Clients receiving continuing care or complex care have substantial and ongoing healthcare needs. These can be the result of chronic illness, disabilities or following hospital treatment. Complex care and continuing care is also sometimes referred to as long-term care.
Published below are some common and very useful questions and answers from the gov.uk site taken from their public information leaflet about NHS Continuing Healthcare.
NHS Continuing Healthcare means a package of ongoing care that is arranged and funded solely by the National Health Service (NHS) specifically for the relatively small number of individuals (with high levels of need) who are found to have a ‘primary health need’. Such care is provided to an individual aged 18 or over to meet health and associated social care needs that have arisen as a result of disability, accident or illness. NHS Continuing Healthcare is free, unlike support provided by local authorities, which may involve the individual making a financial contribution depending on income and savings. It is the responsibility of the Clinical Commissioning Group (CCG) to decide the appropriate package of support for someone who is eligible for NHS Continuing Healthcare.
People over 18 years of age who have been assessed as having a ‘primary health need’ are entitled to NHS Continuing Healthcare. Eligibility for NHS Continuing Healthcare is not dependent on a particular disease, diagnosis or condition, nor on who provides the care or where that care is provided.
There is a screening process with a Checklist followed by a full assessment of eligibility which help determine whether or not someone is eligible for NHS Continuing Healthcare.
You can receive NHS Continuing Healthcare in any setting (apart from acute hospitals) – including in your own home or in a care home. If you are found to be eligible for NHS Continuing Healthcare in your own home, the NHS will pay for your package of care and support to meet your assessed health and associated social care needs. If you are found to be eligible for NHS Continuing Healthcare in a care home, the NHS will pay for your care home fees, including board and accommodation.
No. The NHS care package provided should meet your health and associated social care needs as identified in your care plan. The care plan should set out the services to be funded and/or provided by the NHS. In some circumstances you might wish to purchase additional private care services, but this decision must be voluntary. Any additional services that you choose to purchase should not be meeting the assessed needs for which CCG is responsible.
Not necessarily. Once eligible for NHS Continuing Healthcare, your care will be funded by the NHS. You should normally have a review of your care package after three months, and then every twelve months. The focus of these reviews should be on whether your care plan or arrangements remain appropriate to meet your needs.
We have brought together some quick links below for further reading and useful information about continuing healthcare and complex care:
Referrals for Health and Social Care Services Limited are welcomed from Case Management teams, Local Authorities, NHS Trusts and Clinical Commissioning Groups, Charities and directly from home and family.
Upon referral, our specialist nurses will contact you within 48 working hours to discuss current availability and suitability. We will then arrange for a care needs and outcomes assessment to be undertaken. These will act as our baseline assessment and will help to establish what your needs are and how we can best meet your wishes and aspirations. This assessment will also then be used as a starting point for the formation of personalised care plans and risk assessments.
If you have any further questions, please contact us and we will be happy to help.
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