A HEALTH / CARE ASSESSMENT is normally required to review:

• your Health

• your Needs

• the Cost of meeting those needs.

This is done by your Local Authority or NHS Continuing Healthcare (CHC).

The assessment should help determine who provides the funds such as:

• the NHS Continuing Healthcare (CHC)

• your Local Authority

• Yourself

DO ⬇️

• Apply for an Assessment your Local Authority / Healthcare Provider (GP, Hospital etc.) - LINK

• Review sites such as Partner to Care to consider managing your own care - LINK

TAKE A LOOK AT OUR MEMBERSHIP LETTERS TO HELP REQUEST AN ASSESSMENT @JOIN

Care is usually funded by yourself and the Local Authority and determined by an Assessment.

The Assessment should consider the following:

• your safety / risks.

• your day-to-day activities.

• help for you to continue living independently and socially.

• your income, savings and property to calculate how much you and the LA need to contribute toward the cost of care, by a Means Test (NHS) - LINK

POINTS TO CONSIDER:

• The ‘Threshold’ is usually £23,250 (NHS) - LINK

• If you need care to stay in your own home the means test should NOT include the value of your property.

• If you need to move to a care home then the means test COULD include the value of your property.

• You can challenge the decision if don't agree.

• Paid carer fee guidelines - LINK

• Care is usually funded by the NHS Continuing Healthcare (CHC) and determined by an Assessment (NHS) - LINK

• The Assessment is normally carried out with the CHC Decision Support Tool (DST) and by an Integrated Care Board (ICB) (e.g nurse, doctor, social worker and qualified healthcare professional) (GOV) - LINK

• The Assessment should consider the following ‘Domains’ - LINK (scroll to point 24 on the link) and how you score:

  • Breathing

  • Nutrician

  • Continence

  • Skin

  • Mobility

  • Communication

  • Psychological / Emotional

  • Cognition

  • Behaviour

  • Drug and Medication

  • Altered States of Consciousness

The outcome of the Assessment will determine your Care Needs and Personal Health Budget - LINK

KEY STAFF examples - CHECK if you have this support:

• CARE PROVIDER

- MANAGER - issues that are escalated from staff and clients, liaise with external functions for your care (local authority, care commissions).

- NURSE (examples of support)

• medication /pain management.

• continence - stoma / catheter / supra pubic catheter.

• nutrition.

• observations – BP, Pulse, temperature.

• decisions if become unwell, liaise with GP and health advisors.

• nurse liaise with GP re meds - carer wash / dress etc.

- CARER (examples of support)

• continence.

• repositioning.

• personal care (washing ..).

• pressure sores.

• log feed, urine input and output, daily routine.

• psychological / emotional / cognition / behaviours.

• accompany to appointments.

• NHS SERVICES

• District Nurse

• Occupational Health / Physiotherapist

• Continence - stoma / catheter / supra pubic catheter.

• Speech Therapist

• GP

• Pharmacy – can they deliver?

• Paramedics

• Dietician

• LOCAL AUTHORITY / Continuing Health Care (CHC)

• Social Workers

• Housing Officer