What is the difference between healthcare and social care

This enables the individual to receive prompt NHS funding to meet the cost of care at the end of life stage. What is Continuing Healthcare? Back What is Continuing Healthcare? The Process Are you paying for care? What is the Decision Support Tool?

Do we have to pay our care bill? Is Compass Continuing Healthcare a law firm? We have had similar. Check out Care To Be Different website on how to appeal. We are currently at resolution meeting stage and after 10 weeks have yet to receive a decision because apparently of the numerous comments we have made that they have to address.

That is excellent advice Judy. The rationale for this decision is based on the 4 key indicators, nature, intensity, complexity and unpredictability. It was identified that Irene requires 24 hour care within a safe and secure environment where she can be supported to maintain the activities of daily living. The care Irene requires on a daily basis is not above and beyond that which would be expected to be provided by the local authority, social services.

The health needs of Irene are incidental and ancillary to the provision of social care. She is not mobile, cannot move by herself at all and has to be turned in bed by carers to prevent bed sores, she is always in bed now. She cannot communicate, cannot feed herself and cannot eat solid food even when fed.

She is doubly incontinent. How bad does one have to be to qualify for this funding? Do we appeal? My mother in law is exactly the same as your mum Carol.

It is disgraceful. We were begging him to get help for ages, a friend finally convinced him. His local L. Not one physical assessment was carried out. Two weeks later he fell and broke his pelvis and laid for hours on the floor before he managed to call me and I called ambulance. He deteriorated rapidly.

He had a care team In place 4 times a day, when he left hospital; my father refused all care with them, tried to do everything himself, food everywhere, and was incontinent. Care team refused to clean it up, I had to do mile round trips 3 times a week to clean up. I asked for a variety of assessments, it took 5 months before a single one was carried out.

He was sent for 4 weeks to a neurological center for tests. They said he needed specialist nutrition, 24 hour care, they put a catheter in situ as he was always in retention and bed rails up at night as he refused to ask for help and was very high risk of falls and that he was not able to rehabilitate and would deteriorate. They sent him back to the nursing home needing two carers in place for personal care transfers etc and specialist equipment.

Me and my sister have LPA in place, we have asked for copies of these assessments numerous times, non forthcoming. I offered to move him into hospital but was told by social worker his care needs were being met and not to move him. However January 3rd the social worker organised a meeting with my father, who was very surprised to see me at the meeting, but he was there to tell my father that his funding would stop on 31st January and get him to agree to move to a cheaper home and to pay for nursing care himself.

At that meeting the lead nurse said he needs 24 hour care. Everything my father said, the social worker had to look at me for a translation as his speech is so bad, yet one of the reluctant assessments carried out was by the speech and language therapist again with no input from me, and I have a copy of that letter, it said he has no problems with communication!

At first the social worker tried to play as though he knew nothing about the 4 week assessment and was again mentioning independent living, but at the end of the meeting the social worker offered to send me a copy of the report produced after the 4 week assessment!!

I tried to find a cheaper nursing home but I live rural and the only one available was for physical disabilities and they refused to take him on account that he had cognitive impairment as well! Am I doing the right thing? Should I be demanding a fast track assessment again? Any advice would be greatly appreciated. Thanks for your kind feedback on the website, Alex.

What a terrible experience for you and your father. Consider sending all care bills to the CCG for payment until they start to do things properly. You may also want to go to the press.

That can sometimes produce a result. My mother went into a nuring home with severe vascular dementia in June Previous to her admittance her behaviour was very aggressive and this was noted on Care Plans.

Mum went into the Home in the June and no Social Service care plan review was carried out until February This should have been done at 6 weeks. This did kick start the CHC assessment in August which even though she had severe vascular dementia, completely immobile, unpredictable behaviour and aggression, she failed. I appealed. I never heard anything back. In October a second CHC assessment occurred and she got it.

I put in a Retro claim back to when she entered the home. The whole document talk of evidence submitted and notes from the Home and such, but not once does it mention my input or even try to dispute points I made in the last document I wrote stating why I believe my mum had a Primary Care Need from before she moved into the Home.

I will now appeal this but really need some good pointers to push this home. Any advice would be appreciated and sorry for the long post. This is a random comment but does anyone know if a Multidisciplinary Team can consist of 3 people from Continuing Healthcare? Jane — a representative from the local authority, e. Same position as Jane, can longer afford our solicitor and anyway we appeared to know more about the Continuing Healthcare process than she did.

Local panel early next year. We have all the care notes including Dr and Consultant yet the Decision Support Tool was completed from daily care records only. Any advice would be appreciated and I think I would rather have my teeth pulled than go to this meeting as afraid the will intimidate as assume we know nothing. Thank you for your comments. I was also under the impression that if a Checklist takes place the persons carer or representative should be involved especially if the person has been previously diagnosed with early onset dementia and short term memory loss.

