Got A NHS Care Home Fee Claim Meeting

Got A NHS Care Home Fee Claim Meeting

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DSLiverpool

Original Poster:

14,769 posts

203 months

Saturday 1st August 2015
quotequote all
My mum spent 5 years at £1k a week in a specialist dementia home, she was diagnosed with dementia before she went in but was so unable to cope with at home with us, with a carer in any location the only solution was a dedicated home.

The Doctor referred us to a local dementia service who did tests and filled in forms but mum needed faster help so we booked her in paying the bill from mums account whilst she could.

Once in it was apparent mum was the ONLY long termer paying the full bill herself, some had full funding, some part. What we leaned over time was that some fully funded people had a house and money etc so that wasnt a factor.

Mum died 2 years ago and we claimed for "something" back as we had only had a FNC payment and that for her last 6 months.

Well after 2 years the NHS care home claim committee have requested a meeting - anyone been through this ?

I am not after all of it back but we fully funded mums care for 5 years and they should have paid something I feel.









johnxjsc1985

15,948 posts

165 months

Saturday 1st August 2015
quotequote all
My mum is 92 recently broke her leg. We are looking at the necessary care after hospital and my understanding is that if there is an "illness" then the NHS should fund the care. In our case it is dizziness causing falls.
Best of luck and stick to your guns and let us know if you get anywhere with them.

f1rob

317 posts

177 months

Sunday 2nd August 2015
quotequote all
On hols at the moment so she cant check her paperwork but Mrs Rob is a mental health nurse an she seems to think it came in this year ? That care is free now and you can claim back till 2011 ?

phumy

5,674 posts

238 months

Sunday 2nd August 2015
quotequote all
If you are in a care home and your assets are over £26k, i think, then the care home will take from that account anything over £26k, once you get down to £26k then it will be funded by the government.

DSLiverpool

Original Poster:

14,769 posts

203 months

Sunday 2nd August 2015
quotequote all
phumy said:
If you are in a care home and your assets are over £26k, i think, then the care home will take from that account anything over £26k, once you get down to £26k then it will be funded by the government.
That only applies if your old and frail, my mum had dementia and in the specialist home most had at least part funding.

DSLiverpool

Original Poster:

14,769 posts

203 months

Sunday 2nd August 2015
quotequote all
f1rob said:
On hols at the moment so she cant check her paperwork but Mrs Rob is a mental health nurse an she seems to think it came in this year ? That care is free now and you can claim back till 2011 ?
Ta

mph1977

12,467 posts

169 months

Sunday 2nd August 2015
quotequote all
if someone is in a nursing home bed and assessed as needing Nursing care they will get the FNC ( funded nursing component) fro mthe nHS which is something like 110 GBP / week

'fully funded' could mean two things

1. someone who doesn;t have assets in excess of the limit so gets FNC fro mthe nHS and social services funding for the rest

2. someone whose needs are such that they are fully funded by NHS continuing health care funds as otherwsie they would need to be cared for in a hospital setting - these will be the people whose assets were not touched

DSLiverpool

Original Poster:

14,769 posts

203 months

Sunday 2nd August 2015
quotequote all
mph1977 said:
if someone is in a nursing home bed and assessed as needing Nursing care they will get the FNC ( funded nursing component) fro mthe nHS which is something like 110 GBP / week

'fully funded' could mean two things

1. someone who doesn;t have assets in excess of the limit so gets FNC fro mthe nHS and social services funding for the rest

2. someone whose needs are such that they are fully funded by NHS continuing health care funds as otherwsie they would need to be cared for in a hospital setting - these will be the people whose assets were not touched
Dementia couldn't be defined hence new rules and confusion

mph1977

12,467 posts

169 months

Sunday 2nd August 2015
quotequote all
DSLiverpool said:
mph1977 said:
if someone is in a nursing home bed and assessed as needing Nursing care they will get the FNC ( funded nursing component) fro mthe nHS which is something like 110 GBP / week

'fully funded' could mean two things

1. someone who doesn;t have assets in excess of the limit so gets FNC fro mthe nHS and social services funding for the rest

2. someone whose needs are such that they are fully funded by NHS continuing health care funds as otherwsie they would need to be cared for in a hospital setting - these will be the people whose assets were not touched
Dementia couldn't be defined hence new rules and confusion
continuing healthcare is based on clinical needs not diagnosis - i deal with this stuff day in day out ...

DSLiverpool

Original Poster:

14,769 posts

203 months

Sunday 2nd August 2015
quotequote all
We have declined an initial paltry offer, this is for nearer the full amount - case is 2.5 years old.

Mother would be fully hospitalised if not in a dementia home