Decision Support Tool

Nicki Slawson With NHS Continuing Healthcare Funding Clients

CALL US FOR FREE ADVICE ABOUT THE NHS DECISION SUPPORT TOOL ( DST )

0800 038 5915

Call our dedicated team of medics and lawyers today – we’re here to help when you need it most!

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Our Guide To Continuing Health Care Funding – Seatons

Your Guide To Claiming NHS Care Fees

If you would rather do a little reading first then take around our pages on Continuing Healthcare fee funding and maybe download our free guide to the whole process.

For those of you that would prefer to have a hard copy, just give us a call or contact us online and supply your address and we will send you a paper copy of our guide FREE.

MEET THE TEAM

Adam Cresswell - Seatons Solicitors - Kettering

Adam Cresswell

Nicki Slawson - Seatons Solicitors - Kettering

Nicki Slawson

Shelley Longmuir - Seatons Solicitors - Kettering

Shelley Longmuir

Are you eligible for funded care?

TAKE A FREE ASSESSMENT NOW!

NHS Continuing Healthcare – How Do You Start The Care Fee Process?

See 5 Tips you NEED to know before applying for NHS Care Fee funding

See 5 Tips you NEED to know before applying for NHS Care Fee funding in this free guide or alternatively download our free NHS Care Fees brochure for further information.

Getting the right care in place for an elderly parent or other family members can be a difficult and upsetting time.

Once you have found the right care, you need to fund the right care.

Those who qualify for NHS Continuing Healthcare Funding get 100% of their care funded by the NHS.

As a result of a Positive Checklist, the claim proceeds to the next assessment which is undertaken using a ‘Decision Support Tool’ (DST) – this is used across the NHS for the purposes of assessing claims for Care Fees Funding. It’s use has been agreed by NHS England as being the appropriate way of advancing claims. The DST is completed by a Multi-Disciplinary Team (MDT) – comprising of a Nurse Assessor and a second health professional or Social Worker in addition to any other relevant professionals involved in delivering the care at the time of the assessment.

The Decision Support Tool – A National Framework

It is also within the National Framework that the family of any Applicant is also involved in the assessment (if the Applicant has capacity and agrees to the family input). The Decision Support Tool contains 11 specific ‘domains’ and one further domain which is for the inclusion of any needs which are not covered by the previous 11. The 11 ‘specific’ domains are:

  • Behaviour, Cognition, Psychological and Emotional, Communication, Nutrition, Mobility, Continence, Drugs and Therapy, Breathing, Altered States of Consciousness, Skin Integrity.
  • The 12th domain is there to comply with the National Frameworks concern that:

In certain cases, an individual may have particular needs that are not easily categorised by the care domains described here. In such circumstances, it is the responsibility of the assessors to determine the extent and type of the need and take that need into account (and record in the 12th care domain) when deciding whether a person has a primary health need.”

These ‘domains’ are scored on a scale of ‘no need’ up to ‘severe’ and then ‘priority need’ with categories between these.

If the DST indicates the presence of a health need then funding must be awarded for the patient’s full care. If the MDT fails to find that there is a health need then this decision is sent together with the appeals procedure to the Applicant for funding.

A clear recommendation of eligibility would be expected if the individual undergoing assessment has:

  • priority level of need in any of the four
  • two or more instances of severe needs across all domains

If the following apply, this may, depending on the combination of needs, also indicate a primary health need:

  • one domain recorded as severe together with needs in a number of other domains, or
  • a number of domains with high and/or moderate needs.

So that’s the DST – and whilst is appears to be a straight forward assessment we can assure you that it can be fraught with problems. It is incredibly common that the team doing the assessment is not properly constituted or fail to consider essential evidence such as that from care notes or anecdotal evidence from friends and families of the Applicant.

At Seatons we are fairly unique in that we directly employ medical staff to attend the assessment if needed and ‘shadow’ assess the Applicant.  Our Lead Nurse Assessor, a Registered Mental Nurse, has years of experience of assessing Applicants for CHC funding – she has worked within the system and knows the pressure that is sometimes applied to save the NHS money by finding Applicants’ needs lacking.

Ultimately, if there is no primary health need found, then it is usual that the Applicant will be forced to pay for some, most or all of their care – and with costs in some instances being over £1,000.00 per week for care, it makes sense to ensure that your Application is done properly with all the evidence fully considered – this is what our medics and lawyers do.

CALL NOW FOR FREE ADVICE

 0800 038 5915

What Is A Checklist? NHS CHC Funding Help From Seatons

NHS Continuing Healthcare – How We Can Help With An NHS Checklist For Care

Testimonials

Thank you so much Shelley and Nikki, you helped us so much and gave us so much help and information, when our mum was so poorly, with our appeal against the NHS Continuing Health Care Service. We can’t thank you enough, for your dedication and helpfulness, you have been so kind to us when we was so desperate and didn’t know where to turn.

We really would recommend your services 100%!!!

L. Sales

Adam and Nikki were both expert and clear in their advice and support. I started as a concerned son with no idea what I was going to do. I now have a plan to move ahead so I can support my mum. I am so grateful for the support I received today.

A. Clarke

Attended the CHC course on Wednesday 29th May. The course was very useful and imformative. All the staff were very friendly and nothing was too much trouble. Lots of info given and brochures given to take home and read. Thank you for advertising the course on your facebook page as its unlikely we would have known about it any other way.

L. Johnson

We can’t recommend Adam Cresswell highly enough for representing us today at our CHC local resolution panel appeal. He was absolutely awesome! We got the right and fair result for our Dad and are so grateful to both Adam and Nicky for their help. Thanks also to Shelley for her understanding and help during what had been a very emotionally distressing time for both myself and my sister.

T. Shepherd

Free Downloadable Guide To Care Fee FundingDownload our FREE guide to

NHS Continuing Healthcare Funding Today

See 5 tips you NEED to know and the 3 biggest mistakes that see claims fail!

See 5 Tips you NEED to know before applying for NHS Care Fee funding in our free guide or alternatively download our free NHS Care Fees brochure for further information.

Getting the right care in place for an elderly parent or other family members can be a difficult and upsetting time.

Once you have found the right care, you need to fund the right care.

Those who qualify for NHS Continuing Healthcare Funding get 100% of their care funded by the NHS.

Applying for funding is not a simple process and Nationally only 18% of applications are approved – The process is governed by a legal framework and the assessments involve a full review of all available medical evidence.

At Seatons we are unique in employing not only lawyers – but experienced medics who have years of experience in the NHS assessment process.

Our fees are transparent and for the equivalent cost of a week of care we can help ensure your application has the best chance of success or help you appeal any decision you disagree with.