Hoists and Continuing Healthcare

GraceG

Registered User
Jul 30, 2020
27
0
Hello. Is anyone able to advise on the impact of a person using a hoist on the mobility part of a continuing healthcare application. Is it considered a high level of need or low because the person uses a hoist.
The whole process of trying to attain CHC is impossible in my experience and the information would just be useful if anyone should know. Thank you
Grace
 

nitram

Registered User
Apr 6, 2011
30,254
0
Bury
Using a hoist removes the danger of a person falling.

It's only if the person is at risk of being injured when using a hoist therefore requiring specialist help that it can constitute a need.
 

Jaded'n'faded

Registered User
Jan 23, 2019
5,291
0
High Peak
My understanding is that a managed need is still a need.

So just because someone can be hoisted due to their considerable mobility problems, doesn't mean those problems aren't there.
 

canary

Registered User
Feb 25, 2014
25,048
0
South coast
Unfortunately, most needs occurring with dementia are considered social needs, not health needs and what you need for CHC is health needs. Incontinence, needing help with washing/dressing/feeding, loss of mobility are all considered social needs. Unfortunately, this means that most people with dementia do not score highly enough to meet the CHC criteria. Realistically, it is only really likely to be if there is another health problem (like cancer, or kidney failure), lots and lots of falls, or violent behaviour or reaching end of life that a person with dementia will become eligible.. Ironically, if someone meets the criteria because of high falls, or violence, then they may lose the CHC later when progression of the dementia leads them to being bed bound (and therefore no longer a falls risk) or incapable of violence due to frailty.

A good rule of thumb is - does this need require a qualified nurse, physio, etc to meet the need, or can it be done by a carer? If it can be done by a carer - and most hoisting can - then it counts as a social need and does not score highly enough to count towards CHC.
 

GraceG

Registered User
Jul 30, 2020
27
0
Thank you all. This is very helpful and much appreciated. Kindest regards to you all. Grace
 

fromnz123

Registered User
Aug 2, 2019
201
0
UK
My mother lived In my home for the last 6 years of her life. For the first 3 years she was completely self funding, and we paid for a Carer to come in the morning for shower and breakfast and as she deteriorated for bedtime routine.

One day mum lost the ability to stand, we couldn’t use the hoist as she would scream, kick and flail around. If we managed to get her up and sitting in a chair she would slide very quickly. It was evident that getting mum out of bed was not in her best interest.

The district nurse arranged for a hospital bed and at this point I argued that mum’s needs were now nursing care and not personal care.

To cut a long story short CHC was applied for and was given 2 Carers x 3 times a day. Me and my family were there taking care of her the rest of the time.

As her carer I was given 4 hours respite per week.

CHC didn’t cover the whole 24 hours, it was just for the Nursing Care that she needed .
 

GraceG

Registered User
Jul 30, 2020
27
0
My mother lived In my home for the last 6 years of her life. For the first 3 years she was completely self funding, and we paid for a Carer to come in the morning for shower and breakfast and as she deteriorated for bedtime routine.

One day mum lost the ability to stand, we couldn’t use the hoist as she would scream, kick and flail around. If we managed to get her up and sitting in a chair she would slide very quickly. It was evident that getting mum out of bed was not in her best interest.

The district nurse arranged for a hospital bed and at this point I argued that mum’s needs were now nursing care and not personal care.

To cut a long story short CHC was applied for and was given 2 Carers x 3 times a day. Me and my family were there taking care of her the rest of the time.

As her carer I was given 4 hours respite per week.

CHC didn’t cover the whole 24 hours, it was just for the Nursing Care that she needed .
Thank you and sorry for your loss.
 
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