have arisen through disability, accident or illness. NHSCHC is care that occurs far from a hospital. Care may be provided in your house or in residential accommodation.
Who Qualifies for NHS Continuing Health Care?
You will qualify for NHSCHC if you should be assessed as having a primary health need. The NHS Choices website provides a really unhelpful circular definition of this. A main health need, it is explained, is one that is on-going and substantial and is related to your health. An evaluation will take into consideration the type and complexity of your preferences; the intensity and severity of your preferences, and the unpredictability of your needs.
How Do You Get NHS Continuing Health Care?
In a nutshell, you must be assessed. The assessment is carried out by a multidisciplinary NHS team. There’s no right to an examination, but when it appears that you might need NHSCHC then a Clinical Commissioning Group (CCG) for your area must carry out an assessment.
The truth that you have a long term medical condition is not, of itself, a qualification for NHSCHC. However, the following circumstances will likely claim that an examination is appropriate. 1. Where you are due to be discharged from hospital and you have long haul needs, 2 Where a period of intermediate care has arrive at a conclusion, 3. Where your health declines significantly, 4. Where you are approaching the conclusion of your life, 5. Where you reside in a nursing home and your health care needs are under review and 6. Where your health and social care needs are increasingly being assessed as part of a residential district care assessment.
Generally in most circumstances, there’s a two stage assessment process. The very first stage is an original assessment. The objective of this is to determine if you will need a full assessment. The original assessment might be completed by a physician, social worker or other healthcare professional.
The full assessment is carried out by several health and/or care professionals. The assessment talks about the following criteria: behaviour, cognition (understanding), communication, psychological/emotional needs, mobility, nutrition (food and drink), continence, skin (including wounds and ulcers), breathing, symptom control through drug therapies and medication, altered states of consciousness, other significant needs.
Each of those criteria (or domains) is assessed on the following scale: no needs, low needs, moderate needs, high needs, severe needs or priority needs. Website The criteria in bold are assessed, on the entire scale, from low right through to priority. The criteria in italics are assessed from low to severe. The rest are assessed from low right through to high.
You will soon be entitled to NHSCHC if more than one criteria are assessed at the priority level or several criteria are assessed as severe. You may even be eligible if one criteria is assessed as severe and you have needs assessed in several or other criteria or numerous criteria are assessed as high and/or moderate.
A two stage assessment is obviously some time consuming. It will take 28 days from the original assessment to ascertain you eligibility through a complete assessment. Clearly in some instances this is far too slow. There’s, therefore, a fast track procedure that can be used where your condition is worsening and/or you’re terminally ill.
What Could be the Cost of NHS Continuing Health Care?
There’s no cost for you in the event that you qualify for NHSCHC.
Who Provides NHS Continuing Health Care Services?
NHSCHC services may be supplied by numerous health professionals including physiotherapists, occupational therapists, speech therapists and domiciliary carers. If you are assessed as being entitled to NHSCHC, you will soon be allocated an individual health budget. That is an amount of cash that is used to guide the wants that you have. It resembles the private budgets allocated by social services to guide social care needs.
Just much like a social care personal budget, you can ask for your personal health budget to be paid for you in the form of a primary payment. A direct payment puts you in control of choosing who supplies your services. You do not have to do this. You may, however, enjoy the freedom and choice that direct payments give you.