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 is the maximum CHC funding?
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
.
Does CHC affect PIP?
Little-known regulations apparently state that
recipients of NHS Continuing Healthcare (NHS CHC) are not eligible to receive the mobility component of personal independence payment (PIP) if they are receiving residential care
.
Can NHS continuing healthcare be withdrawn?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.
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
.
What is a CHC checklist?
The CHC checklist is
carried out by a qualified healthcare professional, such as a doctor, nurse or social worker
. The checklist covers 11 core elements of care including continence, breathing, mobility, medication, emotional needs and cognition.
Is vascular dementia a primary health need?
Although the diagnosis of dementia has not changed – and in fact the person’s health has worsened – the management of their needs has become less intense because they are no longer mobile, and
the person is assessed as no longer having a primary health need
.
Can you get PIP if you live in a nursing home?
DLA and PIP mobility components are not affected when you move into a care home and you will continue to be eligible for these benefits
. However, if you have a mobility car which you give up when you move into residential or nursing care, you may no longer have an entitlement to receive the mobility component.
What happens to my private pension if I go into a care home?
If you enter a care home permanently and have a personal or private pension, an occupational pension or a retirement annuity,
you can choose to pass 50 per cent to your partner remaining at home
. This amount must be excluded or disregarded from your local authority financial assessment.
Does pension credit stop when in a care home?
When you enter a care home temporarily, your Pension Credit may be affected
. If your Attendance Allowance, DLA or PIP ceases and you are in receipt of Severe Disability Premium then your Pension Credit may be reduced.
Who pays for End of Life Care UK?
It involves a package of care arranged and funded by
the NHS
, and is free of charge to the person receiving the care.
Can you top up NHS continuing care?
No, it is not possible to top up NHS continuing healthcare packages
, like you can with local authority care packages. The only way that NHS continuing healthcare packages can be topped up privately is if you pay for additional private services on top of the services you’re assessed as needing from the NHS.
What is Fast Track palliative care?
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.
How long is fast track funding for?
How long does the funding last for? Fast Track funding is
not awarded indefinitely
and is subject to regular reviews. An initial review usually occurs around 6-12 weeks. Your care plan and care package may need to be amended to take account of any changes in your health needs.
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.
What is a primary healthcare need?
A Primary Health Need is
the situation where the main aspect or majority of the individual’s care is focused on addressing or preventing their Healthcare needs
. It is also identifiable as being over and above what a Local Authority can be expected to provide, i.e. social care needs.
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 does CHC pay for?
What does CHC funding pay for? Continuing healthcare funding will cover
all your health needs
. This includes any care home fees, or the cost of health and social care professionals that come to your home. However, it does not cover a social or personal healthcare need.
Do you have to pay for carers in your own home?
Your local council might pay some or all the costs, but
you might also have to pay for all the services yourself
. It’s important to make sure you claim all the benefits you’re entitled to – Attendance Allowance and Disability Living Allowance (or Personal Independence Payment) are the most common.
Does Lewy body dementia qualify for continuing healthcare?
A: No. A person’s health needs – not their diagnosis – determines whether they are eligible for funding so
having a diagnosis of dementia is not an automatic entitlement to free care
.
What does a CHC nurse assessor do?
A CHC Nurse Assessor is a qualified Nurse either General or Mental Health trained Band 5 upwards who
completes Health Needs Assessments of patients with complex needs in a variety of settings under the Department of Health National framework for Continuing Health Care and NHS Funded Nursing Care
.
Who should complete a CHC checklist?
During the Checklist,
a health or social care professional – such as a doctor, nurse or social worker
– look at 11 areas of your health to work out whether you’re likely to be suitable. If you have extremely severe needs, your application will be fast-tracked.
What is a DST CHC?
The Decision Support Tool (DST) – used in NHS continuing healthcare funding decisions – is
a document which helps to record evidence of an individual’s care needs to determine if they qualify for continuing healthcare funding
.
How long does a CHC assessment take?
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
.
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.
