Most people are unaware of how long term elderly care provision and services are delivered and the role of the NHS in circumstances where someone has been diagnosed with a long term or deteriorating illness.
Your most likely initial contact with the NHS will be through your own family doctor or GP, typically followed by referrals to specialists or your local hospital for further tests to establish a diagnosis.
What most people do not think about at the outset is that the NHS is likely to play a significant role in the present, ongoing and future care of the patient. It is also a reality that it falls to direct family members to press the case with the NHS to ensure that their loved one gets the right level of support, treatment, care services and in many cases funding assistance.
When you or someone close to you is diagnosed with a deteriorating long term condition which will require a high level of care, it is possible that the cost of that ongoing care will be met in part or entirely by the NHS. There is a package of funding called NHS continuing healthcare, with funding eligibility based on whether the patient’s needs are predominantly health needs rather than social care. And it does not matter if the care required is delivered in a nursing home, a residential home or the patient’s own home.
“Eldermera has access to a team of specialist care advocates who can guide you through all the complexities of applying for NHS continuing healthcare packages of funding. And that includes appeals procedures and applications for retrospective funding.”
NHS continuing healthcare funding is based on set criteria which means the patient must enter into an assessment process. This is carried out in two separate stages, an initial checklist undertaken by health or social care experts to see if NHS continuing healthcare is applicable, followed by a full assessment.
These measures have been specifically designed to look at your care needs or those of your loved one and they take into account key considerations such as cognition and memory, behaviour, communication and language, physical mobility, current medication and other important factors such as psychological and emotional needs.
Accuracy in preparing your application for NHS and social care is paramount if your case is to be assessed positively.
Although NHS and social care assessors will look at all aspects of the patient’s condition, it is vital that nothing is missed which could result in a refused application. That is where we can help and provide you with all the information and guidance you will need to go through the eligibility criteria, processes and assessments and to achieve a positive outcome.
You also have the right of appeal which can be submitted to your local NHS authority if your initial application is turned down. It is also possible to claim retrospective reimbursement for the costs of care which have already been incurred, including care home fees.
NHS continuing healthcare is an incredibly beneficial resource for many families who require permanent long term care for a loved one, so it’s crucial that you are fully informed, equipped with all the requisite evidence and well represented to clearly communicate your circumstances.
Talk to Eldemera today to ensure you get the best possible elderly care provision through the NHS.
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