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.
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.
My meeting with Michael Stennett following the death of my husband was sympathetic, supportive and informative on the many issues about which I was concerned. It was a very positive experience given the difficult time. Thank you.
We can thoroughly recommend Davinder Salhan at Stennet & Stennett and would like to thank her for making a complicated transaction so easy for us. She was extremely pleasant, as well as highly efficient throughout and we would have no hesitation in returning to her for any future business.
At a time when I was most vulnerable, It was nice to be able to let someone deal with a difficult situation, in the form of Probate. Also to advise me on my own will, and Power of Attorney.
Very helpful .The process was time comsumimg as explained to me by Mr Stennett.Was helpful throughout the whole process and so was Debbie. The only thing i would suggest is to call back or respins to emails in a much more timely fashion.
I would like to take this opportunity in thanking Team Stennett & Sennett for the service, I received during the sale & purchase of my property. Davinder is and asset to Stennett & Stennett, she is very professional and responsive. She explained everything in detail. I was always kept informed throughout the process of the sale and purchase. I would definitely recommend her to friends and family for future legal help and advice.
Michael Stennett made the whole process of organising the new wills for my parents extremely easy; his efficiency and helpfulness were exemplary. Michael explained all the legalize in layperson's terms and so enabled us to make sensible decisions for the future. We came away from this experience very satisfied.
Stennett & Stennett is a pleasant place to visit. Our solicitor was helpful, we were kept well informed on the progress of our house sale. We will be happy to use the service again in the future.
I recently visited Stennett & Stennett Solicitors in order to complete my will. The documentation that I received when made my appointment was clear and enabled me to prepare for my meeting. The meeting was relaxed, informative and less than one hour. Michael made sensible and necessary amendments and I returned within two weeks to sign the official paper work. I am confident that my affairs are now in order, and it was great ti finally get it off my to-do list!
By advising us and carrying out our instructions in a professional and friendly manner.
Stennett & stennett solicitors were excellent specially the solicitor who was on charge of iury case
We are very grateful to have found such a sterling team -professional, reassuring, efficient and friendly.
Made a lot of effort to explain the legal niceties of the outcomes that would take place for the various scenarios that we had to consider in our will. A masterclass in making the complicated simple and straightforward. Good local service and friendly staff, highly recommended.
Davinder Salhan gave us a very professional service. She kept us updated and answered questions quickly. It was obvious that she knew what she was talking about. The most important aspect was that she showed understanding for how stressful it is to sell a property including extending the lease, showed compassion and gave us confidence in the process.
straight forward no nonsense professional service.excellent .AAAA
Informative, helpful, friendly and efficient.
It's a privilege to write a review for Stennett & Stennett Solicitors. The firm handle a very sensitive matter dealing with a death of a beloved family member. Solicitor Mr. M. Stennett is very thorough and competent professional who always had the family's best interests in mind. What I especially appreciated was how information was presented in a concise & easy to understand manner .This allowed family to make decisions in a timely manner. Solicitor Mr. M. Stennett handled difficult feedback conversations constructively; he has ability to remain calm in difficult situations. The family owes a debt of gratitude to Mr.M.Stennett & staff for service rendered. Stennett & Stennett Solicitors practices nothing but the best customer service methods.
Michael Stennett has been our family solicitor for several years and initially helped my parents with end of life planning. Earlier this month we contacted him regarding a breach of contract with a utility company. Whilst not his day-to-day area of law, Michael was more than happy to go the extra mile for us by writing to them regarding a frustrating issue of said contract - it was resolved within a matter of days. Stennett & Stennett have consistently proven their excellent customer service and professional attitude and competence in many areas of family law. We cannot recommend them enough with regards sensitivity and technical know-how if you are seeking the range of legal services that they offer.
An Excellent advisory service was provided to me and it was extremely professional
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