Health and Social Care

 I am often asked about the difference between health care and social care and how it affects funding.

Health and Social Care - To receive ongoing NHS health care funding that fully covers the cost of individual care, the need for funding must be established primarily as health care and not social care needs.

However, we have heard from countless individuals that NHS continuous health care assessors consistently downplay obvious health needs, lower their scores, and reclassify them as social care needs. I witnessed firsthand what they were trying to do.

Clients reported spending many frustrating and upsetting hours in ongoing health care evaluation meetings with evaluators debating differences in medical and social care needs and deciding to withhold funding. Many clients ultimately find that their relatives are ineligible for funding because their care needs are not health-based, despite clear evidence in the form of medical records and care charts. Receive news.

This desire to withhold funding is not surprising as the NHS can shift responsibility for funding individual care to local governments. themselves. But in essence, the medical services provided by the NHS are free to UK residents, so care should be provided free of charge if you have a clear medical need.

What the NHS National Framework for Continuing Health Care says:

2.1 There is no statutory definition of health care need (in the context of ongoing health care for the NHS), but generally such needs are defined as those related to the treatment, management or prevention of illness, disease or injury. can be said to be related. or disability, and the care or aftercare of persons with these needs (whether or not the associated tasks need to be performed by a medical professional).

2.2 Generally (rather than legally defined), social care needs are defined as supporting activities of daily living, maintaining independence, providing social interaction, and enabling individuals to fulfill their fuller roles in society. It can be said that the focus is on what to do. Protect them in vulnerable situations, help manage complex relationships, and (depending on the situation) access care homes and other supported accommodations.

While it appears to be clear guidance in the National Framework, the Framework establishes that when the primary need for care is health need, responsibility for funding rests with the NHS. There are some gray areas. These gray areas are a major source of conflict between the patient and the NHS, with many having to debate with her NHS assessors how treatment should be defined.

How can Compass CHC help me?

We specialize in ensuring medical funding is secured from day one, meaning no medical bills are paid from the beginning.

The Compass CHC team of continuing health care professionals, consisting of attorneys (non-practitioners) and clinicians (including nurses, tissue viability specialists and pharmacists), has a personal commitment to funding. Review and review the evidence from a clinical perspective before drafting a rational argument to identify eligibility. By cross-referencing medical evidence to the national framework of continuing care standards.

Compass CHC does not operate in any other field. This means we have amassed vast experience attending evaluation and appeals hearings at local and NHS England level and are not distracted by other natures of work.

Complete your free, confidential evaluation today. An expert member of our team will contact you for a no-obligation discussion outlining your options.