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Leeds: 0113 244 6100

Sheffield: 0114 267 5588



"Thanks so much for all your help, advice, patience and effort from day one to today - I can’t imagine how this would have turned out without your skill and stamina."

- A son acting for his mother in a care fees dispute

"Your impact has definitely been felt by all involved, it’s efficient, intelligent and dynamic. I can feel that the opposing party are raising their standards, as soon as they hear from you."

- Sister of disabled man challenging care package

< Back to care journey

The duty of the NHS includes the provision of services for the prevention of illness, the care of persons suffering from illness and the after-care of persons who have suffered from illness.

The duty of a social services department is to support a person's well being by assisting them with developing or maintaining their social engagement. They may provide health services in support of that but cannot do so if the health services are more than an ancillary or incidental aspect of the overall accommodation service being provided or if the nature of the health care provided is not the kind of care that a social services department can be expected to provide.

Whether or not a person is eligible for full NHS funding has important financial consequences. NHS funding is free. If the person is not fully NHS funded then subject to a means test, in residential care  they will have to pay for their care in full. If they cannot afford to pay in full, they will even so have to make contribute nearly all of their income which even for basic state pensioners amounts to several thousand pounds a year. 

If care is provided at home, the council has more discretion but many councils have now moved to a full cost charge subejct to a means test.

The test of eligibility is far from straightforward.  It is a common experience that a different assessment team conducting a review may take a different view even when there has been little change in the patient's needs.

The quality of assessments has been a problem recognised by health authorities themselves.

The question you should ask yourself, is "does it seem to me as if the care given to me is to support my social engagement or am I really just being nursed due to health problems (even if it is by non nursing staff)?"

If the answer is that you feel you are (or your relative is) being nursed, legal advice is recommended.

A common issue is that nursing home residents with late stage neuro-degenerative disease such as Alzheimers disease are expected to pay for their own health care. This is even though they are suffering from extensive damage to the brain, have little or no social functioning which a social services department can support and are completely dependent upon staff to maintain their life. The rationale for this may be that the care that they need is not health care but "social care." These cases should be challenged because this rationale is wrong.


FAQs on Deferred Payments

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General Enquiry



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NHS Continuing Care Enquiry



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Strong and stable: ignore the spin, the substance still matters

Strong and stable might no longer be a fashionable phrase, but that's exactly what good governance of academy trusts is all about.

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Modern slavery statements and the academy trust

With victims of modern slavery in England likely to number over 10,000, we consider supply chain transparency requirements for academy trusts.

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Community-led housing: Lancaster gathering

Interested in community-led housing? Join us on Saturday 4 November at the Friend's Meeting House in Lancaster.

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Breakfast Briefing - 17 October

Date: 17 Oct 2017

Venue: Radisson Blu, Leeds

Speaker: Dr John McMullen, Partner at Wrigleys Solicitors

Further information

Annual Charity Governance Seminar 2017

Date: 19 Oct 2017

Venue: Hilton City Leeds

Speaker: Sarah Atkinson , Julia Unwin CBE

Further information

Philanthropy Impact - The role of professional advisers, philanthropists...

Date: 07 Nov 2017


Speaker: Fran Hegyi, Executive Director, Hull UK City of Culture 2017; Andrew Dixon, Director, Culture Creativity Place, Bid adviser Leeds 2023; Other speakers TBC

Further information and booking

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