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Elderly parents
Original poster

joint funding package

30 replies

bewilderedhedgehog · 20/08/2021 22:24

Hi - hoping someone has experience here. We had a CHC assessment meeting for my father, who has a PEG and has carers come 4x a day to sort his food and medication. The conclusion was to recommend a joint funding package. I cannot see online whether this means that we have to contribute or whether costs are picked up by NHS/local authority jointly?
welcome advice and experience please
Many thanks

OP posts:
hatgirl · 22/08/2021 09:40

@bewilderedhedgehog

Thank you both for these comments and links - really helpful - this is a new issue for us so we are working our way through it. The element I don't understand is that his only needs are for the PEG feed/maintenance. His medication is also given through this. These seem to be health needs rather than social needs, so I'm not clear about what the social element is. When we get the paperwork I hope this will be clearer. Will work my way through the links!
Help with eating/drinking is classed a social need rather than a medical need, if his PEG feed is routine and not particular complex or intense to manage (I.e can be done by social care staff with minimal training) then it's lawful for this to be funded as a social care need. If it's complex, unpredictable, or an intense care need to manage his PEG then this could be funded as a health need.

He will however, have got the NHS funding due to the medications also being administered by PEG as this is a clear health need.

If as you say this is his only care need then he won't have been eligible for fully funded care but it's absolutely right that the NHS chips in for the medical bit of his care and social care funds the rest.

The social care bit will just be financially assessed as standard, just on the bit they are funding.

longhours · 22/08/2021 05:29

They didn't do a very good job explaining it , during the CHC meeting then. Ask for a copy of the Decision Support Tool report from the completed CCG (health) continuing health care team. That hopefully will clearly identify what is health and what is social care element. You should have been sent details on it when you got the letter

Original poster
bewilderedhedgehog · 21/08/2021 13:07

Thank you both for these comments and links - really helpful - this is a new issue for us so we are working our way through it. The element I don't understand is that his only needs are for the PEG feed/maintenance. His medication is also given through this. These seem to be health needs rather than social needs, so I'm not clear about what the social element is. When we get the paperwork I hope this will be clearer. Will work my way through the links!

OP posts:
longhours · 21/08/2021 05:18

See this website

www.nhs.uk/conditions/social-care-and-support-guide/money-work-and-benefits/nhs-continuing-healthcare/

It sounds to me Dad isn't eligible for continuing healthcare funding but they recognise he has some health needs at home that might be onerous for community nurses to meet (eg relating to some aspect of his PEG feed) so proposing CCG fund those (NHS funded so non chargeable) and Adult social services fund the rest (chargeable)

A decision about eligibility for a full assessment for NHS continuing healthcare should usually be made within 28 days of an initial assessment or request for a full assessment .If you are not eligible for NHS continuing healthcare, you can be referred to your local council who can discuss with you whether you may be eligible for support from them.

If you still have some health needs then the NHS may pay for part of the package of support. This is sometimes known as a "joint package" of care.

Cactuslove · 20/08/2021 22:35

My understanding is that the LA and CCG would agree a split normally done as a percentage. Your parent would be assessed for a means based contribution towards the percentage of package funded by LA. Ring the LA financial assessment team next week to double check.

Example: LA pay 60% of a package costing 1000 your parent would be assessed for their contribution towards the 600. Unless your parent is a self funder there will be capped charge determined regardless of the package. For example your parent might be assessed as having a capped charge of 250 towards there care, and qt present there care might cost 1000 so the LA would pay 600 and invoice your parent for 250 of that and the CCG would pay 400.

I'm not completely sure so please double check.

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