What is nursing care?
It is narrowly defined as “care provided, delegated, monitored and supervised by a registered nurse”. This does not include the care provided by a nursing or care assistant, even if that care is delegated or supervised by the registered nurse. It is the act of supervision or delegation that is classed as “nursing”, rather than the care itself. Personal care is not defined as nursing care.
People in need of care in the community either fund the care themselves (“self funders”), or seek assistance from social services or the National Health Service (NHS). Support given by social services is means tested. Social services support is free of charge to persons on low income and capital. If social services arrange for care in the community they must pay the fees charged by the home provider and recover the cost from those not eligible to receive free care. In some cases the responsibility for providing community care transfers to the NHS. Care given by the NHS is referred to a National Health Service Continuing Health Care (NHS-CHC) and is free of charge.
To qualify the patient must have a “primary health need”. They must show that::
NHS funded nursing care is the funding provided by the NHS towards the costs of a place in a care home with nursing for those people assessed as requiring help of a registered nurse. This type of funding is known as “registered nursing contribution to care”. There are two levels of contribution. In the financial year 2008/09 there is a standard weekly rate of £103.80 and high band rate of £142.80 for those residents assessed with higher nursing needs.
When asked to do so, the NHS must assess if a patient’s care needs entitle them to free NHS-CHC care. A multi disciplinary team comprising doctors, nurses, and NHS staff have a duty to consider all the factors and make a recommendation about entitlement to NHS CHC. The factors concern the patient’s health and include:
When carrying out an assessment the NHS must apply a decision making tool designed to provide a fair and effective way of establishing individual entitlement to continuing health care. The tool measures the extent of the person’s various health care needs, using it to decide whether or not these needs are met by the NHS or social services. The needs are measured as “no need”; “low”; “moderate”; “high”; “severe”; or “priority”. It is considered that continuing care would be recommended if a person has a priority need in any one of the four domains that carry this level, or a total of two or more incidences in the severe category. It is upon individual judgement if people with lower level needs than this qualify for NHS funding.
NHS guidance states that applications for CHC should be reviewed three months following initial assessment and at least yearly thereafter. The first process involves a “local resolution” by the Primary Care Trust (PCT) review panel followed by a further review by the Strategic Health Authority (SHA) panel. After local resolution has been exhausted the case can be referred to the SHA Independent Review Panel. The panel’s job will be to determine whether the PCT has correctly followed the assessment process.
The review procedure is different if the complaint is about the care package, the treatment the patient is receiving or the location of any NHS funded care. Such concerns are dealt with by the ordinary NHS complaints procedure.
Absolutely great service, professional and efficient. I would highly recommend Ian Fraser and Alison Allen. 5 star
Extremely professional, attentive to my needs and quick resolution to all issues that arose throughout my purchase.
They carried out the conveyancing thoroughly and efficiently and appreciated the fact that they always made time to see me and address my concerns. I would be very happy to work with them again and already highly recommend them.
I have been a client of Stennett and Stennett for a while now and have always found them professional, efficient, understanding and caring. Michael Stennett in particular has advised and helped me in dealing with the administration of the Power of Attorney for both my parents and has always gone out of his way to provide a friendly and attentive service. I would not hesitate in recommending them to friends and family and will always use them in any future legal transactions when I need legal advice.
Without hesitation I can say Stennett & Stennett kept me well informed by periodic updates about the progress of the estate, and what options were available and advised accordingly but always asking what i wanted to do .His services were definitely efficient and courteous
I was seen on time and the service was very good.
All the members of Stennett & Stennett have been very friendly & efficient since we first started using the company quite a few years ago. They have recently dealt with, what could have been, a tricky situation very successfully & we are very happy with the outcome. We will continue to use their services.
As always Stenett's have given us professional, supportive and helpful service. Thank you very much. The professionalism of all Stennett's staff far outweighed that of the other solicitors in our conveyancing chain.
We received very professional and fast service from Stennett & Stennett right from the first phone call. I called in and asked for a particular service for which I was put through to the right person straightaway. Debbie was very knowledgeable and offered us to come in for a free of charge consultation with a solicitor, which we did. During that meeting with Mr Stennett he arranged for the right documents and forms to be sent to us and made another appointment to come in and sign the prepared contracts. That's it! Many thanks.
A big thank you to Stennent & Stennent Solicitors, for helping my 94 years old Auntie to move into her new retirement home. They were very kind and considerate towards my Auntie and explained everything very clearly to her. With their calm attitude and approach it avoided any stressful feelings for her. I strongly recommend you use their services. Thanks again Stennent.
Always contactable by either phone or email.
S&S offices have a calm atmosphere and on the telephone. I had clear legal advice which was completely accurate and down to earth. This helps when to go to a solicitor, sometimes in a state of unknowing and worry. I had quite severe concerns, things did go wrong and I found the atmosphere of calmness and in going forward toward solving matters reassuring.
WE used Stennett and Stennett to enact a power of attorney and when my father subsequently died they dealt with the financial affairs of his estate and the sale of the house. This was done sensitively and efficiently, keeping the family informed at all times of how things were progressing.
Michael Stennett has handled our family's business over the last few years with great professionalism and charm. I am aware that our case has been extremely challenging and complex and am delighted that we have achieved a satisfactory outcome in the end. Thank you for your patience and perseverence - I would gladely recommend Stennett and Stennett's services to anyone!
They took the time to explain all of the procedures and answer my questions, no matter how trivial they were. They were professional throughout and made sure that our options were always clear and provided guidance without being forceful. They are very efficient and represent excellent value for money. Alison Allen is one of the most professional and helpful people I have ever had the pleasure of dealing with and made the whole process so easy.
Stennett & Stennett
4 Winchmore Hill Road
DX: 34305 Southgate
Stennett and Stennett is the trading name of Stennett and Stennett Ltd registered in England and Wales under CRN 7666275 and whose registered address is:
4 Winchmore Hill Road, Southgate, London, N14 6PT. Authorised and regulated by the Solicitors Regulation Authority no. 564879