Are you paying nursing or care home fees?
If you or a family member is in a nursing home due to physical or mental health
difficulties you could be eligible to have your care home fees paid
by the NHS. You may also be entitled to reclaim nursing home fees
you have paid in the past.
Why is this possible?
A ruling by the Court of Appeal and Health Services Ombudsman states that many of
the criteria which were used for assessing whether care home fees should be paid
by the NHS do not meet legal requirements.
How we can help
Simpson Millar is offering a service to vulnerable clients who are entitled
to recovery NHS continuing health care funding. It's a really simple
free process to find out if you could have a claim or not so take
the first step and get in touch with us now on 0808 129 3320:
- A member of our team will give you a short call to discuss your
claim
- We will send you out a copy of Care Home Fees Recovery Questionnaire
for you to complete and return to us
- We will assess your claim based on the information provided in the questionnaire
and advise if you have a potential claim or not
STOP PRESS - New Deadlines for claims
On the 15th March 2012 the Department of Health announced its intention to commence
a close down for any new unassessed periods of time where there is evidence that
the individual should have been assessed for NHS Continuing care funding.
The time periods and deadlines for notification are set out below:
|
Time Period
|
Deadline
|
|
1st April 2004 – 30th September 2007
|
30th September 2012
|
|
1st October 2007 – 31st March 2011
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30th September 2012
|
|
1st April 2011 – 31st March 2012
|
31st March 2013
|
Now is the time to request an assessment of fees paid between 1 April 2011 and 31 March 2012, and any such request must be notified to the relevant Primary Care Trust by no later than 31 March 2013.
Useful Info:
- Department of Health Information:
Find out if we can help you reclaim your nursing and care home fees
by getting free advice now. If you are eligible for a refund of
past or future payments we may be able to take your case on a no win no fee
basis.
Call us now on 0808 129 3320
Email us using our Online Enquiry Form
Key Information:
NHS Continuing Healthcare
This is a package of services arranged and funded by the NHS for people outside
hospital for ongoing health needs. This healthcare is free. It can be provided in
your home or in a care home. If you are a resident in a care home the NHS will pay
your fees including board and accommodation.
Who is eligible for NHS Continuing Healthcare?
If your overall care needs show that your primary need is a health one you should
qualify for continuing healthcare. This will be assessed by 4 key indicators:
- nature – the type of condition or treatment required including quality and quantity
- complexity – symptoms that interact, making them difficult to manage or control
- intensity – one or more needs which are so serve that they require regular interventions
- unpredictability – unexpected changes in your condition that are difficult to manage
and present a risk to you or to others
NHS Funded Nursing Care
The NHS is responsible for any care that must be provided by a registered nurse.
Due to the fact that care homes themselves often employ registered nurses it means
that the NHS makes a payment to the care home to cover the cost of providing the
care for those who are eligible.
Who is eligible for NHS Funded Nursing Care?
You are eligible if:
- you have been assessed as requiring the services of a registered nurse
- you do not qualify for NHS continuing healthcare but do require the services of
a registered nurse
- you are not receiving registered nursing care in any other way
Assessments
- Everyone has the right to a fair and consistent assessment of their care needs
- At the outset, you will be screened to determine whether fast-tracking is required
(eg does the care package need to be set up quickly for those with a short-term
life expectancy)
- If screening shows you may qualify for full NHS funding you will need to undergo
a full assessment of your physical, mental, psychological and emotional needs
- Once this assessment has been done the NHS will discuss the care planning process
with you and your family members if appropriate on how best to manage your care
- You are entitled to a review of your care needs after 3 months and then at least
every year
Find out if you can reclaim care home fees
Get free advice by contacting our specialist team of solicitors
now on 0808 129 3320 or by completing our online enquiry form
and see if you could reclaim fees.
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