Full funding for care home and nursing fees


Are you or a relative paying nursing, care or residential home fees?

If you or a family member is in a nursing or care home due to physical or mental health difficulties, you could be eligible to have your care home fees paid for by the NHS. You may also be entitled to reclaim nursing or care home fees paid in the past.

What is Continuing Healthcare Funding?

This is a package of services arranged and funded by the NHS for people who are outside of hospital for on-going health needs. The healthcare is free. The setting of the care is irrelevant. It could be provided in the patient’s own home, or in a care or nursing home. So for example, if you were a resident in a care home and were granted Continuing Healthcare Funding, the NHS would pay for your fees, including board and accommodation.

Who is eligible for the funding?

If your overall care needs show that your primary need is a health one then you should qualify for NHS Continuing Healthcare Funding.

Four key indicators will be assessed:

  • 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 severe that they require regular intervention.
  • Unpredictability – Unexpected changes in your condition that are difficult to manage and present a risk to you or to others.

Stop Press! – Department of Health announces deadlines

However, making a claim for fees you may have incurred in the past has been impacted by the recent announcement by the Department of Health of a close down for any new, un-assessed periods time when there is evidence that the individual should have been assessed for Continuing Healthcare Funding.

The time periods and deadlines for notification are set out below:

  • 1 April 2004 – 30 September 2007 = Deadline of 30 September 2012
  • 1 October 2007 – 31 March 2011 = Deadline of 30 September 2012
  • 1 April 2011 – 31 March 2012 = Deadline of 31 March 2013

The deadline in respect of fees paid between 1 April 2004 and 31 March 2011 passed on 30 September 2012. Any claims not yet notified to the relevant Primary Care Trust will only be registered in ‘exceptional circumstances’.

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.

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