Understanding NHS Funding
For Care Options
Understanding NHS Funding
For Care Options
Understanding NHS Funding Options at Foxburrow Grange
Choosing the right care home for your loved one is a significant decision, and understanding the financial aspects is a key part of that process. If you're considering the excellent care provided at Foxburrow Grange Care Home in Colchester, you'll want to explore all potential funding avenues. Two important NHS funding options to be aware of are NHS-Funded Nursing Care and NHS Continuing Healthcare (CHC). This article breaks down both, specifically for those considering our exceptional care home in our region.
NHS Funded Nursing Care at Foxburrow Grange - Supporting Nursing Needs
If your loved one requires the care of registered nurses at Foxburrow Grange, they may be eligible for NHS-Funded Nursing Care. This isn't a direct payment to you, but rather a contribution from the NHS paid directly to Foxburrow Grange to help cover the costs associated with their nursing needs.
Typically, the need for NHS-Funded Nursing Care isidentified during a care needs assessment carried out by a healthcare professional, often involving the local authority and/or NHS within the Suffolk and North East Essex region. If your loved one is already in a nursing home in the area, the home may also
initiate the assessment process. You can also contact the Suffolk and North East Essex ICB or your GP to request an assessment.
Key aspects about NHS-Funded Nursing Care:
- Focus on Nursing Needs: This funding specifically addresses the cost of care provided by registered nurses within the care home.
- Flat Rate Payment: The NHS pays a set weekly amount directly to Foxburrow Grange.
- Doesn't Cover Everything: It's important to note that this funding only covers the nursing element and doesn't include costs for accommodation, food, or personal care.
- Not Means-Tested: Crucially, eligibility for NHS-Funded Nursing Care isn't based on your loved one's income or savings. This makes it a potential benefit for both self-funders and those receiving local authority support.
- Eligibility Criteria: To be eligible, your loved one must:
- Reside in a care home that provides registered nursing care (like Foxburrow Grange).
- Have been assessed as needing the care of a registered nurse.
- Not be eligible for NHS Continuing Healthcare.
For the most up-to-date details on local NHS health andcare services visit:
NHS Suffolk and NorthEast Essex Integrated Care Board (ICB)
NHS Continuing Healthcare (CHC): Full Funding for Complex Care Needs at Foxburrow Grange
For individuals with significant, ongoing, and complex health needs, NHS Continuing Healthcare (CHC) offers the possibility of full funding for their care, including accommodation costs at Foxburrow Grange.
The process for obtaining NHS CHC in North East Essex typically starts with a referral, which can come from various sources, including your GP, hospital staff, social services, or the care home.
Following a referral, an initial 'checklist assessment' is usually conducted by a healthcare professional to determine if a full assessment is required. If the checklist indicates potential eligibility, a comprehensive assessment using the Decision Support Tool (DST) will be carried out by a multidisciplinary team commissioned by the Suffolk and North East Essex Integrated Care Board (ICB)
What is NHS Continuing Healthcare?
NHS Continuing Healthcare, or CHC, is a package of care arranged and funded entirely by the NHS for adults with substantial and complex health needs requiring a high level of support, which can be provided in a care home or nursing home setting.
Key Differences from NHS-Funded Nursing Care:
- Full Cost Coverage: If eligible for NHS CHC, the NHS covers all care costs, including accommodation and personal care, not just the nursing element.
- Primary Health Need is Key: Eligibility hinges on whether your loved one's primary need for care is health-related. This means their ongoing health care needs are the main reason they require care, and these needs are complex, intense, and/or unpredictable.
- Not Condition-Specific: While certain conditions like advanced dementia, complex physical disabilities (e.g., advanced MS or MND), or life-changing injuries can often lead to eligibility, it's the level and type of care required due to the condition that determines CHC funding, not thE diagnosis itself.
What Medical Needs Might Lead to NHS CHC Eligibility at Foxburrow Grange?
While there's no definitive list, individuals with the following types of needs are often found eligible for CHC:
- Significant Cognitive Impairment: Such as advanced dementia requiring extensive support for daily living and safety.
- Challenging Behaviour: Where behaviours require skilled management and intervention.
- Complex Physical Needs: Including advanced multiple sclerosis, motor neurone disease, or paralysis resulting from a stroke.
