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< 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.

Guidance

FAQs on Deferred Payments

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General Enquiry

Questionnaire

 

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NHS Continuing Care Enquiry

Questionnaire

 

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The June Yorkshire Family Business Bulletin

This month, Thomas Wainman considers 'employee ownership' as an option for family businesses plus the usual mix of news, insights and perspectives.

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HMRC's Trust Registration Service – ACTION REQUIRED

In June 2017, HMRC Trust Registration Service is due to be launched and will require all trusts with potential UK tax liabilities to be registered.

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Beware of finance leases dressed up as operating leases

A reminder of when academies need ESFA consent.

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Schools Breakfast Club

Date: 11 Jul 2017

Venue: Wrigleys Solicitors, 19 Cookridge Street, Leeds, LS2 3AG

Speaker: Lisa Armstrong, Chartered Educational Psychologist at Evolution Psychology Ltd

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Breakfast Briefing

Date: 01 Aug 2017

Venue: Radisson Blu, Leeds

Speaker: Dr John McMullen, Partner at Wrigleys Solicitors

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Breakfast Briefing - 17th October 2017

Date: 17 Oct 2017

Venue: Radisson Blu, Leeds

Speaker: Dr John McMullen, Partner at Wrigleys Solicitors

Further information

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