NHS Continuing Care
Funding - What's Wrong?
October 2007 each health authority had it's own set of guidelines
governing who would and who would not be eligible for continuing care
October 2007 the government sought to standardise these by issuing a
framework document that applies nationally, purportedly in an effort to
eradicate the post code lottery that existed before. This met with some
the framework was revised.
guidelines contain a Decision Support Tool ("DST") which health
authorities have to complete as part of their decision making process.
This contains 11 "assessment domains" ranging from behaviour to
mobility and scores from "no needs" to "priority".
dealt with scores of these DSTs whilst acting for families seeking CHC
there are differences between the family and NHS nurse assessors as to the
score to be given in a "domain" (i.e. an area of need) we
sometimes obtain an independent expert assessment.
assessors we instruct are highly qualified and experienced in dealing with
these matters and very often arrive at different assessment scores to
those of the NHS.
because these assessments are inherently subjective. What may score
"severe" to some assessors may present as merely
"high" to others.
system requires a clearer scoring mechanism with specific benchmarks in
order to promote consistency within the assessment process.
Robert Campbell and Company