What is NHS Continuing Healthcare?
If a person is in care because of health needs which require Nursing Care, then the costs of this are free at the point of use, (known as NHS Continuing Healthcare Funding), and no contribution is required, regardless of the financial position of the person receiving the care. It doesn’t matter if the care is provided in Hospital, a Care Home, Hospice or a person’s own home.
NHS Continuing Healthcare is a package of ongoing care that is arranged and funded solely by the NHS where a person has been found to have a “primary health need”. Such care is provided to an individual aged 18 or over, to meet needs that have arisen as a result of disability, accident or illness. (National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care).
Arguments about whether a person has a primary healthcare need or whose healthcare needs are incidental to other social needs can be complex and detailed.
How Can Waldrons Help?
Assessment of Prospects of Success
If you or a relative have been assessed as not having a primary healthcare need and are having to pay for care, we will undertake a detailed assessment of the prospects of success. This will include obtaining your medical records and obtaining an opinion from a medical professional. We undertake this work on a fixed fee basis so costs are clear from the outset.
Appeal on a No Win No Fee Basis
If we consider an appeal can be made we will conduct this on your behalf on a No Win, No Fee basis.
If we do not consider you can appeal we will advise what other non-means tested benefits may be available, as a result of care needs such as Funded Nursing Care (FNC)/Register of Nursing Care Contribution (RNCC)
If an appeal may not be appropriate straight away we will advise on requests for reassessment of means and evidence to be collected in the meantime
Why Act Now?
You have only 6 months to appeal the refusal of Continuing Healthcare Funding. Contact us as soon as possible to maximise your chances of a successful appeal.