- Complex Wound Care: Requiring specialist nursing input.
- Respiratory or Muscular Disorders: Leading to significant care needs.
- Limited Mobility and Paralysis: Requiring substantial assistance with all aspects of personal care.
- Other Rare Genetic Conditions: Resulting in complex care requirements.
The NHS CHC Assessment Process
Determining NHS CHC eligibility involves a thorough assessment of your loved one's health and care needs, typically involving these stages:
Initial Checklist Assessment : An initial screening to determine if a full assessment is necessary.
Recommendation and Decision: The assessment team makes a recommendation to the NHS Suffolk and North East Essex ICB, which makes the final decision on eligibility.
Fast Track Pathway: For individuals with a rapidly deteriorating condition and a likely short prognosis, a quicker 'Fast Track Pathway' is used to expedite the process. This is particularly relevant in palliative care.
Taking the Next Step for Your Loved One at St George's Nursing Home
If you believe your loved one at Foxburrow Grange in Colchester might be eligible for either NHS-Funded Nursing Care or NHS Continuing Healthcare, the initial step is usually to request an NHS CHC assessment from the NHS Suffolk and North East Essex Integrated Care Board.
The dedicated and experienced team at Foxburrow Grange is familiar with these funding processes and can offer guidance and support as you navigate the initial stages. Please do not hesitate to discuss these options with us.
Understanding NHS funding options is a vital step in ensuring your loved one receives the specialist
care they need in a comfortable and supportive environment like Foxburrow Grange, Colchester, with appropriate financial support in place.
More Information on NHS Continuing Healthcare
You can find more information on the NHS Suffolk and North East Essex ICB website, see web link below. You can also contact their Continuing Healthcare Team directly by telephone at 01473 770198 or by email at chc@snee.nhs.uk. Additionally, the ICB's Patient Advice and Liaison Service (PALS) can provide advice, support, and help with any queries or concerns. They can be contacted on 0800 389 6819 or pals@snee.nhs.uk
NHS CHC Resources
- Suffolk & North East Essex ICB website : NHS Continuing Healthcare
- NHS website : NHS Continuing Healthcare
- gov.uk .pdf leaflet : NHS Continuing Healthcare and NHS-funded nursing care
FAQ’S: NHS Funded Care :
Suffolk & North East Essex ICB
The following FAQs aim to cover common queries related to NHS-Funded Nursing Care and NHS Continuing Healthcare specifically within the context of the Suffolk and North East Essex Integrated Care Board. Do refer to the official NHS and ICB websites (as provided above) for the most up-to-date information and guidance.
FAQ’S - NHS-Funded Nursing Care (FNC) - Suffolk & North East Essex ICB
Q: What is NHS-Funded Nursing Care (FNC) in the Suffolk and North East Essex area?
A: NHS-Funded Nursing Care (FNC) is a contribution from the NHS, specifically the Suffolk and North East Essex ICB, paid directly to a nursing home to help cover the costs of registered nursing care for eligible residents. It's not a direct payment to the individual or their family. This funding is for individuals residing in a nursing home within the Suffolk and North East Essex region who have been assessed as needing care from a registered nurse.
Q: Who is eligible forNHS-Funded Nursing Care in Suffolk and North East Essex?
A: To be eligible for NHS FNC funded by the Suffolk and North East Essex ICB, an individual must:
- Reside in a care home registered to provide nursing care within the Suffolk and North East Essex area.
- Have been assessed by NHS professionals asneeding the skills of a registered nurse.
- Not be eligible for NHS Continuing Healthcare (CHC).
Q: How do you apply for NHS-Funded Nursing Care in Suffolk and North East Essex?
A: Typically, the need for NHS-Funded Nursing Care is identified during a care needs assessment carried out by a healthcare professional, often involving the local authority and/or NHS within the Suffolk and North East Essex region. If your loved one is already in a care home or nursing home in the area, such as Foxburrow Grange, we may also initiate the assessment process. You can also contact the Suffolk and North East Essex ICB or your GP to request an assessment.
Q: Is NHS-Funded Nursing Care means-tested in Suffolk and North East Essex?
A: No, NHS-Funded NursingCare is not means-tested. Eligibility is based solely on the assessed need for registered nursing care, not on the individual's or their family's income or savings. This applies to all areas within the Suffolk and North East Essex ICB's jurisdiction.
