The Decision Support Tool for NHS Continuing Healthcare is clearly explained by a Farley Dwek free guide. They can also schedule a call to discuss a specific situation: https://www.farleydwek.com/.
Example lawyers who assist with applications and appeals for continuing healthcare:
https://continuing-healthcare.co.uk/ – There are legal telephone hotlines about funding for nursing support.
FarleyDwek have free guides and also a £30 book which explains the process in detail.
There is not normally an age threshold at sixty years old, except for a rule about selling your own home if you are under sixty, to fund the care, whereas a partner will be allowed to stay in the family home if they are over sixty.
It is crucial to prepare for the short checklist assessment and then the full assessment.
Typical decision support tool questions:
What assistance is required now?
Indications and severity level are assessed.
e.g., emotional support. However normal offers of counselling may be rejected by the person if they are at stage 1 or stage 2 of Carl Rogers’ 7 stages of process in their readiness for counselling. Wallin predicts that counselling is more successful for people who are “psychologically minded”.
Breathing
e.g., personal care; perhaps the person does not like having this done and makes it difficult for the current helper(s).
e.g., Assistance with their nebulizer – a vapour machine to moisten air and can deliver a saline or medication dose while breathing.
e.g., a bipap machine which provides positive airflow overnight, for sleep apnea.
Nutrition: e.g., choking while eating, helping with a suction machine for saliva.
Cognition: e.g., number and name aphasia. Names of friends and family being interchanged which makes conversation very tricky.
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