I have been attempting to pursue CHC funding for my Dad and feel I have stumbled at the first hurdle, and am also being misinformed. Dad is in a residential care home (dementia specialised).
I know there are a lot of CHC threads, so apologies if this repeats something already covered. But can anyone advise if I am right in thinking I am being misinformed or misled, which I feel I am, based on the research I've done?
The CPN for Dad started the process back in July, completing a checklist which we have subsequently told (by the Critical Care Team) was the wrong one (she completed a nursing assessment). However, this apparently has highlighted Dad has nursing needs.......
To date I have been told the following (extracts from emails):
Any comments most welcome. This is a quagmire!!
Thanks Georgina x
I know there are a lot of CHC threads, so apologies if this repeats something already covered. But can anyone advise if I am right in thinking I am being misinformed or misled, which I feel I am, based on the research I've done?
The CPN for Dad started the process back in July, completing a checklist which we have subsequently told (by the Critical Care Team) was the wrong one (she completed a nursing assessment). However, this apparently has highlighted Dad has nursing needs.......
To date I have been told the following (extracts from emails):
- "If we complete a CHC and Dad comes out as nursing care, he would most probably have to be moved to a nursing home. If he were to move to nursing care with CHC funding, you may possibly end up paying more as a top up then you are now". My understanding is no top ups paid on NHS CHC funding.
- "The nursing assessment, indicated was that Dad did have nursing needs, and as such he should be in a nursing home because a residential home is not registered to provide nursing care". There has been no question to date that the care Dad receives is not suitable, in fact far from it and I certainly do not want to move him.
- "an individual who is found eligible for CHC funding would need to be in a nursing home, as their needs would be above the level of FNC, which in itself is only paid to nursing homes, and as such we would not commission with a residential home to meet complex or intense care needs: The only difference to that is when an individual already in a residential home becomes ‘end stages of life’ and therefore it would not be appropriate to move them from their ‘home’ to a new and unfamiliar environment. However, that is not the case here". My understanding is that CHC can apply to care provided in any setting, although I understand it's more complicated if the current home is a high-priced one, and that there may be a suggestion to move CH, though particular circumstances should be considered in allowing person to remain where they are.
Any comments most welcome. This is a quagmire!!
Thanks Georgina x