Can Continuing Health Care Be Backdated?

by | Last updated on January 24, 2024

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If you are found to be eligible for CHC following a full assessment, eligibility should be backdated to the 29 th day from which your positive Checklist was received by the CCG , in line with the National Framework.

Can NHS funded nursing care be backdated?

If they’re then found eligible, with the delay being unjustifiable, funding should be backdated to day 29 after the CCG received the completed checklist . As delays can extend to many weeks or months, this backdating can result in a significant reimbursement of care fees paid for the interim.

How much will NHS pay for continuing care?

Continuing Healthcare Funding, also known as CHC Funding, is free healthcare provided by the NHS and it can cover up to 100% of care costs .

How often is CHC reviewed?

Once eligibility for CHC is agreed, the care needs of the individual are reviewed after three months and then annually through the course of their eligibility. This review process is supposed to be a check on whether the CHC care package is working well.

Can CHC funding be backdated?

If you are found to be eligible for CHC following a full assessment, eligibility should be backdated to the 29 th day from which your positive Checklist was received by the CCG , in line with the National Framework.

Is NHS CHC backdated?

Individuals on a waiting list for assessment may have reimbursements. The National Framework sets out that when a decision has taken more than 28 calendar days from referral, backdated NHS CHC payments may need to be made to cover the costs of services from day 29 after the referral .

How much can you keep before paying for care UK?

Currently, if your capital is above £23,250 you’re likely to have to pay your care fees in full . If your capital is under £23,250 you might get some help from the local council, but you may still need to contribute towards the fees.

What qualifies you for CHC funding?

To qualify for Continuing Healthcare funding, it must be proven that you have a ‘primary health need’ . This means that your care requirements are primarily for healthcare, rather than social or personal care needs. This is usually judged via a two-step assessment process; a Checklist followed by a Full Assessment.

What triggers on a CHC checklist?

Completion of a Continuing Healthcare Checklist should be triggered automatically in certain circumstances, such as: when the individual is ready for discharge from hospital prior to a local authority funding assessment .

Do dementia sufferers have to pay care home fees?

In most cases, the person with dementia will be expected to pay towards the cost . Social services can also provide a list of care homes that should meet the needs identified during the assessment.

Can you claim Attendance Allowance and funded nursing care?

Funded Nursing Care is a non-taxable benefit and doesn’t affect entitlement to Attendance Allowance .

Are next of kin responsible for care home fees?

When someone dies, their care home will issue an invoice for any outstanding care home fees. Next of kin will not have to pay this, but instead it will be taken from the person’s estate .

Can NHS continuing healthcare be withdrawn?

People can lose their NHS Continuing Healthcare funding despite their healthcare needs either remaining the same, or worsening .

Is NHS continuing healthcare means tested?

NHS continuing healthcare (sometimes called NHS CHC) is a funding programme. If you’re eligible, it pays for all your social care, including care home fees or carers if you’re living in your own home. NHS continuing healthcare isn’t means-tested , so it doesn’t depend on how much money you have.

Can CHC funding be removed?

If they no longer met the eligibility criteria, CHC Funding could be withdrawn from individuals who no longer qualified for it – potentially saving the NHS a fortune by needlessly paying for CHC where it was no longer merited.

Can care home fees be backdated?

Yes it can be backdated to the time your Mother became a permanent resident at the Care Home .

What is Fast Track continuing care?

If an individual’s condition is deteriorating rapidly, they may be approaching the end of their life, and a “fast track” continuing care assessment may be applicable to allow an appropriate care and support package to be put in place as soon as possible .

Can I top up CHC funding?

CHC is funded entirely by the NHS. It is not possible to top up NHS continuing healthcare packages like you can with Local Authority care packages. A top up can only be paid when a person is in receipt of NHS CC as long as it is not for care.

What is Fast Track CHC funding?

Fast track funding is intended as a swift form of funding to be put into place where an individual’s health is rapidly deteriorating to ensure that they are not left in a funding position that requires care fees to be met where it MAY be the case that they are in a palliative, end of life stage.

Can fast track funding be withdrawn?

Following the assessment process, if you are no longer eligible for Fast Track or ongoing NHS Continuing Healthcare funding, the funding will be withdrawn . If this happens, alternative funding will need to be found to pay for your care.

Can a CCG just withdraw funding after a fast track is implemented?

WARNING: The CCG can undertake a reassessment, but should not remove a fast track funded care package without first undertaking a Multi-Disciplinary Team assessment and completing a new Decision Support Tool . Having to carry out a reassessment can cause huge anxiety.

Can my daughter continue to live in my house if I go into Care UK?

Yes, your daughter can continue to live in your house if you go into care especially if you are funding your care home fees through savings or other income . In this case, your home may be considered as capital during a financial assessment by local councils but may not necessarily have to be sold to pay care home fees.

How do you hide money from a care home?

The most popular way to avoid selling your house to pay for your care is to use equity release . If you own your own house, you can look at Equity Release. This allows you to take money out of your house and use that to fund your care.

How do I protect my inheritance from a nursing home?

Set up an asset protection trust

This is the best way to protect your assets from care home fees to preserve your loved ones’ inheritance. You will need to appoint trustees (usually family members) to manage the trust and carefully explore the different kinds of trusts available.

Who can request a CHC checklist?

How to request a Checklist assessment for continuing healthcare. A Checklist assessment can be triggered by health or social care professionals such as your care home nurse, GP or social worker . But the starting point for many people will be to request an assessment for themselves or a loved one.

Do you have to pay for palliative care at home UK?

It involves a package of care arranged and funded by the NHS, and is free of charge to the person receiving the care . This is sometimes called “fully funded NHS care”.

How long does it take to get CHC funding?

It makes clear that the time between the checklist being received by the CCG and a continuing healthcare funding decision being made should not exceed 28 days .

Ahmed Ali
Author
Ahmed Ali
Ahmed Ali is a financial analyst with over 15 years of experience in the finance industry. He has worked for major banks and investment firms, and has a wealth of knowledge on investing, real estate, and tax planning. Ahmed is also an advocate for financial literacy and education.