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Review Meeting Advocacy Service

Why a Continuing Healcare (CHC) Review Takes Place

If you have been awarded Continuing Healthcare (CHC) funding, the Integrated Care Board (ICB) will conduct regular reviews to ensure your care package remains suitable and of high quality. 

The review is conducted to ensure that the support provided to an individual continues to meet their evolving health needs and the care package is of quality and appropriate, ensuring that any changes in the individual’s condition are promptly addressed.

Review Meetings are Important

  • It’s crucial to remember that if a change in need is identified a new Decision Support Tool (DST) maybe recommended  which could put your CHC funding at risk.

Overview of Reviews

Full CHC Funding

  • Frequency of Reviews: After the initial assessment, the first review typically occurs within three months. Subsequent reviews are usually conducted annually, but they can be more frequent if there are significant changes in the individual’s condition

  • Time Frame: Each review session itself can take a few hours, depending on the complexity of the individual’s needs and the discussions involved.

Fast-Track Funding

Individuals eligible for this funding have previously been assessed as having a rapidly deteriorating health condition and the condition may be entering a terminal phase

Funding is put in place quickly without the need for a Checklist and/or a DST to be completed

The review meetings may take place around 8-12 weeks.

Due to the nature of an individuals health condition, further reviews are not often recommended: if they are the assessor may suggest another review takes place within a couple of weeks.

However, If a persons health has become stable this could indicate a change in need and the nurse reviewer may recommend that it is appropriate to review eligibility for NHS Continuing Healthcare re: DST may be recommended. This also maybe recommended to assert if the individual is on the correct pathway.

Funded Nursing Care (FNC) is only available for people in Nursing homes:

FNC is an option if a person does not qualify for NHS Continuing Healthcare FundingThe NHS contributes towards the fees by paying a flat rate directly to the care home: this fee should be indicated on the care home invoice. A continence contribution is also available (double/single)

  • The Department of Health and Social Care has announced a 7.4% rise to the standard rate of NHS-funded Nursing Care (FNC), from £219.71 to £235.88 per week from 1 April 2024.

This funding is usually accessed following a CHC Checklist.

It can also be allocated following a DST  - this can make accessining a new DST assessment for more difficult 

Joint Funding

A CHC (Continuing Healthcare) Joint Funding Review is for individuals with complex health needs who do not qualify for full NHS Continuing Healthcare funding.

Joint Funding Arrangement: In such cases, a joint funding arrangement between the NHS and the local authority may be established, meaning both parties share the cost and responsibility for the individual’s care.

Review Process: During the review, both a health representative and a local authority representative should be present. If a change in need is identified, the health representative may recommend convening a new Decision Support Tool (DST) assessment, which could potentially affect the CHC funding status.

My Services Includes:

As an Independent Registered Nurse, I provide highly personalised and bespoke services tailored to meet your individual needs, at a fraction of the cost charged by other organisations. Tailored to your unique situation, offering both in-person and virtual support to suit your preferences. 

What’s Involved?

Before any review, it is essential to ensure that all care documents are clear, accurate, and provide a true representation of the person’s health needs. This includes:

  • Care Plans and Assessments from nursing homes and home care providers

  • Medical records, such as GP, district nurse, and hospice visits, as well as letters from specialists

The assessor will use these documents as evidence to make a judgement on the level of need.

Representatives must ensure they have received a signed copy of previous assessments, as these will be needed at the review meeting:

  • Checklists, Decision Support Tools (DSTs), Funded Nursing Care assessments (FNC), Fast-Track Tools. Previousl review documents

To provide the best support, I will need see a copy of your previous DST and last review before the new review meeting.

What is included

  • Expert Guidance: A Registered Nurse will help you understand the NHS Continuing Healthcare criteria and prepare for your assessment.

  • A Registered Nurse: with extensive experience in managing all types of Continuing Healthcare (CHC) reviews, including: Fast-Track Funding, Funded Nursing Care (FNC), Joint Funding and Full CHC

  • Personal Support: I will meet with you and support you during the review, or represent you if you are unable to attend in person, ensuring an accurate and fair assessment.

  • ​​​​Comprehensive Feedback: Receive detailed feedback on the review, along with advice on possible outcomes and options available to you.

Why Choose Cooper Care Consultancy 

Expertise: Professional assessment and guidance from a Registered Nurse. With my expert knowledge, skills, and extensive understanding of how services function across the UK, I can effectively navigate the ‘postcode lottery’ associated with funding eligibility within CHC.

Confidentiality: You will interact directly with me throughout the entire process, ensuring continuity and that your voice is always heard. No need to repeat your story multiple times.

Affordable Expertise with Tailored Solutions: As an Independent Registered Nurse, I provide highly personalised and bespoke services tailored to meet your individual needs, at a fraction of the cost charged by other organisations

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