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Continuing Healthcare (CHC)
NHS Continuing Healthcare is the name given to a package of care funded by the NHS if you have ongoing health care needs. Otherwise known as Continuing Care or fully funded nursing care it can be paid in any setting, including your own home or a care home and from April 2014 those in receipt of this funding have the right to ask for a 'personal health budget' to buy their choice of care.
The National framework for NHS continuing healthcare and NHS funded nursing care, sets out the principles and processes for determining eligibility which is administered by the Clinical Commissioning Group (CCG).
A Fast Track Pathway may be used for someone who's condition is rapidly deteriorating rapidly but usually a ‘Checklist’ is an initial screening tool used to decide whether a full ‘Continuing Healthcare Assessment’ is required to determine eligibility. The Checklist is the first stage and will provide a 'positive' or 'negative' outcome. You can request a reconsideration of this decision.
A checklist uses 11 out of the 12 areas of care need or ‘care domains’ (below) and categories the need as A, B or C, with A being the highest.
A positive checklist indicates the following:
• Two or more domains with an ‘A’ need indicated
• Five or more domains with a ‘B’ selected or one ‘A’ and four ‘Bs’
• If ‘A’ is selected in any of these domains: Behaviour, Breathing, Drug therapies and Medication, and Altered States of Consciousness.
During a full assessment a Multi Disciplinary Meeting will use the Decision Support Tool to consider Continuing Healthcare eligibility if a checklist indicates potential for Continuing Healthcare eligibility. Primary health need is assessed by looking at all of the care needs (as 12 care domains); behaviour, cognition, psychological/emotional needs, communication mobility, nutrition, continence, skin tissue, breathing, drug therapy, altered state of consciousness and any other significant needs considering four characteristics or indicators;
Nature: The type of condition or treatment required and its 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 interventions
Unpredictability: Unexpected changes in condition that are difficult to manage and present a risk to you or to others
If you have at least one priority need, or severe needs in at least 2 areas you may be eligible for NHS continuing healthcare.
This is a complex area and you may require support to request or challenge a CHC decision. Find help to challenge a CHC decision in the Members Directory
Funded Nursing Care Payment
This is the funding provided by the NHS to support the provision of nursing care by a registered nurse in a Nursing home.
This is a weekly rate from April 2019 of £165.56 (2019/20) up from £158.16 for 2018/19
FNC is another name for the RNCC which was paid at three different rates and for those who received the higher rate in 2007 this will increase to £227.77 from April 2019 (2019/2020) from £217.59 per week for 2018/19. This is only relevant for people who were already on the higher rate in 2007 when the single band was introduced.
Remember this is claimed by and paid straight to the Nursing home only if the residents has an element of the care need that is nursing/health/medical related - NOT paid towards social care needs and it can take a while to come through, check whether the Funded Nursing Care Payment has been included in the cost of care and how it will be invoiced.