CHC granted….. what next?

[Snooze1]

Good morning everyone, my husband has been given full CHC funding and I’m now in the process of finding a care/nursing home for him. I have been given verbal confirmation of this and my SW has been given confirmation from CHC via inter department but I haven’t received any paperwork. The problem is the homes I’ve approached have asked for a figure he would be getting so before they can think about him, will he’s costs be met, as I know I can’t top up CHC.

I know each person is different so there is no banding in CHC but I’m really struggling to move forward even though we know it’s been granted from middle of last month. Unfortunately my SW is away and I really need to get him settled somewhere.

Any advice on who to chase or anything I can do to get some more information. I did speak to CHC department but they don’t hold that information. County council financial department I guess. Not been able to get anything from them.

Any advice, clues, magic wands appreciated.

 

[canary]

Hello @Snooze1

Well done on getting CHC - it is really hard to get this for people with dementia.
This means that he has a primary health need that is over and above what most care homes can deal with. Homes that are saying that they want to know how much the CHC funding is obviously do not have any experience of residents who have this level of need.

As he has a primary health need, you are going to need a nursing home and the type of nursing home will be dependant on why he qualifies for the CHC. If its because he has cancer, for example, you want somewhere that is experienced in nursing cancer patients, but if its because of aggression, you will need somewhere that specialises in dementia with "challenging behaviour". I should warn you that dementia nursing homes that accept challenging behaviour are quite thin on the ground, so you may have to search out of area.

You might find this website helpful

Care Homes & Nursing Homes UK – Care Home Reviews & Nursing Home Reviews

Guide to over 17,500 care homes, nursing homes and residential homes providing care in the UK, also the leading UK review site for care homes and nursing homes.

www.carehome.co.uk

 

[Snooze1]

Hello @Snooze1

Well done on getting CHC - it is really hard to get this for people with dementia.
This means that he has a primary health need that is over and above what most care homes can deal with. Homes that are saying that they want to know how much the CHC funding is obviously do not have any experience of residents who have this level of need.

As he has a primary health need, you are going to need a nursing home and the type of nursing home will be dependant on why he qualifies for the CHC. If its because he has cancer, for example, you want somewhere that is experienced in nursing cancer patients, but if its because of aggression, you will need somewhere that specialises in dementia with "challenging behaviour". I should warn you that dementia nursing homes that accept challenging behaviour are quite thin on the ground, so you may have to search out of area.

You might find this website helpful

Care Homes & Nursing Homes UK – Care Home Reviews & Nursing Home Reviews

Guide to over 17,500 care homes, nursing homes and residential homes providing care in the UK, also the leading UK review site for care homes and nursing homes.

www.carehome.co.uk

Thanks @canary …. I’ve seen a home I think would be good and I can see their fees…. it’s hard trying to guess if they will be covered by CHC. The manager was great and there is a place available at the moment but I’m sort of in limbo and worried that place will go….

 

[Dave63]

Hi @Snooze1 was this awarded via CHC fast track?

 

[Snooze1]

Hi @Snooze1 was this awarded via CHC fast track?

No, I think check List was done end of June, assessment with CHC August……

 

[nitram]

I’ve seen a home I think would be good and I can see their fees…. it’s hard trying to guess if they will be covered by CHC. The manager was great and there is a place available at the moment but I’m sort of in limbo and worried that place will go….

As you like the home and there is a suitable place available accept it and ask the manager to negotiate a fee with ICB/LA, they can't do this till you have accepted a place.

 

[Snooze1]

As you like the home and there is a suitable place available accept it and ask the manager to negotiate a fee with ICB/LA, they can't do this till you have accepted a place.

Thanks @nitram, I didn’t think of that….. so helpful here at TP, I will keep you posted

 

[Dave63]

No, I think check List was done end of June, assessment with CHC August……

I would be very wary about anything CHC related based on verbal communication. We were told by the social worker after mums first assessment that CHC was being awarded, only to then receive the outcome letter saying she hadn't.

The nurse assessor can make a recommendation for full funding only for it to be overturned when it's passed up the chain for ratification. It's not supposed to be overturned unless there are exceptional reasons to do so but it happens. It happened to us.

 

[Palerider]

Good morning everyone, my husband has been given full CHC funding and I’m now in the process of finding a care/nursing home for him. I have been given verbal confirmation of this and my SW has been given confirmation from CHC via inter department but I haven’t received any paperwork. The problem is the homes I’ve approached have asked for a figure he would be getting so before they can think about him, will he’s costs be met, as I know I can’t top up CHC.

I know each person is different so there is no banding in CHC but I’m really struggling to move forward even though we know it’s been granted from middle of last month. Unfortunately my SW is away and I really need to get him settled somewhere.

Any advice on who to chase or anything I can do to get some more information. I did speak to CHC department but they don’t hold that information. County council financial department I guess. Not been able to get anything from them.

Any advice, clues, magic wands appreciated.

You do have to chase the CHC as well as find a place that you feel is appropriate to address hubby's needs, but and this is important to remember under the CHC NHS Continuing Healthcare can be applicable irrespective of where someone presides -which means provided the costs are agreed by the CHC where your husband presides is a matter of course for you and your husband and any nursing home.

 

[canary]

but and this is important to remember under the CHC NHS Continuing Healthcare can be applicable irrespective of where someone presides -which means provided the costs are agreed by the CHC where your husband presides is a matter of course for you and your husband and any nursing home

True, but it is important to make sure that the home can, in fact, meet his needs.
@Snooze1 - you do not want to get it all sorted, for him to move into the home, and then the manager turn round and say that actually, they cant meet his needs after all and you will have to find somewhere else.......

 

[Palerider]

True, but it is important to make sure that the home can, in fact, meet his needs.
@Snooze1 - you do not want to get it all sorted, for him to move into the home, and then the manager turn round and say that actually, they cant meet his needs after all and you will have to find somewhere else.......

I was pointing out that if they find what seems the right place with reasonable fees then the CHC can't refuse, and in any event often no one knows if a place is right until time is spent there.

 

[Sonya1]

Our experience was that CHC put Dad's needs on a central system then their bed finding service bsically put him out to tender. Homes that could meet his needs replied and we were offered a choice of two. As we had already been visiting them all anyway, we were able to make a quick choice. We have no idea what is being paid but he does have a 24 hour 1:1

 

[Elle3]

My dad was awarded CHC funding, he was already in an EMI care home which dealt with challenging behaviour, which my dad had. After he was awarded it, I received a call to say the funding was less than the care home's fees, but as dad was settled they would look to increase the funding and or agree a rate with the care home. The CCG (Now ICB) agreed to the higher rate, so it can be done.

 

[Snooze1]

My dad was awarded CHC funding, he was already in an EMI care home which dealt with challenging behaviour, which my dad had. After he was awarded it, I received a call to say the funding was less than the care home's fees, but as dad was settled they would look to increase the funding and or agree a rate with the care home. The CCG (Now ICB) agreed to the higher rate, so it can be done.

Thanks for replying @Elle3 … my main fear is my OH is going in from his home so the nursing home is more than the funding, I’m hoping they will negotiate but I’m just waiting to see what the SW says tomorrow, if he had already been a resident then I think I would have more than a chance. There just isn’t much around to look at unfortunately.

 

[nitram]

I’m hoping they will negotiate but I’m just waiting to see what the SW says tomorrow

I would not rely on any verbal statements from the SW, first aim is to get a written statement that CHC has been granted.