NHS continuing healthcare

The NHS can arrange and fund a care package called NHS continuing healthcare. This package can be received by patients who are in a care or nursing home, in a hospital, or at their own  home.

NHS continuing healthcare is often referred to as ‘fully funded care’.

What does NHS continuing healthcare mean for the patient?

If the NHS fully funds continuing care in a care home, the patient does not have to make any contribution to the cost of that care.

If not NHS funded, the patient funds much of the care himself; or it is funded by a local authority social services department, with the patient being expected to contribute according their means.

A placement in a care home costs on average between £500.00 and £700.00 per week. The weekly cost is in-creased if the patient requires Elderly Mentally Infirmed nursing care.

Eligibility for NHS continuing healthcare

An individual should be entitled to full NHS funding of his care home placement if his health and nursing care needs are more than incidental or ancillary to the provision of accommodation that a local authority is under a duty to provide; and the nursing needs are not of a type that you would expect a social services department to be responsible for.

Where the primary need of the individual is a health need, then the responsibility is that of the National Health Service.

Therefore, if someone is in a nursing or care home because of physical or mental health needs they may be paying fees that should be funded by the NHS.

See our NHS care eligibility page

How the nursing care cases are funded?

We initially assess all claims by a written questionnaire. This first assessment is free and confidential and there is no obligation on you to proceed.

A claim may be funded in a number of  ways. A patient’s personal circumstances will be the main factor in determining how a claim will be funded.

Usually, a claim will be funded in one of the following ways:

  • On a private paying basis
  • Legal Expenses Insurance
  • Contingency Fee Agreements (CFA) – “no win no fee”
  • Trade Union funding

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