What triggers a CHC assessment?

A full assessment is usually triggered when an individual 'passes' a screening stage using the Continuing Healthcare Checklist. The assessment will be coordinated by the CHC team at your local NHS Integrated Care Board (ICB), or a third party who have been commissioned to do this on their behalf. 7 days ago

beaconchc.co.uk - Continuing Healthcare Assessment. Second stage of CHC process.

How to feed the population in 2050?

If we all start eating more healthy and plant-based foods, halve our food loss, recycle more waste and improve our agricultural practices, then by...

Last updated Nov 18, 2020

Did Tom Cruise hold his breath for 6 minutes?

Tom Cruise held his breath underwater for six minutes while filming “Mission: Impossible – Rogue Nation,” but Winslet beat him by over a minute,...

Last updated Oct 24, 2021

Promotion

What is the Continuing Healthcare assessment?

The Continuing Healthcare assessment, sometimes known as the Full Assessment, is a detailed appraisal of your care needs – using a form called the Decision Support Tool (or DST) – to decide if you are eligible to receive NHS Continuing Healthcare (CHC). A full assessment is usually triggered when an individual ‘passes’ a screening stage using the Continuing Healthcare Checklist. The assessment will be coordinated by the CHC team at your local NHS Integrated Care Board (ICB), or a third party who have been commissioned to do this on their behalf. They should contact you to arrange an assessment within days of receiving a positive Checklist result. Everyone deserves an accurate, detailed and fair assessment. If you would like help to prepare thoroughly for your assessment, or to understand what you should expect during the process, please refer to our free toolkit, or get in touch.

Who carries out the Continuing Healthcare assessment?

[NB. The information on this page refers to standard practice. During the coronavirus emergency, until 1 April 2022, the process was a bit different. If useful, you can find out more about the changes on our the COVID-19 pages that were written during the crisis.] The assessment should be completed by a multidisciplinary team (MDT); a mix of at least two care professionals from different disciplines. These should be practitioners who are regularly providing care or treatment for the individual, and are therefore knowledgeable about their specific care needs. Where necessary they may be asked to provide detailed specialist assessments to enable the whole MDT to fully understand the individual’s care needs. Ideally, one member of the team should be a social worker. The team will be led by a coordinator who represents the ICB and may or may not also be a member of the MDT. A common failing is that the assessment team (the MDT) comprises a nurse assessor from the ICB and a social worker, neither of whom have directly been involved in the individual’s care, while excluding professionals who understand the individual’s care needs.

Are we running out of food in America?

Q: Will there be food shortages? A: There are currently no nationwide shortages of food, although in some cases the inventory of certain foods at...

Last updated Apr 25, 2021

Why you shouldn't drink hot tap water?

Well, because your hot water from the tap can contain contaminants. If you didn't realize this, you're not alone. Hot water systems like tanks and...

Last updated May 16, 2019

Promotion

More information about the appropriate make up of an MDT is available in our free toolkit.

What is the Decision Support Tool (DST)?

The assessment consists of an appraisal of recent care records, together with a face-to-face meeting which should fully involve the individual and/or their representative (usually a family member). The MDT use this evidence to complete a document called the Decision Support Tool (or DST), which organises information about the individual’s care needs. The Decision Support Tool is divided into 12 areas, known as domains, which are: · Behaviour · Cognition · Psychological and emotional needs · Communication · Mobility · Nutrition – food and drink · Continence · Skin and tissue viability · Breathing · Drug therapies and medication · Altered states of consciousness · Other significant care needs The team will assign a level of need ranging from ‘No Needs’ to ‘High’, ‘Severe’ or ‘Priority’ to each domain.

You can download a blank Decision Support Tool here.

Who makes the decision?

When the Decision Support Tool has been completed and considered by the Multidisciplinary Team, they should have a genuine and meaningful discussion about whether they feel the individual has a primary health need. This is a role for the entire MDT, not just the ICB’s coordinating assessor and the social worker. The MDT will then make a recommendation to the ICB as to whether the individual is eligible for NHS continuing healthcare. This recommendation is recorded in the Decision Support Tool. The ICB will then make the final decision, which should – in all but clearly defined exceptional circumstances – uphold the recommendation of the MDT. A common misconception is that the ICB can choose to reject the MDT recommendation if they disagree with it. However, if the ICB feels there is a mismatch between the evidence and the recommendation it should refer the Decision Support Tool back to the MDT for further work or clarification. It cannot simply overturn the recommendation in favour of its own view. The ICB must not choose to disregard the MDT’s recommendation simply because it disagrees with the recommendation when presented with the same information.

What is a Russian shotgun?

The Saiga-12 (/ˈsaɪɡə/) is a shotgun available in a wide range of configurations, patterned after the Kalashnikov series of rifles and named after...

Last updated Nov 23, 2018

What is the world's oldest snack?

Popcorn Popcorn is perhaps the oldest of all. Archaeological sites in Peru and Mexico recently yielded 7,000 year old maize husks said to be...

Last updated Aug 3, 2022

Promotion

If eligible, NHS Continuing Healthcare funding should be awarded and paid from the point 29 days after the positive Checklist assessment was received by the ICB.

If you disagree with the decision of the ICB, you can appeal.

Funding reviews

The person’s eligibility for NHS Continuing Healthcare will be reviewed after three months and then each year afterwards. Reviews should be primarily to check that all the person’s care needs are being met appropriately. Full re-assessments of eligibility for Continuing Healthcare should only be requested if there have been significant changes to the person’s care needs. However, we know that this is often not the case; funding is often removed at review stage when an automatic reassessment has taken place.

More help and information

For comprehensive information about all aspects of NHS Continuing Healthcare you can request a copy of our Free Navigational Toolkit. We’ve also written a two-part guide to getting assessed for NHS Continuing Healthcare. If you’d like more support to give yourself the very best chance of a fair and thorough assessment, talk to us about our Assessment Support Service.

beaconchc.co.uk - Continuing Healthcare Assessment. Second stage of CHC process.

Why don't we build cities in the ocean?

Most likely, we wouldn't want to build any deeper than 1,000ft (300m), because the pressures at such depths would require very thick walls and...

Last updated Oct 5, 2021

Why are there no female Navy SEALs?

The U.S. military's elite special operations consisted of physically challenging training and missions, which have been difficult for women to...

Last updated Mar 27, 2020

Promotion

Can you take ocean water and turn it into drinking water?

Desalination is the process of getting salt out of saltwater so that it's drinkable and usable on land. There are two main techniques: You can boil...

Last updated Jan 9, 2022

Promotion

How can a 70 year old lose belly fat?

Here are some of the options that are available to you: Diet, Nutrition, and Exercise. Diet can be a very effective way for seniors to lose belly...

Last updated Aug 13, 2018