Q: What costs does NHS-Funded Nursing Care cover in Suffolk and North East Essex?
A: NHS-Funded Nursing Care is specifically intended to contribute towards the cost of the nursing care provided by registered nurses. It does not cover costs associated with accommodation, personal care, meals, or social activities within the nursing home in the Suffolk and North East Essex area.
Q: What if my loved one's nursing needs change while receiving NHS FNC at Foxburrow Grange?
A: If your loved one's nursing needs change, their eligibility for FNC should be reviewed. This may
involve a reassessment by NHS professionals within the Suffolk and North East Essex ICB. They may continue to be eligible for FNC, require a different level of nursing care, or potentially become eligible for NHS Continuing Healthcare if their needs have become more complex and substantial.
FAQ’S - NHS Continuing Healthcare (CHC) - Suffolk & North East Essex ICB
Q: What is NHS Continuing Healthcare (CHC) at Foxburrow Grange?
A: NHS Continuing Healthcare (CHC) is a package of care arranged and funded entirely by the NHS,
specifically the Suffolk and North East Essex ICB, for adults who have complex, intense, and unpredictable healthcare needs. If eligible, CHC can cover the full cost of care, including accommodation at Foxburow Grange.
Q: Who is eligible for NHSContinuing Healthcare in Suffolk and North East Essex?
A: Eligibility for CHC in the Suffolk and North East Essex area is based on having a 'primary health need.' This means that the main reason for needing care must be related to significant and ongoing health needs, which are complex, intense, or unpredictable. It's not based on specific conditions but on the level and type of care required. The Suffolk and North East Essex ICB follows the national eligibility criteria.
Q: How do you apply for NHS Continuing Healthcare in Suffolk and North East Essex?
A:The process for obtaining CHC in Suffolk and North East Essex typically starts with a referral, which can come from various sources, including your GP, hospital staff, social services, or the care home. Following a referral, an initial "checklist" assessment is usually conducted by a healthcare professional within the Suffolk and North East Essex region to determine if a full assessment is required. If the checklist indicates potential eligibility, a comprehensive assessment using the Decision Support Tool (DST) will be carried out by a multidisciplinary team commissioned by the Suffolk and North East Essex ICB.
Q: Is NHS Continuing Healthcare means-tested in Suffolk and North East Essex?
A: No, NHS Continuing Healthcare is not means-tested. Eligibility is solely based on the assessed
healthcare needs of the individual, regardless of their financial situation. This applies throughout the Suffolk and North East Essex ICB's area.
Q: What costs does NHS Continuing Healthcare cover at Foxburrow Grange in Colchester?
A: If an individual iseligible for CHC funded by the Suffolk and North East Essex ICB, it can cover
the full cost of their care, including:
- Accommodation in a nursing or residential carehome.
- Personal care.
- Nursing care.
- Any other healthcare needs as part of the agreed care plan.
Q: How long does the NHS Continuing Healthcare assessment process take in Suffolk and North East Essex?
A: The timeframe for the NHS CHC assessment process can vary depending on the complexity of the case and the individual circumstances within the Suffolk and North East Essex region. The NHS aims to complete the process as quickly as possible. The initial checklist assessment should be relatively quick, but the full assessment and decision-making process can take several weeks. The Fast Track Pathway for individuals with rapidly deteriorating conditions should be completed much more quickly. The Suffolk and North East Essex ICB will have its own internal targets for processing applications.
Q: What if my application for NHS Continuing Healthcare is unsuccessful in Suffolk and North East Essex?
A: If your application for NHS CHC is unsuccessful, the Suffolk and North East Essex ICB should provide you with the reasons for the decision and information about the appeals process. You have the right to challenge the decision through the ICB's local resolution process and ultimately to the Independent Review Panel if you remain dissatisfied.
Q: Can someone receive both NHS-Funded Nursing Care and NHS Continuing Healthcare in Foxburrow Grange?
A: No, an individual cannot receive both NHS-Funded Nursing Care and NHS Continuing Healthcare at the same time. FNC is for those who need nursing care but do not have the primary health need that warrants full CHC funding. If someone becomes eligible for CHC, the FNC funding will cease.