Are you able to confirm this please? Thank you in advance. Hi All, Having now dispensed with a solicitor who I feel sadly does not know enough about NHS Continuing Healthcare I am going to attempt to get it myself for my late dad. Dad had been living at home with me and had 4 calls a day from carers. Dad had a fall and ended up in hospital in He had previously been assessed that he did not have to contribute anything for the calls he was having at home.

I was not notified of this because they supposedly said that dad fully understood what it was. At the same time they have written comments saying dad did not always remember things. Evidently an outcome letter was also supposedly sent to dad — very strange as he lived with me and it never arrived at my house. At this time they advised in the mysterious letter that dad did not meet the criteria for a full DST.

Obviously if I had been aware of this I would have strongly disputed it. Despite me requesting on numerous occasions for a copy of the Checklist it has never materialised. Dad did get the Nursing Element paid for him. I feel that I should have been able to be part of the Checklist if it really did take place and I was under the impression please correct me if I am wrong that a Full Assessment for NHS Continuing Healthcare should be held prior to the Nursing Element being authorised.

I have also never ever seen any sign of a Portrayal of Needs. Jane — it certainly does sound as though nothing was actually done in terms of a Checklist, otherwise there would be the paperwork to suit. Although FNC can be given to a person who has not reached stage two of the CHC process the multidisciplinary team assessment it is always worth questioning whether those nursing needs were actually properly assessed.

The local authority legal limit is vital in tis respect. Is it Skin or could it be Other? As it is a disease and as in this case, as a result of poor attention to oral hygiene, it feels like it warrants a domain to itself. Symptoms include pain, causing a reluctance to eat and drink and therefore overlaps with other domains such as drugs and nutrition.

This is a nasty one which is easily overlooked. Any thoughts? Poor oral hygiene is though to be a risk factor in heart disease and possibly also stroke — not to mention the pain and discomfort a person would feel and of course the associated risk of malnutrition.

It also requires careful management, which again adds to the totality of need. I have just lost a claim for my late Aunts funding, she was in a care home for 6 years self funding, using all her capitol and selling her home. They said she needed 24 hour care ,but social not Primary Care. She did nothing for herself, doubly incontinent, didnt dress, wash, go to toilet unless taken, didnt want to eat etc etc.

Exactly what is classed as Primary care in laymans terms please. I am 77 and dont understand what they are looking for that would get us a refund. Since last writing my MiL has died. A letter was sent dated April advising my MiL no longer met the criteria for primary health care so was no longer entitled to CHC funding.

In fact no funds have been forthcoming since September so the family has funded the cost of care. The reason was that the previous agency providing the carers were negligent and the carers less than trustworthy let alone suitable for the work they were supposed to be doing.

The family took the decision to change carer agency. The CHC were aware of this but after the change advised 1. April Is this correct? Knowing this then I can proceed further both regarding the non payment from September to April then challenging the decision itself. I imagine this is a very difficult time for you all. You still have every right to appeal and you should be send copies of all assessment notes and everything that was reviewed by the appeal panel.

Yes, CHC funding should continued right up until any actual decision to remove it. Thank you for at least confirming we have a case. A copy of your completed Decision Support Tool assessment and a leaflet explaining how the decision was reached is enclosed.

I was not involved then. Pamela Coughlan was totally paralysed, as is my Mil. PM could speak and was totally coherent, my Mil cannot speak and has poor cognivity. PM was able to use an electric wheelchair and via voice control use a computer, my Mil is only able to move from her bed to a wheelchair through the use by carers of a sling and is not able to do anything for herself let alone use a computer. Nonetheless I feel that my MiL primary health needs are as severe as those of PM and following the judgement set down my MiL does qualify.

I am considering writing a letter similar to that in your book referring to the Coughlan Test as well as asking for the items you have suggested. I would welcome your comments David.

My husband with frontal lobal dementia is in supported accommodation as directed by hospital and I would like to know if legally I can be regarded as a dependant as i live separate in my own home and am dependant on his pensions. I was told that legally he is responsible for half my household bills and my upkeep.

Im concerned that he should get full housing benefit of which is his rent. He needs 24 hour care. If not, this should happen as a matter of priority. Regarding other benefits, you may fid it helpful to have a chat with AgeUK about that. My mum is in a care home which is closing down we were given 6 weeks notice — we have just over 3 weeks left. I am really worried about what is going to happen to mum. They used the CHC checklist. However, I have emailed the recently appointed social worker who I am meeting tomorrow to say that I do not accept the results of the assessment and my reasons thanks to the advice on this website!

My question is whether my mum is eligible to receive CHC funding, Nursing Care funding or at the least Band P LA funding based on the fact that: She is registered disabled — or at least she was prior to going into the care home, due to no mobility due to severe osteoarthritis and osteoporosis.

