Recovering Care Fees
Residential Care
Despite common misconception, you can receive NHS Continuing Healthcare (NHS CHC) funding in any setting including your own home or in a care home.
If you are found to have a primary healthcare need, and as such are eligible for NHS CHC funding, then the NHS becomes responsible for the costs of your care in its entirety. If you are found to be eligible for NHS continuing healthcare in a care home, the NHS will pay for your care home fees, including board and accommodation.
What help can I get at home?
If you remain at home, the NHS can either provide you with a personal health budget or if you feel you are unable to manage this independently, they will assist you to find an appropriate care package and discuss this directly with the providers of the package.
See below the process that Simply CHC will follow in regard to an application for CHC funding for an individual that is cared for in a care home or at home.
Our Process
1. Contact Us
Please feel free to contact us directly via our Contact Us page or call 01733 595456. After you have discussed your healthcare needs, the caseworker will advise you regarding the strength of your case and how to move forward, with or without our services.
2. Sign a Form of Authority
In order to request your medical records, we will require you to sign a form of authority. Your medical records will then be requested, and the caseworker will do an in-depth review of the received documents. Dependant on the package, we will then liaise with the ICB to schedule the assessment.
3. Report
After an extensive review of your medical records, our caseworker will select the most relevant information and create a report which will provide you with listed evidence and support to move forward.
4. We will come and meet you and your loved one
If you are engaging Simply CHC for an appeal, following the creation of the draft report utilising the evidence, we will then come and meet you and your loved one. We will discuss any current healthcare needs, amend the report to support any of your views and discuss what you would like to do in the future regarding your care.
5. Advocacy
All the packages we provide include advocacy at any meetings regarding NHS CHC. One of our caseworkers will attend the meeting with you, supporting and advising you throughout. Further, if you wish, the caseworker can represent you providing the Nurse Assessor with the relevant healthcare information per your records and advocate for you throughout the meeting. At this stage, the caseworker will be as involved as you would like them to be.
6. Next Stages
After the assessment, our caseworker will sit with you and discuss the meeting. Should the assessment criteria have been met, the caseworker will discuss the next stages. The caseworker will ask you if you want our assistance moving forward or advise you how to move forward independently.