You don't have to be violent to get CHC but people who are would score in the 'Behaviour' domain, and if they managed to get 'Severe' for this, plus a 'Severe' in Cognition, they would qualify for CHC.Someone today told me ahout a clip on This morning from September 2014 and I played it..She's defo not violent. As placid as she always has been
This is new to me. Does epic wandering count as a behavioural issue which warrants CHC.. John needs 24 hour supervision which I am struggling with and getting the run around from social services despite all the police and doctor reports.You don't have to be violent to get CHC but people who are would score in the 'Behaviour' domain, and if they managed to get 'Severe' for this, plus a 'Severe' in Cognition, they would qualify for CHC.
I didn't see the TV clip, but in your original post you mentioned having 'two conditions', by which they may have meant scoring in two domains. However, it is not simply a question of scoring - you have to score 'Severe', which demands very high needs indeed. The domain of 'Continence' doesn't even go up to Severe anyway, so she would have to score in another domain which has that level (not all of them do). For example, in 'Nutrition', you would have to be fed intravenously to get Severe. People with AD do not necessarily have these other needs, so if they manage to get CHC, it is generally for Cognition and Behaviour.
As Beate says, qualifying is very difficult, and your mum would not meet the necessary criteria.
Re wandering - I think it all comes down to the extent of risk (either to self and others), and how this can be proved. If you have police and doctor reports, that should count for a lot in the 'Behaviour' domain. You mention social services, but has John actually had a CHC assessment? Social services would have a role to play in this but it would be organised by the local CCG (Clinical Commissioning Group) as the funding body as part of the NHS. The qualifying bar is very high, and there is something of a postcode lottery involved too, as to how big the CHC budget is in different areas. However, you should push for CHC funding if you feel John should qualify.This is new to me. Does epic wandering count as a behavioural issue which warrants CHC.. John needs 24 hour supervision which I am struggling with and getting the run around from social services despite all the police and doctor reports.
Have just read this after I posted my own reply, and agree completely with what you say!My Dad also has epic wandering which puts him and the public at risk as he is liable to kick off if he wants something (to enter a car, a home, to help himself in a shop) and can't get it. I believe that more or less swung it for him and he got CHC. Definitely worth asking for a checklist assessment MarionQ, asKateK says if you score severeon cognition AND behaviour you usually get CHC. It sounds like you have been masking the problem (for all the right reasons) by taking car eof things and averting crises.
Important point in CHC assessments "a met need is still a need" eg his safety needs are severe but you have been taking care of them (if I've read your post correctly).
A good point but I think Nursing Care can only be awarded after an assessment for full CHC, and is given when the patient doesn't meet the full criteria but does have some nursing needs.If you can't get CHC but still have a nursing need and are in a care home, you may be able to get NHS Funded nursing care:-
I think you may be eligible if, for example, your Mum needs some type of nursing care. I imagine this may be for treating pressure sores but others may know more.
If the Team Leader doesn't mention CHC, make sure you do! Insist that the checklist is done, and start putting together evidence ready for the actual assessment - which you are entitled to attend and contribute to.Thanks again Miss M. I have been allocated the Team Leader from social work as a result of the complaint from his psychiatrist so we'll see if she mentions it when she comes out this week. I am usually very positive about professionals until they prove me wrong but my recent experience with social services has shocked me as my dealings with NHS Scotland and Alzheimer's Scotland have been so good.
Once you get the length of needing long term care social services feel like the enemy despite all the platitudes about wanting to help.
What's going on?
Hello. Does anyone know how straight forward it is to obtain power of attorney for both financial and health and wellbeing just about to look into it and think maybe I have to do it sooner than later
Thanks in advance