When it comes to long-term care and support, navigating the healthcare system can be complex and overwhelming. One aspect of care funding that individuals may encounter is NHS Continuing Healthcare (CHC) funding. In this blog, we will explore what NHS CHC funding is, who it is for, and how it can provide financial support for individuals with significant healthcare needs.
Understanding NHS Continuing Healthcare (CHC) Funding
NHS Continuing Healthcare (CHC) funding is a package of care provided and funded by the National Health Service (NHS) in the United Kingdom. It is designed to support individuals with complex and ongoing healthcare needs, whether in their own homes, a care home, or another setting.
Who Is Eligible for NHS CHC Funding?
NHS CHC funding is available for individuals aged 18 or above who have been assessed as having a “primary health need.” This means that their primary care needs are due to health-related issues rather than social care needs. It is not means-tested, so eligibility is not based on income or assets.
To determine eligibility for NHS CHC funding, a comprehensive assessment known as a CHC assessment is conducted by a team of healthcare professionals. This assessment takes into account the individual’s physical, mental, and emotional health needs, as well as their overall care requirements.
The assessment process includes a review of medical records, input from healthcare professionals involved in the individual’s care, and an evaluation of the individual’s ability to carry out various activities of daily living independently. The assessment considers the nature, complexity, intensity, and unpredictability of the individual’s healthcare needs.
Criteria for NHS CHC Funding
The decision on whether an individual is eligible for NHS CHC funding is based on a “primary health need.” This is determined by assessing the individual against a set of criteria known as the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care.
The criteria cover a wide range of factors, including the need for ongoing medical treatments, the level of support required for personal care, the severity and complexity of health conditions, and the need for specialized equipment or services. The assessment aims to identify individuals with substantial and ongoing healthcare needs that are beyond what can be provided by social or community care services.
NHS CHC Funding and Care Provision
If an individual is deemed eligible for NHS CHC funding, the NHS takes responsibility for funding and arranging the required care. This can include funding for a care home placement, provision of care in the individual’s own home, or a combination of both.
The care package provided through NHS CHC funding is tailored to the individual’s specific needs and can cover various aspects of care, including nursing care, personal care, therapies, medications, and specialized equipment. The NHS works closely with the individual and their family to ensure that the care package meets their needs and preferences.
Once an individual is granted NHS CHC funding, their care package is subject to periodic reviews. These reviews ensure that the care provision remains appropriate and that the funding is allocated in line with the individual’s ongoing needs.
NHS CHC funding can be a bit of a minefield. Here at The Beyond Group we can guide you through the process in a way that is simple and easy to understand. If you wish, we can also attend the meetings with the NHS and act as consultant for you, thus hopefully easing the stress and strain on you and your loved one at such a difficult time.