She can not weight bear at all — cannot stand. She can not move in her chair, has to be moved to be made comfortable by two carers but has been graded C — she is definitely an A. She has suffered from pressure sores whilst in hospital and at a truly awful care home she was placed in before her present home. Also, can someone point me in the direction of the Local Authority Limits? Kim — thank you for your kind words about the website.

The Checklist should not have been carried out with out your involvement, and you should have been given notice that it was to take place. Insist that this is done again. Thank you for your reply.

The social worker also said that she is disappointed that the Nursing Team met with mum and assessed her without any family being notified and said that the only reason she could think of was due to the urgency of the situation as the current home is closing, but she then went on to say that the regulations change with regard to FNC on 1st July, in that if someone becomes eligible for FNC then they automatically have to have a full assessment for CHC.

For months now we have been trying to find out about a Personal Budget for my mother in law but with no response. Since her stroke she has been looked after in her own home with 2 live in carers. Following this her CHC funding for 2 live in carers was continued. Despite the levels being increased on certain parameters and none reduced the decision was to remove CHC funding.

Since December we have been trying to understand and get an explanation why, despite little change either in her health or the markings, funding should be removed. The only explanation we can think is cost savings.

A complication is that since June we have, at the suggestion of the CCG then, changed the care agency. Being naturally suspicious I believe they have taken this as an opportune time to change their original decision.

So since no finding being provided the family has had no alternative but to fund my Mils care ourselves. We believe the CCG are incorrect and we are entitled to continuation of the funding, if not in full then in part since hence our request for Personal Funding. Any help or advice would be most welcome as we are coming to the end of our tether. That sounds very frustrating, David, and I can understand your suspicions.

The CHC assessors and the IRP decision makers must be able to justify why they have changed the scores, and you should have a copy of their full rationale. You could also write to the Head of Adult Care at the local authority LA and make it very clear that the LA is now in a potentially illegal position, by effectively having taken responsibility for care that may be beyond their legal remit.

Hi — my son is profoundly disabled with learning difficulties, epilepsy, sensory issues, doubly incontinant, behaviour problems, no speech, non mobile, just to name a few of his issues. We were one of the first people in our county to have a personal budget on CHC under the pilot scheme. This lasted for 3 years. During that time we were told we could use his budget for all his health needs, i. This has resulted in a huge decline in his health, behaviours, and he now has severe anxiety panic attacks because the world that he was used to and knew has been turned on its head.

I have complained but it got me know where. I was just told it was my choice to have my son at home so I needed to cut my cloth like other people! Personal budgets for CHC are something the NHS has made a big thing of, and it has been at pains to promote positive case studies about them. Is this something you would perhaps go to the press about? Can personal hygiene care washing, dressing, toileting etc go in there? When, I asked about this at a dst meeting, the nurse assessor said that it was taken into account elsewhere, which meant she made a few comments under the Psychological Domain.

However, my mother, who had dementia now passed away , needed a lot of personal care, being unable to do anything for herself, and I feel the quantity of this type of care gets lost when considering if there is a primary health need.

In my mum was diagnosed with Alzhiemers which we were managing. In Sept 15 mum had a major stroke leaving her paralysed on her right side, expressive and receptive dysphasia and newly diagnosed vascular dementia — creating a diagnosis of Mixed Dementia.

After a few weeks being discharged to home she lives alone with a care package, mum was re-admitted to hospital with heart failure. She was treated and discharged back home — sadly on the way home in the ambulance she suffered a second stroke and was immediately returned to hospital where she remains. In this time her mobility and congition have deteriorated significantly and we have been advised that her heart failure is severe- she is not mobile, not orientated to time or place and has daily bouts of severe crying and distress begging to go home.

She is not aggresive but extremely distressed. This is true, because she needs constant reassurance. I have visited a great many of them and they are awful, dark and smelly. I am fighting but in the interim, mum is sitting in a discharge ward and not being properly cared for and I need to find her a good place where she will be properly cared for and have an outside chance of settling.

I often find her with a yoghurt pot in front of her with the lid on which she has not physical or cognitive abililty to open or feed herself with — I am truly desperate. Do you know in this instance what level of funding social services will pay? I am confused beyond measure and would appreciate any advice. Debs — if your mum genuinely has to pay for her own care and you can appeal the Continuing Healthcare decision , and she is funded by the local authority on account of insufficient funds of her own, the local authority MUST find a care home that can meet her needs, even if it costs more than they will usually pay.

If they fail to do this, they are negligent, because your mum will be at risk. My 82 year old mum has multiple myeloma and other health issues and has recently had 2 severe falls whilst in respite care, the first breaking the head of her femur and the second breaking the top of her humerus.

Following her falls mum is unable to weight bear independently and unable to support herself due to the breaks in her hip and arm and shoulder. Because of her lack of mobility mum has had to move to a residential home because my dad who is 88 and has a number of health issues is unable to care for her.

