Changes to the continuing healthcare policy in North West London
16 January 2019
The NHS in North West London is proposing to make changes to NHS continuing healthcare (CHC) policy in North West London. NHS continuing health care policy is a package of care for people who are assessed as having significant on-going healthcare needs. It is arranged and funded by your local NHS, or Clinical Commissioning Group (CCG).
- If you receive care in your own home the NHS covers the cost of the support you need from health professionals and the cost of personal care which can include help with washing and getting dressed.
- If you receive NHS continuing healthcare in a care home the NHS pays your care home fees.
At the moment, the NHS does not apply a maximum cost to delivering care through this policy in a patient’s home. We are therefore looking at how much we should spend on CHC care provided to people their own homes, as opposed to funding their care in a care home.
Our proposal is that we should agree to spend up to 10% more than the costs of a care home placement, if it means that a patient can stay in their own home and receive care there. Alternatively, we could consider a different maximum percentage, such as 5% or even 15%.
The draft policy, if agreed, would be applied to all new patients assessed for CHC. This could mean that some patients would receive their care in a care home or another specialist location. This would only happen if their review found their care at home costs over 10% more than it would cost in a care home and if there were no exceptional circumstances which meant we needed to continue to care for the patient at home.
For existing patients, we would review their care when it is next up for review, usually once a year. We have written to all patients receiving care through CHC and made clear whether we expect they will be impacted or not.
We are holding a drop in session for patients, family and carers which they have all been invited too and we have provided a number of ways of them providing their views or asking further questions. Only a small number of patients in each borough (less than 10) are expected to be affected by the policy change.
For more information about the change please contact Diane Jones, Chief Nurse and Director of Quality by emailing firstname.lastname@example.org or calling 020 3350 4815.