@Yorkshire gal , if CHC is awarded it will be reassessed after three months. If it is agreed that it continues it will then be reassessed every twelve months.
Potentially you might try an appeal because your social worker was out of line with the others and, you say, has not even met the person. I would be complaining in that situation. You could start by writing to the Director of Social Services asking for it to be done again.Hi sorry if it's already been posted but there is a lot on this thread, a bit too much to read through it all, but has anyone successfully appealed a refused CHC decision?
The social worker who completed the DST marked lower than everyone else on the call on three categories. The other 4 people (Me, his CPN, the independent social worker and the manager of his care home) ranked him severe on both nutrition and mobility but the assessor marked him as high. Also she marked him as medium on continence but everyone else said high. We did agree on severe for cognition, behaviour and drug therapies. I think this should be grounds for an appeal but has anyone had a similar issue?
My dad is in Leicestershire. I'm also thinking of sending an FOI request to find out what their targets and KPIs for CHC decisions are, as he is incredibly unwell and everyone else agrees he is well beyond the threshold, so other than them having already reached their target for successful applications I have no idea what's going on. Has anyone looked into this?
He is doubly incontinent, psychotic and hallucinating, has fallen twice in a month and broken a leg, his distress and anxiety has lead to him being assaulted by another resident and being hospitalised, he's lost a stone in a month. He takes seven different meds including an anti psychotic, diazepam three times a day, sleeping pills and a strong pain medication.
The fact that complex medical decisions about a human being are made using a checklist, by a person who is not medically trained, and has not actually met him is absolutely awful. We're in a lucky position that we can afford the care he has for now, but he's medically ill and it should be paid for by the NHS.
I'm in the process of CHC, I have found Age UK very good for advice.There are a whole load of sections to consider in a CHC assessment and your mother would have to score highly on more than one to qualify. The rule of thumb that everyone seems to use is whether the care she needs to receive has to be given by somoene medically qualified or not. In general, if she can be cared for by carers, rather than nurses, she won't get CHC. I went through the whole process but did not get it. If she needs a lot of nursing care, not carer care, then you're in with a chance. Do download the asessment tool and go through it.
If there is any disagreement the higher score is the one that should be recorded.Hi sorry if it's already been posted but there is a lot on this thread, a bit too much to read through it all, but has anyone successfully appealed a refused CHC decision?
The social worker who completed the DST marked lower than everyone else on the call on three categories. The other 4 people (Me, his CPN, the independent social worker and the manager of his care home) ranked him severe on both nutrition and mobility but the assessor marked him as high. Also she marked him as medium on continence but everyone else said high. We did agree on severe for cognition, behaviour and drug therapies. I think this should be grounds for an appeal but has anyone had a similar issue?
My dad is in Leicestershire. I'm also thinking of sending an FOI request to find out what their targets and KPIs for CHC decisions are, as he is incredibly unwell and everyone else agrees he is well beyond the threshold, so other than them having already reached their target for successful applications I have no idea what's going on. Has anyone looked into this?
He is doubly incontinent, psychotic and hallucinating, has fallen twice in a month and broken a leg, his distress and anxiety has lead to him being assaulted by another resident and being hospitalised, he's lost a stone in a month. He takes seven different meds including an anti psychotic, diazepam three times a day, sleeping pills and a strong pain medication.
The fact that complex medical decisions about a human being are made using a checklist, by a person who is not medically trained, and has not actually met him is absolutely awful. We're in a lucky position that we can afford the care he has for now, but he's medically ill and it should be paid for by the NHS.
Together with the varying views of the DST members.If there is any disagreement the higher score is the one that should be recorded.
Hi Jaymor@Yorkshire gal , if CHC is awarded it will be reassessed after three months. If it is agreed that it continues it will then be reassessed every twelve months.
Yes I totally understand. Seems like a post code lottery when it comes to who gets or does not get NHS CHC. Rest assured I will follow the legal route as a last resort should I consider the “powers that be “ decision to be seriously flawed.In my experience I would seek help from this forum or legal professionals - it's a very complicated process and unfortunately the system is set up to say no.