skilled intervention

Discussion in 'Legal and financial issues' started by barry6521, Jul 31, 2015.

  1. barry6521

    barry6521 Registered User

    Jul 31, 2015
    37
    northamptonshire
    Hi Would anyone be able to give me an example of "timely skilled intervention"this is always brought up at a CHC funding assessment, by the assessor
     
  2. Skyrim

    Skyrim Registered User

    Jun 19, 2015
    37
    "Skilled intervention"

    This is a measurement of need for nursing care right? So, for someone with dysphagia, for example a "timely, skilled intervention" would be the implementation of a diet that was nutritious but also met the individual's swallowing problems. Sorted by a dietitian and care/nursing staff. Its a higher level of support than would be provided by, for example, care staff alone.
    If you look up the NHS Continuing care Checklist (gov.uk), you can see the varying levels of need and, thus, intervention (aka care) in differrent categories, such as mood, behaviour, cognition, nutrition and so on.
    Obviously the more in the highest level of need you score, the greater the chance of CHC. Hope this helps you.
     
  3. LYN T

    LYN T Registered User

    Aug 30, 2012
    6,962
    Brixham Devon
    Hi Barry

    Don't forget the NHS mantra that 'a well managed need is still a need'. Quite often when a CHC checklist is being completed this guidance is often completely forgotten.

    As you mention a CHC checklist I'm assuming you are thinking of the full CHC funding not just the nursing element?

    For example if a person is mobile but can only walk a few steps before often falling they would need support from a Carer to keep him safe. If the CH recognises this need, and they allocate someone to walk with the resident then the resident's need is being managed well. The risk of falls is still there.(this applied to my late Husband before he became immobile)

    Take care

    Lyn T XX
     
  4. canary

    canary Registered User

    Feb 25, 2014
    10,777
    Female
    South coast
    It is certainly true that a managed need is still a need, but unfortunately when you are talking about CHC a need that can be managed scores less than a need that cannot. Eg - in the nutrition domain, even if you are PEG fed, if it is non-problematic it will only score you a moderate. If it is problematic it will score you a high. To be severe, either you need feeding by IV, or not to be able to be fed at all.
     

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