My mum has been assessed for dementia since being admitted to the home. She is currently placed on an EMI unit because she presents confusion. However, a conclusion cannot be reached because the confusion could be due to the advancement of the myeloma.

It seems ridiculous that my mums health is worse than ever, however, she is deemed to have only social needs. I would appreciate some advice about whether I should appeal the decision.

I have found this website by chance today and it is fantastic — thank you to everyone who posts. Thank you for your kind feedback on the website, Diane. Definitely appeal — and make a high-level complaint about the breach of confidentiality with respect to the information you were sent relating to someone else. Pick apart the Decision Support Tool notes and highlight every error, inaccuracy, omission and misleading statement in your appeal.

She also presents as though she may have dementia, however the memory team are unable to assess due to her other conditions. Mum has had a number of falls the latest resulting in the breaking of the head of her humerous, this has taken the very limited shuffling a few steps with a frame mobility she had and she is now unable to weight bear without the support of two people. She is extremely unsettled, has hallucinations, has lost her appetite, constantly refuses food and drink and also refuses to take her medication.

I really cannot get my head around the whole situation, so any advice at all would be hugely appreciated. Secondly, when the local CCG assessed mum, they sent me and Dad a letter to inform us of the decision, they also included in the envelope the completed DST for a gentleman resident in a local MHU, by mistake which is I believe a huge breach of confidentiality. I have written a letter of complaint to the CCG, but should I be informing anyone else?

I feel as though this situation is not been taken seriously by the CCG. Hi Diane — that sounds very distressing, and the issue with the assessment records is a huge breach of confidentiality. Regarding the removal of CHC funding, the funding cannot simply be removed without proper review. So there must be a proper review of each domain, to ascertain whether or not your mother is still eligible, and this should be done before funding is removed.

Thank you so much for this information. I have written a letter of complaint to the CCG, but so far there has been no response. I will now ensure that I widen my audience by writing to the GP and the other bodies that you suggest. Many thanks once again.

The physical side of her health is a concern but it is her mental health that is causing the decline. She has been referred again! Any ideas? In theory, if you or your relative has a continuing healthcare assessment and your needs are healthcare related, i. In practice though, many people who have healthcare and nursing care needs are being cared for through the social care system.

Once a patient is moved into continuing healthcare they undergo a formal assessment to determine whether their needs are healthcare or social based. If the needs are deemed to be social then the process of means testing determines who pays for this care, the individual or the local authority. Families report that their relatives, who suffer from dementia, double incontinence, immobility and need hour nursing care, are being assessed as having social, not healthcare needs.

Dementia patients necessitate extra care all in all than different patients in the care focus, as they might have different incapacities or disarranges too. These sort of treatment can be attempted upon, as a greater part of a patients are the casualties of obliviousness through their families as well as it very well may be suited to help them via any conceivable way.

The active participation of the health care systems can reduce the problems for the individuals. The potential impact of the emerging development is mentioned below in list:. Challenging behavior describes the influencing behavior that brings changes in the services as by producing challenges for the services. Services can be related to the social care or to the health care.

Challenging behavior for the services is basically the abnormal behavior of the culture. In accordance to this the challenging behavior produce challenges by frequently and consistently changing the behavior that are most important challenges to be addressed.

There are some examples of the challenging behaviors as head butting, scratching and biting. The types of challenging behavior are not limited in fact it includes all the behavior that are serious attention concerning behaviors.

There are several examples of the culturally abnormal behavior as stereotyping behavior, criminal behavior, aggressive behavior, scratching in peer group, biting other people, or other physical harm including butting, punching, and kicking. Other than all these self-injurious behavior is also included in this as hitting, scratching and biting oneself personally.

Potential behaviors that are mentioned above generate long lasting effects. To deal with the modern issues and concerns of the organization there are challenging behavior. The potential impact of the behavior is mentioned below:. Strategies are basically tactics that can be adapted to deal with the problem. Without considering problem and challenges one cannot ensure success of the service centers. The major strategies are mentioned to deal with the challenges:. According to the possible challenges and issues in the health and social care services worker should be given opportunity to deal with the issues in such a way that ensure success for the users of the social and health care services.

Basically a society and its development require continuous changes therefore for development of the effective strategy this should be given importance. On the behalf of the care of the patients the technology work as the challenging behavior that is very critical. If the challenging behavior shows through the patients that create the problems along with the different patient.

To address all specific needs of individuals living in the society there must be health and social care services providers. To be success in the social health and social care services providers should be innovate and effective in the society.

Only by working according to the demand of the social health and social care programs can be effective. Evaluating Healthcare Systems. Copyright Privacy Policy Contact Us. Health And Social Care Analyze concept The health is considered as the fitness and ability to perform all daily duties that a normal physically and mentally fit perform.

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