NHS Sheffield Clinical Commissioning Group

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What happens if I am screened in for a full assessment

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If a person is screened in, a full assessment for continuing healthcare will be arranged.  Being screened in for full assessment does not imply that the person being assessed is eligible for continuing healthcare.

The CCG will appoint a nurse to coordinate the assessment and, with the person's consent, will ask other health and social care professionals to assist with this. The nurse and her colleagues (who are known as the multidisciplinary team) will complete a document known as a Decision Support Tool, using evidence about the person's health needs.  The Decision Support Tool is usually referred to as the DST.  The assessment will consider a range of possible needs, such as mobility, nutrition and behaviour.  The person being assessed will be invited to take part and they may involve members of their family too, if they wish.  You can find a copy of the DST here.

A key part of the assessment process is gathering evidence about the person's needs.  If you are being assessed for continuing healthcare, the nurse coordinating the assessment will need discuss this with you and others who provide care and support for you, to get this evidence.

The evidence is used by the multidisciplinary team to make a recommendation on eligibility for continuing healthcare.  The team base their recommendation on 4 key indicators of need.  These are their ‘nature', ‘complexity', ‘intensity' and unpredictability' and are described in more detail in the National Framework.  The team then make a judgement as to whether the person has a "primary health need".  If they do, the team will recommend to the CCG that the person is eligible for NHS continuing healthcare.  The Department of Health has published detailed guidance about continuing healthcare in a document called the National Framework and you can find a copy of it here.

If the team do not believe that the person being assessed has a primary health need, they may recommend that they are eligible for Funded Nursing Care.  This is a set weekly payment made by the NHS to a nursing home, where the person needs care from a registered nurse.  The Department of Health has also published guidance on Funded Nursing Care and you can find a copy of it here

Alternatively, the multidisciplinary team may recommend that the person is eligible for a joint-funded package of care.  In this case the CCG and the Council will agree on the care the person needs, and the CCG will pay or arrange for the healthcare interventions.  If the Council is funding some of the care then, then, depending upon the person's income and savings, they may have to pay a contribution towards the costs of their care.

The multidisciplinary team may also recommend that the NHS should not fund any of a person's care packages.  This does not mean that the person cannot see their GP, nurses or use the hospital.  It only applies to any care package that is arranged specifically for them, by the CCG.

NHS Sheffield Clinical Commissioning Group

Headquarters
722 Prince of Wales Road
Sheffield
S9 4EU