How to Get Assessed for NHS Continuing Healthcare Funding

Author:
James Urquhart-Burton
Partner, Care Home Solicitor
Date:
21/03/2019

The Clinical Commissioning Group (CCG) is responsible for assessing eligibility for NHS Continuing Healthcare Funding (CHC Funding). According to the law, it must undertake an assessment of eligibility wherever it appears that there is a need to do so.

This of course creates a lot of uncertainty as to whether the assessor, a professional such as a social worker or nurse, takes the view that your needs are such that your eligibility should be assessed.

It’s widely accepted that there are certain times or “trigger points” which should flag to the professionals involved in your care that an NHS Continuing Healthcare Funding assessment is required. For example, if you are already living in a care home, but have been taken to hospital and then discharged, this would be an appropriate time to consider whether your needs have changed.

However, this relies on the professionals involved having knowledge of NHS Continuing Healthcare Funding, being willing to arrange the assessment for you and understanding the need to do so.

So whether due to a breakdown in the system, or unwillingness or a lack of knowledge on the part of the professionals involved in your care, it’s often necessary to take matters into your own hands and take steps to arrange an NHS Continuing Healthcare Funding assessment yourself.

For a no obligation discussion, call our Care Home Lawyers.

Call us on 08002605010 or request a callback and we will help you.

How to Arrange an NHS Continuing Healthcare Funding Assessment

The first step is to ask one of the professionals involved in your care to complete an NHS Continuing Healthcare Checklist. This could be your GP, social worker or a nurse. If you are unable to request an assessment yourself, then it’s possible for your children or Attorneys to make the request for you.

If you have already recently been assessed for NHS Continuing Healthcare Funding (CHC Funding), then it’s important to evidence that your needs have changed since your last assessment.

It’s preferable that the person who completes the NHS Continuing Healthcare Checklist has direct knowledge of your care needs. It should be completed based on the presentation of your needs, referencing the evidence considered in deciding on the extent of your needs as much as possible.

The NHS Continuing Healthcare Checklist has an intentionally low threshold, to ensure that anyone who might be eligible for NHS Continuing Healthcare Funding gets a full assessment, though mistakes can happen and if you are concerned following the outcome of an NHS Continuing Healthcare Checklist assessment, then you should seek legal advice from our Care Home Lawyers.

The NHS Continuing Healthcare Checklist will either be “positive”, indicating there is a need for a full eligibility assessment to take place, or “negative”, indicating there is no such need. Where a full eligibility assessment is to be undertaken, this should take place within 28 days.

If you need help arranging for an NHS Continuing Healthcare Checklist to be completed, get in touch with our Care Homes Lawyers who will be happy to advise and assist you. We can also help you if you have been declined an assessment and are unsure whether the decision is fair, and we offer representation at NHS Continuing Healthcare Funding meetings should you want some support on the day.

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